Re: sidual dysplasia
From: Larry Glazerman (l.glazerman@rcn.com)
Sat Jan 3 13:29:13 2004
I see no need to treat while "waiting for the LEEP." HPV disease is a very
slow progress. I have no experience with Aldara in this situation, although
I don't have a problem using it.
How long does she need to wait for the LEEP?
--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown, PC
610-402-0161
l.glazerman@rcn.com
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Karen Lee
Sent: Saturday, January 03, 2004 12:43 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: sidual dysplasia
So, this week I had a 22yo who had 2 N Paps in
the last 2 years. The recent one was LGSIL; colp
with 2 Bx, both HGSIL with glandular involvement!
So, of course she will have LEEP. I discussed
this with the Doc I refer these to and wondered
how he felt about my Tx her with Aldara while
awaiting the LEEP. He wasn't troubled by it, so
yesterday she had her first Tx. What do you all
think?
Karen Lee, ARNP
--- "art fougner, md" <evsono@pipeline.com>
wrote:
> I don't believe MgSO4 was approved for
> eclampsia. and ASA antedates the
> FDA. OTH off label indications put the onus
> totally on the practitioner
> so ...
>
> art
>
> At Fri, 2 Jan 2004, RModugno@aol.com wrote:
> >
> >Content-Type: multipart/alternative;
>
boundary="-----------------------------1073081945"
> >
> >-------------------------------1073081945
> >Content-Type: text/plain; charset="US-ASCII"
> >-------------------------------1073081945
> >Content-Transfer-Encoding: 7bit
> >In a message dated 1/2/2004 1:58:24 PM Eastern
> Standard Time,
> >cchamber@gorge.net writes:
> >I was then chastised
> >> by a physician because I was using this off
> label
> >> and was very liable for lawsuit. I discussed
> it
> >> with the Aldara rep who, of course, could
> not
> >> recommend that usage.
> >
> >Once a drug is apporved by the FDA - you can
> use it for "off-label" uses
> >provided there is medical literature to back
> up this use.
> >e.g.terbutaline is not approved for the
> treatment of premature labor.
> >
> >Robert Modugno MD MBA FACOG
> >Marietta, GA
> >http://www.novaobgyn.yourmd.com
> >
> >-------------------------------1073081945
> >Content-Type: text/html; charset="US-ASCII"
> >-------------------------------1073081945
> >Content-Transfer-Encoding: quoted-printable
> >
> >In a message dated 1/2/2004 1:58:24 PM Eastern
> Standard Time, cchamber gorge.net writes:
> >I was then chastised> by a physician b cause I
> was using this off label> and was very liable
> for lawsuit. I discussed it> with the Aldara
> rep who, of course, could not> ecommend that
> usage.
> >Once a drug is apporved by the FDA - you can
> use it for "off-label" us s provided there is
> medical literature to back up this use.
> >e.g.terbutaline is not approved for the
> treatment of premature labor.
> >
> >Robert Modugno MD MBA FACOG
> >Marietta, GA
> >http://www.novaobgyn.yourmd.com
> >
> >-------------------------------1073081945--
> >
> >-------------------------------1073081945--
>
> --
> art fougner, md
> ich bin ein New Yorker
