Q&A: Tamiflu and Relenza

March 13, 2006 — -- Following are questions regarding the possible bird flu treatments Tamiflu and Relenza, along with responses from Dr. Anne Moscona, professor of pediatrics (infectious diseases) and of microbiology and immunology, and vice chair of pediatrics for research, Weill Medical College of Cornell University and New York-Presbyterian Hospital/Weill Cornell Medical Center.

Q: I have two small children, and would like to have medications ready prior to infection, as medical facilities will most likely be overwhelmed almost immediately. Are there national or local U.S. sites for obtaining viral medications, such as Tamiflu, in home and community preparation for the pending pandemic? -- Natalie, Coral Springs, Fla.

A:

Antiviral medicines are being stockpiled by the U.S. government for distribution in the time of need. Physicians and hospitals will be ready to dispense medicines as needed, and we are currently working on strategies for communities to efficiently distribute antivirals. At this time it is generally not recommended that individuals or families develop their own supply of antiviral medications.

Q: Are doctors generally authorized to prescribe preparatory doses of viral agents to currently healthy people? -- Natalie, Coral Springs, Fla.

A:

It has been strongly suggested that physicians in the U.S. not dispense antiviral medications to people who are neither infected with influenza nor exposed to influenza. Exceptions are made for people who are at specific risk, for example, due to their travel or occupational needs. Physicians need to make decisions on a case-by-case basis and need to be very judicious in the prescription of medication to individuals who are not ill.