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Why not ▼zanamivir?
  • Relevant BNF section: 5.5


In 1999, Drug and Therapeutics Bulletin (DTB) and the National Institute for Clinical Excellence (NICE) concluded independently that &#9660zanamivir (Relenza) should not be used in managing patients with influenza.1,2 Recently, after reviewing further evidence, NICE revised its position regarding use of zanamivir in 'at-risk' adults: it now recommends that, under specific circumstances, the drug should be prescribed for patients at risk who are able to start treatment within 48 hours of the onset of influenza-like symptoms.3 We disagree with this revised advice4 for reasons we explain here.

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