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Recommendations

This section contains a list of the policy recommendations of the Pan Mersey Area Prescribing Committee.

Reviews of the new medicines have been conducted by our pharmacists using a number of resources including National Institute for Health and Clinical Excellence (NICE) which is a Special health Authority (SHA) set up in 1999. It is used to give advice to the NHS on best clinical practice including the clinical and cost effectiveness of drugs and other treatments.

Definitions and criteria for the categorisation of medicines

Legacy Merseyside
New Cheshire and Merseyside

Transition of Commissioning Policies

On 1st July 2022 NHS Cheshire and Merseyside Integrated Care Board (ICB) became the new statutory body responsible for ensuring health care services are available to meet the reasonable needs of the people of Cheshire & Merseyside.

Until such time as a single suite of commissioning policies can be developed and adopted, NHS Cheshire and Merseyside will continue to adopt and operate the CCG policies it has inherited at Place/borough level, which means that there will be no immediate change in commissioning policy for local people resident in those Places/boroughs from what was in place prior to 1st July 2022.

NHS Cheshire and Merseyside Commissioning Policies

 

Documents

Date Added: 08 - Nov - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of abatacept infusion and subcutaneous injection (Orencia ®) for rheumatoid arthritis and infusion for polyarticular juvenile idiopathic arthritis as described below.

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Date Added: 30 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ABROCITINIB tablets (Cibinqo®▼), TRALOKINUMAB injection (Adtralza®▼) or UPADACITINIB prolonged-release tablets (Rinvoq®▼), by specialists only, for treating moderate to severe atopic dermatitis in accordance with NICE TA814.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of adalimumab injection (Humira®) for rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis and in patients fitting other criteria commissioned by Pan Mersey CCGs, as described.

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Date Added: 29 - Jul - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of adalimumab, etanercept and infliximab, by specialists only, for the treatment of moderate rheumatoid arthritis after conventional DMARDs have failed and in accordance with NICE TA715.

Body System:
Date Added: 25 - Nov - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of ANDEXANET ALFA infusion (Ondexxya®▼), by specialists only, for reversing anticoagulation from apixaban, edoxaban or rivaroxaban, when used in accordance with the criteria in NICE TA697.

Date Added: 07 - Jun - 2017

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of antioxidant supplements based on the AREDS or AREDS2 formulae for patients with age related macular degeneration.

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Date Added: 24 - Feb - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Arachis hypogaea L. (Palforzia®▼), by specialists only, for treating peanut allergy in children and young people in accordance with NICE TA769.

Body System:
Date Added: 25 - Jan - 2017

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of ASCORBIC ACID for any indication, other than scurvy.

Date Added: 26 - Jan - 2023

The Cheshire and Merseyside Interim Area Prescribing Group recommends the prescribing of AVATROMBOPAG tablets (Doptelet®▼), by specialists only, for primary chronic immune thrombocytopenia (ITP) in accordance with NICE TA853.

NHS Cheshire and Merseyside APPROVED

Date Added: 23 - Oct - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of azithromycin following specialist initiation for certain chronic airway conditions in children.

Body System:
Date Added: 26 - May - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of azithromycin tablets in selected high risk patients, when recommended by a respiratory specialist, for the prevention of exacerbations in COPD and bronchiectasis.

GP letter

Body System:
Date Added: 30 - Aug - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of BARICITINIB tablets (Olumiant®), by specialists only, for patients hospitalised due to COVID-19 (adults and children aged 2 years and over).

NHS Cheshire and Merseyside APPROVED

Date Added: 27 - May - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of BEMPEDOIC ACID tablets (Nilemdo®▼) and BEMPEDOIC ACID-EZETIMIBE tablets (Nustendi®▼) for primary hypercholesterolaemia or mixed dyslipidaemia in accordance with NICE TA694.

Body System:
Date Added: 24 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of BIMEKIZUMAB solution for injection (Bimzelx®▼), by specialists only, for the treatment of moderate to severe plaque psoriasis in accordance with NICE TA723.

Body System:
Date Added: 29 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ORAL BISPHOSPHONATES (alendronic acid, ibandronic acid and risedronate sodium) for treating osteoporosis in accordance with NICE TA464.

NHS Cheshire and Merseyside PENDING APPROVAL

Body System:
Date Added: 03 - Mar - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of Blood Glucose Testing Strips in accordance with the supplied guidance.

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Date Added: 24 - Oct - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of BOTULINUM NEUROTOXIN TYPE A injection (Xeomin®) for the treatment of chronic sialorrhoea, in accordance with NICE TA605.

Body System:
Date Added: 23 - Dec - 2021

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing BOTULINUM NEUROTOXIN TYPE A injection (Xeomin®) for chronic sialorrhoea in children and adolescents.

Body System:
Date Added: 23 - Oct - 2020

The Pan Mersey Area Prescribing Committee recommends no more than TWO TREATMENT SESSIONS per YEAR of Botulinum Toxin Type A Injection (Botox®) by specialists for the treatment of severe axillary hyperhidrosis that has not responded to treatment with topical antiperspirants or other antihidrotic treatment, as a potential alternative to surgery.

