管制藥品仿單外使用爭議案：牛奶針之愛與愁 —論醫師就管制藥品於「仿單外使用」之法律效果【學習式判解評析】 試閱
An Issue about Off-Label-Use of Controlled Medicines: The Popularity and the Worry of Propofol— On the Legal Effects of Off-Label Use of Controlled Substance by Physicians
在醫療實務上，醫師有時會為了某些原因而不依照仿單上之指示使用藥物，是否為法律禁止值得探討。此種仿單外之使用，是否仍屬醫療行為？若准許使用，是否有其限制？本文將以普洛福（坊間稱牛奶針）為例，先介紹仿單外使用之類型，並基此區分其法律效果。並進一步討論，若病人因使用藥物發生死亡結果時，醫師是否可免責，或可能構成何種刑責。
In medical practice, physicians sometimes use drug off-label for various reason. It is worth exploring whether such use is prohibited by law. Is such off-label use still a medical practice? If it is permitted, are there any restrictions? This essay will take propofol as an example to introduce the types of off-label use and distinguish their legal effects. The essay discusses the potential liability of physicians and the criminal consequences that may arise if a patient dies due to drug use.
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