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Microsoft word - bullets february 2014.doc
NHS Corby Clinical Commissioning Group Kettering Ge
NHS Nene Clinical Commissioning Group Northampton General Hospital NHS Trust Northamptonshire Healthcare NHS Foundation Trust
NORTHAMPTONSHIRE PRESCRIBING ADVISORY GROUP
(Advising Medical, Pharmacy Practitioners and Non-Medical Prescribers
Summary of Recommendations from meeting on Weds 5th February 2014
Further to the last meeting and following input from gastroenterology NPAG categorised lubiprostone as
Meningitis Group B vaccine (Bexsero)
This is a new vaccine for the immunisation of individuals from 2 months and older against invasive
meningococcal disease caused by Neisseria meningitidis group B. This vaccine has not yet been included
in the national vaccination program and was therefore categorised as double red.
Sayana Press (Medroxyprogesterone Acetate)
Sayana Press is a new subcutaneous long-acting contraceptive. NPAG agreed that this may offer some
potential advantages over the intramuscular Depo Provera for some women and categorised it green.
Colestilan is a non-absorbed, non-calcium, non-metallic phosphate-binding polymer licensed for treatment of
hyperphosphataemia in adult patients with CKD stage 5 receiving haemodialysis or peritoneal dialysis.
NPAG categorised Colestilan grey
pending a nephrology opinion.
Breakyl (fentanyl citrate)
Breakyl is licensed for the treatment of breakthrough pain in adults with cancer who are already receiving
maintenance opioid therapy for chronic cancer pain.
NPAG could not see a place for this product above the current choices for breakthrough pain and
categorised Breakyl as double red.
Gelclair sachets contain a non-pharmacological adherent gel marketed to relieve the pain of oral mucositis. NPAG categorised Gelclair as grey
pending a specialist opinion.
Alogliptin is the 5th D-PP4 inhibitor to market and is licensed for adults aged 18 and over with type 2 diabetes, in
combination with other glucose lowering products including insulin. It is up to 20% less expensive than other D-PP4
inhibitors. NPAG categorised alogliptin as green.
Lomitapide is a novel microsomal triglyceride transfer protein inhibitor, which reduces both plasma LDL and
triglycerides. It is licensed in adult patients with homozygous familial hypercholesterolaemia; an extremely
rare condition. This drug falls under the auspices of Specialised Commissioning who are developing a
commissioning policy; in the meantime Individual Funding Requests will be considered. NPAG categorised
lomitapide as double red (IFR only).
Relvar Ellipta (fluticasone furoate / vilanterol)
This is a new ICS/LABA combination inhaler licensed for the treatment of asthma and COPD. There are a
number of new inhalers coming to the market in the next few months and the Northamptonshire asthma and
COPD guidelines are currently under review. NPAG categorised Relvar Ellipta as grey
A2A Spacer device
This is a new small spacer device which is 14% cheaper than the Aerochamber and is available with a small or
medium mask. NPAG categorised the A2A spacer as green.
NPAG categorised GeloRevoice throat lozenges as double red.
Mirabegron shared care letter
This is now finalised and is available on Pathfinder. GPs should note that the first 3 months’ prescribing, monitoring and review must be done in secondary care before prescribing is transferred.
Rivaroxaban for DVT and PE
The local implementation guidance for NICE TA 261 has been revised to include TA 287 and is now available on Pathfinder.
Further information or clinical trial data may be obtained from the PCT Prescribing Advisers or Hospital Medicines Information Service.
Information in this bulletin is believed to be true and accurate. The NHS Northamptonshire and their employees accept no liability for loss of any nature, to persons, organisations or institutions that may arise as a result of any errors or omissions.
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