Even after so many years of clinical practice, we have to sometimes look up some basic information about medications that we don’t use on a daily basis.
For example, I sometimes look up the following on simpleandpractical.com:
1. What dosage strengths a medication comes in. I recently had to look this up for chlordiazepoxide, a medication I prescribe only occasionally.
2. The FDA-recommended maximum dose for a medication. If we use more than the FDA-recommended dose, we should document that we discussed this with the patient. Also, we should write the reason why we are using higher than the recommended dose.
3. Whether my intended use of the medication is off-label. Again, several forensic psychiatrists and malpractice lawyers have recommended to me that we should always tell the patient that the use of medication is off-label.
Please don’t roll your eyes! 🙂 Whether you like it or not, whenever something goes wrong, it looks bad in a lawsuit that the clinician is either disregarding what the FDA says or did not get consent from the patient to do something that is not recommended by the manufacturer and the FDA. For off-label use (olu), even just writing in the note something like “Olu d/w pt” is helpful.
Did you know that it very easy to find this information on this website? Just type in simpleandpractical.com/xxx where xxx represents the name of the medication. Use the generic, not the brand name. For example, simpleandpractical.com/paliperidone or simpleandpractical.com/zaleplon and so on.
Please do let me know what you think in the box at the bottom of this page under “Leave a Reply”.
Copyright © 2016, Rajnish Mago, MD. All rights reserved. May not be reproduced in any form without express written permission.
Disclaimer: The content on this website is provided as general education for medical professionals. It is not intended or recommended for patients or other laypersons, or as a substitute for medical advice, diagnosis, or treatment. Patients must always consult a qualified health care professional regarding their diagnosis and treatment. Healthcare professionals should always check this website for the most recently updated information.