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Sanity Unleashed · Aug 11, 2026

NICE Guideline NG165 - the forgotten relative of NG163

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Jonathan Engler · Sanity Unleashed

NG163 is the notorious NICE guideline specifying escalating amounts of a benzodiazepine (mainly midazolam) and an opiate (usually morphine) in combination to relieve the “symptoms of covid”.

I have written extensively on this topic, in particular the below article in which I list all the evidence I had found at that point supporting the contention that the administration of such drugs prematurely ended the lives of (at least) thousands of people, thereafter being blamed on “the virus”:

It turns out that NG163 had a “relative” which was at least as dangerous - NG165, which acted to limit the use of antibiotics in “covid-positive” subjects during the “pandemic”:

In April this year I wrote a long(ish) article about the circumstances surrounding the sad death of 41-year old James Cameron in Dundee during “the pandemic”.

James was admitted to hospital with what - during any other time - would have been diagnosed as pneumonia with sepsis and treated with (amongst other thigs) intravenous antibiotics. However, because of the “positive covid test” he didn’t receive antibiotics until it was too late, almost certainly contributing to his death

In the article I point out that he was actually entered into a clinical trial which precluded the possibility of him being treated with antibiotics.

Towards the end of the article I point out that the number of people who would have been denied antibiotics would not have been limited to those entering the particular trial which James was placed into:

Finally, it should be noted that although the patients who were entered into REMAP-COVID may have represented only a proportion of all patients treated, this protocol was reflective of the zeitgeist, and also itself would have acted to reinforce the view amongst the medical fraternity that nobody with a positive covid test should be given antibiotics for respiratory infections.

At the time I wrote that, I had forgotten about the NICE guideline NG165, however via this comment under the article I was reminded of its existence:

Sure enough, NG165 is not available on the NICE website, but it can be found online, and here it is:

Nice Covid 19 Rapid Guideline Managing Suspected Or Confirmed Pneumonia In Adults In The Community

109KB ∙ PDF file

Download

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The first point to note from that document is that it is abundantly clear that it is meant to be widely applied, not just “considered”:

Moreover, it was meant to supplant the then applicable guidelines for community-acquired pneumonia:

Minimising direct contact was a major theme of NG165:

The directive to minimise contact is repeated in section 3.

Section 3 also gives advice on how to distinguish between bacterial and viral pneumonia:

The differences seem rather vague (especially when considered via remote consultation) and the symptoms overlap substantially. Moreover, during the hysteria of the “emergency” when tests (which cross-reacted with the common cold) were being rolled out in their tens of thousands daily, it was difficult to avoid “a history of exposure to a known of suspected COVID-19” case, especially as many people had the ridiculous apps on their phone alerting them of any such possible contact.

I am, therefore, theorising that such guidance would have led to the vast majority of cases of run-of-the-mill respiratory illnesses during “the pandemic” being classed as “covid” - when they would not have been regarded as anything unusual prior to 2020.

The consequences of that, as the anonymous commenter pointed out above, were that the guidelines would have strongly discouraged antibiotic treatment, as specified in section 4:

Of course, we know that overall antibiotic usage declined during the pandemic (see here for EU data, for which similar is available for the UK), which, even if there had been a real pandemic of a respiratory pathogen, is the opposite of what should have happened (see the commentary in my article above, in which I point out that it is bacterial infection which kills during “influenza” outbreaks).

Conclusion

The official NICE guidelines NG163 and NG165 both provided treatment guidance which would have increased mortality from respiratory illnesses.

The additional deaths caused thereby were officially blamed on the novel coronavirus, and hence these guidelines played a role in propagating and maintaining the state of illusion of pandemicity.

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