Off-label use in dermatological practice. The conflict between professional duty and legal requirements

Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete
V BrunneN H Brockmeyer

Abstract

When making therapeutic decisions, doctors often find themselves faced with a dilemma regarding ethical, professional, legal liability, social and service aspects of their duties. These conflicts may be enhanced when medications have to be prescribed for non-approved usages, known as off-label prescribing, because existing therapy options have been exhausted. This option become considerably more difficult since the German Federal Social Court decision of March 2002 which limited off-label use to a number of very strictly defined circumstances. In order to clarify the basis for taking decisions in a given situation, an oncology expert commission has been formed under the coordination of the Department of Health and Social Security. However, this is no solution for the great variety of uncommon dermatological diseases which often require off-label medication usage.

Citations

Oct 24, 2013·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·M Augustin
Oct 24, 2013·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·U BrucklacherC Riedel
Jul 27, 2005·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·B LutherG von Mittelstaedt
Apr 24, 2009·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Norbert H BrockmeyerStefanie Reich-Schupke
Jul 19, 2017·Clinical Reviews in Allergy & Immunology·Ralph M Trüeb, Maria Fernanda Reis Gavazzoni Dias
Apr 23, 2021·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·Monika KleinhansJoachim Dissemond

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