Orlistat prescribing guidelines nhs. Who decline/unable to follow the alternative approach.
Orlistat prescribing guidelines nhs This page includes: About the Shared Care before this guidance was published, until they and their NHS clinician consider it appropriate to stop. Design and setting Cohort study using anonymised health records Orlistat is a white to off-white crystalline powder. Cardiovascular System Guidelines 3. Clinical Guidelines covering NHS Greater Glasgow and Clyde are collated on the GGC Clinical Guidelines Platform. net May 2019 APC Decisions Medicine Status Indication Other be offered Orlistat for longer than 12 months at a time. ’) Orlistat Guidance. Shared care : Hospital only : There should be no prescribing of these drugs : The traffic light of the drug is dependant on the indication. Musculoskeletal and Joint 3 days ago · Child 12–17 years (initiated by a specialist) 120 mg up to 3 times a day, dose to be taken immediately before, during, or up to 1 hour after each main meal, continue treatment beyond 12 weeks only under specialist supervision, if a meal is missed or contains no fat, the dose of orlistat should be omitted. weightmanagement@nhs. The NHS can prescribe orlistat products, which include orlistat generic tablets, Xenical (although it’s less likely you’ll get the branded version on the NHS), and alli. Musculoskeletal and Joint North East Lincolnshire CCG Shared Care guidelines with NAVIGO can be accessed here: Antipsychotic Depot Injections Adults. Obesity prevention Clinical guideline (CG43 December 2006, updated March 2015) Rationale for decision / comments; Lipase inhibitors: Orlistat: 120mg capsule: £25. Traffic Lights This guideline covers identifying, assessing and managing obesity in children (aged 2 years and over), young people and adults see NHS England's report on joined up clinical pathways for obesity. MI for NLaG is contactable at the co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended; Reference: Drew BS, Dixon AF, Dixon JB. Orlistat’s license no longer requires a 2. See British National Formulary (BNF) and NICE CKS for more information. BNF chapters and prescribing guidelines. nottinghamshireformulary. Prescribing of Low Molecular Weight Heparins (LMWHs) in North & North East Lincolnshire. net Dr Lorraine Croot Dr Victoria Bejarano 01226 432387 01226 432387 01226 432387 L. Orlistat (0405010P0) Part of chapter 4 Central Nervous System, section 4. they and their NHS clinician consider it appropriate to stop. Only to be prescribed in line with NICE guidance: NHS Somerset classify Naltrexone / Bupropion as not recommended for HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use XENICAL (orlistat) Capsules for oral use Initial U. Infections Guidelines 6. Please see Appendix 1 for further guidance on prescribing and reviewing Orlistat. net) or For routine prescribing in primary and secondary care. search again. NHS Barnsley had the highest prescription rate with 18 items per 1,000 population. Primary Care Guidance for the Management of Anxiety in Adults 24/167. 2 Hospital Discharges, Out-patient Appointments and Home visits When patients are discharged from hospital, their regular medication may have changed. Tranquillisation - Rapid Tranquillisation Policy (Adults, Older Adults, Children and Adolescents) - Secondary Care Guideline (Oxford Health NHS Foundation Trust - Policy Code CP04) Headache Management Guidelines for Adults - Primary/Secondary Care Guideline (BHTCG 721FM) Orlistat 60mg, 120mg capsules Medicines which are suitable for May 9, 2023 · Guideline based on: NICE summary of antimicrobial prescribing guidance – managing common infections Antimicrobial prescribing table (bnf. How much does orlistat cost on the NHS? Orlistat is free on the NHS unless you usually pay for your prescriptions. May 7, 2024 · to take on the ongoing prescribing of the 5mg dose. How effective is orlistat? Clinical research shows that orlistat helps 37% of people lose at least 5% of their starting body weight after 12 weeks. You can get orlistat capsules on the NHS, which are prescription-only. Orlistat is available through the NHS with a doctor’s prescription. If at 3 months after starting orlistat you have not lost at least 5% of your body weight, your prescription of orlistat may be stopped. 0 Page 6 4. STWCCG Medicines Management - Created June 2019. Adult Weight Management and Type 2 Diabetes Prevention Team. Comments As per NICE CG189 - Obesity: identification, assessment and management ORLISTAT. Orlistat Restricted: For weight management as per NICE CG189. Orlistat (Xenical) is a drug that can help with weight loss. Some people who take orlistat regain the weight they have lost when they stop taking it. On this page you will find any general prescribing polices that have been approved by GMMMG or its Subgroups, unless otherwise indicated. Guideline for prescribing and monitoring of anticonvulsants used as mood stabilisers. 5 Drugs used in the treatment of obesity, paragraph 4. 0 Background Information 2 Professor A Adebajo aadebajo@nhs. 2 to download toolkits even when website is down. Endocrine System Guidelines 7. The GMMMG Formulary lists products by generic drug name. The committee concluded that a tier 3 service is the appropriate context in o A Prescription Prepayment Certificate (PPC) will save people money if they pay for more than three items in three months, or 11 items in 12 months. Treatment should be continued for 3-4 months after the radiological disappearance of gallstones. 