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Update lpoxycodone.json #4271

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Sep 12, 2023
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Update lpoxycodone.json #4271

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6f750d2
Update lpoxycodone.json
richiecroker Aug 22, 2023
996f148
Update lpoxycodone.json
richiecroker Sep 4, 2023
6c14e39
Update lpoxycodone.json
richiecroker Sep 12, 2023
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chrisjwood16 Sep 12, 2023
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40 changes: 28 additions & 12 deletions openprescribing/measure_definitions/lpoxycodone.json
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Original file line number Diff line number Diff line change
@@ -1,16 +1,25 @@
{
"name": "NHS England Low Priority Treatment - oxycodone and naloxone combination product",
"title": [
"Oxycodone and naloxone combination cost per 1000 patients"
],
"description": [
"Cost of oxycodone and naloxone combination per 1000 patients"
],
"name": "Items which should not routinely be prescribed in primary care - oxycodone and naloxone combination product",
"title": "Oxycodone and naloxone combination cost per 1000 patients",
"description": "Cost of oxycodone and naloxone combination per 1000 patients",
"numerator_short": "Oxycodone and naloxone combination cost (£)",
"denominator_short": "1000 patients",
"why_it_matters": [
"Oxycodone is an opioid analgesic used to treat severe pain. Naloxone is added to reduce constipation. ",
"The combination product is expensive, and the benefit is unclear."
"<p><a href='https://www.england.nhs.uk/long-read/items-which-should-not-routinely-be-prescribed-in-primary-care-policy-guidance/#oxycodone-and-naloxone-combination-product-2017' target='_Blank'>",
"NHS England guidance states</a>:</p>",
"<p><i>Oxycodone and naloxone combination product is used to treat severe pain and can also be used second line in restless legs syndrome. ",
"The opioid antagonist naloxone is added to counteract opioid-induced constipation by blocking the action of oxycodone at opioid receptors in the gut.</p>",
"PrescQIPP CIC has issued a <a href='https://www.prescqipp.info/-oxycodone/naloxone-prolonged-release-tablets/send/105-oxycodone-naloxone-prolonged-release-targinact-tablets/1307-bulletin-56-oxycodone-naloxone-prolonged-release' target='_Blank'>",
"bulletin</a>, which does not identify a benefit of oxycodone and naloxone in a single product over other analgesia (with laxatives if necessary).</p>",
"<p>Due to the significant cost of the oxycodone and naloxone combination product and the unclear role of the combination product in therapy compared with individual products, ",
"the joint clinical working group considered oxycodone and naloxone 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",
Expand All @@ -24,7 +33,14 @@
"low_is_good": true,
"numerator_type": "bnf_cost",
"numerator_bnf_codes_filter": [
"0407020AF # Oxycodone HCl/Naloxone HCl"
"0407020AF # Oxycodone hydrochloride/naloxone hydrochloride"
],
"denominator_type": "list_size"
}
"denominator_type": "list_size",
"authored_by": "[email protected]",
"checked_by": "[email protected]",
"date_reviewed": "2023-09-12",
"next_review": "2025-09-12",
"measure_complexity": "low",
"measure_type": "bnf_code",
"radar_exclude": false
}
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