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	<title>Comments on: Medicated Americans</title>
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		<title>By: Vaughan</title>
		<link>http://mindhacks.com/2008/02/28/medicated-americans/#comment-6826</link>
		<dc:creator><![CDATA[Vaughan]]></dc:creator>
		<pubDate>Fri, 29 Feb 2008 14:54:00 +0000</pubDate>
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		<description><![CDATA[Hi Michael,
Point taken. I think a better description would be that there is less strong evidence.
I don&#039;t know of any situation where enough evidence exists to fulfil FDA approval but the company has not bothered to apply, however, it&#039;s still possible to have strong evidence without something being licensed as you mention.
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		<content:encoded><![CDATA[<p>Hi Michael,<br />
Point taken. I think a better description would be that there is less strong evidence.<br />
I don&#8217;t know of any situation where enough evidence exists to fulfil FDA approval but the company has not bothered to apply, however, it&#8217;s still possible to have strong evidence without something being licensed as you mention.</p>
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		<title>By: Michael Meadon</title>
		<link>http://mindhacks.com/2008/02/28/medicated-americans/#comment-6825</link>
		<dc:creator><![CDATA[Michael Meadon]]></dc:creator>
		<pubDate>Fri, 29 Feb 2008 13:28:01 +0000</pubDate>
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		<description><![CDATA[A small point, Vaughan. Off-label does not equal lack of strong evidence. Citalopram, for example, is off-label for premature ejaculation, and there is pretty strong evidence for such a use (http://www.nature.com/ijir/journal/v14/n6/full/3900918a.html).
Whether treatment for a condition is on or off-label depends on FDA approval. But &quot;FDA-approved&quot; and &quot;science based&quot; are not interchangeable - often companies simply don&#039;t bother getting their medicine registered for more conditions, as it is too expensive.
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		<content:encoded><![CDATA[<p>A small point, Vaughan. Off-label does not equal lack of strong evidence. Citalopram, for example, is off-label for premature ejaculation, and there is pretty strong evidence for such a use (<a href="http://www.nature.com/ijir/journal/v14/n6/full/3900918a.html" rel="nofollow">http://www.nature.com/ijir/journal/v14/n6/full/3900918a.html</a>).<br />
Whether treatment for a condition is on or off-label depends on FDA approval. But &#8220;FDA-approved&#8221; and &#8220;science based&#8221; are not interchangeable &#8211; often companies simply don&#8217;t bother getting their medicine registered for more conditions, as it is too expensive.</p>
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