Pan Mersey Recommendations

This section contains a list of the policy recommendations of the Pan Mersey Area Prescribing Committee that have been approved by Wirral CCG. 

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.

Key to recommendations

This document gives the definitions and criteria for categorisation of the medicines in the Pan Mersey formulary.  There are Green, Amber Recommended, Amber Initiated, Amber Patient Retained, Red, Purple, Black and Grey categories. 

Name of document
Acetylcysteine in Idiopathic Pulmonary Fibrosis
Adrenaline Auto-injectors: Uncertainty Over Drug Delivery - Safety Statement
Alirocumab Solution for Injection for Reduction of CV Risk in Adults with Established Atherosclerotic CVD
Ascorbic Acid tablets for All (except scurvy)
Botulinum Toxin for Chronic Anal Fissure
Brivaracetam for Adjunctive Treatment of Focal Seizures
Brivaracetam for Epilepsy in Children and Adolescents
Brodalumab for Plaque Psoriasis
Budesonide Orodispersible Tablets for Eosinophilic Oesophagitis
Cannabis-based Products for Medicinal Use
Cariprazine for Schizophrenia (Adults)
Certolizumab Pegol Solution for Injection for Plaque Psoriasis
Co-proxamol Tablets
Dapagliflozin for Type 1 Diabetes Mellitus (in combination with Insulin)
Degarelix Subcutaneous Injection for Advanced Hormone-dependent Prostate Cancer in people with Spinal Metastases
Denosumab for Bone Loss Associated with Long-term Systemic Glucocorticoid Therapy
Deoxycholic Acid Injection for Submental Fat

Direct Oral Anticoagulants (DOACs) (previously known as NOACs) in Non Valvular Atrial Fibrilation

Doxylamine and Pyridoxine for Nausea and Vomiting in Pregnancy
Dupilumab for Atopic Dermatitis
Electro- Magnetic Pulse Therapy for Chronic Pain Relief
Eltrombopag Olamine tablets for Chronic Idiopathic Thrombocytopenic Purpura
Erenumab for Migraine
Ertugliflozin for Type 2 diabetes (Monotherapy or with metformin)

Ertugliflozin for Type 2 diabetes (triple therapy)

Evolocumab for Reduction of CV risk in patients with Established Atherosclerotic CVD
Ferric Maltol for Iron deficiency
Flash Glucose Monitor (FreeStyle Libre)
Fluocinolone Intravitreal Implant for Non-Infectious Uveitis
Fremanezumab pre-filled syringe for injection for Migraine Prophylaxis
Galcanezumab solution for injection for Migraine Prophylaxis
Guselkumab for Plaque Psoriasis
Ibuprofen and Naproxen Oral Formulations for Pain and Inflammation
Ixekizumab Subcutaneous Injection for Psoriatic Arthritis
Ivermectin 10mg/g cream
Lactase Enzyme Drops 50,000 units/g (Colief®for Lactose Intolerance in Infants
Lidocaine plaster for Pain
Loxapine for Agitation in Adults with Schizophrenia or Bipolar Disorder
Melatonin Prolonged-Release Tablets (Slenyto®) for Insomnia in Children
Melatonin tablets 3mg and oral solution 1mg/ml for Jet-lag (and off-label use for other indications)
Methadone tablets 
Methotrexate - Safe Prescribing and Dispensing
Ospemifene for Vulvar and Vaginal Atrophy
Oxycodone with Naloxone MR tablets for Adults with Chronic Pain
Paraffin-Based Emollients: Fire Risk
Phosphodiesterase 5 Inhibitors (Erectile Dysfunction)
Potassium Hydroxide 5% solution for Molluscum Contagiosum
Prasterone Pessaries for Vulvar and Vaginal Atrophy
Quetiapine I/R tablets for Schizophrenia, Bipolar Disorder, Depression
Risankizumab solution for injection for Moderate to Severe Plaque Psoriasis
Rivaroxaban 2.5mg tablets (Xarelto®) for the Prevention of Atherothrombotic Events
Romiplostim SC injection for Chronic Idiopathic Thrombocytopenic Purpura
Sacubitril//Valsartan film-coated tablets for Chronic Heart Failure
Sodium Zirconium Cyclosilicate powder for oral suspension for Hyperkalaemia in Adults
Tapentadol Prolonged Release for Chronic Pain
Testosterone preparations for Replacement Therapy in Women

Ticagrelor tablets for ACS & Prevention Atherothrombotic Events post-MI

Ticagrelor tablets - GP Support Resource

Tildrakizumab Solution for Injection for Plague Psoriasis
Tiotropium Inhaler in Adults with Asthma
Tofacitinib for Psoriatic Arthritis
Tofacitinib for Ulcerative Colitis
Tramadol + Dexketoprofen for Acute pain
Ulipristal Acetate 5mg tablets for Uterine Fibroids
Valproate: safe prescribing and dispensing to girls of any age and women of child bearing potential
Viscose Stockinette Garments for Wrapping, Dressing Retention in e.g. Eczema, Atopic Dermatitis