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UK: NHS 'refuses' medical cannabis for children with epilepsy William McLennan BBC News Sunday 01 Nov 2020 Three prescriptions are thought to have been written for "whole plant cannabis" oil since it was legalised two years ago, campaign group End Our Pain say. But at least 20 families are paying for costly private prescriptions after being turned down by the NHS, it said. The Department of Health and Social Care says more research is needed before it can be routinely prescribed. Emma Appleby, from Aylesham in Kent, pays £2,000 a month for the medicine for her daughter Teagan, 11. "That's ridiculous pressure I've got every month to try and find this kind of money to keep her alive," she said. Since 1 November 2018, it has been legal for doctors to prescribe medicinal cannabis products, but most such products are unlicensed and have not been through full clinical trials. Only one drug - called Epidyolex - is licensed in the UK and recommended by the National Institute for Health and Care Excellence as a treatment for epilepsy. It contains only CBD and not the other active chemicals in cannabis, including THC. Some families say it does not effectively stop seizures. 300 seizures a day In May, as Covid-19 restrictions made fundraising more difficult, Ms Appleby ran out of money to buy Teagan's medicine. Teagan was prescribed Epidyolex, but within two weeks she was experiencing up to 300 seizures a day, Ms Appleby said. Unable to stop the seizures, doctors put Teagan in an induced coma and transported her to the intensive care unit at Evelina London Children's Hospital, Ms Appleby said. Two days later, after receiving an anonymous donation of £2,500, she bought the oil. "We woke Teagan up, gave it to her and within two days we were allowed home," she said. Each month is a battle to raise the money, Ms Appleby said. "There's been times where I've just sat and cried and thought how the hell am I going to get through this." Alfie Dingley, from Warwickshire, is one of the few to receive the drug on the NHS, following a campaign led by his mother Hannah Deacon. "We feel very blessed. It's changed our lives and it should be available to everyone," she said. It is "not fair" that NHS prescriptions have only been issued to people who have had "media attention," she said. Medical cannabis is saving the NHS millions of pounds a year by reducing the time children with severe epilepsy spend in hospital, she added. "Why on earth should [families] have to try and find the money to pay for it?" she asked. 'Further research' Peter Carroll, of End Our Pain, said the campaign group works with about 20 families with private prescriptions, but there may be dozens more in a similar position or unable to pay for the drugs at all. The Department for Health and Social Care said Epidoylex could be prescribed on the NHS because there was clear evidence of its "safety, clinical and cost-effectiveness". Another drug, called Sativex, is recommended for adults with multiple sclerosis. It said that "more evidence is needed to routinely prescribe and fund other treatments on the NHS and we continue to back further research and look at how to minimise the costs of these medicines". https://www.bbc.co.uk/news/uk-england-kent-54749353
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