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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: 29 - Jul - 2015

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.

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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: 26 - Apr - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of BRODALUMAB solution for injection (Kyntheum®▼), by specialists only, for treating plaque psoriasis in accordance with NICE TA511.

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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: 22 - May - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of CERTOLIZUMAB PEGOL solution for injection (Cimzia®▼), by specialists only, for moderate to severe plaque psoriasis in accordance with NICE TA574.

Body System:
Date Added: 08 - Feb - 2019

The Pan Mersey Area Prescribing Committee does not currently recommend the prescribing of DEOXYCHOLIC ACID injection (Belkyra®▼) for submental (under chin) fat.

Body System:
Date Added: 09 - Nov - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of Dupilumab solution for injection (Dupixent®▼), by specialists only, for the treatment of moderate to severe atopic dermatitis in adults in accordance with NICE TA534.

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: 09 - Nov - 2018

The Pan Mersey Area Prescribing Committee recommends the prescribing of GUSELKUMAB solution for injection (Tremfya®▼) in specialist settings only, for treating plaque psoriasis in accordance with NICE TA521.

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: 24 - May - 2017

The Pan Mersey Area Prescribing Committee recommends the prescribing of IXEKIZUMAB solution for injection (Taltz®▼) in specialist settings only, for treating plaque psoriasis in accordance with NICE TA442.

Body System:
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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Date Added: 25 - Sep - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of RISANKIZUMAB solution for injection (Skyrizi®▼), by specialists only, for moderate to severe plaque psoriasis in accordance with NICE TA596.

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Date Added: 29 - Jul - 2015

The Pan Mersey Area Prescribing Committee recommends SECUKINUMAB solution for subcutaneous injection (Cosentyx®▼) for adults with plaque psoriasis only in accordance with NICE TA350.

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Date Added: 11 - Apr - 2018

The Pan Mersey Area Prescribing Committee does not recommend the prescribing of SILK garments (Dermasilk®, Dreamskin®, Skinnies Silk®) for eczema or atopic dermatitis.

Body System:
Date Added: 22 - May - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of TILDRAKIZUMAB solution for injection (Ilumetri®▼), by specialists only, for moderate to severe plaque psoriasis in accordance with NICE TA575.

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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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