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Nicotonic acid modified release tabs (Niaspan®)

Advice

Following a resubmission.

Nicotinic acid modified release tablet (Niaspan®) is not recommended for use within NHS Scotland for the treatment of dyslipidaemia, particularly in patients with combined mixed dyslipidaemia, characterised by elevated levels of low-density-lipoprotein (LDL)-cholesterol and triglycerides and low high-density-lipoprotein (HDL)-cholesterol, and in patients with primary hypercholesterolaemia, either in combination with a HMG-CoA reductase inhibitor (statin), when the cholesterol lowering effect of HMG-CoA reductase inhibitor monotherapy is inadequate or as monotherapy in patients who do not tolerate HMG-CoA reductase inhibitors.

Niaspan® increases HDL cholesterol, reduces triglycerides and to a lesser extent reduces LDL cholesterol. There is no clinical trial evidence that Niaspan® reduces the occurrence of long-term cardiovascular events in patients who have acceptable LDL cholesterol and triglycerides and low HDL (isolated low HDL). The economic case has not been demonstrated.

Drug Details

Drug Name: Nicotonic acid modified release tabs (Niaspan®)
SMC Drug ID: 93/04
Manufacturer: Merck Serono Ltd
Indication: Dyslipidaemia
BNF Category:
Sub Category: 2.12 Lipid-regulating drugs
Submission Type: Resubmission
Status: Not Recommended
Date Advice Published: 13 February 2006

Archived Advice

Resubmission 10 January 2005
Full submission 13 April 2004

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