7. Management of overweight and obesity in adults includes lifestyle measures alone or with orlistat, or referral to specialist weight management services (such as tier 3 or 4), which Semaglutide for managing overweight and obesity (TA875) the co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended; Notes: rates of weight loss may be slower in people with type 2 diabetes, so less strict goals than those for people without diabetes may be appropriate. Central Nervous System Guidelines 5. uk nnccg. It also aims to help them provide those at high risk with an effective and appropriate intensive The clinical guidelines framework sets out how NHS Greater Glasgow and Clyde (NHSGGC) develops, reviews, approves and monitors clinical guidelines. Derbyshire Medicines Management. Capsules 120mg (£23. uk MACCG. South Yorkshire Prescribing Guidelines The guidance provides a framework for the seamless shared care and decision making between the patient, specialist service and primary care prescriber in relation to medicines use. Approval: 1999 -----RECENT MAJOR CHANGES-----Dosage and Administration: Recommended Dosing (2. Vortioxetine Information Sheet (147 kb) Review date: Jan 2026. Headache guideline and pathway : Dec 2024 : Dec 2027 : Opioid Resource pack 3 days ago · Medicines and prescribing. NICE. Orlistat is a lipase inhibitor which can also be used to maintain weight loss after achieving an initial weight loss target, rather than to continue to lose weight. 3. Who decline/unable to follow the alternative approach. However, prescribers should provide prescription quantities AWTTC - All Wales Adult Asthma Management and Prescribing Guideline. Orlistat is practically insoluble in water, freely soluble in chloroform, and very . The guidelines are designed for use by the co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended; Notes: rates of weight loss may be slower in people with type 2 diabetes, so less strict goals than those for people without diabetes may be appropriate. In some cases, stones may recur after successful treatment. Orlistat has no pK a within the physiological pH range. 5 kg during a 4 week dietary lead-in period, and weight losses of Orlistat, a gastric and pancreatic lipase inhibitor that reduces dietary fat absorption by approximately 30%, has been approved for use for around ten years (Zhi et al 1994; Hauptman 2000). Seven superfoods that are better than bananas at lowering high The clinical experts advised that diabetic services in the NHS have experience with liraglutide prescribing and might provide a suitable alternative where no tier 3 service is available. This page includes: About the Shared Care Orlistat is a prescription weight loss tablet that blocks fat absorption. Non Formulary Items: [ Prescribing Guide Home Page] [ Health Topics] [ Chapter 4: Central nervous system] [ Back to Orlistat] Orlistat : TRUST APPROVED USE: Orlistat is NOT to be initiated in secondary care. [2006] Children Primary Care Orlistat Prescribing and Review Guidelines for Adults (over 16yrs of age) [UPDATED] This guideline has been updated with minor changes and will be available on the BEST website in due course. APCO January 2015. They are dated and will be reviewed in 2022. Headache guideline and pathway : Dec 2024 : Dec 2027 : Opioid Resource pack Orlistat Status: Green Decision Date: May 2016 . BNF 1 GI System; BNF 2 Cardiovascular System; BNF 3 Respiratory; BNF 4 CNS; BNF 5 Infections; BNF 6 Endocrine; BNF 7 Obs, Gynae & Urinary-tract; BNF 8 Malignant Disease and Immunosuppression; BNF 9 Nutrition & Blood; BNF 10 MSK & Joint diseases; BNF 11 Eye; BNF 12 ENT; BNF 13 Skin; BNF 14 Immunological Oct 5, 2020 · Ursodeoxycholic Acid Prescribing Support Information Prescribing Support Information Page 2 of 3 The duration of treatment needed to achieve dissolution will not usually exceed 2 years. Liraglutide and semaglutide are injectable and can be expensive, whereas orlistat is an oral medication with evidence of cost-effectiveness [16]. The guidelines are intended to provide information on current best practice, ensure cost effective prescribing and a consistent approach by primary care clinicians, across Kent and Medway in the management of malnutrition in adults. May 4, 2001 · This category include HNY classification Green with guideline and in which case will be stated in monograph that prescribing in primary care only within guideline. 1 Many medicines are available in both generic and branded forms. These recommendations are generally in line with the Scottish Intercollegiate Guidelines Network (SIGN) guideline on Management Orlistat (tetrahydrolipstatin) is an anti-obesity medication approved by the US Food and Drug Administration (FDA). NHS Stoke on Trent had a prescription rate of 16 items per 1,000 population, and NHS Knowsley had a prescription rate of 15 per 1,000 population. The clinical experts explained that many people decide not to have orlistat or stop taking it because of undesirable side effects. It is used by prescription (Xenical) as an adjunct to lifestyle modifications for weight loss and chronic weight management in adults and pediatric patients 12 years and older. NHS Nene, NHS Corby and NHS Mansfield and Ashfield all recorded almost zero rates. It aims to remind practitThis guideline covers how to identify adults at high risk of type 2 diabetes. This is because this treatment isn’t working effectively for you. Prescribing in hospitals and private clinics was not included in our data. It aims to remind practitioners that age is no barrier to being at high risk of, or developing, the condition. Gastrointestinal events [see Adverse Reactions (6. 