Staffordshire CCG Medicines Optimisation team prescribing switches
Wednesday 15th May 2019
Our LPC meeting on 8th May heard from Emma Bryant, Medicines Optimisation Pharmacist for the Staffordshire CCGs about proposed prescribing switches which are due to take place over the coming weeks. Although there a number of items on this list, note that these will be targeted so that each practice has switches which generate the most savings to their prescribing budget – so Emma will be asking local practice pharmacists in particular to contact their local pharmacies about what’s happening and when – ideally allowing plenty of notice for you to rationalise stocks. The full list is:
| Target drug | Preferred alternative |
| Asacol 400mg or 800mg MR gastro-resistant tablets | Octasa 400mg or 800mg MR gastro-resistant tablets |
| Mesalazine 400mg or 800mg gastro-resistant tablets | Octasa 400mg or 800mg MR gastro-resistant tablets |
| Azilect 1mg tablets | Rasagiline 1mg tablets |
| Azopt 10mg/ml eye drops | Brinzolamide 10mg/ml eye drops |
| Buprenorphine 5, 10, 15 or 20micrograms/hour transdermal patches | Butec 5, 10, 15 or 20micrograms/hour transdermal patches |
| Cialis 5, 10 or 20mg tablets | Tadalafil 5, 10 or 20mg tablets |
| Cinchocaine 0.5% / Hydrocortisone 0.5% ointment | Uniroid HC ointment |
| Proctosedyl ointment | Uniroid HC ointment |
| Cosopt 20mg/ml / 5mg/ml eye drops 5 ml | Dorzolamide 20mg/ml / Timolol 5mg/ml eye drops 5 ml |
| Diltiazem 60mg modified-release tablets |
Tildiem 60mg modified-release tablets
|
| Ezetrol 10mg tablets |
Ezetimibe 10mg tablets
|
| Imigran 50 or 100mg tablets | Sumatriptan 50 or 100mg tablets |
| Isosorbide mononitrate 60mg modified-release tablets | Monomil XL 60mg tablets |
| Keppra 250, 500, 750mg or 1g tablets |
Levetiracetam 250, 500, 750mg or 1g tablets
|
| Lipitor 10, 20, 40 or 80mg tablets |
Atorvastatin 10, 20, 40 or 80mg tablets
|
| Lyrica 25, 50, 75, 100, 150, 200, 225 or 300mg capsules | Pregabalin 25, 50, 75, 100, 150, 200, 225 or 300mg capsules |
| Metronidazole 0.75% gel 40 gram | Rozex 0.75% gel (Galderma (UK) Ltd) 30 gram |
| Mucodyne 375mg capsules | Carbocisteine 375mg capsules |
| Nexium 20 or 40mg gastro-resistant tablets | Esomeprazole 20 or 40mg gastro-resistant tablets |
| Renvela 800mg tablets | Sevelamer 800mg tablets |
| Rivastigmine 4.6mg/24hours transdermal patches | Alzest 4.6mg/24hours transdermal patches |
| Stalevo 50mg/12.5mg/200mg or 75mg/18.75mg/200mg or 100mg/25mg/200mg or 125mg/31.25mg/200mg or 150mg/37.5mg/200mg or 175mg/43.75mg/200mg or 200mg/50mg/200mg tablets |
Stanek 50mg/12.5mg/200mg or 75mg/18.75mg/200mg or 100mg/25mg/200mg or 125mg/31.25mg/200mg or 150mg/37.5mg/200mg or 175mg/43.75mg/200mg or 200mg/50mg/200mg tablets |
| Travatan 40micrograms/ml eye drops | Travoprost 40micrograms/ml eye drops |
| Viagra 100mg tablets | Sildenafil 100mg tablets |
| Xalacom eye drops | Latanoprost 50micrograms/ml / Timolol 5mg/ml eye drops |
| Ropinirole modified-release tablets 2mg, 4mg or 8mg – generic and all brands except Repinex XL and Spiroco XL | Spiroco XL |
| Carbocisteine 250mg/5ml oral solution/syrup or Carbocisteine 750mg/10ml oral solution sachet | NACSYS 600mg tablets |
Wednesday 15th May 2019
