Orlistat prescribing guidelines nhs. 02 Centrally acting appetite suppressants .

Orlistat prescribing guidelines nhs There is now a growing body of evidence to suggest that Orlistat assists weight loss and that it may also have additional benefits. 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. Either way, we can arrange delivery straight XENICAL (orlistat) Capsules for oral use Initial U. 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. 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. Orlistat has no pK a within the physiological pH range. Initiated (if clinically urgent- required in 72 hours) or advised (if non-urgent) by specialist. NL APC PKU Guideline. 5. 01 Anti-obesity drugs acting on the gastro-intestingal tract: Orlistat (Xenical ®) Formulary Orlistat Prescribing and Medication Review Guidelines : 04. It aims to remind practitThis guideline covers how to identify adults at high risk of type 2 diabetes. uk www. † Orlistat may potentially reduce the absorption of fat-soluble vitamins (A, D, E and K). 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. This page includes: About the Shared Care Orlistat is a prescription weight loss tablet that blocks fat absorption. Indicators such as carbon This guideline covers how to identify adults at high risk of type 2 diabetes. You have been prescribed Orlistat to help you to lose weight. Designated by NHS England to require initiation by or in prior agreement with a Specialist Centre. However, generic medicines are, overall, much less expensive to the NHS. Prescribing of Low Molecular Weight Heparins (LMWHs) in North & North East Lincolnshire. ’) Orlistat Guidance. • 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. Search. net. Clinical Guidelines. Adult Weight Management and Type 2 Diabetes Prevention Team. There are NAPC Amber 2 prescribing guidelines for antipsychotics and lamotrigine. 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. Click here to access the Clinical Guidelines Platform. Respiratory System Guidelines 4. : Version 2 Approval Date: December 2021 Review Date: December 2024 . Chapter 17: Repeat Prescribing guidance. The cost of treatment per patient is estimated to be £537 ($806) a year. This page includes: About the Shared Care before this guidance was published, until they and their NHS clinician consider it appropriate to stop. The consultant should refer the patient to a dietitian. The aim of this review Jun 1, 2022 · Organic causes of obesity (e. 7. orlistat 6. Orlistat Restricted: For weight management as per NICE CG189. How much does orlistat cost on the NHS? Orlistat is free on the NHS unless you usually pay for your prescriptions. 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. Orlistat (as are liraglutide and semaglutide) is available through the National Health Service (NHS), UK [14, 15] for obesity treatment [12, 13, 14]. 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. Who are motivated to engage with the treatment and review plan. 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. BNF Link Prescribing guidelines and recommendations are approved and ratified by the Joint Area Prescribing Committee. APC Bulletin May 2019. Vasc Health Risk Manag. They are dated and will be reviewed in 2022. , hypothyroidism) should be excluded before prescribing ORLISTAT. 2007;3(6):817-21. 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. • As per NICE TA769. For some drugs, branded generics may offer a more economical means of procurement in Primary Care. 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. 58 (84) Do not prescribe as Alli® as not cost effective. Important aspects of prescribing information relevant to primary healthcare are covered in this section specifically for the drugs recommended in this CKS topic. NottsAPC@nhs. 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. 0 kg/m 2 to 34. The MO Lead Pharmacist, Bariatric Surgery- prescribing medications prescribing guideline NICE CG189: Obesity: identification, assessment and management : 04. bejarano@nhs. g. 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. SPIRA - Decarbonisation Dashboard. It builds on the NHS England guidance Responsibility for prescribing between primary and secondary/tertiary care (2018). Telephone: 0131 537 9169 Jan 7, 2025 · CG 91 2,3and NICE Guideline 222) . For further information on contraindications, cautions, drug interactions, and adverse effects, see the electronic Medicines Compendium (eMC) or the British National Formulary (BNF). BNF chapters and prescribing guidelines. See British National Formulary (BNF) and NICE CKS for more information. However, prescribers should provide prescription quantities AWTTC - All Wales Adult Asthma Management and Prescribing Guideline. Primary Care Guidance for the Management of Anxiety in Adults 24/167. Guidelines are arranged according BNF chapter, with additional sections e. Aug 20, 2024 · Obesity pharmacotherapy has evolved significantly over the past 60 years. 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. For information relating to prescribing in children prescribers should refer to the BNF and BNFc. Design and setting Cohort study using anonymised health records Orlistat is a white to off-white crystalline powder. On this page you will find any general prescribing polices that have been approved by GMMMG or its Subgroups, unless otherwise indicated. 2 to download toolkits even when website is down. XENICAL (orlistat) Capsules, for oral use Initial U. 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. 