Can NPs prescribe meds for off label purposes? - page 2

Hi, I read my state's practice act, but can't tell if prescribing meds for off label use is permitted by NPs. Do any of you do it? This question has been bugging me for a while, so I'd like to hear... Read More

  1. Visit  Cessna172} profile page
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    Thank you Juan and others, I appreciate your help and knowledge with this.

    Bobby
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  3. Visit  NPinWCH} profile page
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    I'm in Ohio and as long as my collaborating agreement states that I can prescribe medications for off label uses, then I can. I do it all the time. I'll use gabapentin for pain syndromes (already mentioned) and restless leg syndrome and beta blockers for migraine and anxiety, also I've had good results with sertraline for men with premature ejaculation issues. All of these are off label uses, but are very common. If there is proof it works I see no reason not to prescribe it.
  4. Visit  smspicer} profile page
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    Quote from bobbyzr7
    Hi, I read my state's practice act, but can't tell if prescribing meds for off label use is permitted by NPs. Do any of you do it? This question has been bugging me for a while, so I'd like to hear from practicing NPs about this . I am in a FNP program, and graduate in December 2012. Thanks!
    The law concerning this in many states is probably vague. In the state where I practice (Ohio), the Ohio Board of Nursing rules state that in order for a Nurse Practitioner to prescribe something off-label, it has to be specified in your Standard Care Arrangement (which is the term Ohio uses for a collaborative agreement between a Physician and an NP). We are required to have a SCA with every physician we work with. Within that SCA, there is a section where you name drugs you are able to prescribe off-label, with their approved FDA uses as well as what off-label use you may be prescribing them for.

    Good luck starting your practice!


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