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Last updated: 05/09/2022

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Drug Name Classification Clinical Indication Comments
TIRZEPATIDE (Mounjaro®) (UPDATED) Green Management of overweight and obesity

For managing overweight and obesity in adults in line with NICE TA1026.

March 2026: Green for eligible cohort only as per LLR weight management guide 

BECLOMETASONE DIPROPIONATE Extra fine / FORMOTEROL (Fostair NEXThaler®) Green Asthma
COPD

2nd Choice Dry Powder

Asthma – Adult Guidelines

LLR Adult Asthma Guideline (≥18 years) AIR and MART FAQ

The LLR COPD guidelines have been updated (June 2026) and ICS/LABA combinations are no longer routinely recommended as a treatment option. No NEW initiations. For patients established on this therapy, treatment should be reviewed on a case-by-case basis, taking into account clinical stability and patient preference. Ongoing prescribing should be in line with the updated COPD guidelines.

CICLOSPORIN EYE DROPS (Verkazia®) Yellow Treatment of severe vernal keratoconjunctivitis (VKC) in children from 4 years of age and adolescents
CIPROFLOXACIN LIQUID Green

As per recommendations in LLR antimicrobial guidelines.

Particular formulation listed stocked in Omcare service in primary care for when prescribed by PTCDA and virtual ward teams.

MHRA Alert Jan 2024: Fluoroquinolone antibiotics: must now only be prescribed when other commonly recommended antibiotics are inappropriate

Dexcom ONE+® (UPDATED) Yellow Diabetes Continuous glucose monitoring (CGM)

Dexcom ONE+ ® is approved for use in Leicester, Leicestershire and Rutland for diabetes glucose monitoring where a patient meets the criteria detailed in the LLR APC position statement.

 

FEZOLINETANT (Veoza®) (NEW) Yellow for treating moderate to severe vasomotor symptoms associated with menopause

Usually recommended and initiated by secondary care specialists. However, primary care clinicians with a specialist interest, appropriate experience, and competency in menopause management may initiate treatment.

In line with NICE TA1143

Funding from: 29th June 2026.

 

GOSERELIN Yellow Endometriosis, uterine fibroids

Local guidance

GOSERELIN 3.6mg (Zoladex®) (UPDATED) Yellow Breast cancer

Zoladex 3.6mg implant is the only licensed product for breast cancer

Local guidance

 

INFLIXIMAB Red All indications

As indicated on the LLR Medicines Formulary

LEUPRORELIN Yellow Endometriosis, uterine fibroids

Local guidance

LEUPRORELIN (PROSTAP 3 DCS ®) Yellow Breast cancer

3 monthly preparation

Local guidance

LEVOFLOXACIN TABLETS (NEW) Green

As per recommendations in LLR antimicrobial guidelines.

Particular formulation listed stocked in Omcare service in primary care for when prescribed by PTCDA and virtual ward teams.

MHRA Alert Jan 2024: Fluoroquinolone antibiotics: must now only be prescribed when other commonly recommended antibiotics are inappropriate

MAINTELYTE SOLUTION (NEW) Red Maintenance of Fluid

For use in adult ICU only

TRIPTORELIN Yellow Endometriosis, uterine fibroids

Local guidance

Other Updates on this Website

Recent documents from LLR APC and TAS


About the Leicester, Leicestershire and Rutland Area Prescribing Committee

In common with other local health communities, the Leicester, Leicestershire and Rutland Area Prescribing Committee (LLR APC) acknowledges the benefits of having a Leicestershire Health Community-wide strategy for the prescribing of specialist medicines and the managed entry of new drugs and related technologies.

Leicestershire Health Community comprises the Leicester, Leicestershire and Rutland Integrated Care Board, University Hospitals of Leicester (UHL) NHS Trust and Leicestershire Partnership NHS Trust (LPT), amongst which there is a total consensus on the need for this strategy, and the LLR APC has been in place since 2005. Learn more