Body System:
Date Added: 24 - Jun - 2021

The Pan Mersey Area Prescribing Committee recommends Botulinum Toxin Type A injection by specialists for the treatment of achalasia, non-specific gastric motility disorder and functional or post-operative gastroparesis in adults.

Date Added: 23 - Oct - 2020

The Pan Mersey Area Prescribing Committee recommends prescribing a maximum of TWO COURSES of botulinum toxin type A injection in the treatment of chronic anal fissure which has not healed despite a minimum course of at least 8 weeks of topical management.

Date Added: 30 - Jan - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of BRIMONIDINE TARTRATE Gel (Mirvaso®) for the treatment of moderate to severe, persistent facial erythema associated with rosacea in adults

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Date Added: 02 - Oct - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of BRIVARACETAM tablets/oral solution (Briviact®▼) for adjunctive treatment of focal seizures following initiation by a consultant neurologist.

AMBER patient retained by specialist NHS Wirral CCG

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Date Added: 24 - Jul - 2018

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of BRIVARACETAM tablets or oral solution (Briviact®▼) for the treatment of epilepsy in children and adolescents.

Body System:
Date Added: 29 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of BROLUCIZUMAB injection (Beovu®▼), by specialists only, for diabetic macular oedema in accordance with NICE TA820.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Nov - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of nebulised colistimethate (Colomycin®), gentamicin or tobramycin for
adult non- cystic fibrosis bronchiectasis patient.

Body System:
Date Added: 29 - Jul - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of BUDESONIDE orodispersible tablets (Jorveza®▼), by specialists only, as a treatment option for inducing remission eosinophilic oesophagitis in adults (older than 18 years of age) in accordance with NICE TA708.

Date Added: 14 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for allergy and immunology has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 22 - Oct - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of CALCIPOTRIOL 50 micrograms and BETAMETHASONE 500 micrograms per 1 gram cutaneous foam (Enstilar®) for psoriasis vulgaris in adults.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of CANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as COMBINATION THERAPIES as options for treating type 2 diabetes in adults in accordance with NICE guidance.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing ofCANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as
MONOTHERAPIES as options for treating type 2 diabetes in adults in accordance with NICE TA390 and TA572.

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Date Added: 13 - Jul - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of CARIPRAZINE hard capsules (Reagila®▼), following specialist initiation, as a non-first line treatment option for adult patients with predominant negative symptoms of schizophrenia.

Body System:
Date Added: 29 - Jun - 2023

The Cheshire and Merseyside Area Prescribing Group does not recommend the prescribing of CASIRIVIMAB plus IMDEVIMAB solution for infusion (Ronapreve®▼), for treating COVID-19 in accordance with NICE TA878.

NHS Cheshire and Merseyside APPROVED

Date Added: 27 - Jan - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of CENOBAMATE tablets (Ontozry®▼), following specialist initiation, for treating focal onset seizures in adults with epilepsy in accordance with NICE TA753.

Body System:
Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of certolizumab injection (Cimzia®) for rheumatoid arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis and psoriatic arthritis, as well as in patients fitting other criteria commissioned by Pan Mersey CCGs, as listed below.

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Date Added: 25 - Sep - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of CICLOSPORIN 1mg/mL eye drops (Verkazia®), by specialists only, for the treatment of severe vernal keratoconjunctivitis (VKC) in children from 4 years of age and adolescents.

Body System:
Date Added: 26 - Sep - 2017

The Pan Mersey Area Prescribing Committee recommends the prescribing of COLESEVELAM HYDROCHLORIDE (Cholestagel®), following specialist initiation, for adult patients with bile acid malabsorption-associated diarrhoea who do not tolerate, or fail to respond to, 1st line treatments.

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Date Added: 23 - Jun - 2015

The Pan Mersey Area Prescribing Committee does not recommend the routine prescribing of ORAL COMBINATION PRODUCTS that are available as the separate constituents.

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Date Added: 14 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for allergy and immunology has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 01 - Nov - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of CO-PROXAMOL tablets.

Body System:
Date Added: 19 - Dec - 2023

The Cheshire and Merseyside Area Prescribing Group recommends DAPAGLIFLOZIN and EMPAGLIFLOZIN as options for treating symptomatic chronic heart failure with preserved or mildly reduced ejection fraction in adults, following specialist recommendation, in accordance with NICE TA902 and TA929.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Feb - 2024

The Cheshire and Merseyside Area Prescribing Group recommends DAPAGLIFLOZIN and EMPAGLIFLOZIN as options for treating chronic kidney disease, in accordance with NICE TA775 and NICE TA942.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 25 - Nov - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of DAPAGLIFLOZIN tablets (Forxiga®) for symptomatic chronic heart failure with reduced ejection fraction, following specialist recommendation in accordance with NICE TA679.

Body System:
Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing ofCANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as
MONOTHERAPIES as options for treating type 2 diabetes in adults in accordance with NICE TA390 and TA572.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of CANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as COMBINATION THERAPIES as options for treating type 2 diabetes in adults in accordance with NICE guidance.

