Prescribing of unlicensed medicines or licensed medicines for unlicensed applications in child and adolescent psychiatry
2001
AIMS AND METHOD Child and adolescent mental health services in north-west England
( n =21) participated in a prospective collection of information
regarding all instances of new prescribing of medication over the 6-month
period September 1999 to February 2000. RESULTS A total of 478 new prescriptions were issued to 411 individuals. Eight
prescriptions (2%) were for an unlicensed drug and a further 188 (39%) were of
licensed drugs but used in a manner outside of their product licence. CLINICAL IMPLICATIONS This level of unlicensed and outside-licence prescribing is similar to
levels previously found in studies both within paediatric practice and in
adult mental health practice. Anxiety about excessive beyond-licence
prescribing by child mental health services is unlikely to be justified.
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