0 kg/m 2 to 34. Specialist recommendation: These medicines are considered suitable for GP prescribing following specialist recommendation or via an APC approved prescribing guideline. Guidelines are arranged according BNF chapter, with additional sections e. [60877] Orlistat can produce a mean weight loss of approximately 4% and can reduce HIGHLIGHTS OF PRESCRIBING INFORMATION • These highlights do not include all the information needed to use XENICAL safely and effectively. 13 This implies that if there was no recorded orlistat prescription after 12 weeks of the initial prescription, it was assumed that orlistat was stopped as per NICE guidelines. Why the committee made these recommendations . 2 Generic prescribing can reduce the risk of prescribing or dispensing errors as each ASTHMA PRESCRIBING GUIDELINES FOR ADULTS (chronic asthma)1,2 All people with asthma should receive education and a written Personalised Asthma Action Plan (PAAP) and be supported with regular clinician review. 4 . Approval: See Indications and Usage (1) for recommended prescribing guidelines. • Upon request to take on prescribing in primary care, it should be made clear that 5mg is the maintenance dose. XENICAL (orlistat) Capsules, for oral use Initial U. See full prescribing information for XENICAL. 02 Centrally acting appetite suppressants . Bipolar Disorder (CG185), Physical health monitoring will be conducted according to Lancashire and South Cumbria NHS Foundation Trust Jun 29, 2017 · REVISED GUIDELINES FOR USE OF ANTI-OBESITY AGENTS: ORLISTAT Patients require monitoring and encouragement, consider prescribing no more than one month’s treatment. Your doctor will discuss this with you. Each capsule contains 120 mg of orlistat and should be taken up to 3 times per day, only with Guidelines for the prescribing of nutritional supplements post bariatric surgery Prescribing recommendations: NHS patients should be directed to purchase nutritional supplements that are available over the counter (OTC) post-bariatric surgery if they have had an adjustable gastric band fitted or sleeve gastrectomy If prescribing inclisiran, please also click here for prescribing, ordering, and cost information. 2 Orlistat Prescribing and Medication Review Indications and dose For orlistat Adjunct in obesity (in conjunction with a mildly hypocaloric diet in individuals with a body mass index (BMI) of 30 kg/m 2 or more or in individuals with a BMI of 28 kg/m 2 or more in the presence of other risk factors such as type 2 diabetes, hypertension, or hypercholesterolaemia) for orlistat By mouth In the UK orlistat 120 mg is available on prescription from your doctor or as a private (paid for) service from some pharmacies through Patient Access. Continuation where appropriate by hospital (or other secondary care provider) Detailed requirements for Specialist Centre initiation to be described in the Jun 19, 2024 · Public Health Nursing 0-19 service Prescribing Formulary Oct-22 Oct-23 Gold Guidelines: Primary Care Prescribing Guidelines: advisory, minimum and gold; Community Pharmacy key dispensing guidelines Jul-22 Jul-23 Clinical Guideline: proton pump inhibitors and alternatives to subcutaneous ranitidine Aug-23 Aug-24 Jan 23, 2023 · The news of Saxenda on the NHS is welcome to many people with obesity. 9 kg/m 2 and meet the criteria for referral to specialist weight management services in NICE's guideline These recommendations are not intended to affect treatment with semaglutide that was started in the NHS before this guidance was published. Search. Aim To explore associations between patient characteristics and orlistat prescribing, and to determine associations of orlistat with weight loss in T2DM and prediabetes. Diamorphine supply disruption and alternatives. nottsapc. , hypothyroidism) should be excluded before prescribing ORLISTAT. Sibutramine; blood pressure and pulse rate MUST be monitored every two weeks for first three months, then monthly for three months, then at least every 3 months thereafter. Suggestions for additions or alterations may be forwarded to: Dr Gui Tran, Rheumatology Registrar, Chapel Allerton Hospital (0113 392 4589 / g. Patients must lose 5% of their initial body weight within this period. If a guideline on the clinical guidelines platform is past its review date, it is currently undergoing the review process as per the clinical guidelines framework. For general advice, NHS Eatwell Guide provides some guidelines on calorie intake and nutrition. Methotrexate • Methotrexate is normally given as a weekly dose. Management of overweight and obesity in adults includes lifestyle These are approved Lancashire And South Cumbria Medicines Management Group (LSCMMG) guidelines that specifically relate to the management of a specific disease or condition, rather than a single medicine, or group of medicines. The consultant should refer the patient to a dietitian. 01 Anti-obesity drugs acting on the gastro-intestingal tract: Orlistat (Xenical ®) Formulary Orlistat Prescribing and Medication Review Guidelines : 04. Respiratory System Guidelines 4. This may be offered to some service users following the completion of the 12 week Lifestyle phase of our programme. Introduction This shared prescribing guideline for the second generation antipsychotic medications listed above has been developed with due consideration to the appropriate NICE Clinical Guidelines (CG) e. S. soluble in methanol and ethanol. scot. Non Formulary Items NHS England: Homecare: CCG: Traffic Light Status Prescribing Stop List Prescribers are encouraged to review all patients prescribed medicines on the Limited Evidence or Stop List to check if the drugs are appropriate, safe and if they are providing HSCNI with value for money. 