Advice

Following a 2nd resubmission

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 comparator agents.

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

The licence holder has indicated their decision to resubmit.

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Medicine details

Medicine name:
buprenorphine transdermal patch (BuTrans)
SMC ID:
234/06
Indication:
For the treatment of severe opiod responsive pain conditions which are not adequately responding to non-opiod analgesics
Pharmaceutical company
Napp Pharmaceuticals Ltd
BNF chapter
Central nervous system
Submission type
Resubmission
Status
Not recommended
Date advice published
11 August 2008