Merge pull request #4276 from ebmdatalab/amend_measure__trimipramine

Update lptrimipramine.json

openprescribing/measure_definitions/lptrimipramine.json

@@ -1,17 +1,23 @@
 {
-  "name": "NHS England Low Priority Treatment - trimipramine",
-  "title": [
-    "Trimipramine cost per 1000 patients"
-  ],
-  "description": [
-    "Cost of trimipramine per 1000 patients"
-  ],
+  "name": "Items which should not routinely be prescribed in primary care - trimipramine",
+  "title": "Trimipramine cost per 1000 patients",
+  "description": "Cost of trimipramine per 1000 patients",
   "numerator_short": "Trimipramine cost (£)",
   "denominator_short": "1000 patients",
   "why_it_matters": [
-    "Trimipramine is an older tricyclic antidepressant. The cost has increased significantly recently, ",
-    "and there are newer, cheaper alternatives are available, which are ",
-    "<a href='https://www.nice.org.uk/Guidance/CG90'> recommended by NICE in preference to tricyclic antidepressants</a>. "
+    "<p><a href='https://www.england.nhs.uk/long-read/items-which-should-not-routinely-be-prescribed-in-primary-care-policy-guidance/#trimipramine-2017' target='_Blank'>",
+    "NHS England guidance states</a>:</p>",
+    "<i><p>The tricyclic antidepressant (TCA) trimipramine is significantly more expensive than other antidepressants.</p>",
+    "<p>NICE guidance on depression in adults recommends selective serotonin reuptake inhibitor (SSRI) antidepressants first line if indicated as they have a more favourable risk-to-benefit ratio ",
+    "compared to TCAs. However, if a TCA is required, more cost-effective TCAs than trimipramine are available.</p>",
+    "<p>Due to the significant cost associated with trimipramine and the availability of alternative treatments, the joint clinical working group considered trimipramine suitable for inclusion in this guidance.</p></i>",
+    "<p>NHS England recommend that GPs:",
+    "<ul>",
+    "<li>Do not initiate.</li>",
+    "<li>Deprescribe in patients currently prescribed this medicine.</li>",
+    "<li>Prescribe only if no other item or intervention is clinically appropriate.</li>",
+    "<li>Prescribe only if no other item or intervention is available.</li>",
+    "</ul>"
   ],
   "tags": [
     "cost",
@@ -27,5 +33,13 @@
   "numerator_bnf_codes_filter": [
     "0403010Y0 # Trimipramine Maleate"
   ],
-  "denominator_type": "list_size"
-}
+  "denominator_type": "list_size",
+  "authored_by": "[email protected]",
+  "checked_by": "[email protected]",
+  "date_reviewed": "2023-08-15",
+  "next_review": "2025-08-15",
+  "measure_complexity": "low",
+  "measure_type": "bnf_code",
+  "radar_exclude": false
+
+}