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Date Added: 24 - Apr - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of DAPOXETINE tablets (Priligy®) for the treatment of premature ejaculation when recommended by a psychosexual service or a specialist clinician with experience of treating psychosexual disorders. Treatment is restricted to three doses per month.

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Date Added: 25 - Jan - 2024

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of DARIDOREXANT Tablets (Quviviq ®▼), for treating long term insomnia in accordance with NICE TA922.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 02 - Oct - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of DEGARELIX SC injection (Firmagon®) following specialist initiation for treating advanced hormone-dependent prostate cancer in people with spinal metastases in accordance with NICE TA404.

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Date Added: 22 - Apr - 2021

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of DENOSUMAB solution for injection (Prolia®) for the treatment of bone loss associated with long-term systemic glucocorticoid therapy.

Body System:
Date Added: 25 - Sep - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of DEUCRAVACITINIB tablets (Sotyktu ®▼), by specialists only, for treating moderate to severe plaque psoriasis in adults in accordance with NICE TA907.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 26 - Oct - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of DEXAMETHASONE INTRAVITREAL IMPLANT (Ozurdex®), by specialists only, for treating visual impairment caused by diabetic macular oedema, in accordance with NICE TA824.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 27 - Oct - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Dibotermin Alfa formulation (InductOs®) by specialists only for the licensed indication (acute tibia fractures in adults, as an adjunct to standard care) and use outside of this license as detailed below by a non-union specialist only.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 27 - Jan - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Direct Oral Anticoagulants (DOACs) for the prevention of stroke and systemic emboli in non-valvular atrial fibrillation (AF)

Body System:
Date Added: 27 - Jan - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of Direct Oral Anticoagulants (DOACs) for the treatment and prevention of Deep Vein Thrombosis (DVT) and/or Pulmonary Embolism (PE)

Body System:
Date Added: 24 - Apr - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of DOSULEPIN capsules and tablets.

Body System:
Date Added: 31 - Jan - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of DOXAZOSIN modified release (M/R) tablets (All Brands).

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Date Added: 24 - Mar - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of DOXYLAMINE/PYRIDOXINE gastro-resistant tablets (Xonvea®), as an option for the treatment of nausea and vomiting of pregnancy

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Date Added: 24 - Nov - 2022

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of DROSPIRENONE 3mg / ESTETROL 14.2mg tablets (Drovelis®▼) for contraception.

Body System:
Date Added: 05 - Oct - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of E - Cigarettes, except as part of Local Authority commissioned Stop Smoking Service arrangements.

Body System:
Date Added: 31 - Oct - 2017

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of EFLORNITHINE 11.5% Cream (Vaniqa®) for hirsutism.

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Date Added: 19 - Jul - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of Elasticated Viscose Stockinette (‘Viscose’) Garments following specialist recommendation for skin conditions.

Body System:
Date Added: 25 - Sep - 2018

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of electromagnetic pulse therapy (Actipatch®) for pain relief.

Body System:
Date Added: 24 - Sep - 2020

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of ELTROMBOPAG tablets (Revolade®) for Acquired Severe Aplastic Anaemia (SAA).

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Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of ELUXADOLINE Tablets (Truberzi®▼) following specialist initiation for irritable bowel syndrome with diarrhoea in adults in accordance with NICE TA471.

Red NHS West Lancashire CCG

Date Added: 19 - Dec - 2023

The Cheshire and Merseyside Area Prescribing Group recommends DAPAGLIFLOZIN and EMPAGLIFLOZIN as options for treating symptomatic chronic heart failure with preserved or mildly reduced ejection fraction in adults, following specialist recommendation, in accordance with NICE TA902 and TA929.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Apr - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of EMPAGLIFLOZIN tablets (Jardiance®) for symptomatic chronic heart failure with reduced ejection fraction, following specialist recommendation in accordance with NICE TA773.

Body System:
Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing ofCANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as
MONOTHERAPIES as options for treating type 2 diabetes in adults in accordance with NICE TA390 and TA572.

Static

Body System:
Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of CANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as COMBINATION THERAPIES as options for treating type 2 diabetes in adults in accordance with NICE guidance.

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Date Added: 23 - Mar - 2023

The Cheshire and Merseyside Interim Area Prescribing Group recommends the prescribing of EPTINEZUMAB injection (Vyepti®▼), by specialists only, for the prevention of episodic and chronic migraine in accordance with NICE TA871.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 29 - Apr - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of ERENUMAB injection (Aimovig®▼), by specialists only, for prevention of migraine in accordance with NICE TA682.

Body System:
Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of CANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as COMBINATION THERAPIES as options for treating type 2 diabetes in adults in accordance with NICE guidance.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing ofCANAGLIFLOZIN, DAPAGLIFLOZIN, EMPAGLIFLOZIN and ERTUGLIFLOZIN as
MONOTHERAPIES as options for treating type 2 diabetes in adults in accordance with NICE TA390 and TA572.

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Date Added: 25 - Mar - 2021

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of ESKETAMINE nasal spray (Spravato®▼) for short-term treatment of a psychiatric emergency due to Major Depressive Disorder.

