LLR APC Meeting Minutes May 2025(282 KB) - LMSG/LLR APC minutes
Date added: 4th Jun 2025
Drug Name | Classification | Clinical Indication | Comments |
---|---|---|---|
BUDESONIDE/ FORMOTEROL FUMARATE DIHYDRATE INHALER (GoResp Digihaler®) | Do not prescribe |
Discontinued June 2024 – see MHRA alert |
|
DAPAGLIFLOZIN / METFORMIN (Xigduo®) (UPDATED) | Do not prescribe | Type 2 diabetes |
Not accepted locally for use. Use individual components. |
ENOXAPARIN | Green | Thromboprophylaxis and treatment of DVT and PE |
Prescribe by brand name INHIXA® as different brands have different injection techniques. Courses started during the dalteparin shortage can be continued to be supplied in primary care |
NEPAFENAC (Nevanac®) | Red | Pain and inflammation post cataract surgery and Cystoid Macular Oedema in Uveitic Patients | |
PALOPEGTERIPARATIDE (Yorvipath) | Grey |
Review deferred pending NICE outcome. |
|
RITLECITINIB (Litfulo) | Red | Severe alopecia areata in people 12 years and over |
In line with NICE TA 958.
|
RITUXIMAB | Red | IgM paraproteinaemic demyelinating peripheral neuropathy in adults | |
Tixagevimab plus Cilgavimab | Do not prescribe |
Not recommended, within its marketing authorisation, for treating COVID‑19 as per NICE TA971. |
|
TOBRAMYCIN inhalation | Red | Cystic fibrosis |
Available as nebuliser solution (Vantobra®, Bramitob®) and dry powder for inhalation (Tobi ® podhaler). |
USTEKINUMAB | Red | For refractory Crohn’s disease in pre-pubescent children (aged < 6 years old) |
In line with NHSE Clinical Commissioning Policy. |
VADADUSTAT (Vafseo) (NEW) | Red | Aymptomatic anaemia in adults having dialysis for chronic kidney disease |
Funding from 23/04/2025 |
VAMOROLONE (Agamree) (NEW) | Red | Duchenne muscular dystrophy in people 4 years and over |
In line with NICE TA1031. |
Recent documents from LLR APC and TAS
Date added: 4th Jun 2025
Not produced after February 2020
Date added: 19th May 2025
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Version 1 Uploaded December 2022/January 2023
Version 3 uploaded 05/06/2025
Date added: 29th Dec 2022
Updated March 2025
Date added: 4th May 2016
In common with other local health communities, the Leicester, Leicestershire and Rutland Area Prescribing Committee (LLR APC) acknowledges the benefits of having a Leicestershire Health Community-wide strategy for the prescribing of specialist medicines and the managed entry of new drugs and related technologies.
Leicestershire Health Community comprises the Leicester, Leicestershire and Rutland Integrated Care Board, University Hospitals of Leicester (UHL) NHS Trust and Leicestershire Partnership NHS Trust (LPT), amongst which there is a total consensus on the need for this strategy, and the LLR APC has been in place since 2005. Learn more