The most important
control is the fact that the evidence comes from thousands of impartial
observers. So many independent reports are like strands in a rope,
each adding to its strength.
Basic mechanism
studies confirm the clinical observations. They demonstrate that phenytoin
corrects inappropriate electrical activity at the level of the single
cell—with little or no effect on normal cell function. This fundamental
property makes understandable how PHT can have so many uses.
Use of Approved
Drugs for Unlabeled Indications
FDA Drug Bulletin,
April l982
“The appropriateness
of prescribing approved drugs for uses not included in their official
labeling is sometimes a cause of confusion among practitioners.
“The Federal Food,
Drug and Cosmetic Act does not limit the manner in which a physician
may use an approved drug. Once a product has been approved for marketing,
a physician may prescribe it for uses or in treatment regimens or patient
populations that are not included in approved labeling. Such ‘unapproved’
or, more precisely, ‘unlabeled’ uses may, in fact, reflect approaches
to drug therapy that have been extensively reported in medical literature.”
(Excerpted: See Appendix for full text.)
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