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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 Categorisation of Medicines

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.

Documents

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: 25 - Mar - 2021

The Pan Mersey Area Prescribing Committee recommends the prescribing of FILGOTINIB tablets (Jyseleca®▼), by specialists only, for moderate to severe rheumatoid arthritis in accordance with NICE TA676.

Body System:
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.

Static

Body System:
Date Added: 31 - Jul - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing on the NHS of flash glucose monitor sensors (FreeStyle Libre®) only within the criteria outlined.

These templates should be used by Pan Mersey organisations for incorporation into their specialist diabetes service clinic documentation that informs primary care prescriber that Freestyle Libre prescribing has been initiated in an individual patient according to the agreed criteria in the Pan Mersey statement, when confirming to primary care prescriber whether the patient has met continuation criteria after review, and into patient information/ contract documentation given to each patient on commencement of prescribing. There is also a template for use by a specialist when informing primary care prescribers that an individual has been switched to Freestyle Libre 2.

Background information is provided to support primary care prescribers in switching existing Freestyle Libre users to Freestyle Libre 2.

Initiation Criteria

Continuation Criteria

Primary Care Information

Patient Contract

Switch to Freestyle Libre 2

FreeStyle Libre 2 - Background Information for Prescribers

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: 25 - Sep - 2019

The Pan Mersey Area Prescribing Committee recommends the prescribing of FLUOCINOLONE intravitreal implant (Iluvien®), by specialists only, for the treatment of recurrent non-infectious uveitis in accordance with NICE TA590.

Body System:
Date Added: 24 - Sep - 2020

The Pan Mersey Area Prescribing Committee does not currently recommend
the prescribing of FOSTAMATINIB tablets (Tavlesse®▼) for the treatment of
chronic immune thrombocytopenia (ITP).

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: 30 - Jul - 2020

The Pan Mersey Area Prescribing Committee recommends the prescribing of FREMANEZUMAB injection (Ajovy®▼), by specialists only, for prevention of migraine in accordance with NICE TA631.

Body System: