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Use of Drugs "off-licence"

Because some drugs used in Pain Management are not primarily marketed for use in pain some of them are used outside the terms of the licences granted to their makers – so-called “beyond-licence” or “off-licence” use. Though the manufacturers have not gone through the very involved and expensive process of getting such a licence the use of these drugs is common and well-established.

Further information on this is given in a booklet published by the British Pain Society, Use of medicines outside of their UK marketing authorisation in pain management and palliative medicine - information for patients (2012)

This document summarises the views of the Association for Palliative Medicine (APM) and the British Pain Society in relation to the use of drugs outside of their UK marketing authorisation beyond their product licence in clinical practice.

This document can be viewed or downloaded free of charge by clicking this link or the image below. 

BPS use of meds book










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Pain Service Website, Gloucestershire Hospitals NHS Foundation Trust
Webmaster Dr J G de Courcy, Consultant in Pain Medicine and Anaesthesia
email: pain.webmaster[at]

Page updated 19/02/2016