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PJ Online homeThe Pharmaceutical Journal
Vol 278 No 7456 p696
16 June 2007

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SMC accepts eight drugs for use in Scotland

Ranibizumab was approved for the treatment of neovascular age-related macular degeneration in NHS Scotland this week.

The Scottish Medicines Consortium recommended use of ranibizumab solution for intravitreal injection, marketed by Novartis as Lucentis, on the basis of estimated annual costs of £2.4m initially, rising to £7.1m after five years. It suggests that treatment should be stopped if visual acuity persistently falls below 6/60.

Formoterol inhalation powder (Easyhaler Formoterol; Ranbaxy) for asthma patients treated with inhaled corticosteroids was also accepted, as was the use of the budesonide/ formoterol turbohaler (Symbicort; AstraZeneca) as both preventer and reliever for asthma patients.

The Symbicort maintenance and reliever therapy (SMART) strategy was accepted for use in adults for whom use of an inhaled corticosteroid and a long-acting beta2-agonist is appropriate. AstraZeneca believes that use of the SMART approach could lead to a net saving because of lower use of reliever therapies and reductions in doses of preventer therapies.

The SMC also approved darunavir (Prezista; Tibotec) for HIV-1 infections; esomeprazole (Nexium; AstraZeneca) for erosive reflux oesophagitis in patients aged 12 to 17 years; posaconazole (Noxafil; Schering-Plough) for invasive fungal infections in immunocompromised patients; darifenacin (Emselex; Ardana) for symptomatic treatment of urge incontinence or increased urinary frequency and urgency; and testosterone gel (Tostran; ProStrakan) for replacement therapy with testosterone for male hypogonadism (when testosterone deficiency has been confirmed by clinical symptoms and laboratory analysis).

No drugs were rejected by the SMC in this round of appraisals.

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