<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182019000400854</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Medicamentos off-label: de la terminología a la práctica]]></article-title>
<article-title xml:lang="en"><![CDATA[Off-label medications: from terminology to practice]]></article-title>
<article-title xml:lang="pt"><![CDATA[Medicamentos off-label: da terminologia à prática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grant Gómez]]></surname>
<given-names><![CDATA[Ksenia Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Sánchez]]></surname>
<given-names><![CDATA[Yurisnel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saumell del Castillo]]></surname>
<given-names><![CDATA[Lucy Lilian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Filial de Ciencias Médicas Efraín Benítez Popa  ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<fpage>854</fpage>
<lpage>871</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000400854&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000400854&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000400854&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El uso de medicamentos off label, fuera de un ensayo clínico o fuera de las condiciones de autorización, ha beneficiado a pacientes en situaciones excepcionales. A los medicamentos que se utilizan en ese contexto se les agrupa bajo la rúbrica de usos especiales. Se realizó una revisión bibliográfica por un período de seis meses (abril _ octubre 2018) a un total de 25 artículos publicados en las bases de datos Pubmed, Hinari, SciELO y MEDLINE, con el propósito de actualizar sobre terminologías y algunos conceptos referentes a estos medicamentos. En la investigación se pudo constatar que diversos términos han llevado, en algunos casos, a confusión e incluso a elegir un protocolo de actuación equivocado. Se pudo concluir que aunque lo ideal es basar las decisiones terapéuticas en evidencias científicas, esto no siempre es posible. Los prescriptores tienen la libertad de optar por la opción terapéutica que mejor consideren, independientemente de las condiciones de uso que se proponen en la ficha técnica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The use of off-label medications, outside of a clinical trial or outside the conditions of authorization, has benefited patients in exceptional situations. Drugs used in this context are grouped under the rubric of special uses. A bibliographic review was made for a period of six months (April _ October 2018) to a total of 25 articles published in Pubmed, Hinari, SciELO and MEDLINE databases, with the purpose of updating terminologies and some concepts related to these medicines. In the investigation it was possible to verify that diverse terms have led, in some cases, to confusion and even to choose a protocol of wrong action. It was concluded that although the ideal is to base therapeutic decisions on scientific evidence, this is not always possible. The prescribers are free to choose the therapeutic option that they consider best, regardless of the conditions of use proposed in the technical file.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO O uso de medicamentos off-label, fora de um ensaio clínico ou fora das condições de autorização, beneficiou os pacientes em situações excepcionais. Drogas usadas neste contexto são agrupadas sob a rubrica de usos especiais. Uma revisão bibliográfica foi realizada por um período de seis meses (abril a outubro de 2018) para um total de 25 artigos publicados nas bases de dados Pubmed, Hinari, SciELO e MEDLINE, com o objetivo de atualizar as terminologias e alguns conceitos relacionados a estes. medicações Na investigação foi possível verificar que diversos termos levaram, em alguns casos, a confusão e até a escolha de um protocolo de ação errada. Concluiu-se que, embora o ideal seja basear as decisões terapêuticas em evidências científicas, isso nem sempre é possível. Os prescritores são livres para escolher a opção terapêutica que considerem melhor, independentemente das condições de uso propostas no arquivo técnico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Medicamentos]]></kwd>
<kwd lng="es"><![CDATA[Prescripciones de Medicamentos]]></kwd>
<kwd lng="en"><![CDATA[Drugs]]></kwd>
<kwd lng="en"><![CDATA[Drug Prescriptions]]></kwd>
<kwd lng="pt"><![CDATA[Medicamentos]]></kwd>
<kwd lng="pt"><![CDATA[Prescrições de Medicamentos]]></kwd>
</kwd-group>
</article-meta>
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