diff --git a/openprescribing/measure_definitions/lptrimipramine.json b/openprescribing/measure_definitions/lptrimipramine.json index 487f583859..b6f3cd25ee 100644 --- a/openprescribing/measure_definitions/lptrimipramine.json +++ b/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 ", - " recommended by NICE in preference to tricyclic antidepressants. " + "

", + "NHS England guidance states:

", + "

The tricyclic antidepressant (TCA) trimipramine is significantly more expensive than other antidepressants.

", + "

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.

", + "

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.

", + "

NHS England recommend that GPs:", + "

" ], "tags": [ "cost", @@ -27,5 +33,13 @@ "numerator_bnf_codes_filter": [ "0403010Y0 # Trimipramine Maleate" ], - "denominator_type": "list_size" -} \ No newline at end of file + "denominator_type": "list_size", + "authored_by": "richard.croker@phc.ox.ac.uk", + "checked_by": "andrew.brown@phc.ox.ac.uk", + "date_reviewed": "2023-08-15", + "next_review": "2025-08-15", + "measure_complexity": "low", + "measure_type": "bnf_code", + "radar_exclude": false + +}