Ketamine (oral use)
Indication
Chronic Non-Cancer Pain (off-label use) in adults
Brand:
Nice TA:
Commissioning responsibility:
CCG
PbR excluded:
No
Background
Primary care prescribing is not recommended. These treatments should be initiated by specialists only and prescribing retained within NHS commissioned specialist pain services in Lancashire and South Cumbria.
Oral ketamine is supported for the treatment of chronic non-cancer pain in a small number of patients after assessment by and under the care of some NHS commissioned specialist pain services, where other standard treatments have been unsuccessful and is subject to ongoing regular specialist review. This guidance only applies to patients being treated in an NHS commissioned service.
Recommendation
LSCMMG Recommendation:
Red
Reason for decision:
Specialist medicine