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Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

SMC Update - February 2025

The Scottish Medicines Consortium (SMC) has issued its monthly advice on newly licensed medicines.

Netarsudil / latanoprost (Roclanda®) has been accepted for restricted use in the treatment of elevated intraocular pressure (IOP) in adult patients with primary open-angle glaucoma or ocular hypertension for whom monotherapy with a prostaglandin or netarsudil provides insufficient IOP reduction. The restriction limits use to patients for whom treatment with a prostaglandin analogue alone provides insufficient IOP reduction, only if:

  • the patient has then tried a fixed-dose combination treatment and it has not sufficiently reduced IOP, or
  • a fixed-dose combination treatment containing beta-blockers is unsuitable

Action: Clinicians should be aware of the recommendations of the SMC. Routine use of rejected and restricted medicines should be avoided.

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