Can Community Practitioner Nurse Prescribers prescribe ‘off-label’?
No. Community Practitioner Nurse Prescribers do not undertake the same depth of prescribing training as Nurse Independent Prescribers and should not prescribe medicines ‘off-label’ apart from the exception listed below. Nystatin – Prescribing off label Community Practitioner Nurse Prescribers may exceptionally prescribe nystatin off-label for neonates. Where Community Practitioner Nurse Prescribers are absolutely clear that the diagnosis is one of oral thrush, they may prescribe nystatin at the dose recommended in the BNF for Children. An exception for nystatin is allowed on the basis that there is no systemic absorption of the product and the use of the product in treatment of oral thrush is long-established. This decision is without precedent and there are no other exceptions for off-label prescribing by Community Practitioner Nurse Prescribers. Community Practitioner Nurse Prescribers who prescribe nystatin off-label must be clear that they accept clinical and medico-legal responsib
