Research summaries for autism therapy: off-label

definition of off label: For medications, the term “off-label” refers to when a physician prescribes a medication for use in a condition that is not included in FDA-specified uses for that medication. Physicians are allowed to use personal judgment and prescribe medication for a non-indicated or “off-label” use when the physician thinks that the medication may help someone with a different condition than what the FDA has indicated (see indications). Many medications are used off-label to treat conditions that are not indicated by the FDA. Typically, case studies then report if the medications worked in such off-label uses. If they worked, then larger clinical trials are performed to see if the medication is able to be helpful for most people with that specific condition. When there are enough positive clinical studies, the FDA may revise indications for the drug to include the new condition.

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Overdose of risperidone may make it difficult for a child to breathe.... In the UK, risperidone is not approved for use in children and, therefore, a child using risperidone has to have it prescribed "off-label." This case study describes a 10-year-old boy with mild developmental delay who took ten times more risperidone than he should have been taking.... Read more...

While memantine may help with some of the problem behaviors associated with autism, more research is needed.

This review article describes the use of the brain drug memantine to treat pervasive developmental disorders (PDD). Memantine acts on the brain chemical glutamate, which is known to be involved in brain growth. Some genetic studies point to glutamate as having a role in autism. Memantine drug therapy may be most helpful with regards to routines and rituals that are observed in some people with autism. The authors found five open label studies and one case report on the use of memantine to treat autism in children and adults. Read more...

Aripiprazole may help disruptive behavior in children with autism, but it can also cause significant weight gain.

Earlier studies have found that atypical antipsychotics such as Risperdal can help treat autism. A small study has also found that 12 mg/day of the atypical antipsychotic aripiprazole can help with aggression, self-injurious behavior, and hyperactivity in children with autism. This study of 32 children looked at whether aripiprazole is safe and effective in children with developmental disabilities including autism. The study found that about half of the children given aripiprazole were better behaved. It also found that weight gain was a serious problem, especially for younger children treated with aripiprazole.
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This article gives an overview of the implications of the use of galantamine (Reminyl) to treat autism.... However, recent clinical trials have encouraged physicians to write off-label prescriptions for acetylcholinesterase inhibitors to treat other forms of brain disorders, including autism. Galantamine is able to help the brain release chemicals, which are critical for sending information between different parts of the brain.... Read more...


Synonyms for off-label include: off label
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