Did you experiment with
Pragma: no-cache
and
Expires:
headers? Those two commands worked for me:
ns_set icput [ns_conn outputheaders] "Pragma" "no-cache"
ns_setexpires 0
Also if you have control over the referencing link then you can append a bogus variable with some random value to the url to make sure IE really reloads the page (very ugly though ...)