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!
You'll find that off label use of meds are common in hospitalized patients especially in academic medical centers and teaching hospitals aside from the fact that some drugs are used off label as part of an ongoing research study. As the other posters stated, as long as there is evidence in the literature that backs the benefit of the off label use, there typically isn't an issue with insurance reimbursement and it doesn't matter whether a physician or a non-physician provider is writing it.
At our institution, some examples I could think of are Haldol for ICU delirium if unable to take PO Seroquel (which core0 also mentioned), Propranolol for variceal hemorrhage prophylaxis for end-stage liver disease patients with known esophageal varices, Amiodarone for atrial fibrillation prophylaxis in open heart surgery, Dexmedetomidine for sedation of intubated patients longer than the maufacturer's recommendation of a 24-hour IV drip, and inhaled Nitric Oxide for lung inujry and RV dysfunction after cardiac surgery.
Last edit by juan de la cruz on Feb 11, '12