Tag Archives: prescription

Calls to regulate tramadol

Tighter controls should be put on the painkiller tramadol according to the UK’s official drugs advisers.

The Advisory Council on the Misuse of Drugs (ACMD) said it was concerned about an increase in the number of deaths related to misusing the psychoactive drug.

Tramadol is an opioid-like drug which is used to treat pain from cancer and musculoskeletal problems.

The Home Office said it would consider the recommendations.

The ACMD’s chairman Prof Les Iversen called for tramadol to be made a Class C drug, with penalties of up to two years in prison for possession and 14 years for supply.

In a letter to the Home Secretary and Health Secretary last week he said the number of deaths related to the drug was 154 in 2011. Up from 87 in 2009 and 83 in 2008.

Tramadol

Tramadol

Tramadol is available on prescription in the UK. However, the deaths were mostly linked to misuse.


Overdosing can cause rapid heart beat, high blood pressure, vomiting and seizures. It can also cause too much serotonin to be released in the brain, which can be fatal.

“The ACMD’s review of harms associated with the non-medicinal use of tramadol was prompted by an increasing number of reports within the NHS of tramadol’s misuse and harms,” the letter said.

A Home Office spokesperson said: “We are grateful for the recommendations made by the Advisory Council on the Misuse of Drugs regarding tramadol and will respond in due course.”

The cost of depression

High levels of depression are costing the country almost £11bn a year in lost earnings, in demands on the health service and in prescribing drugs to tackle the problem.

The extent of the economic damage caused by the illness emerged as new figures showed that the use of anti-depressants and sleeping pills is soaring. Last night charities said the economic turmoil, increased job insecurity and mounting unemployment have contributed to growing levels of depression over the past three years.

According to research by the House of Commons, people unable to work because of depression lose £8.97bn of potential earnings per year. The loss of earnings from people who commit suicide is estimated at a further £1.47bn. The cost to the NHS of treating depression is put at more than £520m a year. This comprises £237m for hospital care, £230m for antidepressant drugs, £46m for doctors’ time and £9m for outpatients’ appointments.

The Liberal Democrat MP Jo Swinson, who commissioned the research, said: “Failure to tackle depression hurts us all. It makes a misery of the lives of sufferers, costs the NHS in terms of time and medication and hampers business by forcing some people out of work.”

But Ms Swinson, the chair of the All-Party Parliamentary Group on Wellbeing Economics, suggested that “much depression is preventable and treatable”. She cited flexible working patterns, which could reduce stress and absenteeism, and backed investment in counselling and therapy.

The breakdown of the statistics suggested that women were nearly four times more likely than men to approach their doctor with the problem.

depression

Depression

The NHS Information Centre discloses today that 43.4 million prescriptions for antidepressants were dispensed in 2010-11, a rise of 28 per cent over three years. The use of anti-anxiety medication rose by 8 per cent over the same period, with Diazepam the most widely prescribed drug. Sleeping pill prescriptions went up by 3 per cent to 10.2 million. Across all these groups of drugs, there was a 20 per cent rise in prescription items, with the largest increases recorded in the East Midlands and the North-east.

Emer O’Neill, the chief executive of the charity Depression Alliance, said: “For some people depression just happens, but for others it is triggered by stressful events, for example losing a job, property or bereavement. These uncertain economic times are linked to an increase in the number of people with the illness.”


Case study: ‘I went to Beachy Head twice to die’

John Lake, 34 , from London, became severely depressed in 2005 while working as an actor, three years after suffering a brain tumour. He was out of work for three years while he recovered with the help of the charity Time To Change. He said: “I found myself at Beachy Head twice, contemplating suicide. The second time I was sectioned and spent a month in hospital. In hospital, I realised how common depression is, and that it’s not limited to one segment of society.

“The hardest thing was the attitude of others; I was evicted when I told my landlady I was ill. I was lucky, antidepressants helped me but for some, the side-effects are worse than the condition.