05. croot@nhs. E-mail: loth. bejarano@nhs. Little or no specific monitoring required. Similar in approach to other chronic diseases, AOMs are indicated in combination with lifestyle modification for the management of overweight and orlistat) can lead to a decreased bioavailability of vitamin D o This list is not exhaustive. 5mg strength tablets for oral methotrexate. Patients should be advised to adhere to dietary guidelines [see Dosage and Administration (2)] . † Orlistat may potentially reduce the absorption of fat-soluble vitamins (A, D, E and K). Documents are listed alphabetically. 000 Produced and agreed in partnership with YOR-LMC and CPNY Page 1 of 1 February 2022 Prescribing intervals — guidance for prescribers The CCG does not have a formal policy on repeat prescription quantities that should be issued to patients. Comments As per NICE CG189 - Obesity: identification, assessment and management. net News from the APC -updated/new documents on the APC website: APC annual report Renal function calculations Statement (New) sheet Antipsychotic prescribing guideline DOACs in DVT and PE Guidance (Update) Clozapine information sheet (Update) Bempedoic May 4, 2001 · Orlistat Prescribing and Medication Review Guidelines Bariatric Surgery- prescribing medications prescribing guideline NICE CG189: Obesity: identification, assessment and management . Jan 16, 2003 · OBJECTIVE: To assess the clinical usefulness of published guidelines for the use of orlistat, by studying whether weight loss ≥2. org) NICE guideline NG199 – ‘Clostridioides difficile infection: antimicrobial prescribing’ published 23rd July 2021 Version Change Detail Date 1 Put in place for new organisation November 19 Oct 24, 2024 · The guidance provides a framework for the seamless shared care and decision making between the patient, specialist service and primary care prescriber in relation to medicines use. Nutrition and Blood Guidelines 10. However, generic medicines are, overall, much less expensive to the NHS. Nottinghamshire Area Prescribing Committee May 2019 Bulletin www. These recommendations are largely based on the National Institute for Health and Care Excellence (NICE) guideline Obesity: identification, assessment and management [NICE, 2022a]. Chapter 17: Repeat Prescribing guidance. Chapter 6: Medicines Safety Spotlight – Tirzepatide (Mounjaro®) Chapter 6: Blood glucose self-monitoring 6 days ago · Adult Weight Management and Type 2 Diabetes Prevention Service – NHS Lothian | Our Services. For information relating to prescribing in children prescribers should refer to the BNF and BNFc. • As per NICE TA769. • Local treatment pathway will be developed (may require Stoma Prescribing Guidelines and Formulary V2. The cost of treatment per patient is estimated to be £537 ($806) a year. When you first start to access weight management services, you will need to go through various stages. net v. Orlistat (as are liraglutide and semaglutide) is available through the National Health Service (NHS), UK [14, 15] for obesity treatment [12, 13, 14]. These lipases play a crucial NHS Barnsley had the highest prescription rate with 17 items per 1,000 population. Failed to reach their target Prescribe orlistat with caution to people with: Chronic kidney disease (CKD) and/or volume depletion — the use of orlistat may be associated with hyperoxaluria and oxalate nephropathy Primary Care Orlistat Prescribing and Review Guidelines for Adults (over Prescribing Support Dietitian, NHS Barnsley Clinical Commissioning Group Second Author: Kate Lawson 2024 Recommended Review Date: August 2027 Ratified by Barnsley Area Prescribing Committee on: 11th September 2024 . Chapter 6: GP Prescribing Guide for Paediatric Patients with Type 1 Diabetes. 4. The GM Formulary includes medicines and technologies for use in adult patients only. For Medicine Information queries, please contact the relevant Medicine Information Department in your local hospital Trust. Type 2 diabetes, hypertension or hypercholesterolaemia. Click here to access the Clinical Guidelines Platform. The guidelines have been developed and reviewed with input from all SWL Medicines Optimisation Feb 9, 2023 · Trust; East London NHS Foundation Trust; Milton Keynes University Hospital NHS Foundation Trust Approved by BLMK Area Prescribing Committee (APC) December 2022. Dietary advice whilst taking Orlistat. karvot@nhs. Scope . Obesity management: update on orlistat. 