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.


Acetylcysteine in Idiopathic Pulmonary Fibrosis
Adrenaline Auto-injectors: Uncertainty Over Drug Delivery - Safety Statement
Alirocumab solution for injection (Praluent) for Reduction of CV Risk in Adults with Established Atherosclerotic CVD
Ascorbic Acid for all (Except Scurvy)
Botulinum Toxin Type A injection for Chronic Anal Fissure
Brivaracetam tablets and oral solution (Briviact®) for Adjunctive Treatment of Focal Seizures
Brivaracetam tablets and oral solution (Briviact®) for Epilepsy in Children and Adolescents
Brodalumab solution for injection (Kyntheum®) for Plaque Psoriasis
Budesonide orodispersible tablets (Jorveza®for Eosinophilic Oesophagitis
Cannabis-based Products for Medicinal Use
Cariprazine Hard capsules (Reagila®) for Schizophrenia (Adults)
Certolizumab Pegol solution for injection (Cimzia® ) for Plaque Psoriasis
Conjugated Oestrogens and Bazedoxifene modified release tablets (Duavive®) for Oestrogen Deficiency in Postmenopausal Women
Co-proxamol tablets
Dapagliflozin tablets (Forxiga®for Type 1 Diabetes Mellitus (in combination with Insulin)
Degarelix subcutaneous injection (Firmagon®) for Advanced Hormone-dependent Prostate Cancer in people with Spinal Metastases
Denosumab solution for injection (Prolia®) for Bone Loss Associated with Long-term Systemic Glucocorticoid Therapy
Deoxycholic Acid injection (Belkyra®) for Submental Fat
Desiccated Thyroid for Hypothyroidism
Direct Oral Anticoagulants (DOACs) (previously known as NOACs) in Non Valvular Atrial Fibrilation
Doxylamine/Pryridoxine tablets (Xonvea®) for Nausea and Vomiting in Pregnancy
Dupilimab solution for injection (Dupixent®) for Atopic Dermatitis
Elasticated Viscose Stockinette Garments (CliniFast®, Comfifast Easywrap®, Skinnies Viscose®, Tubifast 2-way stretch®)
Electromagnetic Pulse Therapy (Actipatch®) for Chronic Pain Relief
Eltrombopag Olamine tablets (Revolade®) for Chronic Idiopathic Thrombocytopenic Purpura
Erenumab pre-filled syringes (Aimovig®) for Migraine
Ertugliflozin film coated tablets (Steglato®) for Type 2 Diabetes (Monotherapy or with Metformin)
Ertugliflozin film coated tablets (Steglato®) for Type 2 Diabetes (Triple Therapy)
Evolocumab injection (Repatha SureClick®) for Reduction of CV risk in patients with Established Atherosclerotic CVD
Ferric Maltol hard capsules (Feraccru®) for Iron Deficiency
Flash Glucose Monitor (FreeStyle Libre®)
Fluocinolone Intravitreal Implant (Iluvien®) for Non-Infectious Uveitis
Fremanezumab pre-filled syringe for injection (Ajovy®) for Migraine Prophylaxis
Galcanezumab solution for injection (Emgality®) for Migraine Prophylaxis
Guselkumab solution for injection (Tremfya®) for Plaque Psoriasis
Ibuprofen and Naproxen Oral Formulations for Pain and Inflammation
Itraconazole for Allergic Bronchopulmonary Aspergillosis
Ivermectin 10mg/g cream (Soolantra®)
Ixekizumab subcutaneous injection (Taltz®) for Psoriatic Arthritis
Lactase Enzyme drops 50,000 units/g (Colief® for Lactose Intolerance in Infants
Lidocaine plaster 5% (Ralvo®, Versatis®) for Pain
Loxapine inhalation powder (Adasuve®) 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 (Physeptone®)
Methotrexate - Safe Prescribing and Dispensing
Opicapone (Ongentys®) for Parkinson's Disease
Ospemifene film-coated tablets (Senshio®) for Vulvar and Vaginal Atrophy
Oxycodone with Naloxone modified release tablets (Targinact®) for Adults with Chronic Pain
Paraffin-Based Emollients: Fire Risk
Phosphodiesterase Type-5 INHIBITORS for Erectile Dysfunction
Potassium Hyroxide 5% solution (MolluDab® or Molutrex®) for Molluscum Contagiosum
Prasterone pessaries (Intrarosa®) for Vulvar and Vaginal Atrophy
Quetiapine immediate release tablets (All Brands) for Schizophrenia, Bipolar Disorder, Depression
Rasburicase powder and solvent for concentrate for solution for infusion (Fasturtec®) for Refractory, Tophaceous Gout
Risankizumab solution for injection (Skyrizi®) for Moderate to Severe Plaque Psoriasis
Rituximab (Truxima®, Rixathon®) for Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
Rivaroxaban 2.5mg tablets (Xarelto®) for the Prevention of Atherothrombotic Events
Roflumilast tablets (Daxas®) for COPD
Romiplostim SC injection (Nplate®) for Chronic Idiopathic Thrombocytopenic Purpura
Rubefacients for Musculoskeletal Pain
Sacubitril/Valsartan film-coated tablets (Entresto®) for Chronic Heart Failure
Safinamide (Xadago®) for Parkinson's Disease
Sodium Zirconium Cyclosilicate powder for oral suspension (Lokelma®) for Hyperkalaemia in Adults
Tapentadol prolonged release tablets (Palexia® SR) for Chronic Pain
Testosterone preparations for Replacement Therapy in Women

Ticagrelor tablets (Brilique®) for ACS and Prevention Atherothrombic Events post-MI

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Tildrakizumab solution for injection (Ilumetri®) for Plague Psoriasis
Tiotropium inhaler (Spiriva® Respimat®) in Adults with Asthma
Tofacitinib tablets (Xeljanz®) for Psoriatic Arthritis
Tofacitinib film-coated tablets (Xeljanz®) for Ulcerative Colitis
Tramadol and Dexketoprofen for Acute Pain
Ulipristal Acetate 5mg tablets (Esmya®) for Uterine Fibroids
Valproate: safe prescribing and dispensing to girls of any age and women of child bearing potential
Voriconazole (VFEND®) or Posaconazole (Noxafil®) for Allergic Bronchopulmonary Aspergillosis