• Medication isotretinoin / Roaccutane/ Reticutan/Rizuderm/Accutane for severe acne can cause serious adverse reactions for some people .

    All views were invited for an Expert Review due to concerns about suicide, depression and physical harm linked to usage by Feb 16 2021. I, (Millie Kieve) gave evidence to the MHRA at an online meeting, with bereaved parents. No outcome by December2021, so we await a review they say will take place soon.

    APRIL (Adverse Psychiatric Reactions Information Link) is a UK charity promoting, since 1998, improved medical education, advice & support for victims of adverse drug reactions (ADRs,) dependence or withdrawal effects. Our main remit being everyday medicines and anaesthetics.


     Information about:   APRIL's Events   Report your experience:


  • April's Blog

    Millie Kieve's Adverse Psychiatric Reactions APRIL_charity blog
    Adverse drug reactions (ADRs) caused by everyday medicines, or anaesthetics can include depression, anxiety, insomnia, suicidal feelings. Pharmaceutical drugs for pain, infections, acne, anxiety, depression, may cause immediate or withdrawal reactions. Genetic differences may put individuals at risk Refer to our updated web site: www.april.org.uk for extensive information, Please follow us on Twitter @APRIL_charity APRIL (Adverse Psychiatric Reactions Information Link) www.april.org.uk

    Inquiry invites your views as concern about psychiatric and physical harm from acne drug isotretinoin / Ro - Accutane / Reticutan / Rizuderm

     Isotretinoin / Roaccutane / Reticutan / Rizuderm / Accutane 

    Please submit your views for an Expert Review of your experience or your relative or friend's as to the safety or otherwise of this acne medication.


    Closing date for submission extend to 16th February 2021 

    UK and non UK submissions welcome

    Concerns about suicide, depression and physical harm linked to using this acne medication are worldwide. 

    EU ADR database records psychiatric Adverse Drug Reactions (ADRs) 30,295 with reported cases of completed suicide by people using the acne drug 440 by 01/02/21

    The original manufacturer Roche withdrew the drug from the US market following extensive amount of litigation. The US litigation was also about the drug causing Inflammatory Bowel Disease such as Ulcerative Colitis.

    Only licensed for for severe acne, yet has been given to people with mild acne. One young medical student with a few spots on his back died by suicide - you can hear his father's account here: https://vimeo.com/16759077 

     Roaccutane / isotretinoin and generic versions can cause serious adverse reactions for some people . 

    Please submit your views for the Expert Review due to concerns about suicide, depression and physical harm linked to usage - date has been extended until February 16 2021.

    Worldwide - not just the UK - so please if you have any views, if you or a family member has concerns about adverse effects you may not expect, such as on libido or mood changes  or  if you were bereaved suddenly and the victim was using or had stopped using the acne drug, please access via the link below and submit your views by Feb 16 2021


    Benzo Belle is about preventing Harm from Medicines by Calista Cazuko
    Calista Cazuko is a remarkable young and lovely singer songwriter. 

    Her first meeting with me (Millie) was when I was thinking of having piano lessons and
    we both lived near a piano shop.

    So from music we got on to the subject of medicines, in particular Dianette.
    Hear what Calista says about the years (contrary to the licensing) she took this acne drug as a contraceptive pill.

    The blog post is so delightful to listen to and has some very good advice both from Calista and from her 
    guest Melanie Davis. Melanie use to work with MIND and she talks about her project to help people with their benzodiazepine issues, either to reduce or withdraw. 

    Many support activities involving music were set up for the victims of Benzo addiction. Many were unaware the drugs cause dependence.

    So please listen to the latest blog  "Benzo Belle"and there are links on the page too. This is part of the Empress Diaries project. https://empressdiaries.buzzsprout.com

    Analysis of FDA Antidepressant suicide risk in RCTrials

    New Generation_Antidepressants_and_Suicide_Risk_in_Randomized_Controlled_Trials_A_Re-Analysis_of_the_FDA_Databaseer-

    The full paper is available from the link https://www.karger.com/Article/FullText/501215

    Or google as it is freely available.

    Antidepressants withdrawal effects


    May 2019

     The UK Royal College of Psychiatrists have finally agreed, after years of denial.
    Withdrawal from antidepressants and benzodiazepine drugs at last being recognised as sometimes causing serious adverse effects  harming many people.

    National clinical guidelines are currently being updated.

    Wendy Burn, president of the Royal College of Psychiatrists, said she wanted to see the guidelines "more in keeping with what we're hearing from some patients - and GPs - about the range of experiences of coming off antidepressants".

    The number of prescriptions for antidepressants in the UK nearly doubled between 2007 and 2017, from around 40 million to more than 82 million, a report by the College shows.

    The Royal College of Psychiatrists now accepts that it has not paid enough attention to patients suffering from severe withdrawal symptoms when coming off antidepressants.

    The new stance by the Royal College follows a Lancet Psychiatry paper co-authored by David Taylor, the director of pharmacy and pathology at the Maudsley Hospital in London, who has himself experienced withdrawal, describing it in a recent New Yorker article as a “strange and frightening and torturous” experience that lasted six weeks. “Although the withdrawal syndrome can be differentiated from recurrence of the underlying disorder, it might also be mistaken for recurrence, leading to long-term unnecessary medication,” reads the paper.

     Despite current guidelines recommending a taper of two to four weeks, “tapers over a period of months and down to doses much lower than minimum therapeutic doses have shown greater success in reducing withdrawal symptoms”.