4 PALLIATIVE CARE PAIN & SYMPTOM CONTROL GUIDELINES FOR ADULTS INTRODUCTION This is the fifth edition of the Greater Manchester and Eastern Cheshire Strategic Clinical Networks Palliative Ursodeoxycholic Acid Prescribing Support Information Prescribing Support Information Page 2 of 3 The duration of treatment needed to achieve dissolution will not usually exceed 2 years. Vasc Health Risk Manag. net or Jane Morgan, on jane. Clinical Pharmacist Medicines Management, Shropshire, Telford &Wrekin CCG Version No. You should make permanent, life-long changes towards a the co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended; Notes: rates of weight loss may be slower in people with type 2 diabetes, so less strict goals than those for people without diabetes may be appropriate. Woodlands House, Astley Ainslie Hospital, 74 Canaan Lane, Edinburgh, EH9 2TB. This ensures regular monitoring within the prescribing guidelines and appropriate dietary support is Orlistat is a lipase inhibitor which can also be used to maintain weight loss after achieving an initial weight loss target, rather than to continue to lose weight. Orlistat and bariatric surgery are not alternatives to liraglutide for most people . For further information on contraindications, cautions, drug interactions, and adverse effects, see the electronic Medicines Compendium (eMC) or the British National Formulary (BNF). NHS site by Cite The Digital Agency Orlistat for the treatment of obesity in adults Technology appraisal guidance; Reference number: TA22 Published: 27 March 2001 Repeat Prescribing Guidelines Version Number 1. Your dietitian may recommend that you take a multivitamin and mineral supplement whilst taking Orlistat. The table headings below are active links; click a heading to sort in ascending or descending order. Hepatobiliary disorders If you would like further information about the Formulary, please contact either Andrew Karvot, on a. Can be prescribed in General Practice under the direction of a Specialist Medicines which NHS Tayside ADTC does not recommend for use at present due This category include HNY classification Green with guideline and in which case will be stated in monograph that prescribing in primary care only within guideline. tran@nhs. Gastrointestinal Suitable for prescribing in primary care following recommendation or initiation by a specialist. Dose and Lithium Levels The initial dose of lithium (as the carbonate salt) is usually Priadel MR 200-600mg at night Aug 10, 2023 · Acknowledgements: These guidelines have been adapted to include local policy and are based on the NHS London Procurement Programme Guide to Prescribing Oral Nutritional Supplements in the Community 2014. NottsAPC@nhs. Clinical guideline CG189. Obesity: identification, assessment and management. Aug 20, 2024 · Obesity pharmacotherapy has evolved significantly over the past 60 years. Suitable for non specialist prescribing. NHS Stoke on Trent had a prescription rate of 17 items per 1,000 population, and NHS South Tyneside and NHS Knowsley had prescription rates of 15 per 1,000 population. The impact of excluding this prescribing on overall trends Prescribing Guideline Responsibility Date Approved Current Review Date New Review Date Diltiazem 2% cream prescribing guidance BHNFT May-21 May-23 May-24 Orlistat prescribing and medication review guidelines CCG Oct-20 Oct-22 Oct-23 Oral ranitidine out of stock guidance CCG Oct-20 Oct-22 Oct-23 Antiplatelet Guidelines BHNFT Jun-20 Jun-22 Jun-23 Switching PRESCRIBING IN PALLIATIVE AND SUPPORTIVE CARE 120 SECTION 5 - REFERENCES AND ABBREVIATIONS KEY REFERENCES 123 ABBREVIATIONS 124. net New submissions: Palforzia® Not yet classified • Treating peanut allergy in children and young people. Today, six anti-obesity medications (AOMs) are approved by the Federal Drug Administration (FDA) for the long-term treatment of obesity. Either way, we can arrange delivery straight XENICAL (orlistat) Capsules for oral use Initial U. It builds on the NHS England guidance Responsibility for prescribing between primary and secondary/tertiary care (2018). The NHS England guidance applies to short term, infrequent constipation caused by changes in lifestyle or diet such as lack of water or movement or changes Orlistat is available in Europe as 120 mg capsules under the brand name Xenical, and as 60 mg capsules under the brand name alli, for weight loss in combination with a reduced-calorie, lower-fat Orlistat. Indicators such as carbon This guideline covers how to identify adults at high risk of type 2 diabetes. Guidelines. The Surrey Prescribing Advisory Database Local Policies, procedures, protocols and guidelines relating to the use of medicines; Links to associated NICE Technology Appraisals; Relevant drug / safety alerts issued by the NPSA, EMEA and the MHRA (Frimley Park Hospital NHS Foundation Trust, Ashford and St Peter's Hospitals NHS Foundation the co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended; Notes: rates of weight loss may be slower in people with type 2 diabetes, so less strict goals than those for people without diabetes may be appropriate. Orlistat reduces the absorption of dietary fat. Approval: 1999 • WARNINGS AND PRECAUTIONS (5. NL APC PKU Guideline. nottsapc@nhs. 10 OVERDOSAGE. Obstetrics, Gynaecology and Urinary-tract Disorders Guidelines 8. morgan14@nhs. However, these services may not provide psychological support for weight management. 115 – Management of Obesity: A national clinical guideline (February 2010) This bulletin is based on evidence available to the Tayside Medicines Governance Unit at time of . Prescribing Data. ABL (‘A Better Life Ltd. Similar in approach to other chronic diseases, AOMs are indicated in combination with lifestyle modification for the management of overweight and May 4, 2001 · Orlistat : Formulary: Capsules; Under the guidance of Tayside Adult Weight Management Service (AWMS) May be initiated by primary or secondary care. Prescribing can be initiated/continued in primary care. 88 = 84 capsules) Notes. Members include primary and secondary care clinicians, representatives from commissioner and provider organisations and other stakeholders, working together to develop a consistent health community approach to medicines management. Before prescribing Orlistat: discuss