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Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

SMC Update - November 2024

The Scottish Medicines Consortium (SMC) has issued its monthly advice on newly licensed medicines.

Bismuth subcitrate potassium / metronidazole / tetracycline (Pylera®) has been accepted for restricted use in combination with omeprazole, for the eradication of Helicobacter pylori and prevention of relapse of peptic ulcers in patients with active or a history of H. pylori associated ulcers. The restriction limits use on the basis that it is in accordance with clinical guidelines for the eradication of H. pylori.

Linzagolix (Yselty®) has been accepted for restricted use in the treatment of moderate to severe symptoms of uterine fibroids in adult women of reproductive age. The restriction limits use to patients when conventional first-line treatments (such as tranexamic acid, hormonal contraceptives and intrauterine devices) have failed or are considered unsuitable. It should be noted that NICE Guidance has been published for this medication

Action: Clinicians should be aware of the recommendations of the SMC. Routine use of rejected and restricted medicines should be avoided.

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