Body System:
Date Added: 26 - Jan - 2023

The Cheshire and Merseyside Interim Area Prescribing Group does not recommend the prescribing of ESKETAMINE nasal spray (Spravato®▼) for treatment-resistant depression in adults in accordance with NICE TA854.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 21 - Oct - 2021

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of ESTRADIOL / PROGESTERONE capsules (Bijuve®) for oestrogen deficiency symptoms in postmenopausal women.

Body System:
Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of etanercept injection for rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, polyarticular juvenile idiopathic arthritis and adult-onset Still’s disease, as well as in patients fitting other criteria commissioned by Pan Mersey CCGs, as listed.

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Date Added: 28 - Oct - 2021

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of EVOLOCUMAB injection (Repatha SureClick®) for reduction of cardiovascular risk in adults with established atherosclerotic cardiovascular disease.

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Date Added: 28 - Jul - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of FARICIMAB solution for injection (Vabysmo®▼), by specialists only, for diabetic macular oedema in accordance with NICE TA799.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Jul - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of FARICIMAB solution for injection (Vabysmo ®▼), by specialists only, for neovascular (wet) age-related macular degeneration in accordance with NICE TA800.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Feb - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of FERRIC MALTOL (Feraccru®) following specialist initiation for the treatment of iron deficiency anaemia in adult patients with inflammatory bowel disease.

Date Added: 21 - Jun - 2018

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of FERRIC MALTOL hard capsules (Feraccru®) for the treatment of iron deficiency in adults.

Date Added: 23 - Jun - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of FILGOTINIB tablets (Jyseleca®▼), by specialists only, for treating moderately to severely active ulcerative colitis in accordance with NICE TA792.

NHS Cheshire and Merseyside APPROVED

Date Added: 28 - Mar - 2018

The Pan Mersey Area Prescribing Committee recommends
FINASTERIDE 5mg tablets as the 5-alpha reductase inhibitor of choice for men with lower urinary tract symptoms (LUTS) as detailed.

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Date Added: 25 - May - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of FINERENONE tablets (Kerendia®▼), for treating chronic kidney disease (CKD) in type 2 diabetes in accordance with NICE TA877.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 14 - Nov - 2017

The Pan Mersey Area Prescribing Committee recommends the use of FLUENZ®▼ nasal spray in accordance with the Annual flu programme from Public Health England.

Body System:
Date Added: 30 - Jan - 2020

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of FLUOCINOLONE intravitreal implant (Iluvien®) for treating chronic diabetic macular oedema in phakic eyes after an inadequate response to previous therapy, in accordance with NICE TA613

Body System:
Date Added: 24 - Nov - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of FOSTAMATINIB tablets (Tavlesse®▼), by specialists only, for treating refractory chronic immune thrombocytopenia in accordance with NICE TA835.

NHS Cheshire and Merseyside APPROVED

Date Added: 30 - Jan - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of FreeStyle Optium® blood glucose and FreeStyle Optium® ß-ketone test strips only for use with FreeStyle Libre® specifically in patients who are using carbohydrate counting/ bolus advice.

Body System:
Date Added: 24 - Mar - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of FREMANEZUMAB (Ajovy®▼), by specialists only, for prevention of migraine in accordance with NICE TA764.

Body System:
Date Added: 26 - Jul - 2016

The Pan Mersey Area Prescribing Committee recommends the prescribing of GLP-1 mimetics in combination with insulin for type 2 diabetes, only with specialist care advice and ongoing support from a consultant-led MDT.

Body System:
Date Added: 13 - Feb - 2013

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of GLUCOSAMINE products with or without CHONDROITIN.

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Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of golimumab injection (Simponi®) for rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis, and in patients fitting other criteria commissioned by Pan Mersey CCGs, as listed.

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Date Added: 29 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of GUSELKUMAB injection (Tremfya®▼), by specialists only, for psoriatic arthritis in accordance with NICE TA815.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 11 - Sep - 2013

The Pan Mersey Area Prescribing Committee does not recommend the routine use of HYALURONAN intra-articular injections in the treatment of osteoarthritis.

Body System:
Date Added: 12 - Mar - 2024

The Cheshire and Merseyside Area Prescribing Group recommends the use of hybrid closed loop systems for managing blood glucose levels in type 1 diabetes, by specialists only, in accordance with NICE TA943.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 14 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for allergy and immunology has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 29 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ICOSAPENT ETHYL capsules (Vazkepa®▼) with statin therapy, for reducing the risk of cardiovascular events in people with raised triglycerides in accordance with NICE TA805.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 26 - May - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of inclisiran injection (Leqvio®▼), for primary hypercholesterolaemia or mixed dyslipidaemia in accordance with NICE TA733.

Body System:
Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of infliximab infusion for rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, non-radiographic axial spondyloarthritis and adult-onset Still’s disease, as well as in patients fitting other criteria commissioned by Pan Mersey CCGs, as listed.

