So physicians build up the experience in using the drugs. It's not the ideal way. Q. You've established that many drugs currently approved for use in adults are not specifically labeled for use in children. But other major antibiotics, such as piperacillin or metronidazole, have no labeling for use in children. In addition to the acute diseases, there are the chronic diseases of childhood, such as seizure disorders.
Children also can have congenital diseases, such as cystic fibrosis and enzyme deficiencies.
A. No, doctors may legally use approved drugs for whatever uses they think appropriate, according to their medical judgment. As a pediatrician, you must be concerned. We're doing a number of things to be active in this area and are about to launch a plan for more. As we meet with drug companies to discuss the drugs they are studying, we are encouraging them to test those drugs in children when appropriate. We are finding that companies are often responsive to the need.