Clopidogrel gets green light from NICE for wider use

NICE has recommended wider use of clopidogrel and dipyridamole for preventing occlusive vascular events.

In guidance now out for consultation, clopidogrel can be offered to patients who have had ischaemic stroke, peripheral arterial disease (PAD) or multivascular disease. But it is only recommended for MI if aspirin is unsuitable.

Modified-release dipyridamole plus aspirin may be considered for patients who have had a TIA, NICE advises in the proposals.

For stroke patients, this combination should be recommended only when clopidogrel is not tolerated or contraindicated. It should be offered alone only when treatment with clopidogrel and aspirin are unsuitable in this patient group.

Professor Peter Littlejohns, clinical and public health director at NICE, said the institute could recommend the drug because the price had fallen since it became available as a generic.

He said the draft guidance ‘had the potential to have a significant impact on the treatment of many thousands of patients in England and Wales’.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Shielded patients and care home residents to receive free vitamin D

Shielded patients and care home residents to receive free vitamin D

Patients on the shielding list and care homes are to be provided with free vitamin...

LMCs demand renegotiation of COVID-19 enhanced service deal

LMCs demand renegotiation of COVID-19 enhanced service deal

LMCs have called for a renegotiation of funding for the COVID-19 vaccination enhanced...

LMCs demand ballot of profession on PCN DES ahead of next contract talks

LMCs demand ballot of profession on PCN DES ahead of next contract talks

LMCs have demanded a ballot of GPs on the primary care network (PCN) DES before BMA...

Lack of support left locums at physical and financial risk in pandemic, say LMCs

Lack of support left locums at physical and financial risk in pandemic, say LMCs

Locum GPs have faced significant physical and financial risk because of a lack of...

LMCs demand NHS England apology over ‘abhorrent' claims about general practice

LMCs demand NHS England apology over ‘abhorrent' claims about general practice

LMCs have called on NHS England to apologise for ‘abhorrent and insulting’ suggestions...

CCGs to be stripped of commissioning role under reforms backed by NHS England

CCGs to be stripped of commissioning role under reforms backed by NHS England

CCGs could be stripped of their commissioning role under plans set out by NHS England,...