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 . In some cases, stones may recur after successful treatment. AWTTC - All Wales Paediatric Asthma Management and Prescribing Guideline. Prescribing can be initiated/continued in primary care. Infections Guidelines 6. Your doctor will discuss this with you. Orlistat’s license no longer requires a 2. 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. tran@nhs. Cardiovascular System Guidelines 3. When you first start to access weight management services, you will need to go through various stages. nottinghamshireformulary. 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. 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. 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. 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. 5mg strength tablets for oral methotrexate. Clinical Pharmacist Medicines Management, Shropshire, Telford &Wrekin CCG Version No. Reviewed December 2021. These recommendations are largely based on the National Institute for Health and Care Excellence (NICE) guideline Obesity: identification, assessment and management [NICE, 2022a]. NHS Barnsley had the highest prescription rate with 18 items per 1,000 population. net Medicines Information We would like to show you a description here but the site won’t allow us. Type 2 diabetes, hypertension or hypercholesterolaemia. prescription. This is because this treatment isn’t working effectively for you. 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. 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 . Chapter 6: GP Prescribing Guide for Paediatric Patients with Type 1 Diabetes. Information for clinicians on medicines and prescribing. Today, six anti-obesity medications (AOMs) are approved by the Federal Drug Administration (FDA) for the long-term treatment of obesity. Nottinghamshire Area Prescribing Committee May 2019 Bulletin www. Leicester, Leicestershire and Rutland Area Prescribing Committee c/o Medicines Information Oliver Ward, Victoria Building Leicester Royal Infirmary Infirmary Square, Leicester LE1 5WW. • Local treatment pathway will be developed (may require Stoma Prescribing Guidelines and Formulary V2. 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. Obstetrics, Gynaecology and Urinary-tract Disorders Guidelines 8. 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. The GMMMG Formulary lists products by generic drug name. The clinical experts explained that many people decide not to have orlistat or stop taking it because of undesirable side effects. NICE. 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. 3. The co-prescribing of Orlistat with other drugs aimed at weight loss is not recommended. net May 2019 APC Decisions Medicine Status Indication Other be offered Orlistat for longer than 12 months at a time. 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. Nutrition and Blood Guidelines 10. ABL (‘A Better Life Ltd. Clinical Guidelines covering NHS Greater Glasgow and Clyde are collated on the GGC Clinical Guidelines Platform. Orlistat reduces the absorption of dietary fat. 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). Headache guideline and pathway : Dec 2024 : Dec 2027 : Opioid Resource pack 3 days ago · Medicines and prescribing. Restricted to use for patients with BMI >30 with relevant co-morbidities and BMI >35 without co-morbidities. 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. 02 Centrally acting appetite suppressants . 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. 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. 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. nottsapc. 13 NICE guidelines recommend that orlistat therapy should be continued Organic causes of obesity (e. You can also purchase Orlistat privately through our Online Doctor service, or we can handle your NHS prescription. NHS Nene, NHS Corby and NHS Mansfield and Ashfield all recorded almost zero rates. Aim To explore associations between patient characteristics and orlistat prescribing, and to determine associations of orlistat with weight loss in T2DM and prediabetes. Documents are listed alphabetically. Orlistat is practically insoluble in water, freely soluble in chloroform, and very . Endocrine System Guidelines 7. If you do, you’ll need to pay the current NHS prescription charge per item of £9. 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. Orlistat is a lipase inhibitor which acts by reducing the absorption of dietary fat. nhs. 05. 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. 5mg dose forms part of titration and should not be prescribed on an ongoing/repeat basis (see Dosing & Administration section below). See full prescribing information for XENICAL. 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. XENICAL is available for oral administration in dark-blue, hard-gelatin capsules, with light-blue imprinting. 0 Approving Committee Shropshire CCG, Quality Committee Approval Date 26/06/19 Weight loss drugs e. Please click on a sub-section See local prescribing guideline. S. Clinical guideline CG189. These goals should be agreed with the person and reviewed regularly; Reference: NICE. • Prescribe only 2. uk MACCG. Gastrointestinal events [see Adverse Reactions (6. 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. These guidelines have now been revised 7 times and will continue to require modification. 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. The recommendation will have a significant impact on the NHS drug budget. This ensures regular monitoring within the prescribing guidelines and appropriate dietary support is ORLISTAT. 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. [27971] A low-dose non-prescription product (Alli) is available for overweight adults. Apart from clinical exception,s the initial 2. net v. However, these services may not provide psychological support for weight management. Prescribing of oral antipsychotics. Orlistat (0405010P0) Part of chapter 4 Central Nervous System, section 4. 