Better known as the PDR, anytime your Doctor says excuse me for a bit. The chances are very great they are flipping through a PDR trying to find the "right pill/treatment" for you.
If your Google the PDR you get link after link of how reliable it is on, all but the first hit.
http://www.personalconsult.com... and it nails the problem with the PDR.
"The PDR is merely a drug's package insert. It is a FDA regulated article limited to merely the research submitted to the FDA typically to get a product approved for sale to you. Sometimes the information is from research from after the drug is out and being used by patients--new issues or problems arise. Period. It offers little else!" (edited "FDAÑtypically to FDA typically")
... "For example, one new anti-psychotic drug, Abilify, is listed in the PDR as a drug, which has doses of 15 mg, 20 mg and 30 mg. Guess what would happen if psychotic youth were given this PDR official dose?
If I gave that to kids with psychosis, I would have vomiting and stuporous patients. Continuing to follow the PDR would be cruelty." ...
"In no way does the PDR describe nor purport to describe the standard of care. Half the prescriptions in the nation are written off label. In other words, doctors think of useful and helpful ways which have not been approved by the massive FDA, you know, the ones who shut down Canadian drug stores in the USA.
If a doctor fails to place patients on a medication for the non-approved PDR indication, but the custom is that most doctors do, the doctor is clearly outside the standard of care. Thus quoting the PDR as authoritative represents the failure to comply with half of the standard of care in the US.
Some doctors would testify that limiting oneself to PDR approved indications and dosage is quackery that should result in the loss of license, as a threat to the health of the public. Half the customary prescribed treatment would be missed by this doctor."