Not having enough evidence to show a medication works does not mean that a medication doesn't work. @NICEComms clearly need to work with more courage, compassion and commonsense. #r4today #MedicalMarijuana #MedicalCannabis #ChronicPain
Paul Chrisp is being disingenuous when he says GPs can still prescribe medicines not recommended by @NICEComms. In practice most GPs won't prescribe 'off menu' because they depend solely on NICE for their knowledge of medicines, or supposedly are afraid of prosecution. #r4today
Another example: many ME patients and non-NHS specialists report that Low Dose Naltrexone has an anti-inflammatory + immunomodulatory effect yet patients rely on private prescription to obtain it. @NICEComms is too slow and inflexible to add LDN to its guidelines and...
... consequently many people with chronic illnesses like ME, MS, RA + FM are deprived of a valuable tool to manage their symptoms. Mention it to your average GP and you'll get a blank look or snort of derision for daring to suggest something not on the curriculum at med school.
In research circles, there's growing recognition that a 'personalised medicine' approach is the most effective way to treat serious/complex health conditions. Given how NICE has reacted to #MedicalCannabis, such an approach is unlikely to be available via the NHS any time soon.
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