Re: OB:  Cytotec vs. Cervidil

From: DoctorJoe@aol.com
Wed Sep 15 17:16:50 2004

In a message dated 9/15/04 13:22:25, cchamber@gorge.net writes:

> In my opinion, I don't think that the FDA approval issue is useful. We 
> have so many Rx that we use for indications that don't have FDA 
> indications, i.e. all tocolytics except Ritodrine. As long as a 
> evidence exists regarding efficacy and safety, then by FDA standards it 
> is okay for use. The numbers that I've seen confirm good efficacy with 
> Cytotec in the correct clinical situations, if in addition, you can 
> save a few bucks then why not?
>

The problem is often not FDA approval - it's the company's DISAVOWAL of the use in question. That gives the disgruntled patient ammunition to put the burden on the doctor to defend his use of a drug in a manner the company says is wrong.

Joe P.



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