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Prescribing information (revision 5)

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Prescribing information
Also calledLabel; summary of product characteristics
Approved byThe medicines regulator
JurisdictionalDiffers between countries for the same product
Topic infobox · conventions

Prescribing information is the regulator-approved labelling accompanying a medicine, stating its indications, dosing, contraindications, warnings, adverse effects, pharmacology and the studies supporting them. In Europe the equivalent document is the summary of product characteristics.[1]

It is a regulated document rather than a manufacturer's description. Its content is negotiated with the regulator and changes require approval, which is why it is a more reliable source than promotional material and why it lags the literature.[1]

It is jurisdiction-specific. The same product may carry different indications, different populations and different warnings in different countries, so the label of one jurisdiction does not describe the product in another.[2]

Structure

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Labelling follows a prescribed structure so that the same information is in the same place across products: indications, dosage and administration, dosage forms, contraindications, warnings and precautions, adverse reactions, drug interactions, use in specific populations, description, clinical pharmacology, non-clinical toxicology, clinical studies, and storage.[1]

The clinical studies section reports the trials supporting the indication, with the effect sizes as the regulator accepted them. It is a useful primary-adjacent source: the numbers are those the regulator reviewed rather than those a press release selected.[2]

Warnings and precautions differ from contraindications: a contraindication says the product is not to be used, a warning that a risk exists and is to be managed. Conflating them overstates the restriction. See Contraindications of incretin therapy.[1]

References

  1. ^ a b c d United States Food and Drug Administration, Labeling for Human Prescription Drug and Biological Products (physician labeling rule requirements).
  2. ^ a b European Commission, A Guideline on Summary of Product Characteristics (Notice to Applicants, Volume 2C).