Medicines

Here you will find the recommendations we have made about the use of individual medicines in Lancashire.

Tiotropium Respimat® 2.5mcg solution for inhalation

Brand: Spiriva ®
NICE TA: 
Indication: COPD
Disease category: Respiratory system
Commissioning responsibility: CCG
PbR excluded: No

Background

In line with the Medicines and Healthcare products Regulatory Agency guidance released on the 12th February 2015, LMMG reminds prescribers to review the risk of cardiovascular side effects when prescribing tiotropium (via Respimat or Handihaler) to patients with certain cardiac conditions, who were excluded from clinical trials of tiotropium (including TIOSPIR). See link below to the trial via the MHRA website.

Decisions of Lancashire local decision making groups:

NHS Blackburn With Darwen CCG and NHS East Lancashire CCG NHS Blackpool CCG NHS Chorley and South Ribble CCG and NHS Greater Preston CCG NHS Fylde and Wyre CCG NHS Morecambe Bay CCG NHS West Lancashire CCG

Green

Green

Grey

Green