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Date Added: 27 - Feb - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of INSULIN DEGLUDEC 100units/mL and 200 units/mL solution for subcutaneous injection (Tresiba®), initiated by specialists only, for type 1 and type 2 diabetes for specific patient groups, taking into account NICE guidance

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Date Added: 26 - Jun - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of ITRACONAZOLE, for allergic bronchopulmonary aspergillosis.

Date Added: 31 - Jan - 2018

Ivabradine has been approved by NICE (TA 267)1 as an option for treating chronic heart failure following specialist initiation in patients with chronic, stable heart failure (NYHA class II-IV), left ventricular systolic dysfunction (LVEF 35% or less) and who are in sinus rhythm with a heart rate of 75 beats per minute or more.

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Body System:
Date Added: 14 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for cystic fibrosis has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 30 - Nov - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of IVERMECTIN 10mg/g cream (Soolantra®) for second line topical treatment of moderate to severe papulopustular rosacea in adult patients.

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Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of IXEKIZUMAB solution for injection (Taltz®), by specialists only, for treating axial spondyloarthritis in accordance with NICE TA718.

Body System:
Date Added: 27 - Mar - 2019

The Pan-Mersey Area Prescribing Committee recommends that Lactase Enzyme Drops 50,000 units/g (Colief®) are not prescribed on the NHS. Patients are advised to purchase Colief® if they wish.

Date Added: 28 - Oct - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of LANREOTIDE solution for injection (Somatuline Autogel®) by specialists only, for the treatment of angioectasia.

Date Added: 01 - Oct - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of lidocaine plaster 5% (Ralvo®, Versatis®), except in limited circumstances outlined.

Body System:
Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of melatonin for the treatment of persistent chronic sleep disorders in the circumstances where sleep hygiene measures have been insufficient.

Management of sleep disorders in children and adults - flowchart

Body System:
Date Added: 14 - Nov - 2017

The Pan Mersey Area Prescribing Committee recommends the use of meningococcal group B vaccine (Bexsero)®▼ in accordance with the meningococcal B (MenB) vaccination programme from Public Health England.

Body System:
Date Added: 28 - Feb - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of Mesalazine oral formulations by brand name following specialist initiation for inflammatory bowel disease. Octasa® brand is considered to be equivalent to Asacol® brand and currently represents a more cost effective choice.

Date Added: 30 - Nov - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of methadone tablets (Physeptone®) in adults following initiation by a consultant in pain medicine in a tertiary centre.

 Red  Halton Place and Sefton Place

Prescribing support information

GP letter

Body System:
Date Added: 25 - Nov - 2021

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of MOMETASONE / OLOPATADINE nasal spray (Ryaltris®) for allergic rhinitis.

Body System:
Date Added: 22 - Oct - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of NALDEMEDINE tablets (Rizmoic®▼) for the treatment of opioid-induced constipation in accordance with NICE TA651.

Date Added: 25 - Sep - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of NALMEFENE (Selincro®) within its marketing authorisation, as an option for reducing alcohol consumption in adults with alcohol dependence, in line with NICE TA325.

Refer to Pan Mersey formulary for RAG status for each individual CCG.

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Body System:
Date Added: 28 - Jul - 2015

The Pan Mersey Area Prescribing Committee recommends the prescribing of NALOXEGOL Tablets (Moventig®▼) as an option for treating opioid induced constipation in adults in accordance with NICE TA345 (22nd July 2015).

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Date Added: 04 - Aug - 2023

The Cheshire and Merseyside Area Prescribing Group does not currently recommend the prescribing of NETARSUDIL-LATANOPROST eye drops (Roclanda®▼) for open-angle glaucoma or ocular hypertension.

Body System:
Date Added: 19 - Dec - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of NICOTINE inhaler (Voke®) for nicotine dependence.

Body System:
Date Added: 29 - Jun - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of NIRMATRELVIR plus RITONAVIR tablets (Paxlovid®▼), SOTROVIMAB solution for infusion (Xevudy®▼) and TOCILIZUMAB solution for infusion (RoActemra®▼) by specialists only, for treating COVID-19 in accordance with NICE TA878.

NHS Cheshire and Merseyside APPROVED

Date Added: 31 - Jul - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of CONJUGATED OESTROGENS and BAZEDOXIFENE 0.45mg/20mg modified release tablets (Duavive®) for the treatment of oestrogen deficiency in postmenopausal women with a uterus.

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Body System:
Date Added: 31 - Jul - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of OPICAPONE (Ongentys®▼) following specialist recommendation as add-on therapy in adult patients with Parkinson’s disease.

BLACK NHS West Lancashire CCG

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Body System:
Date Added: 06 - Oct - 2023

The Cheshire and Merseyside Area Prescribing Group does not currently recommend the prescribing of OSPEMIFENE tablets (Senshio®) for vulvar and vaginal atrophy in post-menopausal women.

Body System:
Date Added: 01 - Nov - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of OXYCODONE with NALOXONE modified release tablets (Targinact®) for adults with chronic pain

Body System:
Date Added: 27 - Oct - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of OZANIMOD capsules (Zeposia®▼), by specialists only, for ulcerative colitis, in accordance with NICE TA828.

