Impact of Priadel Price Change on CCG Prescribing Budgets

This bulletin aims to raise awareness of the NHS price increase for Priadel® (lithium carbonate) tablets as of November 2020 and the resulting cost impact to primary care. While discussions between the DHSC and the manufacturer of Priadel have prevented its discontinuation from the UK market at this stage, the renegotiated price in November 2020 has seen the cost more than double from December 2020.

There are three versions of this publication; please select the appropriate version for your region below.

Antibiotic Use in Children: Prescribing trends

This bulletin aims to highlight variation in total antimicrobial prescribing volume in children, defined here as 0-14 years. It specifically focuses on the proportion of unique patients prescribed regular antimicrobials throughout 12 months. National antimicrobial guidance, good practice guidance and resources are identified to help support good prescribing in practice.

There are three versions of this publication; please select the appropriate version for your region below.

Oral Vitamin B supplementation

This document aims to support the Regional Medicines Optimisation Committees (RMOC) position statement; “Oral vitamin B supplementation in alcoholism” by identifying CCGs and geographical areas where prescribing within primary care may not be in line with the recommendations.

There is ongoing prescribing of vitamin B complex products despite national and local recommendations that this should be reserved for supplementation in the context of refeeding syndrome. Medicines optimisation teams should be advised to review the formulary status of vitamin B compound products and implement a deprescribing programme if necessary.

This review is older than 18 months; in view of the continued emergence of new evidence, readers are recommended to re-check the biomedical literature.

There are three versions of this publication; please select the appropriate version for your region below.

Antibiotic use in children: liquid vs. solid oral dosage forms

This bulletin addresses cost-effective prescribing of oral antimicrobials in children without dysphagia. Liquid antimicrobial preparations are significantly more expensive than solid oral dosage forms, so the bulletin aims to
present the current prescribing patterns of antimicrobial formulations in the paediatric population on a CCG Level.

This review is older than 18 months; in view of the continued emergence of new evidence, readers are recommended to re-check the biomedical literature.

There are three versions of this publication; please select the appropriate version for your region below.

Long-Term Use Of PPIs – Bulletin

Long-term use of PPIs is not recommended in several indications as it has been linked to adverse effects including hypomagnesaemia, vitamin B12 deficiency, increased fracture risk and increased risk of MI.

This bulletin aims to highlight the current national guidance, potential adverse effects associated with long term PPI use and prescribing patterns on a CCG Level.

This review is older than 18 months; in view of the continued emergence of new evidence, readers are recommended to re-check the biomedical literature.

There are three versions of this publication; please select the appropriate version for your region below.

High dose opioids in chronic non-cancer pain

This bulletin provides an overview of current opioid prescribing within stakeholder regions. It highlights resources available to support good practice in prescribing of opioids, and to improve patient safety in prescribing of opioids.

Individual organisations can analyse their prescribing further in the Pain Management report. The Medicines in Practice Optimising the use of morphine 10mg/5mL oral solution in primary care also provides further advice and support.

This review is older than 18 months; in view of the continued emergence of new evidence, readers are recommended to re-check the biomedical literature.

There are five versions of this publication; please select the appropriate version for your region below.