Part of the debate – in the Senedd at 3:45 pm on 22 May 2019.
Thank you. Diolch, Deputy Presiding Officer. I'm delighted to open my first debate as Chairman of the Petitions Committee. I'd like to thank the clerking team, the legal team, and my fantastic committee members for all the support and assistance that I've received in my position as Chairman. I'd also like to thank those who continually send in fantastic petitions to this committee.
Today’s debate is about a petition submitted by Stevie Lewis, which calls for better recognition and improved support for people adversely affected by dependence on prescription medication. I would like to personally thank Stevie Lewis for bringing the petition forward. She provided powerful—and often highly personal—evidence in support of the petition, and we are very grateful. I would also like to thank everyone who provided evidence to us. These included our health boards, professional bodies such as the Royal Pharmaceutical Society Wales and a number of people with personal experiences of prescription drug dependence and withdrawal. All of this evidence was invaluable to the Committee and has influenced a rather promising Government response.
The petition calls for greater action to be taken to recognise the issues relating to prescription drug dependence and for improved support services to be available to people adversely affected by dependence on and withdrawal of prescription medications, especially antidepressants. This is when people who take prescription medication become dependent upon those very same medications, even when they have used that medication exactly as prescribed. Most concerning is that patients can also experience symptoms when they seek to reduce their dosage or stop taking medications entirely. These symptoms can sometimes be severe and debilitating. Indeed, the petition highlights specific concerns relating to antidepressants and benzodiazepines. Stevie Lewis has highlighted her own personal experience of being prescribed an SSRI antidepressant. After several unsuccessful attempts to stop taking the drug, she discovered she was physically dependent upon it. In her own words, she experienced a 'long and crippling withdrawal' before eventually stopping the medication after 17 years. Stevie Lewis’s testimony is not unique. It is echoed by many people who responded to an invitation by the Petitions Committee for people affected to share their experiences with us.
I want to state at this point that these medications can have a positive impact for many people who are prescribed them. The committee is not suggesting that all prescribing of these medications is problematic—far from it. Rather, it is vitally important that patients have access to the right information and support, certainly at the beginning of their treatment, and also when they want to reduce or stop taking this medication. Also, medical professionals need to ensure that they sufficiently discuss approaches and therapies with patients that are considering an SSRI and are trying to manage their difficulties with mental health. I echo the aspirations of the Royal Pharmaceutical Society that patients should feel empowered when making decisions regarding their care.
Now, I would like to focus on the committee's findings and recommendations for the remainder of this contribution. Recognition of prescription drug dependence. Firstly, the petition calls for greater recognition of the issue of prescription drug dependence, particularly amongst policy makers and health professionals. This includes acknowledgement of the scale and impact of this issue and acceptance of the types of medications that can cause dependence and withdrawal issues. The committee was aware that it is not universally accepted that antidepressants are one of these medications. However, the experiences of the petitioner and others are evidence that dependence does exist and that many people do face difficulties in stopping their use of antidepressants.