Abstract
It is reassuring that the majority of Scottish paediatricians are aware of the concept of off label prescribing (p XXX).1 The term off label relates to the use of a medicine in a manner different from that recommended by the manufacturers in their product licence.2 A formal classification system for the different types of off label and unlicensed drug use was described in 1997. In a period of a few years, several studies confirmed that off label drug prescribing was a significant problem in children in hospital,3 in neonates,4 and in primary care.5