Osteoporosis protocol (Galindo-Zavala):

Childhood osteoporosis is defined, in clinical practice, by the presence of fragility fractures. The International Society of Clinical Densitometry (ISCD), in its 2019 consensus, establishes two alternative conditions for the diagnosis [1,2]: Important: a Z-score > −2 does not exclude bone fragility or predisposition to fractures, especially in patients with pathologies that...

Compassionate use, medication, foreign and drug use out-of-specification (out-of-the technical data sheet).

The AEMS link explains the three concepts, as well as in which cases it is necessary to request authorization and through which channels it should be done. Common examples in child neurology: Ethosuximide syrup (not marketed in Spain), available from hospital pharmacy as an foreign medication. Cannabidiol in Rett syndrome (for patients on treatment …