Items which should not routinely be prescribed in primary care - perindopril arginine by practices in NHS BIRMINGHAM AND SOLIHULL
Why it matters:
Perindopril is an ACE inhibitor used in heart failure, hypertension, diabetic nephropathy, and prophylaxis of cardiovascular events. The perindopril arginine salt version is more stable in extremes of climate than the perindopril erbumine salt, which gives it a longer shelf-life. However, perindopril arginine is significantly more expensive than perindopril erbumine and a PrescQIPP CIC review of the topic found no clinical advantage for the arginine salt.
NICE guidance on hypertension in adults recommends that prescribing costs are minimised.
Due to the significant extra costs of the arginine salt and the availability of the erbumine salt, the joint clinical working group considered perindopril arginine suitable for inclusion in this guidance.
For guidance on when prescribing may be appropriate in some exceptional circumstances, please see the full NHS England guidance document.
Description: Cost of perindopril arginine per 1000 patients
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Tagged as: Cardiovascular system, Cost Saving, Efficacy, NHS England - items which should not routinely be prescribed in primary care (or browse all measures for this Sub-ICB Location)
Practices are ordered by mean percentile over the past six months, with the worst-performing at the top. Each chart shows the results for the individual practice, plus deciles across all practices in the NHS in England.
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