It seems that NICE is not nice nor a patient-friendly regulatory body any more.
The UK is adapting policy to save money at the expense of patients' misery. Surely NICE can find a sensible alternative to this ridiculous false economy.
GPs are all too well aware of the adverse effects patients suffer from not only generic alendronate, but also many other cheap products pushed into the system. The incentive scheme is a failure and it is about time we reverted to prescribing branded, clean and well-tested pharmaceutical products ethically.
Dr Hari Nawal, Bedford.