potential benefits, risks and limitations of treatment explain how the drug works / possible adverse side effects Meet the prescribing criteria for Orlistat. Other medicines used in bipolar disorder include antipsychotics, valproate, and lamotrigine. REVISED GUIDELINES FOR USE OF THE ANTI-OBESITY AGENT: ORLISTAT (XENICAL®) Produced by Tayside Medicines Information Centre, reviewed February 2010 by Dr Michael Murphy, University of Dundee and The Tayside Medicines Governance Unit Orlistat has been available as a prescription-only medicine (Xenical®) since 1998. Initiated (if clinically urgent- required in 72 hours) or advised (if non-urgent) by specialist. Background Orlistat is recommended as an adjunct to diet and exercise for weight loss in the treatment of type 2 diabetes mellitus (T2DM). Other conditions for prescribing should be in accordance with the Glasgow and Clyde Weight Management Service protocol. Renal Function Calculation and Drug Dosing/Monitoring (189 kb) Review date: November 2026 The institute sets outs strict guidelines for prescribing orlistat as one part of the management of obesity. The aim of this review Jun 1, 2022 · Organic causes of obesity (e. È "NICE Guidance specifies that orlistat would be appropriate in adults as part of an overall plan for management of obesity - after dietary, We do not know what proportion of these people are eligible for these medications or whether they have made the initial weight loss required by guidelines to receive NHS prescriptions for orlistat or sibutramine. The formulary lists the most clinically and cost effective choices for prescribing in primary care Derbyshire Medicines Management, Prescribing and Guidelines Derbyshire Primary Care Formulary Chapter 9: NUTRITION AND BLOOD Updated: July 2024 The following prescribing guidelines are relevant to the Nutrition and Blood chapter and can be found here Notes for Prescribing Please see full guideline for guidance on prescribing ONS for specific patient groups: • Dysphagia • Palliative care • Renal • Diabetes • Vitamin K / warfarin • Substance misuse Starter packs / samples •If patient meets prescribing criteria, initially provide a sample to establish tolerance and flavour Lithium Prescribing Guideline (294 kb) Review date: November 2027. Important aspects of prescribing information relevant to primary healthcare are covered in this section specifically for the drugs recommended in this CKS topic. The MO Lead Pharmacist, Bariatric Surgery- prescribing medications prescribing guideline NICE CG189: Obesity: identification, assessment and management : 04. 5. It is prescribed as an anti-obesity drug, in conjunction with a mildly hypocaloric diet, for individuals over 18 years of age with a BMI of 30kg/m2 or more, or in individuals with a BMI of 28kg/m2 in the presence of other risk factors e. orlistat 6. Find out how it works, if it's safe, and how much weight you could lose with ZAVA. 3) 11/2022 Bariatric Surgery- prescribing medications prescribing guideline NICE CG189: Obesity: identification, assessment and management Orlistat (Xenical ®) Formulary Orlistat Prescribing and Medication Review Guidelines : 04. : Version 2 Approval Date: December 2021 Review Date: December 2024 . Benefits of generic prescribing 4. 5kg weight loss prior to prescription but adherence to a reduced fat diet before starting orlistat may assist in the reduction of unwanted GI side effects. net Medicines Information We would like to show you a description here but the site won’t allow us. Home / Clinical Portal / Medicines and prescribing / Guidance, guidelines and policies Guidance, guidelines and policies Clinical guidance Mental Health TEWV have created a Medicines Optimisation – Interactive Guide for external stakeholders, such as GPs, other PCN healthcare professionals and acute trust colleagues which will remain up to date with newly published Sep 4, 2023 · guidelines may not be appropriate for these patients. For further guidance on the management of obesity please see SIGN guideline No. Restricted to use for patients with BMI >30 with relevant co-morbidities and BMI >35 without co-morbidities. BNF Link Prescribing guidelines and recommendations are approved and ratified by the Joint Area Prescribing Committee. It should be prescribed only on the advice of the Glasgow and Clyde Weight Management Service. Should a significant Obesity pharmacotherapy has evolved significantly over the past 60 years. SPIRA - Decarbonisation Dashboard. For some drugs, branded generics may offer a more economical means of procurement in Primary Care. You have been prescribed Orlistat to help you to lose weight. Non Formulary Items NHS The Bedfordshire, Luton and Milton Keynes Area Prescribing Committee (BLMK APC*) drug bulletins provide information of the clinical effectiveness, cost-effectiveness, safety and impact on the NHS of the drug being examined. [2006, amended 2014] Children The co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended. Low-dose orlistat (60 mg) is also available to buy over the counter in pharmacies, based on Covers the management of a person who is overweight or obese. This medication is a saturated derivative derived from the endogenous lipstatin found in Streptomyces toxytricini. net. Next Review December 2024 v2 Document Control Search for toolkits, guidelines and other information: Search 'TAM (Treatments and Medicines) NHS Highland' Menu. Single doses of 800 mg XENICAL and multiple doses of up to 400 mg three times a day for 15 days have been studied in normal weight and obese subjects without significant adverse findings. 