Skip to main content
×
×
Home

Medico-legal implications of drug treatment in dementia: prescribing out of licence

  • R. M. Lawrence, K. Scott (a1), A. Duggal, C. Darwin, E. Brooks (a2) and G. Christodoulou (a1)...
Abstract
AIMS AND METHOD

There is increasing evidence-based knowledge in the drug treatment of psychotic and behavioural symptoms in dementia, but drugs do not possess a formal licence for these indications. Drug companies, health authorities, NHS trusts and medical defence unions were asked for their advice on the medico-legal implications for the prescribing clinician.

RESULTS

Drug companies, health authorities, medical defence unions and NHS trusts are aware of out-of-licence prescribing and leave ultimate accountability with the clinician. A suggested best practice is that of obtaining the patient's consent.

CLINICAL IMPLICATIONS

Out-of-licence prescribing for psychotic and behavioural symptoms in dementia is widespread. This patient group may be unable to grant consent. The accountability of individual clinicians should be supported by more adequate medico-legal frameworks.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Medico-legal implications of drug treatment in dementia: prescribing out of licence
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Medico-legal implications of drug treatment in dementia: prescribing out of licence
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Medico-legal implications of drug treatment in dementia: prescribing out of licence
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Aparasu, R. R., Mort, J. R. & Sitzman, S. (1998) Psychotropic prescribing for the elderly in office-based practice. Clinical Therapeutics, 20(3), 603616.
Beers, M. H., Ouslander, J. G., Fingold, S. F., et al (1992) Inappropriate medication prescribing in skilled nursing. Annals of Internal Medicine, 117, 684689.
Department of Health (2001) The National Service Framework for Older People. London: Department of Health.
Elon, R. & Pawlson, L. G. (1992) The impact of OBRA on medical practice within nursing facilities. Journal of the American Geriatric Society, 40(9), 958963.
Fremont, P. (1999) Drug use in the elderly. Use of psychotropic drugs in the elderly: over use or underuse? [Review]. Presse Médicale, 28(32), 17941799.
Furniss, L., Burns, A., Craig, S. K. L., et al (2000) Effects of a pharmacist's medication review in nursing homes. Randomised controlled trial. British Journal of Psychiatry, 176, 563567.
Gambassi, G., Landi, F., Lapane, K. L., et al (1999) is drug use by the elderly with cognitive impairment influenced by type of dementia? Pharmacotherapy, 19(4), 430436.
General Medical Council (2001) Good Medical Practice. Duties and Responsibilities of Doctors. 6. London: GMC.
Herrmann, N. (2001) Recommendations for the management of behavioral and psychological symptoms of dementia. Canadian Journal of Neurological Science, 28(1), S96S107.
Hesse, K. A., Driscoll, A. & Jacobson, S. (1993) Neuroleptic prescription for acutely ill geriatric patients. Archives of Internal Medicine, 153(22), 25812587.
Institute of Medicine (1986) Improving the Quality of Nursing Home Care. Washington, DC: National Academy Press.
Levy, M. L., Cummings, J. L. & Kahn-Rose, R. (1999) Neuropsychiatric symptoms and cholinergic therapy for Alzheimer's disease. Gerontology, 45 (suppl. 1), 1522.
Morford, T. G. (1988) Nursing home regulation: history and expectations. Health Care Finance Review (Annual Supplement), 129132.
Schneider, L. S. (1999) Pharmacologic management of psychosis in dementia. Journal of Clinical Psychiatry, 60 (suppl. 8), 5460.
Tariot, P. N. (1999) Treatment of agitation dementia. Journal of Clinical Psychiatry, 60 (suppl. 8), 1120.
Bolam v. Friern Hospital Management Committee (1957), 2 AllER 118, 1W: R582.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 3 *
Loading metrics...

Abstract views

Total abstract views: 52 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 16th July 2018. This data will be updated every 24 hours.

Medico-legal implications of drug treatment in dementia: prescribing out of licence

  • R. M. Lawrence, K. Scott (a1), A. Duggal, C. Darwin, E. Brooks (a2) and G. Christodoulou (a1)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *