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Mary - the evidence for any effect from Tamiflu is fairly shaky. If given with 48 hours may shorten duration of symptoms by 1 day. No evidence of any additional benefit in swine flu although the DOH and our CMO seem to pushing it as a miracle pill that will cure everyone and should be given to everyone with a cough and temperature. A medline search reveals no data on evidence of effectiveness after 48 hours. David Royal e-mail - [log in to unmask] blog - http://gpinformed.blogspot.com 2009/7/17 Mary Hawking <[log in to unmask]> > One of the alogrithmns on the HPA website said that in seasonal flu, > Tamiflu was ineffective after 48hrs after onset - so should only be > prescribed within 48 hrs of onset of symptoms. > However, in swine flu doctors may prescribe it later than that at their > discretion. > Could someone point me to the evidence that H1N1 goes on being treatable > with Tamiflu long after it would not be indicated in any other sort of flu? > Mary > -- > Mary Hawking > -- Dr. David Royal The Manor House Surgery Braidwood Road Normanby Middlesbrough TS6 0HA