NHS England has urged Instagram to prevent users providing a “perilous” unlicensed pounds-achieve drug.

Apetamin is becoming marketed and promoted on Instagram and other internet sites as a way to attain an hour-glass determine in the mould of celebrities like Kim Kardashian.

However, senior well being leaders say the hunger stimulant could result in “major damage”.

A single of the drug’s ingredients is a prescription-only antihistamine joined to aspect outcomes this sort of as dizziness, tremors, nausea, blurred visions and liver toxicity.

“We are producing pertaining to the unlicensed and risky drug Apetamin, which is promoted on your platform and could end result in critical hurt to any specific who can take it,” says the letter to Instagram main Adam Mosseri.

“This substance is consumed as a complement, to foster a precise entire body graphic and shape, considered to be attractive by some large-profile influencers, and predominately targeted at more youthful females and women.”

The letter is signed by NHS England health-related director Professor Stephen Powis, countrywide psychological overall health director Claire Murdoch, and Kitty Wallace of the System Dysmorphic Problem Foundation.

They say they are concerned about the drug’s “bodily and mental health impacts” and urge Instagram “to demonstrate a responsibility of treatment… and clamp down now on this dangerous material”.

Apetamin is unauthorised in the British isles and should not be sold, provided or marketed, the letter provides.

The drug’s unlawful availability was highlighted in a BBC 3 documentary very last month and Instagram said it experienced taken out the accounts highlighted.

It stressed that purchasing and promoting non-health care or prescription medicines was “strictly towards our guidelines”.

Nevertheless, the letter claims “dozens of profiles” promoting Apetamin are however online and that when it flagged them up, a client support information claimed they did not crack the policies.

The NHS chiefs request for an “urgent update” on what Instagram is performing to shut down accounts or content material that advertise the drug.

They also request assurances that any “shortcomings” in its community tips that allow for these kinds of articles to look will be tightened.

A spokesman from the Physique Dysmorphic Dysfunction Foundation mentioned they ended up getting overcome by men and women seeking assist for human body dysmorphic ailment (BDD).

“Though social media is not the lead to of BDD, it has a massive part to enjoy in exacerbating the symptoms,” the spokesman mentioned.

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