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PJ Online homeThe Pharmaceutical Journal
Vol 272 No 7292 p371
27 March 2004

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Endorsement for Avandamet

Endorsement of the combination product Avandamet (rosiglitazone/metformin) has been made for its use in type 2 diabetes within NHS Scotland.

The Scottish Medicines Consortium says the product costs the same and offers a more convenient, though less flexible, dosing regimen than its individual components.

In separate guidance, the SMC rejects use of rosiglitazone as monotherapy for type 2 diabetes. Also rejected is cilostazol (Pletal) for use in intermittent claudication. Both drugs are substantially more expensive than alternative treatments and their cost effectiveness has not been proven, says the SMC.

Guidance recommending restricted use was issued for three further drugs — clopidogrel (Plavix) for acute coronary syndromes, alteplase (Actilye) for acute ischaemic stroke and anastrozole (Arimidex) for breast cancer.

The guidance is available via the SMC website.

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