03/09/2026
Quick fact-check, because this one keeps being repeated.🤦🏼♂️
Ministers have told Parliament that the MOD and NHS “follow NICE guidelines on the prescription and management of side effects associated with mefloquine.”
On 5 June 2026 we asked NICE directly.
NICE replied:
• they have not published any NICE guidance on this topic
• the malaria-prophylaxis page on their site is a CKS summary, compiled by an external company
• CKS is not formal NICE guidance
• they host the BNF monograph but are not responsible for BNF content
• for medicine safety they pointed us to the MHRA
So there is no NICE guideline on diagnosing or managing Mefloquine Toxicity in veterans. There is traveller prescribing advice. That is not a clinical pathway for people already harmed.
When you hear “we follow NICE,” ask which guideline number. There isn’t one.
Keep your records. The condition is real. The citations need to be too.