Page 20 - P4304.1-V90_PS-Magazine-October 2023 - PRINT
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Acepiro                                                         Prescribe Acepiro
                                                                                                                                   Acepiro
                                                                                                                                                                ® ®
                                                                                                                                                                                                                                                 ®
                                                                                                                                  600 mg Effervescent Tablets                                                   by brand
                                                                                                                                  600 mg Effervescent Tablets

                                                                                                                                  Acetylcysteine
                                                                                                                                  Acetylcysteine



              Take a look at all the remaining study days coming up in 2023.
                                                                                                                                      Acepiro  is indicated in adults as a mucolytic agent
                                                                                                                                               ®
              Dates and locations for 2023                                                                                            for the treatment of respiratory tract diseases in                       SIMPLE
                                                                                                                                      which a reduction in bronchial secretion viscosity is
                                                                                                                                      required to facilitate expectoration.
                                                                                                                                                                              1
              October                              November                                                                                                                                                    EFFECTIVE
                                                                                                                                      Prescribing Acepiro  by brand is the least
                                                                                                                                                              ®
                                                                                                                                      expensive way of prescribing a mucolytic even
             3                Blandford Forum     8                Plymouth            16              Norwich*                       compared to prescribing by generic name .
                                                                                         th
                                                   th
               rd
                                                                                                                                                                                         2,3
             12:00 - 16:00  Clinical & Commercial   12:00 - 16:00  Understanding the Drug   09:00 - 12:30  Exploring the value of                                                                              ECONOMICAL
                          Considerations for DDs              Tariff & Endorsing                   social media in DDs                Prescribing Acepiro  (Acetylcysteine
                                                                                                                                                              ®
                          Caroline Pond                       Caroline Pond                        Marie Ennis O’Connor
                                                                                                                                      600 mg effervescent tablets) by brand would save
             4                Chepstow            9                Redruth*            12:30 - 16:30  Clinical & Commercial           £18.26m to the NHS when compared to generic
               th
                                                    th
                                                                                                   Considerations for DDs
                                                                                                                                                                    ®
             12:00 - 16:00  Clinical & Commercial   12:00 - 16:00  Dealing with VAT in             Caroline Pond                      Carbocisteine, Mucodyne , generic Acetylcysteine
                                                                                                                                                   ®
                          Considerations for DDs              practice                                                                and Nacsys . (PACT data to February 2023).
                          Caroline Pond                       Jim Mandeville
                                                                                       22              Tunbridge Wells*               Manufacturer Discount Scheme available to
                                                                                         nd
             5                Chester             12:30 - 16:30  Clinical & Commercial   09:00 - 12:30  Dealing with VAT in           dispensing practices offering a discount of            30%
               th
                                                              Considerations for DDs
                                                                                                   practice
             12:00 - 16:00  Time Management                   Caroline Pond                        Jim Mandeville
                          Skills
                                                                                                                                                               PIP
                                                                                                                                                                      NHS
                          Martyn Potter           14               Lincoln             12:30 - 16:30  Clinical & Commercial            Product                Code    Price  MDS    Net   Rebate
                                                     th
                                                                                                   Considerations for DDs
             10               Harrogate           12:00 - 16:00  Clinical & Commercial             Caroline Pond                       Acepiro  600mg        4197638  £3.65  30%   £2.56   £1.09
                th
                                                                                                                                             ®
                                                              Considerations for DDs
             12:00 - 16:00  Time Management Skills            Caroline Pond                        *Delegates can attend the           effervescent tablets x20
                          Martyn Potter                                                            event as a full day event or
                                                                                                   just attend one of the two
                                                  15               Huntingdon                      session if they wish. Lunch will   *Compared to generic and branded carbocisteine and generic and branded acetylcysteine (Nacsys ).
                                                                                                                                                                                                  ®
                                                     th
             11               Preston             12:00 - 16:00  Understanding the Drug            be provided for all.                     ®
                th
                                                              Tariff & Endorsing
                                                                                                                                                                                           patients treated with acetylcysteine – hypersensitivity reactions, headache, tinnitus,
             12:00 - 16:00  Clinical & Commercial             Caroline Pond                                                           Acepiro  600 mg effervescent tablets – Abbreviated   have been reported by at least one in a thousand and less than one in a hundred
                                                                                                                                      Prescribing Information
                          Considerations for DDs                                                                                                                                           tachycardia,  stomatitis,  abdominal  pain,  nausea,  vomiting,  diarrhoea,  pruritus,
                          Caroline Pond                                                Penrith                                        Please refer to the Summary of Product Characteristics (SmPC) before prescribing   urticaria, exanthema, rash, angioedema, pyrexia and lowered blood pressure. The
                                                                                                                                                                                           incidence of facial oedema has not been established. Overdose There have been
                                                                                                                                          ®
                                                                                                                                      Acepiro  600mg effervescent tablets.
                                                                                                                                      Each tablet contains 600 mg acetylcysteine. Uses Acepiro  is indicated in adults as a   no reports of toxic overdose with oral acetylcysteine. In the case of an overdose of
                                                                                                                                                                        ®
                                                                                                                                                                                           Acepiro , management should be supportive. Effects on the ability to drive and/or
                                                                                                                                                                                                ®
                                                                                                                                                                                                           ®
             12               Penrith                                                                       Scarborough               mucolytic agent for the treatment of respiratory tract diseases in which a reduction   operate machines Acepiro  has no effect on the ability to drive or operate machines.
