A Swedish physician is allowed to give a longer/better/other treatment...

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A Swedish physician is allowed to give a longer/better/other treatment...

Post by X-member » Mon 29 Aug 2016 16:08

A Swedish physician is allowed to give a longer/better/other treatment to those patients who need it.

Folkhälsomyndigheten (the Public Health Agency) wrote 2013:
Långtidsbehandling kan övervägas i vissa fall där den initiala behandlingen inte har gett tillräckligt resultat.

In English:
Long-term treatment may be considered in certain cases where the initial treatment has not yielded sufficient results.

http://www.anvisningar.se/PageFiles/233 ... _tryck.pdf


Läkemedelsverkets (the Medical Products Agency) reply by e-mail 2010:
Vi vill också starkt betona att rekommendationerna är att betrakta som en vägledning och att läkare, inom ramen för sin fria förskrivningsrätt, i det enskilda fallet kan avvika från rekommendationerna
In English:
We also want to strongly emphasize that the recommendations are to be considered as a guide and doctors, as a part of their free prescription rights, in a special (single*) case may differ from the recommendations
* Actually “a few” cases

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Re: A Swedish physician is allowed to give a longer/better/other treatment...

Post by X-member » Mon 29 Aug 2016 16:41

And what do IDSA say about this?

A quote:
It is important to realize that guidelines cannot always account for individual
variation among patients.
They are not intended to supplant physician judgment
with respect to particular patients or special clinical situations. The Infectious
Diseases Society of America considers adherence to these guidelines to be
voluntary, with the ultimate determination regarding their application to be made
by the physician in the light of each patient’s individual circumstances.
http://www.idsociety.org/uploadedFiles/ ... isease.pdf

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Re: A Swedish physician is allowed to give a longer/better/other treatment...

Post by X-member » Thu 5 Jan 2017 17:49

Professor Björn Olsen at CVI (Center for Vector borne Infections, Uppsala, Sweden) gave me the following answer when I asked him in december 2016:
Det är inget hinder att ge längre tider om det anses medicinskt motiverat.
English translation (with google translate):
There is no obstacle to give longer periods if considered medically justified.

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Re: A Swedish physician is allowed to give a longer/better/other treatment...

Post by X-member » Sat 4 Mar 2017 1:25

But a Swedish physician is not allowed to give every patient that suffer from Lyme borreliosis a longer treatment. Read about what can happen if he does this in the thread below:

Swedish MD suspended over Lyme disease care; patients bereft

http://www.lymeneteurope.org/forum/view ... f=7&t=6246

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