Esketamine: Regulators and a confusing narrative

I recently shared a BMJ report that outlined the approval of Esketamine in Europe: Since sharing this news, the following rapid response by the MHRA [The Medicines and Healthcare products … Continue reading Esketamine: Regulators and a confusing narrative

“Esketamine is approved in Europe”

The BMJ has published this News report, the full article can be accessed here.

Sunshine, light, and the Royal College of Psychiatrists

3rd October 2018, Fiona Godlee, Editor-in-Chief of the BMJ: “We need a Sunshine Act to ensure that payments are properly declared. We also need action from medicines’s leaders – the … Continue reading Sunshine, light, and the Royal College of Psychiatrists

‘We must look at the whole impact of revalidation’

Yesterday, on the 29th May 2018 I had my last revalidation as a doctor [though I will still have to complete annual appraisals until I retire in 2022]. My experience … Continue reading ‘We must look at the whole impact of revalidation’

Antidepressant prescribing: still much to learn

  The above meta-analysis was published in the Lancet today and I woke up to read headlines like this: The lead author, Andrea Cipriani, Department of Psychiatry, University of Oxford, … Continue reading Antidepressant prescribing: still much to learn

How much is too much medicine?

I do hope that Scotland’s Realistic Medicine campaign will consider all the points raised by Dr Louisa Polak in this letter to the BMJ:

Early detection: “We need critical thinking”

The following analysis: “Surge in publications on early detection” was recently published in the BMJ. The authors concluded that “we need more critical thinking and more studies that specifically target both … Continue reading Early detection: “We need critical thinking”

Yellow socks and handstands

There is a lot of effort in NHS Scotland to raise awareness amongst healthcare staff about delirium, using statements like this: Delirium is a very complex state and it is … Continue reading Yellow socks and handstands