In a message dated 16/11/96 01:20:49, Chris Kear wrote:
>Riluzole is a potentially toxic drug with a low therapeutic index. It
>requires regular monitoring, both of any therapeutic effect (which may be
>slight or not occur at all) and the side effects. It is also very
>expensive.
>
>Neurologist writes to GP begging him to continue the prescribing while
>not explicitly describing the management plan.
>
>What should the GP do?
Decline politely, citing the advice of the medical defence societies, the LMC
and the local FHSSA pharmaceutical adviser, that the GP is not qualified to
take the responsibility for supervising this particular treatment and
therefore the prescribing will have to be done as an outpatient.
Regards
Stephen H. Meech
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