NHS Cheshire and Merseyside APPROVED

Date Added: 28 - Jul - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of PATIROMER powder for oral suspension (Veltassa®▼) for emergency treatment of life-threatening hyperkalaemia in adults in accordance with NICE TA623.

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Date Added: 28 - Jul - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of PATIROMER powder for oral suspension (Veltassa®▼) for persistent hyperkalaemia in adults following initiation by a specialist in accordance with NICE TA623.

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Date Added: 05 - Oct - 2018

The Pan Mersey Area Prescribing Committee recommends generic sildenafil as the first choice phosphodiesterase type-5 inhibitor for the treatment of erectile dysfunction.

Body System:
Date Added: 27 - Apr - 2022

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of PITOLISANT HYDROCHLORIDE film-coated tablets (Ozawade®) for treating excessive daytime sleepiness caused by obstructive sleep apnoea, in accordance with NICE TA776.

Body System:
Date Added: 26 - May - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of PITOLISANT tablets (Wakix®▼), by specialists working in a regional and national tertiary commissioned sleep service only, for the treatment of narcolepsy with or without cataplexy in adult patients in accordance with the Aintree University Hospital Sleep Service Pathway for Narcolepsy.

 

Body System:
Date Added: 26 - Jun - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of voriconazole or posaconazole, by GPs or specialists, for Allergic Bronchopulmonary Aspergillosis.

Date Added: 24 - May - 2018

The Pan-Mersey Area Prescribing Committee does not recommend the prescribing of Potassium Hydroxide 5% (MolluDab® or Molutrex®) on the NHS. Patients are advised to purchase MolluDab® or Molutrex® if they wish.

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Body System:
Date Added: 26 - May - 2022

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of PRASTERONE pessaries (Intrarosa®▼) for the treatment of vulvar and vaginal atrophy in postmenopausal women having moderate to severe symptoms.

Body System:
Date Added: 08 - Jan - 2015

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of PREDNISOLONE ENTERIC COATED 2.5 mg and 5 mg tablets.

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Date Added: 01 - Oct - 2018

The Pan Mersey Area Prescribing Committee recommends that IMMEDIATE RELEASE QUETIAPINE is the preferred formulation of quetiapine for prescribing across the Pan Mersey Area.

AMBER RETAINED NHS Southport and Formby, NHS South Sefton CCG

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Body System:
Date Added: 25 - Sep - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of RANIBIZUMAB intravitreal injection (Lucentis®), by ophthalmologists only, for the treatment of visual impairment secondary to choroidal neovascularisation (CNV) in conditions not covered by NICE technology appraisals.

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Body System:
Date Added: 31 - Jul - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of Rasburicase powder and solvent for concentrate for solution for infusion (Fasturtec®▼) for the “off label” treatment of severe, refractory, tophaceous gout resistant to xanthine oxidase inhibitors (allopurinol & febuxostat) and uricosuric agents (benzbromarone) or for whom these drugs are contraindicated.

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Body System:
Date Added: 23 - Mar - 2023

The Cheshire and Merseyside Interim Area Prescribing Group does not currently recommend the prescribing of RELUGOLIX tablets (Orgovyx®▼) for hormone-sensitive prostate cancer.

Body System:
Date Added: 24 - Nov - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of RELUGOLIX-ESTRADIOL-NORETHISTERONE ACETATE tablets (Ryeqo®▼) for treating uterine fibroids in accordance with NICE TA832.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 26 - Jul - 2017

The Pan Mersey Area Prescribing Committee recommends RIFAXIMIN 550mg tablets (Targaxan®), following specialist initiation, as an option for reducing the recurrence of overt hepatic encephalopathy in people aged 18 years or older in accordance with NICE TA 337.

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Date Added: 25 - Sep - 2023

NHS Cheshire and Merseyside recommends the prescribing of RIMEGEPANT oral lyophilisate (Vydura®▼), following specialist initiation, for preventing migraine in accordance with NICE TA906.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 19 - Dec - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of RIMEGEPANT oral lyophilisate (Vydura®▼) for treating migraine in accordance with NICE TA919.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 28 - Jul - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of RISANKIZUMAB solution for injection (Skyrizi®), by specialists only, 
for psoriatic arthritis in accordance with NICE TA803. 

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 25 - Sep - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of RISANKIZUMAB solution for injection on-body device (Skyrizi®▼), by specialists only, for previously treated moderately to severely active Crohn's disease in accordance with NICE TA888.

NHS Cheshire and Merseyside APPROVED

Date Added: 15 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for specialised rheumatology has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 15 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for specialised rheumatology has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 26 - Jun - 2019

RITUXIMAB (Truxima®▼, Rixathon®▼)The Pan Mersey Area Prescribing Committee recommends the prescribing of rituximab by specialists only, for immune (idiopathic) thrombocytopenic purpura before romiplostin and eltrombopag.

Date Added: 24 - May - 2017

The Pan Mersey Area Prescribing Committee recommends the prescribing of rituximab infusion for rheumatoid arthritis in accordance with NICE TA195 and in accordance with the Mersey Rheumatoid Arthritis Biologics Pathway.  Treatment should be initiated and supervised by a rheumatologist.

