HC Deb 03 March 1988 vol 128 cc695-7W
Mr. Wareing

To ask the Secretary of State for Social Services what plans he has to ensure that general practitioners take action on the Committee on Safety of Medicine's advice in its "Current Problems" No. 21, on the danger of overprescribing benzodiazepines.

Mr. Newton

Doctors must exercise their professional judgment based on current knowledge in deciding how best to treat their patients. The problems of benzodiazepine therapy have been known for some time and the number of prescriptions for these drugs is falling. The advice contained in "Current Problems" No. 21 supported and added to advice doctors already had available from a variety of sources such as manufacturers' data sheets and articles in professional journals. In addition, the Department funds the distribution to doctors of independent publications including theBritish National Formulary, Drug and Therapeutics Bulletin and Prescribers' Journal which have all provided guidance on the prescribing and use of benzodiazepines. Doctors of the Department's regional medical service which monitors general practitioner prescribing will continue to take a specific interest in the prescribing of benzodiazepines.

Mr. Wareing

To ask the Secretary of State for Social Services (1) how many prescriptions for the tranquilliser lorazepam were issued in each of the years 1978 to 1987;

(2) how many prescriptions were made out for (a) all benzodiazepines, and (b) lorazepam in each of the years 1978 to 1987 inclusive.

Mr. Newton

The number of prescriptions for(a) all benzodiazepines and (b) lorazepam dispensed by community pharmacists in Great Britain in each of the years 1978–1986 inclusive was as follows:

Year Total yellow card reports received Total where suspected drug is a benzodiazepine including lorazepam Total where suspected drug is lorazepam
1978 11,873 201 36
1979 10,840 218 29
1980 10,179 232 31
1981 13,032 166 24
1982 10,922 226 24
1983 12,689 274 35
1984 12,163 243 20
1985 12,652 179 29
1986 15,527 143 21
1987 16,431 100 16

Notes:

The second column gives the actual number of reports received by the CSM in the calendar year. The third and fourth columns are taken from computer records.

Mr. Wareing

To ask the Secretary of State for Social Services what was the cost to the National Health Service of the prescribing of(a) benzodiazepines, and (b) lorazepam in each of the year 1978 to 1988 inclusive.

Mr. Newton

The cost to the family practitioner services1 in England of benzodiazepines and lorazepam for the calendar years 1985 and 19862 were as follows:

£ million
Benzodiazepines Lorazepam
1985 27.3 3.4
1986 28.2 2.7
Notes:
1 Figures are not available for costs in the Hospital and Community Health Services, as Health Authority accounts only record total expenditure on drugs.
2 The information requested is not available in the form requested prior to 1985, and is not yet available for 1987.