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buprenorphine transdermal patch (BuTrans)

Advice

Following a third re-submission

buprenorphine transdermal patches (Butrans) are not recommended for use within NHS Scotland for the treatment of severe opioid responsive pain conditions, which are not adequately responding to non-opioid analgesics.

In the patient population considered in this submission, severe osteoarthritis pain in elderly patients whose pain is not adequately controlled by non-opioid analgesics, or for whom other analgesics are not suitable, buprenorphine transdermal 7-day patch was superior to placebo and similar in efficacy to World Health Organisation (WHO) ‘Step 2’ analgesic comparator agents.

The manufacturer did not present a sufficiently robust economic analysis to gain acceptance by the SMC.

Drug Details

Drug Name: buprenorphine transdermal patch (BuTrans)
SMC Drug ID: 234/06
Manufacturer: Napp Pharmaceuticals Ltd
Indication: Severe osteoarthritis pain in elderly patients, whose pain is not adequately controlled by non opioid analgesics, or for whom other analgesics are not suitable.
BNF Category:
Sub Category: 4.7 Analgesics
Submission Type: Resubmission
Status: Not Recommended
Date Advice Published: 12 January 2009

Archived Advice

Resubmission 11 August 2008
Resubmission 7 May 2007
Full submission 13 February 2006

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