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                                                                                                                                      in bronchial secretion viscosity is required to facilitate expectoration. Dosage and
                                                                                                                                      Administration One tablet daily after food. Each tablet should be dissolved in half a   Legal category: POM
             12:00 - 16:00  Understanding the Drug                                     Harrogate                                      glass of water. Duration of therapy should be determined by the treating physician.   Pack size: 20 or 30 effervescent tablets in strips of laminated aluminium paper foil.
                          Tariff & Endorsing                                                                                          Special  Warnings  and  Precautions  Hypersensitivity  to  the  active  substance  or   Shelf life: 3 years.
                                                                                                                                                          ®
                                                                                                                                      to any of the excipients. Acepiro  should not be used by adolescents or children.
                          Caroline Pond                                  Preston                                                      Use  with  caution  in  patients  with  a  history  of  asthma  or  bronchospasm.  Should   NHS price:  20 effervescent tablets = £3.65
                                                                                                                                      bronchospasm  occur  Acepiro   should  be  discontinued  immediately.  Very  rarely,      30 effervescent tablets = £4.40
                                                                                                                                                        ®
                                                                                                                                      serious skin reactions such as Stevens-Johnson syndrome and Lyell syndrome have   Marketing Authorisation Holder: Stirling Anglian Pharmaceuticals Ltd, Hillington
             31               Scarborough                                                Chester                                      been reported. Patients should be advised to seek immediate medical advice in the   Park Innovation Centre, 1 Ainslie Road, Hillington Park, Glasgow G52 4RU
                st
                                                                                                                                      presence of new skin or mucosal lesions. Administer with caution in patients with
                                                                                                                                      a reduced cough reflex for example elderly or frail patients. Postural drainage and   Marketing Authorisation Number: PL 42582/0015
             12:00 - 16:00  Clinical & Commercial                                                     Lincoln                         broncho-aspiration should be performed in patients unable to cough up bronchial   Further information is available at medinfo@stirlinganglianpharmaceuticals.com
                          Considerations for DDs                                                                                      secretions effectively. Incompletely dissolved tablets present a risk of choking and   or via the office number 0141 585 6352
                          Caroline Pond                                                                                               aspiration, particularly to elderly patients. Use with caution in patients with a history   Date of preparation: 23 December 2022
                                                                                                                                      of  peptic  ulcer  disease  or  histamine  intolerance.  Hepatic  and  renal  impairment
                                                                                                        Norwich                       can  reduce  clearance  and  increase  systemic  acetylcysteine  plasma  levels  which   Unique Code: API-004-22-001 2.0
                                                                                                                                      may  result  in  an  increase  in  adverse  drug  reactions  due  to  drug  accumulation.
                                                                                                                                      Contraindications  Hereditary  problems  of  galactose  intolerance,  total  lactase                       0040030021 v 1.0 | Date of preparation: May 2023
                                                                            Chepstow    Huntingdon                                    deficiency or glucose-galactose malabsorption. Interactions with other medicinal   Adverse events should be reported. Reporting forms and information can
                                                                                                                                      products  In  vitro  tests  indicate  that  (tetracycline,  aminoglycosides  and  penicillin
                                                                                                                                      are  inactivated  when  mixed  directly  with  acetylcysteine.  Where  concomitant  use   be found at http://yellowcard.mhra.gov.uk or downloaded from Google Play
                                                                                                                                                                                            or the Apple App store. Adverse events should also be reported to JensonR+
                                                                                                                                      of Acepiro  and oral antibiotics is required, separate administration by an interval   on 01271 314 320 or Stirling Anglian Pharmaceuticals on 0141 585 6352.
                                                                                                                                            ®
                                                                                                                                      of  at  least  two  hours.  Acetylcysteine  may  potentiate  the  vasodilatory  effect  of
                    Scan QR                                                                                                           nitroglycerine. Do not administer concurrently with ACE inhibitors or antitussives.
                                                                                                                                      Acetylcysteine may reduce the bioavailability of certain heavy metal salts and should
                                                                                                                                      be taken separately at different times of the day. Pregnancy fertility and Lactation
                     code to                                                                                                          Administration  of  acetylcysteine  during  pregnancy  and  lactation  should  take
                                                                                                                                      place only after a strict risk benefit assessment. Side Effects The following events
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                                                                                                                                      References:
              20     PS Magazine | PSUK live                                               Buy direct online at PSUK.co.uk            1.  Acepiro Summary of Product Characteristics. Available at https://www.medicines.org.uk/emc/product/13849/. Date accessed May 2023
                                                                                                                                      2.  British National Formulary available at https://bnf.nice.org.uk/drugs/acetylcysteine. Date accessed May 2023
                                                                                                                                      3.  NHS England and Wales Drug Tariff March 2023 available at https://www.drugtariff.nhsbsa.nhs.uk/#/00834576-DD_1/DD00834564/Home. Date accessed May 2023
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