Advice

following a resubmission:

budesonide (Cortiment®) is accepted for restricted use within NHS Scotland.

Indication under review: in adults for induction of remission in patients with mild to moderate active ulcerative colitis (UC) where aminosalicylate (5-ASA) treatment is not sufficient.

SMC restriction: for use in patients with UC who present with active left-sided disease and/or proctosigmoiditis who are not suitable for oral prednisolone, as an alternative to budesonide rectal formulations or off-label oral budesonide. 

In two phase III studies, budesonide (Cortiment®) significantly increased combined clinical and endoscopic remission at eight weeks compared with placebo. However, there are no comparative data with other oral or rectal preparations. 

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Medicine details

Medicine name:
budesonide (Cortiment)
SMC ID:
1093/15
Indication:
in adults for induction of remission in patients with mild to moderate active ulcerative colitis (UC) where aminosalicylate (5-ASA) treatment is not sufficient.
Pharmaceutical company
Ferring Pharmaceuticals Ltd
BNF chapter
Gastro-intestinal system
Submission type
Resubmission
Status
Restricted
Date advice published
10 October 2016