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http://www.nikkei.co.jp/news/shakai/20050304AT3K0400A04032005.html
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Nice declares drugs for dementia too expensive to be prescribed on NHS
28 February 2005On 28 February 2005, Nice (National Institute for Clinical Excellence) issued draft guidance which says that Reminyl, Aricept, Exelon are not cost effective treatments for Alzheimer¡Çs disease and should not be made available free on the NHS. Nice also says that Ebixa is not clinically or cost effective.
Neil Hunt, chief executive of the Alzheimer¡Çs Society, said,
We are shocked by Nice¡Çs initial recommendations, which, if finally approved, will deny thousands of people with dementia the only drug treatment available to them. These drugs are not a cure. They don¡Çt work for everybody. But they can make a real difference to quality of life and their importance to many carers and people with dementia cannot be overestimated.
Nice believes that these drug treatments are not good value for money. We think they are. These drugs cost about £2.50 a day. Nice seems to have concluded that people with dementia are a group that it is not worth spending money on. We all need to let Nice know why they have got it wrong.
http://www.alzheimers.org.uk/News_and_Campaigns/News/050228Nice.htm
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(12/08 12:44)
http://www.sankei.co.jp/news/041208/bun077.htm
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GPs get new anti-depressant rules
Doctors have been issued with new guidance on the prescribing of antidepressants.
The National Institute for Clinical Excellence called on doctors to exercise more caution in prescribing the drugs.
Separate advice from the Medicines and Healthcare Products Regulatory Authority demanded stronger warnings on drugs such as Prozac and Seroxat.
It says advice on potential withdrawal symptoms should be reinforced.£Ó£Ó£Ò£ÉÉþÍѤòÃæ»ß¤·¤¿¾ì¹ç¤ÎÉûºîÍѤˤĤ¤¤Æ´µ¼Ô¤Ë½½Ê¬¤ÊÀâÌÀ¤ò¤¹¤ë¤Ù¤¤Ç¤¢¤í¤¦¡£
The NICE guidelines say no type of antidepressant should be used in the initial treatment of mild depression.
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But for patients with moderate to severe depression who are deemed to need antidepressants, drugs such as Prozac and Seroxat should be favoured above other types because they are less likely to be discontinued due to side-effects.
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Graham Archard, vice chair of the Royal College of GPs, said: "We welcome this guidance but GPs face a difficult dilemma when treating depression. With a chronic shortage of counselling and psychotherapy available on the NHS, GPs often feel they have little choice but to prescribe anti-depressants in mild to moderate cases.
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"People should instead have access to psychological treatments and support underlying issues that lead to the anxiety," he said.
But Marjorie Wallace, Chief Executive of the mental health charity Sane, added: "Unfortunately, trained and experienced therapists are currently like gold dust and those needing therapy may have to wait many months."
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http://news.bbc.co.uk/1/hi/health/4071145.stm
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