Advice

Following a full submission:

nalmefene 18mg film-coated tablets (Selincro®) are accepted for use within NHS Scotland.

Indication under review: the reduction of alcohol consumption in adult patients with alcohol dependence who have a high drinking risk level (DRL), without physical withdrawal symptoms and who do not require immediate detoxification. Nalmefene should only be prescribed in conjunction with continuous psychosocial support focused on treatment adherence and reducing alcohol consumption. Nalmefene should be initiated only in patients who continue to have a high DRL two weeks after initial assessment.

In a post hoc analysis of two pivotal phase III studies representing the licensed population, nalmefene was shown to significantly reduce alcohol intake compared with placebo, measured as a reduction in heavy drinking days and total alcohol consumption over a six month period.
 

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Medicine details

Medicine name:
nalmefene (Selincro)
SMC ID:
917/13
Indication:
For the reduction of alcohol consumption in adult patients with alcohol dependence who have a high drinking risk level (DRL), without physical withdrawal symptoms, and who do not require immediate detoxification.
Pharmaceutical company
Lundbeck Ltd
BNF chapter
Central nervous system
Submission type
Full
Status
Accepted
Date advice published
07 October 2013