The Food and Drug Administration (FDA) provides a barrier tomarket entry and use of unproven and unsafe products. For prescriptiondrugs, the FDA approval process requires substantial evidenceof efficacy and safety for specific clinical situations. Althoughapproval is indication-specific, the FDA has a limited roleonce a drug is on the market. Recent draft guidelines coveringmanufacturers' promotion of drugs through the distribution ofjournal articles suggest that the FDA is moving toward an evenmore minimal role.1
Although off-label prescribing — the prescription of amedication in a manner different from that approved by the FDA— . . . [Full Text of this Article]
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Dr. Stafford is an associate professor of medicine at the Stanford Prevention Research Center, Program on Prevention Outcomes and Practices, Stanford University, Stanford, CA.
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