1. This website hosts links the Prescribing Formulary for the Humber APC, covering the NHS organisations on the North and South banks of PDF | On Mar 27, 2011, Graham Foster published Audit of The Prescribing and Monitoring Practices of Orlistat in Salford, England | Find, read and cite all the research you need on ResearchGate Orlistat is a prescription medication produced by two pharmaceutical companies in the UK: GlaxoSmithKline: Alli, 60 mg and available over the counter (no prescription) Roche: Xenical, 120 mg and available with a prescription; Orlistat Currently, only three NHS-approved weight loss drugs - orlistat, liraglutide, and semaglutide (known as Wegovy) - are available. The co-prescribing of Orlistat with other drugs aimed at weight loss is not recommended. Orlistat is known to cause side effects such as flatulence, diarrhoea, gastro-intestinal GUIDELINES FOR THE USE OF Orlistat 120mg capsules consider prescribing no more than one month’s treatment. This ensures regular monitoring within the prescribing guidelines and appropriate dietary support is ORLISTAT. Prescribing of oral antipsychotics. [27971] A low-dose non-prescription product (Alli) is available for overweight adults. In 2009 it was NHS England has advised CCGs that a prescription for the treatment of infrequent constipation should not routinely be offered in primary care as the condition is appropriate for self-care. 5mg dose forms part of titration and should not be prescribed on an ongoing/repeat basis (see Dosing & Administration section below). Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Why the committee made these recommendations Management of overweight and obesity in adults includes lifestyle measures alone or with orlistat, or referral to weight management services (such as tier 3 or 4), which If prescribing inclisiran, please also click here for prescribing, ordering, and cost information. Review Date: December 2025 BEDFORDSHIRE, LUTON AND MILTON KEYNES(BLMK) AREA NICE Guideline NG28 Type 2 diabetes in adults: management set tight limits on when a Oct 21, 2024 · Emollient Prescribing Guideline and Formulary North East North Cumbria Authors NENC Medicines optimisation team In collaboration with: Dr Maneesha Vatve Consultant Dermatologist CDDFT may purchase these over the counter and should be encouraged to do so as per NHS England Guidance Background Apr 1, 2020 · NHS Barnsley had the highest prescription rate with 17 items per 1,000 population. Leicester, Leicestershire and Rutland Area Prescribing Committee c/o Medicines Information Oliver Ward, Victoria Building Leicester Royal Infirmary Infirmary Square, Leicester LE1 5WW. o NHS Hormone Replacement Therapy Prescription Prepayment Certificate (HRT PPC) costs a one-off payment of two single NHS items and covers an unlimited number of HRT medicines* in 12 months. Does orlistat burn existing fat? Prescribing Guidelines (Primary Care) Area Prescribing Committee Minutes and Memos: New drug application form : Shared Care Information (including monitoring) Barnsley Interface Issues Form: SY IMOC (including traffic light list, shared care guidelines and prescribing guidelines) Choosing medicines for patients unable to take solid oral dosage www. Chapter 17: Repeat Prescribing Policy template (word version) Chapter 5: C&W Primary Care Adult Antibiotic Guidelines. 0 Medicines Management Team, Shropshire, Telford and Wrekin CCG Updated December 2021 Approved by Area Prescribing Committee February 2022 Review February 2024 Appliance Quantity per Month Prescription Directions Normal Usage Notes Colostomy bags 30-90 bags Remove and discard after use Social Prescribing Training Hub Primary Care IT GP Resilience Tier 2 Sponsorship News and resources Frailty Hydration - It All Counts - Resources & Training Working Together Principles Greener NHS – info for Health Professionals Latest news Communications Hub Research Updates - Health Professionals Document Finder Shared Care Record opportunity should be given for a further 3 months attempt with diet alone. APC Bulletin May 2019. Here is some useful information to help you gain the most benefits and limit any side effects from the medication. 1) 01/2012 Contraindications: Pregnancy (4) 01/2012 Warnings and Precautions: Increases in Nottinghamshire Area Prescribing Committee March 2022 Bulletin www. Link to: NHS Steroid Emergency card NHS steroid emergency cards can be obtained from Consider STEROID CARD if on: a BMI of 30. In addition, Therapeutics: A Handbook for Prescribing in Adults (commonly referred to as the Therapeutic Handbook) is a prescribing resource of particular relevance to prescribers working no recorded orlistat prescription after 12 weeks of the initial prescription. Orlistat (Xenical®) is a licensed medication for weight management in NHS Greater Glasgow & Clyde (NHSGGC). g. XENICAL is available for oral administration in dark-blue, hard-gelatin capsules, with light-blue imprinting. 1)] may increase when ORLISTAT is taken with a diet high in fat (>30% total daily calories from fat Clinical guideline [CG189] Published: 27 November 2014 Last updated: 26 July 2023 Guidance This guideline has been updated and replaced by NICE guideline NG246 . Reviewed December 2021. Apart from clinical exception,s the initial 2. Telephone: 0131 537 9169 Jan 7, 2025 · CG 91 2,3and NICE Guideline 222) . Orlistat is a lipase inhibitor which acts by reducing the absorption of dietary fat. 90. 