Medicines - achieving value and sustainability in prescribing: guidance

Guidance to promote the effective use of medicines and minimise unwarranted variation in prescribing practice across NHS Scotland.


Items of Low and Limited Clinical Value

Recommendations

The recommendations for medicines of low and limited clinical value are grouped under two categories:

1. Items where no prescribing is appropriate (no exceptions apply) – low clinical value

2. Items where prescribing may be appropriate in exceptional circumstances – limited clinical value.

The following policy recommendations apply to all items in the low value category:

  • do not initiate
  • deprescribe where safe in individuals currently prescribed this item

The following recommendations apply to items in the limited value category:

  • prescribe only if the item is for an exception named in this guidance or no other item or intervention is clinically appropriate or available
  • consider deprescribing where safe and appropriate in individuals currently prescribed this item. Continued prescribing of these medicines should be subject to regular review.

Contact

Email: EPandT@gov.scot

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