Current issues related to the off-label use of drugs and their potential solutions

Relevance. Off-label use of medications is a common practice in clinical settings. To address the growing interest in this issue, the International Society for Pharmacoepidemiology (ISPE) has developed new general guidelines for off-label prescribing in clinical practice that emphasize the importanc...

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Main Authors: K. S. Radaeva, S. A. Mishinova
Format: Article
Language:Russian
Published: Publishing House OKI 2024-04-01
Series:Реальная клиническая практика: данные и доказательства
Subjects:
Online Access:https://www.myrwd.ru/jour/article/view/62
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author K. S. Radaeva
S. A. Mishinova
author_facet K. S. Radaeva
S. A. Mishinova
author_sort K. S. Radaeva
collection DOAJ
description Relevance. Off-label use of medications is a common practice in clinical settings. To address the growing interest in this issue, the International Society for Pharmacoepidemiology (ISPE) has developed new general guidelines for off-label prescribing in clinical practice that emphasize the importance of evidence-based medicine and promote transparent communication between healthcare professionals and patients.Objective. The aim of this work was to analyze and present key trends for optimizing off-label prescribing decisions based on the ISPE recommendations (2023).Results. The report highlights five main recommendations: seeking strong scientific evidence, including the use of real-world data; using expert knowledge to evaluate and summarize evidence; developing recommendations with rigorous consistency; aligning the use of off-label medications with research; and strengthening collaboration among regulators, researchers, clinicians, and the pharmaceutical industry.Conclusions. A comprehensive approach is required to address the problem of off-label use of medicines. Implementation of these initiatives will reduce the risks associated with off-label use, generate sustainable scientific evidence, and improve the quality of patient care.
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spelling doaj-art-cf08ea81063a42a7b35ce8009962124e2025-08-20T03:19:12ZrusPublishing House OKIРеальная клиническая практика: данные и доказательства2782-37842024-04-0141243110.37489/2782-3784-myrwd-4852Current issues related to the off-label use of drugs and their potential solutionsK. S. Radaeva0S. A. Mishinova1First St. Petersburg State Medical University, named after I. P. PavlovFirst St. Petersburg State Medical University, named after I. P. PavlovRelevance. Off-label use of medications is a common practice in clinical settings. To address the growing interest in this issue, the International Society for Pharmacoepidemiology (ISPE) has developed new general guidelines for off-label prescribing in clinical practice that emphasize the importance of evidence-based medicine and promote transparent communication between healthcare professionals and patients.Objective. The aim of this work was to analyze and present key trends for optimizing off-label prescribing decisions based on the ISPE recommendations (2023).Results. The report highlights five main recommendations: seeking strong scientific evidence, including the use of real-world data; using expert knowledge to evaluate and summarize evidence; developing recommendations with rigorous consistency; aligning the use of off-label medications with research; and strengthening collaboration among regulators, researchers, clinicians, and the pharmaceutical industry.Conclusions. A comprehensive approach is required to address the problem of off-label use of medicines. Implementation of these initiatives will reduce the risks associated with off-label use, generate sustainable scientific evidence, and improve the quality of patient care.https://www.myrwd.ru/jour/article/view/62off-label drug usedecision makingrecommendationsreal-world datarwdclinical pharmacologyadverse drug reactions
spellingShingle K. S. Radaeva
S. A. Mishinova
Current issues related to the off-label use of drugs and their potential solutions
Реальная клиническая практика: данные и доказательства
off-label drug use
decision making
recommendations
real-world data
rwd
clinical pharmacology
adverse drug reactions
title Current issues related to the off-label use of drugs and their potential solutions
title_full Current issues related to the off-label use of drugs and their potential solutions
title_fullStr Current issues related to the off-label use of drugs and their potential solutions
title_full_unstemmed Current issues related to the off-label use of drugs and their potential solutions
title_short Current issues related to the off-label use of drugs and their potential solutions
title_sort current issues related to the off label use of drugs and their potential solutions
topic off-label drug use
decision making
recommendations
real-world data
rwd
clinical pharmacology
adverse drug reactions
url https://www.myrwd.ru/jour/article/view/62
work_keys_str_mv AT ksradaeva currentissuesrelatedtotheofflabeluseofdrugsandtheirpotentialsolutions
AT samishinova currentissuesrelatedtotheofflabeluseofdrugsandtheirpotentialsolutions