Off-Label Use

"Off-Label" use of a medication generally means prescribing it in any manner other than that described in the drug's official labeling. This includes prescribing a medication for a condition or illness it is not approved for and or prescribing the medication in a manner different than indicated in the official labeling. Here are some examples of "off-label medication use"
  • Prescribing for an illness or disease for which it is not approved.
  • Prescribing higher or lower doses than those described in the official labeling.
  • Prescribing a medication for a longer or shorter period of time than indicated in the labeling.
Why Would Anyone Use or Prescribe a Medication "Off-Label"?

The only reasonable excuse is when new medical science indicates that such use is appropriate. As we shall see, this is the case with a number or prescription appetite medications and one very unusual drug called topiramate.