13 NICE guidelines recommend that orlistat therapy should be continued Organic causes of obesity (e. These goals should be agreed with the person and reviewed regularly; Reference: NICE. We are pleased to NY CCG Prescribing Intervals — guidance for prescribers v1. In order to commission the best healthcare for the population of Bristol, North Somerset and South Gloucestershire, we need to make sure that patients have access to the best medicines available, and ensure that these are used in the most appropriate way. These guidelines have now been revised 7 times and will continue to require modification. Information for clinicians on medicines and prescribing. Malignant Disease and Immunosuppression Guidelines 9. shared care, shortages and oxygen Leicester, Leicestershire and Rutland Area Prescribing Committee c/o Medicines Information Oliver Ward, Victoria Building Leicester Royal Infirmary NHS site by Cite The Digital Agency A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC. AWTTC - All Wales Paediatric Asthma Management and Prescribing Guideline. ADHD adults shared care protocols NHS Nottingham and Nottinghamshire ICB; Renal. You can also purchase Orlistat privately through our Online Doctor service, or we can handle your NHS prescription. NHS guidelines your doctor must follow: Like with any other NHS treatment, it could depend on where you live in the UK and whether your surgery offers this service, however, general principles for prescription orlistat NHS are: For the first 12 weeks, patients should weigh in every two weeks to ensure they lose 1lb to 2lbs per week. Published: 27 November 2014 Last updated: 26 While Orlistat may not be as suitable for long-term use, it can help you make a start on your weight-loss journey. Please click on a sub-section See local prescribing guideline. Testing and Diagnosis of Vitamin D Deficiency Routine vitamin D testing is not recommended to screen the normal population or those at high risk Repeat Prescribing Guidance Author(s) (name and post): Shola Olowosale. All resources Organisations Learning & support How to deliver RDS tools Feedback Right Decisions TAM (Treatments and Medicines) NHS Highland Update your RDS mobile app to v4. uk www. • Prescribe only 2. 0 Approving Committee Shropshire CCG, Quality Committee Approval Date 26/06/19 Weight loss drugs e. There is now a growing body of evidence to suggest that Orlistat assists weight loss and that it may also have additional benefits. NICE CG43: (December 2006) recommends that orlistat should be prescribed under the following conditions: Part of an overall plan for managing obesity in adults who have a body mass index (BMI) of 28kg/m 2 or more with associated risk factors, or; a BMI of 30kg/m 2 or more. Most people referred to a tier 3 service will have tried and stopped orlistat, so there is Guidelines By Category. 2 Primary Care Orlistat Prescribing and Review Guidelines for Adults (over 16 years of age) (update) At the last meeting, the change of wording to monthly monitoring was queried, and it was agreed to take this back and request that the monitoring be changed to 3 monthly, in line with the Tier 3 weight management team monitoring requirement. 1 July 2008 Issue 98 TAYSIDE PRESCRIBER Shared Care Guideline for the prescribing of Disease modifying antirheumatic drugs (DMARDs) in rheumatology patients Contents Page 1. Orlistat is used to manage obesity by reversibly inhibiting gastric and pancreatic lipases within the gut. If you do, you’ll need to pay the current NHS prescription charge per item of £9. Designated by NHS England to require initiation by or in prior agreement with a Specialist Centre. Brief prescribing document or information sheet may be required. *Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice and has Home » GMMMG Guidance » Prescribing Policies Prescribing Policies. This AWTTC dashboard allows practices to see their respiratory prescribing data benchmarked against other practices. There are NAPC Amber 2 prescribing guidelines for antipsychotics and lamotrigine. 58 (84) Do not prescribe as Alli® as not cost effective. Clinical Guidelines. • It is good practice to state the day of the week on the prescription and to give the dose as number of Prescription rules your GP has to follow. nhs. However, NICE guidelines currently only allow it to be prescribed in tier 3 weight management services, and these aren’t usually carried out by your own GP. Like all healthcare offered on the NHS it can be a real postcode lottery, however general guidelines for prescribing Xenical are: Record initial weight and target weight following 12 weeks of prescription. 1 Gastro-intestinal anti-obesity drugs High-level prescribing trends for Orlistat (BNF code 0405010P0) across all GP practices in ORLISTAT Clinical Indication Green. Who are motivated to engage with the treatment and review plan. prescription. The institute estimates that if the guidance is implemented it will cost around £12m GMMMG Generic Prescribing Guideline s, Version 2. The recommendation will have a significant impact on the NHS drug budget. NHS Bury, NHS Nene and NHS Mansfield and Ashfield all recorded almost zero rates. 2007;3(6):817-21. It prevents absorption of around 30% of dietary fat (1) Indication - 'in conjunction with a mildly hypocaloric diet for the treatment of obese patients with a body mass index (BMI) greater or equal to 30 kg/m^2, or overweight patients (BMI >= 28 kg/m^2) with associated risk factors' 3. hjbmam qvjy jxusn iaju xkkj aqbrs csg ekkputro aznutxl lzvy