Prescription product changes in South Staffordshire

This page will be used to inform you of changes that are likely to be seen on prescriptions in South Staffordshire.

QIPP work-streams mean prescription changes for patients across South Staffordshire – you need to consider both how this affects your patients and also how it will affect your pharmacy medication stock-holding.

September 2016

  • Medication switch for COPD patients on tiotropium handihaler® to Tiotropium Respimat® – The Respimat® device is a different delivery system for tiotropium but it is much simpler to use, particularly for patients with dexterity problems.

pharmacists please be aware that although the respimat is an MDI so should be easier to use you need to help patients understand how to set the device up before use – add the cannister, forceful push down to make sure it engages and then need to prime with 4 – 6 puffs before first using.  Also they need to use a much more gentle, slow inspiratory flow rate to use the respimat.  Dose change – handihaler was one capsule once daily, respimat is two puffs once daily.

  • Use of alogliptin as first-line dipeptidylpeptidase-4 (DPP4) inhibitors (e.g. as alternative to sitagliptin)

you may see new patients prescribed alogliptin as well as patients being switched from an existing prescription for a DPP4

  • Aveeno® cream to be prescribed as AproDerm® Colloidal Oat Cream

this switch is likely to happen very quickly as the product is new and is an alternative to Aveeno at a reduced cost