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Botulinum Toxin Type A

Indication

Contracture of the joint in Multiple Sclerosis
Red

Brand:

All brands within licensed indications only

Nice TA:

Commissioning responsibility:

CCG

PbR excluded:

Yes

BNF chapter:
Central nervous system

Background

NICE CG186 does not make a recommendation on use of botulinum toxin A for contracture of the joint in MS and states that problems are ‘complex and need individual assessment. Botulinum injection along with prolonged stretching modalities using serial plaster casts, standing frames or removable splints, has been approved locally after a review of audit data, provided
  • treatment is restricted to those patients who have failed or could not have other treatments

  • treatment is only initiated by an appropriate specialist with experience in use of botulinum toxin A, that there are clearly defined goals of treatment — set prior to initiation and against which patients will be reviewed at each injection cycle.

Recommendation

LSCMMG Recommendation:

Red

Reason for decision:

Specialist medicine

Supporting documents:

Decisions of Lancashire local decision making groups

Red
Pending
Red
Red
Pending
Red
Red
Red
What do the colours mean?

Last Updated: 01 - Mar - 2014