Glucosamine and (osteoarthritis) - Do not offer glucosamine or £7,000 chondrotin chondroitin products for the management of osteoarthritis Lack of evidence to support benefit of lutein and other £4,000 antioxidant vitamins. NICE states do not use; Review in association with psychiatrist in £31,000 schizophrenia indication. For secondary prevention of MI To manage sleep problems in children with People with hypertriglyceridaemia receiving autism advice from a healthcare professional with special Preventing hypertension in pregnancy expertise in blood lipid management. Familial hypercholesterolemia A of highly concentrated licensed omega 3 Primary prevention of cardiovascular disease fish oils can be considered for refractory in people with type 2 diabetes hypertriglyceridaemia if lifestyle measures and fibrate therapy have failed. ABSC criteria must be confirmed. Probiotics Limited evidence and preparations and food £5,000 VSL#3 ACBS: for use under supervision of supplements available OTC. physician for maintenance of remission of ileoanal pouchitis in adults as induced by antibiotics. Other probiotics are classed as food supplements Complementary therapies, is limited clinical evidence and a lack of robust None reviewed by NICE recommend their use. £6,000 herbal supplements and randomised controlled trials directly comparing them homeopathy with standard treatments. Some are associated with severe adverse effects, they may significantly interact with other medicines and can delay accurate diagnosis of underlying pathology. hyaluronic (osteoarthritis) states not offer intra-articular No evidence of recent ‘Do injections hyaluronan injections for the management of prescribing osteoarthritis.’ IFR approval only Cannabis sativa £7,000
Glucosamine and chondrotin (osteoarthritis) - Do not offer glucosamine or chondroitin products for the management of osteoarthritis £7,000 Lack of evidence to support benefit of lutein and other antioxidant vitamins. £4,000 NICE states do not use; For secondary prevention of MI To manage sleep problems in children with autism Preventing hypertension in pregnancy Familial hypercholesterolemia Primary prevention of cardiovascular disease in people with type 2 diabetes Review in association with psychiatrist in schizophrenia indication. People with hypertriglyceridaemia receiving advice from a healthcare professional with special expertise in blood lipid management. A of highly concentrated licensed omega 3 fish oils can be considered for refractory hypertriglyceridaemia if lifestyle measures and fibrate therapy have failed. £31,000 Probiotics Limited evidence and preparations and food supplements available OTC. ABSC criteria must be confirmed. VSL#3 ACBS: for use under supervision of physician for maintenance of remission of ileoanal pouchitis in adults as induced by antibiotics. Other probiotics are classed as food supplements £5,000 Complementary therapies, herbal supplements and homeopathy is limited clinical evidence and a lack of robust randomised controlled trials directly comparing them with standard treatments. Some are associated with severe adverse effects, they may significantly interact with other medicines and can delay accurate diagnosis of underlying pathology. None reviewed by NICE recommend their use. £6,000 hyaluronic injections (osteoarthritis) states ‘Do not offer intra-articular hyaluronan injections for the management of osteoarthritis.’ No evidence of recent prescribing Cannabis sativa IFR approval only £7,000
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