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Recommendations

Coronavirus guidance

Guidance to support primary care prescribers and pharmacists is available from the MLCSU Coronavirus guidance resource page. Links are provided to national resources and regional documents produced by MLCSU, RDTC, and SPS for use by Pan Mersey APC, LSCMMG, and GMMMG.

The list of resources will be updated as new material becomes available so please check back regularly for updates.

The Pan Mersey APC supports the use of COVID-specific guidance issued by NICE, and NHS England and NHS Improvement. During the COVID pandemic this will supersede any APC advice. In the absence of any COVID-specific advice then the usual Pan Mersey guidance and RAG rating will still apply unless otherwise indicated.

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 Categorisation of Medicines

Documents

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.

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Date Added: 29 - Oct - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of BUPRENORPHINE prolonged-release injection (Buvidal®) for the treatment of opioid dependence.

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Date Added: 25 - Sep - 2019

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.

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Date Added: 01 - Nov - 2018

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

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Date Added: 24 - Apr - 2019

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

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Date Added: 28 - Nov - 2019

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: 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.

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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.

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Date Added: 01 - Oct - 2018

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of ERENUMAB pre-filled syringes (Aimovig®▼) for prophylaxis of migraine.

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Date Added: 24 - Feb - 2020

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of ESKETAMINE nasal spray solution (Spravato®▼) for treatment-resistant depression.

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Date Added: 25 - Jul - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of FREMANEZUMAB pre-filled syringe for injection (Ajovy®▼) for prophylaxis of migraine.

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Date Added: 25 - Jul - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of GALCANEZUMAB solution for injection (Emgality®▼) for prophylaxis of migraine.

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Date Added: 28 - Feb - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of LESINURAD 200mg TABLETS (Zurampic®▼) for treating chronic hyperuricaemia in people with gout in accordance with NICE TA506 [7th February 2018]

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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.

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Date Added: 21 - Jun - 2018

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of LOXAPINE inhalation powder (Adasuve®▼) for mild-to-moderate agitation in adult patients with schizophrenia or bipolar disorder.

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Date Added: 12 - Mar - 2013

The Pan Mersey Area Prescribing Committee recommends the prescribing of MELATONIN 2mg modified release tablets (Circadin®) 'off-label' for adults aged 18 years and over with a learning disability OR who have been transferred from paediatric services, following specialist initiation in childhood for the treatment of persistent chronic sleep disorders.

AMBER INITIATED in NHS Halton CCG

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Date Added: 11 - Apr - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of MELATONIN prolonged-release tablets (Slenyto®) for the treatment of insomnia in children with neurodevelopmental conditions.

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Date Added: 02 - Jul - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of MELATONIN tablets 3 mg and oral solution 1 mg/ml for jet-lag.

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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  NHS Halton CCG

Prescribing support information

GP letter

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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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Date Added: 31 - Jan - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of NALTREXONE-BUPROPION 8 mg/90 mg prolonged-release tablets (Mysimba®▼) for managing overweight and obesity in accordance with NICE TA494.

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Date Added: 19 - Dec - 2019

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

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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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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

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Date Added: 24 - Jun - 2015

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of OXYCODONE with NALOXONE modified release tablets (Targinact®) for restless legs syndrome.

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Date Added: 27 - Mar - 2019

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 those who are contraindicated or have not tolerated other standard treatments.

Black NHS West Lancashire CCG

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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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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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Date Added: 27 - Mar - 2019

The Pan Mersey Area Prescribing Committee recommends SODIUM OXYBATE oral solution (Xyrem®) as a treatment option for Narcolepsy with cataplexy in adult patients only when recommended by a consultant in a specialist commissioned sleep service.

Black NHS West Lancashire CCG

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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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Date Added: 27 - Jun - 2018

The Pan Mersey Area Prescribing Committee recommends 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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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.

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Date Added: 24 - Apr - 2019

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

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