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Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

NICE Guidance - October 2024

The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of October 2024. This month there is one technology appraisal, one guideline and one diagnostics guidance that impact upon primary care.

The Latanoprost–netarsudil for previously treated primary open-angle glaucoma or ocular hypertension technology appraisal has been published. This treatment is recommended as an option for reducing intraocular pressure (IOP) in adults with primary open-angle glaucoma or ocular hypertension when a prostaglandin analogue alone has not reduced IOP enough, only if:

  • they have then tried a fixed-dose combination treatment and it has not reduced IOP enough, or
  • a fixed-dose combination treatment containing beta-blockers is unsuitable.

The Acute kidney injury: prevention, detection and management guideline has been updated. It covers preventing, detecting and managing acute kidney injury in children, young people and adults. The update include new and updated recommendations on assessing risk factors for acute kidney injury in adults having iodine-based contrast media.

The Technologies for the assessment of attention deficit hyperactivity disorder (ADHD) diagnostics guidance has been published. It makes recommendations that QbTest is an option to help diagnose ADHD in people aged 6 to 17 years. It should only be used with standard clinical assessment by a healthcare professional. Additional research is recommended before other tests can be recommended for use or the age limits widened.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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