NHS England Drugs of Low Clinical Priority

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NHS England have identified 18 medicines/items of low clinical value. These are for ineffective, over-priced or low value treatments and are a focus in our Medicines Optimisation LES (MOLES).

Below are the resources to support practices when reviewing them which includes  prescribing policy statements, service restriction policies and switching guidance for each item.

pdf (126 KB) pdf Complementary and Alternative Therapies Service Restriction Policy Oct 2016 (126 KB)

Co-Proxamol May 2018

pdf Dosulepin August 2017 (325 KB)

pdf Doxazosin MR August 2017  (348 KB)

Erectile dysfunction - Tadalafil January 2019

pdf Fentanyl Immediate release products March 2017 (139 KB)

pdf Glucosamine February 2015 (370 KB)

pdf Gluten free food January 2016 (274 KB)

Lidocaine policy statement

document Lidocaine weaning patient letter (19 KB)

pdf Liothyronine April 2017 (149 KB)

pdf Lutein and antioxidants August 2017 (529 KB)

pdf Omega 3 fatty acids February 2015 (361 KB)

pdf Oxycodone and naloxone combination product (Targinact) June 2016 (141 KB)

pdf Perindopril Arginine August 2017 (332 KB)

pdf Rubefacients June 2016 (346 KB)

pdf (82 KB) pdf Tramadol and paracetamol combination product (Tramacet®) November 2017 (82 KB)

pdf Travel Vaccines April 2017 (358 KB)

pdf Patient FAQ NHS England low clinical priority Jan 2018 Final (324 KB)