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Prescribing for patients with chronic fatigue syndrome, by Bhatti & Bhatti, Feb 2019

Discussion in 'General ME/CFS news' started by MeSci, Feb 28, 2019.

  1. MeSci

    MeSci Senior Member (Voting Rights)

    Messages:
    3,736
    Location:
    Cornwall, UK
    Source: Prescriber

    February 2019, pp 29-33

    Date: February 20, 2019

    URL: https://onlinelibrary.wiley.com/doi/abs/10.1002/psb.1741

    https://onlinelibrary.wiley.com/doi/epdf/10.1002/psb.1741

    Prescribing for patients with chronic fatigue syndrome
    ------------------------------------------------------
    Shabir Bhatti(1), Qasid Ahmad Bhatti(2)
    1 Bermondsey, London, United Kingdom
    2 Charles University, Prague, Czech Republic

    Abstract

    Chronic fatigue syndrome, also known as myalgic encephalomyelitis, can be difficult to both diagnose and treat, but there are many prescribed medications that can help with specific symptoms and co‐morbidities..

    This article provides a guide to treatment in primary care.

    Article can be found at 2nd link. Continues to recommend CBT & GET.
     
    Hutan, JaneL and Barry like this.
  2. NelliePledge

    NelliePledge Moderator Staff Member

    Messages:
    10,526
    Location:
    UK West Midlands
    Who are these people?
     
    MEMarge and Barry like this.
  3. Trish

    Trish Moderator Staff Member

    Messages:
    43,064
    Location:
    UK
    Looks like one is a London doctor. I think they have just swallowed the NICE guidelines whole.
     
  4. NelliePledge

    NelliePledge Moderator Staff Member

    Messages:
    10,526
    Location:
    UK West Midlands
    Yes the article would have done better as one sentence - get a copy of the MEAssociation Purple Book

    I notice they were fuzzy about prescribing Tricyclics on top of SSRIs which is unhelpful. The MEA wording on this is much stronger in showing it is a bad idea.
     
    MEMarge, Hutan, Trish and 2 others like this.
  5. Esther12

    Esther12 Senior Member (Voting Rights)

    Messages:
    4,336
    We don't know the cause and are unlikely to find a cure until we do... that doesn't sound like something that should lead in to their recommendation of "strong reassurance".
     
    MEMarge, rvallee, MeSci and 5 others like this.
  6. chrisb

    chrisb Senior Member (Voting Rights)

    Messages:
    4,602
    Is that not the absolute antithesis of what was said in about 1989 when it was decided that aetiology was unimportant and time should not be wasted searching for it.
     
    MEMarge likes this.
  7. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

    Messages:
    11,651
    Location:
    London, UK
    The Care Quality Commission has a page on 'Dr Shabir Bhatti'

    Dr Shabir Bhatti Inadequate
    Also known as Bermondsey Spa Medical Practice

    We are carrying out checks at Dr Shabir Bhatti. We will publish a report when our check is complete.


    When it comes to the politics of ME, you couldn't make it up really, could you?
     
  8. kilfinnan

    kilfinnan Established Member (Voting Rights)

    Messages:
    52
    Location:
    Lochmaben
  9. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

    Messages:
    3,797
    Location:
    Australia
    Yet another narrative review recommending SSRIs, this one notably does not mention any references. The reason for the lack of references is because all double blinded studies of SSRIs for CFS patients failed to show any benefit for any symptoms including depressive or anxiety symptoms.

    I don't know what the background of the authors is, but this study is making non evidence based claims.
     
  10. NelliePledge

    NelliePledge Moderator Staff Member

    Messages:
    10,526
    Location:
    UK West Midlands
    So presumably written by the year 5 medical student at Prague for some kind of assignment and they possibly thought having the (inadequate)GP on it would help with the gravitas :rofl:

    Do medics really get any credit for regurgitating material like this.

    @Russell Fleming maybe one to draw to attention of Dr Shepherd? If there’s maybe an opportunity to flag up the dubious approach to prescribing tricyclics SSRIs together.
     
    JaneL, MEMarge and Trish like this.
  11. Andy

    Andy Committee Member

    Messages:
    17,993
    Location:
    Hampshire, UK
    Looks like the MEA want patients views rather than offering an opinion themselves.
    Code:
    https://www.facebook.com/meassociation/posts/2149756395082007
     
    JaneL and MEMarge like this.
  12. Jonathan Edwards

    Jonathan Edwards Senior Member (Voting Rights)

    Messages:
    11,651
    Location:
    London, UK
    It is perhaps ironic that the journal 'Prescriber' is not actually for prescribers but for the pharmacists who dish out the prescriptions. Delusions of grandeur maybe?
    Actual prescribers will have never heard of Prescriber.
     

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