- Hundreds of thousands of people are being prescribed
powerful anti-depressants that they may not need because doctors are using
the pills as a "quick fix" solution to mild anxiety problems,
according to a report published today.
-
- Desperate shortages of NHS counsellors and therapists
mean that over-worked GPs often feel they have no option but to hand out
anti-depressants to people who may only need an outlet for discussing their
problems. Eighty per cent of GPs admit that they are over-prescribing drugs
such as Prozac and Seroxat when patients may simply need someone to talk
to.
-
- The research reveals the extent to which Britain has
become a "Prozac Nation", with more than six million people now
taking pills to prop up their mood. Campaigners said the level of drug-prescribing
had reached alarming levels, while some patients said they had been handed
pills "as if they were sweets".
-
- The survey of 250 GPs by Norwich Union Healthcare found
that eight out of 10 admitted that they were over-prescribing anti-depressants,
and three-quarters said they were handing out more of the drugs than they
did five years ago. A quarter of family doctors said that the dire shortage
of therapies and counselling is now one of the most urgent priorities for
the NHS.
-
- Jim Thomson, chief executive of the Depression Alliance,
said: "This research reveals a worrying level of GPs who think they
don't have any other resource apart from handing out anti-depressant drugs.
-
- "Mental health care is the Cinderella service of
the NHS - the average waiting time for a counselling appointment is six
months, which is far too long for most people. Anti-depressants have helped
millions but they should not be handed out as a quick and easy way of getting
people through a GP's surgery."
-
- Doctors, patient groups and campaigners are becoming
increasingly concerned at the soaring use of anti-depressants in Britain.
Prescriptions for the drugs have soared in the past 10 years, from 10 million
to 26 million in 2002. It is estimated those prescriptions are given to
about three million patients. Correspondingly, the NHS bill for anti-depressants
has rocketed from £18m in 1992 to £380m in 2002. One in three
GP appointments now involves patients who are reporting depression.
-
- The Depression Alliance estimates that, in addition to
the three million people who have been treated for the condition, a further
8.7 million are undiagnosed and untreated.
-
- Most of the prescribing increase has been as a result
of the new generation of anti-depressants introduced in the 1990s, such
as Prozac and Seroxat. The two brands are types of anti-depressant called
SSRIs (selective serotonin reuptake inhibitors) which were initially hailed
as a revolution because they lifted patients' moods without any of the
side- effects of older medicines. Prozac became known as the "sunshine
drug", as millions of people were prescribed it for even mild depression.
-
- However, the safety of SSRIs, in particular Seroxat,
has been called into question, with reports of severe side-effects including
violent rages and suicidal thoughts. An expert working group set up by
the UK drug regulator, the Medicines and Healthcare Products Regulatory
Agency, is currently investigating the allegations.
-
- Janice Simmons, of the Seroxat Users' Group, said: "Prescribing
of these drugs has become absolutely scandalous. They are powerful drugs
and have been shown to have severe side effects. People are getting hooked
on them when they didn't even need them in the first place, and yet nothing
is being done about it."
-
- Dr Jim Kennedy, prescribing spokesman for the Royal College
of GPs, said: "This is not about GPs handing out anti-depressants
like candy floss because they don't care. Doctors are in this position
because they cannot offer their first-choice treatment, which may be therapy
or counselling, because provision in this country is so poor, and has been
getting worse over the past five years."
-
- 'I was given pills like they were sweets'
-
- Michelle Hancock was first prescribed Prozac when she
was 28. Ten years later, she is trying to wean herself off antidepressants.
-
- "I was given pills like they were sweets, but all
antidepressants do is paper over the cracks," she says.
-
- Mrs Hancock, from Hartford, Hertfordshire, first went
to her GP in 1994 when she was experiencing depression.
-
- "The doctor ... wrote out a prescription for Prozac,
saying 'this will make you feel better'." It had taken a terrifying
hold of her. "I would wake up in the night and the bed would literally
be shaking because I was shaking so much."
-
- Some time later, Mrs Hancock was given Seroxat. She has
now been off the drug for eight weeks, but says she is suffering "terrible"
side-effects.
-
- "I feel very bitter that doctors are handing out
drugs without offering people any other help."
-
- © 2004 Independent Digital (UK) Ltd http://news.independent.co.uk/uk/health/story.jsp?story=506517
|