NICE has recently reviewed its guidance on the use of zanamivir for the treatment of influenza and has outlined the circumstances in which they recommend that it is prescribed. This bulletin aims to offer practical advice on the use of zanamivir during an outbreak of 'flu. NICE Guidance Zanamivir should NOT be prescribed for people with the symptoms of 'flu who are otherwise healthy.
Immunisation is the first line defence against influenza for at-risk patients.
Zanamivir is recommended for at-risk patients ONLY when practitioners have been informed that influenza is known to be circulating in the community. Most people with 'flu like symptoms do not require special treatment. Antibiotics should not be prescribed unless there are complications. Patients should be advised to stay at home if feeling ill, rest and drink plenty of fluids. Practitioners need to be informed when influenza is circulating in the community 2 .