    Back in 2014 APRIL_charity was contacted by a desperate relative, trying to convince the psychiatrists it was withdrawal causing the problems. The psychiatrists only wanted to prescribe more and more medication.
    They told us:
    “I was saying that it was a result of withdrawal in the end it slightly registered but they will only treat on the basis of diagnosis and relapse and it's always more medication. I think you're right it is the way they are trained. You're website is really helpful and a gem to find when such information is so valuable and rare. Thanks once again for taking the time out of your busy day and I will continue to visit your site and support where I can.”

    In 2018 the headline in the British Medical Journal was:

    Government must investigate rising excess deaths in England and Wales, experts warn

    BMJ 2018; 361 doi: https://doi.org/10.1136/bmj.k2127 (Published 11 May 2018) Cite this as: BMJ2018;361:k2127
    Research experts have urged the government and MPs to investigate rising numbers of deaths in England and Wales, after new figures showed over 20 000 “excess deaths” so far in 2018.
    Earlier this year an analysis of the Office for National Statistics’ data on weekly provisional deaths in England and Wales, published in The BMJ,1 found that by week seven of 2018 (ending 16 February) 10 000 more people had died than the average from the past five years.

    Doctors in the dark about how medicines work
    Do Doctors have to prove they know how drugs work and can recognise Adverse Drug Reactions (ADRs)  before - or even after they qualify?

    The newly established Prescribing Safetly Assessment has been available for medical students across the UK only for the past 3 years.

    This is a step forward and follows the campaign 19 years ago, we participated in to persuade the General Medical Council (GMC) to re- introduce Clinical Pharmacology into the medical schools curriculum for medical education, as in the GMC guidline manual called ' Tomorrow's Doctors'.

    The subject of Clinical Pharmacology and Therapeutics had been withdrawn as an essential subject for medical students in the early 90's due to the GMC preferring 'Integrated Medicine'. As one Medical Consultant friend said to me " They will learn as the coffins are driven past the surgery windows!".

    Many U.S. adults take medicines that can cause depression

    Many U.S. adults take medicines that can cause depression

    Details of study in Journal of American Medical Association June 2018 repeats what we at APRIL have been warning for the past 20 years.

    The researchers, from the University of Illinoisat Chicago, looked at how more than 26,000 people from 2005 to 2014 used medications.

    They found one third of Americans at risk of  depression as a potential adverse effect.  The medicines include those for acid reflux, birth control, allergies, high blood pressure, and we know of course drugs for acne and anti-malarial are also high risk for possibly causing depression and suicidal thoughts and actions..

    The news of this study spread through the world but for some reason not picked up in the UK as far as we know.  There is a video of interview with a doctor on ABC news


    Regulation of medicines safety
    An excellent talk by Professor John Abraham is well worth listening to


    Please also sign up to receive notification of new blog posts, you will not be inundated with
    emails from us. We do not share this information with any other organisation.

    Keep your own medical records

    NHS boss reveals loss of further 162 000 pieces of medical correspondence

    BMJ 2017; 359 doi: https://doi.org/10.1136/bmj.j4822 (Published 17 October 2017) Cite this as: BMJ2017;359:j4822


    1.                         Gareth Iacobucci

    1.The BMJ

    The loss of more than 700 000 items of NHS clinical correspondence, reported earlier this year, has been compounded after officials admitted that a further 162 000 patient files went missing over five years.
    The scandal first emerged in March 2016, when it was discovered that hundreds of thousands of files, including test results and diagnoses, were misplaced between 2011 and 2016 before they were delivered to hospitals and GPs in England by NHS Shared Business Services, an agency co-owned by the Department of Health and the IT company Sopra Steria. In June this year a National Audit Office inquiry identified around 1700 cases where patients could have been harmed as a result

    APRIL charity web site now back on line at www.april.org.uk

    APRIL - Adverse Psychiatric Reactions Information Link

    Our web site is back on line now click here to access  www.april.org.uk for information about many medicines linked to neuro-psychiatric adverse reactions, support groups, articles, videos of doctor's advice, personal experiences and much more.

    If you previously found the url www.april.org.uk redirected you to this blog site, that was just during the time the new web site was being created. You may need to 'clear Internet History' to access the new web site.

    Please continue reviewing this APRIL charity blog from time to time for updates on latest research or news by inserting https://aprilcharity.blogspot.co.uk into the url box.

    Our new web site at www.april.org.uk will continue being updated with content, so please refer back on a regular basis for added content. 

    Adverse Drug Reactions (ADRs) and withdrawal effects changing mood and behaviour, need to be studied and understood.

    We hope the information will be valuable for doctors and prescribers and those of us who rely on them to stay well.

    Informed choice is the key, as awareness saves lives.

     How many more stories like the Sodium Valproate tragedy, of harm from medicines, will we have to hear before the medical profession have the kind of education we believe they are deprived of? Not only were women not informed, some prescribers played down the risks. 

    We all have a right to know about even so called rare adverse drug reactions (ADRs) . Who knows how rare, when less than 10% of serious ADRs are reported? (MHRA statistic)

    The warnings are often overlooked by prescribers and informed choice denied to patients. The voices of those who suffer, or are bereaved, often fall on deaf ears.

           APRIL,  the charity that believes Awareness Saves Lives

    posted by Millie Kieve

    Please donate to APRIL the charity acting on behalf of victims of adverse drug reactions

    Please donate to help APRIL as we rely on supporters, friends and family
    to continue our efforts to improve patient safety.   http://www.charitychoice.co.uk/april


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