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Body System:
Date Added: 24 - May - 2017

The Pan Mersey Area Prescribing Committee recommends the prescribing of Rivaroxaban 2.5mg tablets (Xarelto®▼) following specialist initiation for preventing adverse outcomes after acute management of acute coronary syndrome in accordance with NICE TA335.

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Body System:
Date Added: 24 - Feb - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of RIVAROXABAN 2.5mg tablets (Xarelto®▼) plus aspirin, for the prevention of atherothrombotic events in adult patients with coronary artery disease (CAD) or symptomatic peripheral artery disease (PAD) at high risk of ischaemic events, in accordance with NICE TA607.

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Body System:
Date Added: 31 - Jul - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of ROFLUMILAST tablets (Daxas®▼) following specialist recommendation as an add-on to bronchodilator therapy, for treating severe chronic obstructive pulmonary disease in adults with chronic bronchitis (in accordance with NICE TA461).

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Body System:
Date Added: 28 - Jul - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ROMOSOZUMAB solution for injection (EVENITY®▼), by specialists only, for treating severe osteoporosis in accordance with NICE TA791. 

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 29 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ROXADUSTAT film coated tablets (Evrenzo®▼), by specialists only, for treating symptomatic anaemia in chronic kidney disease in accordance with NICE TA807.

NHS Cheshire and Merseyside APPROVED

Date Added: 26 - Jun - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of RUBEFACIENTS (excluding topical NSAIDS and capsaicin).

Body System:
Date Added: 26 - Nov - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of SACUBITRIL/VALSARTAN film-coated tablets (Entresto®▼) for treating symptomatic chronic heart failure following specialist initiation and in accordance with NICE TA388.

North West Strategic Clinical Network and Senate

Position statement

Treatment algorithm

Patient information leaflet

GP communication letter

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Body System:
Date Added: 31 - Jul - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of SAFINAMIDE (Xadago®▼) following specialist recommendation in the management of mid to late stage Parkinson’s disease.

BLACK NHS West Lancashire CCG

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Body System:
Date Added: 10 - Jul - 2023

The Cheshire and Merseyside Area Prescribing Group does not currently recommend the prescribing of SECUKINUMAB solution for injection (Cosentyx®) for enthesitis-related arthritis or juvenile psoriatic arthritis.

Body System:
Date Added: 23 - Sep - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of SECUKINUMAB solution for injection (Cosentyx®), by specialists only, for the treatment of non-radiographic axial spondyloarthritis in accordance with NICE TA719.

Body System:
Date Added: 22 - Dec - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of SEMAGLUTIDE injection (Wegovy®▼), by specialists only, for managing overweight and obesity within a specialist weight management service, in accordance with NICE TA875.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 23 - Oct - 2020

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of SILK Garments for eczema or atopic dermatitis.

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Body System:
Date Added: 26 - May - 2022

Pan Mersey Area Prescribing Committee recommends the prescribing of SODIUM OXYBATE oral solution, by specialists working in a regional and national tertiary commissioned sleep service only, for the treatment of narcolepsy with cataplexy in adult patients in accordance with the Aintree University Hospital Sleep Service Pathway for Narcolepsy.

Body System:
Date Added: 23 - Jun - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of SODIUM ZIRCONIUM CYCLOSILICATE powder for oral suspension (Lokelma®▼) for emergency treatment of life-threatening hyperkalaemia in adults in accordance with NICE TA599.

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Date Added: 23 - Jun - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of SODIUM ZIRCONIUM CYCLOSILICATE powder for oral suspension (Lokelma®▼) for persistent hyperkalaemia in adults following initiation by a specialist in accordance with NICE TA599.

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Date Added: 21 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for infectious disease has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 29 - Jul - 2014

The Pan Mersey Area Prescribing Committee does not recommend the routine prescribing of ORAL COMBINATION PRODUCTS that are available as the separate constituents.

Body System:
Date Added: 24 - Mar - 2022

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of SOLIRAMFETOL tablets (Sunosi®▼), for treating excessive daytime sleepiness caused by obstructive sleep apnoea in accordance with NICE TA777.

Body System:
Date Added: 26 - May - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of solriamfetol tablets (Sunosi®▼), by specialists only, for treating excessive daytime sleepiness caused by narcolepsy in accordance with NICE TA758.

Body System:
Date Added: 23 - Feb - 2023

The Cheshire and Merseyside Interim Area Prescribing Group recommends the prescribing of SOMATROGON injection (Ngenla®▼), by specialists only, for treating growth disturbance in children and young people aged 3 years and over, in accordance with NICE TA863.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 21 - Nov - 2017

NHS England specialised commissining resources: the clinical reference group responsible for HIV has published a commissioning policy that defines access to a particular service for a cohort of patients.

Body System:
Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of TAPENTADOL immediate release preparations (Palexia®) for pain relief.

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Body System:
Date Added: 23 - Jun - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of TAPENTADOL prolonged release tablets (Palexia® SR) for severe chronic pain in adults only when initiated by chronic pain specialists or palliative care specialists

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Body System:
Date Added: 01 - Aug - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of DESICCATED THYROID EXTRACTS, e.g. Armour Thyroid, in the management of hypothyroidism.

