Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers

Abstract Objectives This study was aimed to familiarize obstetricians with the legal environment surrounding Effexor lawsuits and emphasize the importance of documenting informed consent in the medical records when prescribing a medication that is being targeted for litigation....

Full description

Bibliographic Details
Main Authors: Nathan Kirsch, Luis D. Pacheco, Amjad Hossain, John Y. Phelps III
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2019-01-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678723
_version_ 1819206363034681344
author Nathan Kirsch
Luis D. Pacheco
Amjad Hossain
John Y. Phelps III
author_facet Nathan Kirsch
Luis D. Pacheco
Amjad Hossain
John Y. Phelps III
author_sort Nathan Kirsch
collection DOAJ
description Abstract Objectives This study was aimed to familiarize obstetricians with the legal environment surrounding Effexor lawsuits and emphasize the importance of documenting informed consent in the medical records when prescribing a medication that is being targeted for litigation. Study Design We used the LexisNexis legal search engine to review legal documents from Effexor-related cases and also used Google to search for Effexor-related lawsuits online, further researching these cases via publically available court records from district clerk offices. Finally, we conducted a year-by-year literature review from 1993 to 2017 to establish the history and evolution of scientific studies surrounding Effexor use during pregnancy. Results Litigation involving Effexor typically arises due to congenital cardiac birth defects in the neonate allegedly associated with maternal Effexor use in pregnancy. Medication manufacturers have employed a legal strategy termed the learned intermediary doctrine in an attempt to shift liability away from themselves and on to prescribing obstetricians. Manufacturers claim they adequately inform obstetricians of the risks and benefits of prescribing their product and it is the duty of the obstetrician to relay those risks and benefits to their patients. Conclusion To reduce the risk of liability exposure, obstetricians must adequately document informed consent in the medical records when prescribing medications to their pregnant patients.
first_indexed 2024-12-23T05:06:24Z
format Article
id doaj.art-3c42633024d144099c0727628ee0038c
institution Directory Open Access Journal
issn 2157-6998
2157-7005
language English
last_indexed 2024-12-23T05:06:24Z
publishDate 2019-01-01
publisher Thieme Medical Publishers, Inc.
record_format Article
series American Journal of Perinatology Reports
spelling doaj.art-3c42633024d144099c0727628ee0038c2022-12-21T17:59:04ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052019-01-010901e88e9110.1055/s-0039-1678723Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric ProvidersNathan Kirsch0Luis D. Pacheco1Amjad Hossain2John Y. Phelps III3Medical School, The University of Texas Medical Branch at Galveston Galveston, TexasDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, TexasDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, TexasDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, TexasAbstract Objectives This study was aimed to familiarize obstetricians with the legal environment surrounding Effexor lawsuits and emphasize the importance of documenting informed consent in the medical records when prescribing a medication that is being targeted for litigation. Study Design We used the LexisNexis legal search engine to review legal documents from Effexor-related cases and also used Google to search for Effexor-related lawsuits online, further researching these cases via publically available court records from district clerk offices. Finally, we conducted a year-by-year literature review from 1993 to 2017 to establish the history and evolution of scientific studies surrounding Effexor use during pregnancy. Results Litigation involving Effexor typically arises due to congenital cardiac birth defects in the neonate allegedly associated with maternal Effexor use in pregnancy. Medication manufacturers have employed a legal strategy termed the learned intermediary doctrine in an attempt to shift liability away from themselves and on to prescribing obstetricians. Manufacturers claim they adequately inform obstetricians of the risks and benefits of prescribing their product and it is the duty of the obstetrician to relay those risks and benefits to their patients. Conclusion To reduce the risk of liability exposure, obstetricians must adequately document informed consent in the medical records when prescribing medications to their pregnant patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678723effexorpregnancylearned intermediaryobstetriclawsuitliabilityinformed consent
spellingShingle Nathan Kirsch
Luis D. Pacheco
Amjad Hossain
John Y. Phelps III
Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers
American Journal of Perinatology Reports
effexor
pregnancy
learned intermediary
obstetric
lawsuit
liability
informed consent
title Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers
title_full Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers
title_fullStr Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers
title_full_unstemmed Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers
title_short Medicolegal Review: Perinatal Effexor Lawsuits and Legal Strategies Adverse to Prescribing Obstetric Providers
title_sort medicolegal review perinatal effexor lawsuits and legal strategies adverse to prescribing obstetric providers
topic effexor
pregnancy
learned intermediary
obstetric
lawsuit
liability
informed consent
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678723
work_keys_str_mv AT nathankirsch medicolegalreviewperinataleffexorlawsuitsandlegalstrategiesadversetoprescribingobstetricproviders
AT luisdpacheco medicolegalreviewperinataleffexorlawsuitsandlegalstrategiesadversetoprescribingobstetricproviders
AT amjadhossain medicolegalreviewperinataleffexorlawsuitsandlegalstrategiesadversetoprescribingobstetricproviders
AT johnyphelpsiii medicolegalreviewperinataleffexorlawsuitsandlegalstrategiesadversetoprescribingobstetricproviders