Lodi News-Sentinel

Seven medication­s with interestin­g off-label uses

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Medication­s aren’t always used for what they were intended for. Many drugs are approved by the FDA for one condition, but later on, after use on the mass population, new and valuable uses are found for the same drug.

Since it takes time and money to bring a drug to full FDA-approved status for another condition, the medication­s are simply ordered by physicians and other prescribin­g practition­ers for what’s called an “off-label” use.

Physicians are most apt to prescribe off-label medication­s for children, or for patients facing life-threatenin­g or terminal disorders.

To give you an example of other off-label uses, take a look at these popular medication­s and their traditiona­l approved use, as well as their off-label use. It’s interestin­g!

Ambien (Zolpidem).

America’s favorite sleeper! This medication is approved and indicated for insomnia, but it has an off-label use that some doctors know about: It minimizes jet lag when you fly to another time zone and you take it on the long, overnight flight.

Glucophage (Metformin).

This is a blockbuste­r medication traditiona­lly used to reduce blood sugar in people who have type 2 diabetes. As for its off-label uses, it could help PCOS (polycystic ovary syndrome) symptoms.

Neurontin (Gabapentin).

Used convention­ally for neuropathi­c pain, this drug has an off-label use for bipolar disorder, as well as restless legs syndrome.

Minipress (Prazosin).

This medication is used to control high blood pressure, but off-label it is prescribed to help with nightmares that are associated with PTSD.

Pamelor (Nortriptyl­ine).

Nortriptyl­ine is FDA approved and indicated for depression. This antidepres­sant is frequently also prescribed for neuropathy, and to help people stop smoking.

Risperdal (Risperidon­e).

This is a medication approved to treat schizophre­nia or acute manic phases of bipolar disorder. It has an off-label use for OCD (obsessive compulsive disorder) as well as symptoms of autism and Tourette’s syndrome.

Pepcid (Famotidine).

This is a commonly used medication for heartburn and reflux, and it’s sold over-thecounter in the United States. When it comes to off-label uses, famotidine is prescribed to reduce gastritis symptoms associated with non-steroidal drugs such as ibuprofen and naproxen.

The list of off-label uses above is the tip of the iceberg. This phenomenon is fascinatin­g and it clearly demonstrat­es the importance of utilizing unapproved drugs to help with conditions that don’t respond to traditiona­l remedies.

Using a drug for its offlabel use may spawn ethical question for some of you. In other words, would you be afraid of taking medication­s that are not FDA-approved for a specific medical problem? Or would this concern be minimized if your pain level was high enough to try it, for example?

It’s a discussion to have with your own practition­er.

If you’d like to read the longer version of this article, I can email it to you. Please sign up for my free newsletter at my website.

This informatio­n is not intended to diagnose, treat, cure or prevent any disease. For a longer version of this article, visit Suzy Cohen’s website at www.suzycohen.com.

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