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. Benefits of generic prescribing 4. 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. Orlistat (Xenical) is a drug that can help with weight loss. For Medicine Information queries, please contact the relevant Medicine Information Department in your local hospital Trust. 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. 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. We are pleased to NY CCG Prescribing Intervals — guidance for prescribers v1. 1. 4. 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 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. Scope . nottsapc@nhs. Orlistat and bariatric surgery are not alternatives to liraglutide for most people . net or Jane Morgan, on jane. Prescribing in hospitals and private clinics was not included in our data. net Dr Lorraine Croot Dr Victoria Bejarano 01226 432387 01226 432387 01226 432387 L. 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 . The institute estimates that if the guidance is implemented it will cost around £12m GMMMG Generic Prescribing Guideline s, Version 2. 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. 0 Background Information 2 Professor A Adebajo aadebajo@nhs. Here is some useful information to help you gain the most benefits and limit any side effects from the medication. 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. Comments As per NICE CG189 - Obesity: identification, assessment and management. Specialist recommendation: These medicines are considered suitable for GP prescribing following specialist recommendation or via an APC approved prescribing guideline. morgan14@nhs. 1 Gastro-intestinal anti-obesity drugs High-level prescribing trends for Orlistat (BNF code 0405010P0) across all GP practices in ORLISTAT Clinical Indication Green. Guideline for prescribing and monitoring of anticonvulsants used as mood stabilisers. 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. Chapter 17: Repeat Prescribing Policy template (word version) Chapter 5: C&W Primary Care Adult Antibiotic Guidelines. Vortioxetine Information Sheet (147 kb) Review date: Jan 2026. Methotrexate • Methotrexate is normally given as a weekly dose. Patients must lose 5% of their initial body weight within this period. 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. Orlistat is available through the NHS with a doctor’s prescription. 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. 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. 1 Many medicines are available in both generic and branded forms. Approval: See Indications and Usage (1) for recommended prescribing guidelines. 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. Guidelines. Next Review December 2024 v2 Document Control Search for toolkits, guidelines and other information: Search 'TAM (Treatments and Medicines) NHS Highland' Menu. 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. 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. 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. Some people who take orlistat regain the weight they have lost when they stop taking it. [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. 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. 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. Treatment should be continued for 3-4 months after the radiological disappearance of gallstones. 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 GM Formulary includes medicines and technologies for use in adult patients only. Patients should be advised to adhere to dietary guidelines [see Dosage and Administration (2)] . Derbyshire Medicines Management. Suggestions for additions or alterations may be forwarded to: Dr Gui Tran, Rheumatology Registrar, Chapel Allerton Hospital (0113 392 4589 / g. APCO January 2015. Brief prescribing document or information sheet may be required. Liraglutide and semaglutide are injectable and can be expensive, whereas orlistat is an oral medication with evidence of cost-effectiveness [16]. Please see Appendix 1 for further guidance on prescribing and reviewing Orlistat. 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. Musculoskeletal and Joint North East Lincolnshire CCG Shared Care guidelines with NAVIGO can be accessed here: Antipsychotic Depot Injections Adults. Who decline/unable to follow the alternative approach. Diamorphine supply disruption and alternatives. NHS Bury, NHS Nene and NHS Mansfield and Ashfield all recorded almost zero rates. Hepatobiliary disorders If you would like further information about the Formulary, please contact either Andrew Karvot, on a. Capsules 120mg (£23. Your dietitian may recommend that you take a multivitamin and mineral supplement whilst taking Orlistat. 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. 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. Comments As per NICE CG189 - Obesity: identification, assessment and management ORLISTAT. Why the committee made these recommendations . 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. 5 Drugs used in the treatment of obesity, paragraph 4. 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. Headache guideline and pathway : Dec 2024 : Dec 2027 : Opioid Resource pack Orlistat Status: Green Decision Date: May 2016 . 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. 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. net New submissions: Palforzia® Not yet classified • Treating peanut allergy in children and young people. Obesity management: update on orlistat. 