Body System:
Date Added: 22 - May - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of TICAGRELOR tablets (Brilique®), following specialist initiation, for the management of acute coronary syndromes in adults in accordance with NICE TA236 and for preventing atherothrombotic events after myocardial infarction in accordance with NICE TA420.

GP support resource

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Body System:
Date Added: 27 - Jan - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of TICAGRELOR tablets (Brilique®), following specialist initiation, to prevent thrombotic events post intracranial stenting.

Body System:
Date Added: 24 - May - 2018

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of TIOTROPIUM inhalation (Spiriva Respimat®▼) for asthma in children and young people < 18 years of age.

Body System:
Date Added: 27 - Jul - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of TIRBANIBULIN 10mg/g ointment (Klisyri®▼), following specialist initiation, for field treatment of non-hyperkeratotic, non-hypertrophic actinic keratosis (Olsen grade 1) of the face or scalp.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 25 - Jan - 2024

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of TIRZEPATIDE injection (Mounjaro®▼), for treating type 2 diabetes in accordance with NICE TA924.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of tocilizumab infusion and subcutaneous injection  (RoActemra®) for the treatment of rheumatoid arthritis and adult-onset Still’s disease, and the infusion for juvenile idiopathic arthritis, as described.

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Body System:
Date Added: 24 - Mar - 2022

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of TOFACITINIB film-coated tablets (XELJANZ®▼) for ankylosing spondylitis.

Body System:
Date Added: 20 - Aug - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of TOLVAPTAN tablets (Samsca®), by specialists only, for the treatment of hyponatraemia secondary to SIADH due to any cause.

Body System:
Date Added: 30 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ABROCITINIB tablets (Cibinqo®▼), TRALOKINUMAB injection (Adtralza®▼) or UPADACITINIB prolonged-release tablets (Rinvoq®▼), by specialists only, for treating moderate to severe atopic dermatitis in accordance with NICE TA814.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 04 - Jun - 2018

The Pan Mersey Area Prescribing Committee does not recommend the routine prescribing of ORAL COMBINATION PRODUCTS that are available as the separate constituents.

Body System:
Date Added: 26 - Sep - 2022

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of TRIFAROTENE cream (Aklief®▼) for treating acne vulgaris.

Body System:
Date Added: 28 - Feb - 2018

The Pan Mersey Area Prescribing Committee recommends that TRIPTORELIN (Decapeptyl® SR 3mg, 11.25mg and 22.5mg) INTRAMUSCULAR INJECTION is first choice gonadorelin analogue for prostate cancer following specialist urologist / oncologist initiation under applicable local arrangement.

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Body System:
Date Added: 27 - Jul - 2023

The Cheshire and Merseyside Area Prescribing Group recommends the prescribing of UPADACITINIB prolonged-release tablets (RINVOQ®▼), by specialists only, for previously treated moderately to severely active Crohn’s disease in accordance with NICE TA905.

NHS Cheshire and Merseyside APPROVED

Date Added: 26 - Oct - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of UPADACITINIB prolonged-release tablets (Rinvoq®▼), by specialists only, for treating active ankylosing spondylitis in accordance with NICE TA829.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 23 - Feb - 2023

The Cheshire and Merseyside Interim Area Prescribing Group recommends the prescribing of UPADACITINIB prolonged-release tablets (Rinvoq®▼), by specialists only, for active non-radiographic axial spondyloarthritis in accordance with NICE TA861.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 24 - Feb - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of UPADACITINIB prolonged-release tablets (RINVOQ®▼), by specialists only, for psoriatic arthritis, in accordance with NICE TA768.

Body System:
Date Added: 25 - Nov - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of UPADACITINIB prolonged-release tablets (RINVOQ®▼), by specialists only, for treating moderate rheumatoid arthritis in accordance with NICE TA744.

Body System:
Date Added: 23 - Feb - 2023

The Cheshire and Merseyside Interim Area Prescribing Group recommends the prescribing of UPADACITINIB prolonged-release tablets (RINVOQ®▼), by specialists only, for treating moderately to severely active ulcerative colitis in adults in accordance with NICE TA856.

NHS Cheshire and Merseyside APPROVED

Date Added: 30 - Sep - 2022

The Pan Mersey Area Prescribing Committee recommends the prescribing of ABROCITINIB tablets (Cibinqo®▼), TRALOKINUMAB injection (Adtralza®▼) or UPADACITINIB prolonged-release tablets (Rinvoq®▼), by specialists only, for treating moderate to severe atopic dermatitis in accordance with NICE TA814.

NHS Cheshire and Merseyside APPROVED

Body System:
Date Added: 24 - May - 2017

The Pan Mersey Area Prescribing Committee recommends the prescribing of USTEKINUMAB injection (Stelara®) for active psoriatic arthritis in accordance with NICE TA340.

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Body System:
Date Added: 26 - Jun - 2019

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of voriconazole or posaconazole, by GPs or specialists, for Allergic Bronchopulmonary Aspergillosis.