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Prescribing Drugs not in Accordance with the Official Instructions for Medical Use (Off-label), Clinical Guidelines, Standards of Medical Care and Legal Regulation in the Russian Federation. Part 2

https://doi.org/10.20996/1819-6446-2021-04-01

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Abstract

Prescribing drugs not in accordance with the official instructions for medical use (off-label) has medical and legal aspects. From a medical point of view, such an appointment can be dictated by clinical urgency, when there is no alternative therapy, and on the other hand, doctors often prescribe off-label drugs unknowingly, and also when there is another drug with registered indications. The article analyzes the regulations governing such appointments. The article describes possible inconsistencies between clinical guidelines and standards of medical care in this matter, the role of the medical commission, the impact on the quality and safety of medical care, as well as the types of legal liability of a medical worker that may arise when a drug is prescribed not according to instructions.

About the Authors

A. R. Navasardyan
Bayer JSC
Russian Federation

Artur R. Navasardyan - eLibrary SPIN 8497-8485

Moscow



S. Yu. Martsevich
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Sergey Yu. Martsevich - eLibrary SPIN 7908-9554

Moscow



P. G. Gabay
Faculty of Medical Law, LLC; Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia
Russian Federation

Polina G. Gabay - eLibrary SPIN 8966-6490

Moscow



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For citation:


Navasardyan A.R., Martsevich S.Yu., Gabay P.G. Prescribing Drugs not in Accordance with the Official Instructions for Medical Use (Off-label), Clinical Guidelines, Standards of Medical Care and Legal Regulation in the Russian Federation. Part 2. Rational Pharmacotherapy in Cardiology. 2021;17(2):286-293. https://doi.org/10.20996/1819-6446-2021-04-01

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ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)