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). 10 OVERDOSAGE. Jan 16, 2003 · OBJECTIVE: To assess the clinical usefulness of published guidelines for the use of orlistat, by studying whether weight loss ≥2. 0 Page 6 4. Should a significant Obesity pharmacotherapy has evolved significantly over the past 60 years. The table headings below are active links; click a heading to sort in ascending or descending order. Little or no specific monitoring required. 1) 01/2012 Contraindications: Pregnancy (4) 01/2012 Warnings and Precautions: Increases in Nottinghamshire Area Prescribing Committee March 2022 Bulletin www. Most people referred to a tier 3 service will have tried and stopped orlistat, so there is Guidelines By Category. For further guidance on the management of obesity please see SIGN guideline No. 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. karvot@nhs. It aims to remind practitioners that age is no barrier to being at high risk of, or developing, the condition. This medication is a saturated derivative derived from the endogenous lipstatin found in Streptomyces toxytricini. 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 . 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. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. ADHD adults shared care protocols NHS Nottingham and Nottinghamshire ICB; Renal. 4 . 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. 90. 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. Malignant Disease and Immunosuppression Guidelines 9. Orlistat is used to manage obesity by reversibly inhibiting gastric and pancreatic lipases within the gut. 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. 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. This AWTTC dashboard allows practices to see their respiratory prescribing data benchmarked against other practices. 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. 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. Gastrointestinal Suitable for prescribing in primary care following recommendation or initiation by a specialist. soluble in methanol and ethanol. they and their NHS clinician consider it appropriate to stop. 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. 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. Obesity prevention Clinical guideline (CG43 December 2006, updated March 2015) Rationale for decision / comments; Lipase inhibitors: Orlistat: 120mg capsule: £25. This may be offered to some service users following the completion of the 12 week Lifestyle phase of our programme. Suitable for non specialist prescribing. scot. • Upon request to take on prescribing in primary care, it should be made clear that 5mg is the maintenance dose. weightmanagement@nhs. 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. Obesity: identification, assessment and management. Link to: NHS Steroid Emergency card NHS steroid emergency cards can be obtained from Consider STEROID CARD if on: a BMI of 30. For general advice, NHS Eatwell Guide provides some guidelines on calorie intake and nutrition. You can get orlistat capsules on the NHS, which are prescription-only. Other medicines used in bipolar disorder include antipsychotics, valproate, and lamotrigine. 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. E-mail: loth. Approval: 1999 -----RECENT MAJOR CHANGES-----Dosage and Administration: Recommended Dosing (2. Find out how it works, if it's safe, and how much weight you could lose with ZAVA. Central Nervous System Guidelines 5. Prescribing Data. Dietary advice whilst taking Orlistat. [2006, amended 2014] Children The co-prescribing of orlistat with other drugs aimed at weight reduction is not recommended. 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. Orlistat (Xenical®) is a licensed medication for weight management in NHS Greater Glasgow & Clyde (NHSGGC). Shared care : Hospital only : There should be no prescribing of these drugs : The traffic light of the drug is dependant on the indication. 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. It should be prescribed only on the advice of the Glasgow and Clyde Weight Management Service. 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. 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. Woodlands House, Astley Ainslie Hospital, 74 Canaan Lane, Edinburgh, EH9 2TB. Background Orlistat is recommended as an adjunct to diet and exercise for weight loss in the treatment of type 2 diabetes mellitus (T2DM). 2 Hospital Discharges, Out-patient Appointments and Home visits When patients are discharged from hospital, their regular medication may have changed. *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. 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. croot@nhs. 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. 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. 88 = 84 capsules) Notes. 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. Approval: 1999 • WARNINGS AND PRECAUTIONS (5. 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. net) or For routine prescribing in primary and secondary care. 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. Other conditions for prescribing should be in accordance with the Glasgow and Clyde Weight Management Service protocol. May 7, 2024 · to take on the ongoing prescribing of the 5mg dose. search again. STWCCG Medicines Management - Created June 2019. [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. These lipases play a crucial NHS Barnsley had the highest prescription rate with 17 items per 1,000 population. uk nnccg. 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. utry ktjpz rnarwh gkoo pjicgnb qgdfv pgsmbv ggpkycnfj rwfoqe cvxxr