Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA...

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Trends in Prescribing of and Spending on Digoxin in General Practice in England 0 200,000 400,000 600,000 800,000 1,000,000 1,200,000 Sep-03 Dec-03 M ar-04 Jun-04 Sep-04 Dec-04 M ar-05 Jun-05 Sep-05 Dec-05 M ar-06 Jun-06 Sep-06 Dec-06 M ar-07 Jun-07 Sep-07 Dec-07 M ar-08 Jun-08 Sep-08 Q uarter to Item s £0 £500,000 £1,000,000 £1,500,000 £2,000,000 £2,500,000 £3,000,000 £3,500,000 £4,000,000 NIC (£) Item s NIC © Copyright NHSBSA 2009

Transcript of Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA...

Page 1: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of and Spending on Digoxin in General Practice in England

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Page 2: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Thiazides and Related Diuretics in General Practice in England

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Bendroflumethiazide Indapamide Others

© Copyright NHSBSA 2009

Page 3: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Thiazides and Related Diuretics in General Practice in England

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Bendroflumethiazide Indapamide Others

© Copyright NHSBSA 2009

Page 4: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Bendroflumethiazide Tabs/Caps in General Practice in England

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2.5mg 5mg

© Copyright NHSBSA 2009

Page 5: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Spironolactone Caps/Tabs in General Practice in England

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25mg 50mg 100mg

© Copyright NHSBSA 2009

Page 6: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Potassium-sparing Diuretics in General Practice in England

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Spironolactone Amiloride

Eplerenone Triamterene

© Copyright NHSBSA 2009

Page 7: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Potassium-sparing Diuretics in General Practice in England

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NIC

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Spironolactone Amiloride

Eplerenone Triamterene

© Copyright NHSBSA 2009

Page 8: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Potassium-sparing Diuretics with Other Diuretics in General Practice in England

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Amiloride + loop diuretic Amiloride + thiazide Triamterene + thiazide Others

© Copyright NHSBSA 2009

Page 9: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Potassium-sparing Diuretics with Other Diuretics in General Practice in England

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Amiloride + loop diuretic Amiloride + thiazide Triamterene + thiazide Others

© Copyright NHSBSA 2009

Page 10: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of and Spending on Amiodarone in General Practice in England

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© Copyright NHSBSA 2009

Page 11: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Beta-adrenoceptor Blocking Drugs (including Combinations) in General Practice in England

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Atenolol Bisoprolol Propranolol Metoprolol SotalolCarvedilol Nebivolol Others Combinations

© Copyright NHSBSA 2009

Page 12: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Beta-adrenoceptor Blocking Drugs (including Combinations) in General Practice in England

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Atenolol Bisoprolol Propranolol Metoprolol SotalolCarvedilol Nebivolol Others Combinations

© Copyright NHSBSA 2009

Page 13: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Alpha-adrenoceptor Blocking Drugs in General Practice in England

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Item

s

Doxazosin Prazosin Terazosin Others

© Copyright NHSBSA 2009

Page 14: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Alpha-adrenoceptor Blocking Drugs in General Practice in England

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Doxazosin Prazosin Terazosin Others

© Copyright NHSBSA 2009

Page 15: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

% Ratio of Prescribing of ACE Inhibitors vs Angiotensin-II Receptor Antagonists

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100%

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% o

f al

l ite

ms

ACE Inhibitors Angiotensin-II Receptor Antagonists

© Copyright NHSBSA 2009

Page 16: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

% Ratio of Spending on ACE Inhibitors vs Angiotensin-II Receptor Antagonists

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100%

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% o

f N

IC (

£)

ACE Inhibitors Angiotensin-II Receptor Antagonists

© Copyright NHSBSA 2009

Page 17: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of ACE Inhibitors (including combinations) in General Practice in England

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Ramipril Lisinopril Perindopril Enalapril Combinations Others

© Copyright NHSBSA 2009

Page 18: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on ACE Inhibitors (including combinations) in General Practice in England

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Ramipril Lisinopril Perindopril Enalapril Combinations Others

© Copyright NHSBSA 2009

Page 19: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Angiotensin-II Receptor Antagonists (including combinations) in General Practice in England

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s

Losartan Candesartan Irbesartan Valsartan Combinations Others

© Copyright NHSBSA 2009

Page 20: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Angiotensin-II Receptor Antagonists (including combinations) in General Practice in England

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Losartan Candesartan Irbesartan Valsartan Combinations Others

© Copyright NHSBSA 2009

Page 21: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Nitrates in General Practice in England

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Isosorbide Mononitrate Glyceryl Trinitrate Isosorbide Dinitrate

© Copyright NHSBSA 2009

Page 22: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Nitrates in General Practice in England

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Isosorbide Mononitrate Glyceryl Trinitrate Isosorbide Dinitrate

© Copyright NHSBSA 2009

Page 23: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Calcium-channel Blockers in General Practice in England

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Amlodipine Nifedipine DiltiazemFelodipine Lercanidipine Verapamil Others

© Copyright NHSBSA 2009

Page 24: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Calcium-channel Blockers in General Practice in England

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Amlodipine Nifedipine DiltiazemFelodipine Lercanidipine Verapamil Others

© Copyright NHSBSA 2009

Page 25: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of and Spending on Nicorandil in General Practice in England

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Items NIC

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Page 26: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Peripheral Vasodilators in General Practice in England

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Naftidrofuryl Oxerutins Pentoxifylline Nicotinic Acid Derivatives Cilostazol Others

© Copyright NHSBSA 2009

Page 27: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Peripheral Vasodilators in General Practice in England

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Naftidrofuryl Oxerutins Pentoxifylline Nicotinic Acid Derivatives Cilostazol Others

© Copyright NHSBSA 2009

Page 28: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of and Spending on Warfarin in General Practice in England

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(£)

Items NIC (£)

© Copyright NHSBSA 2009

Page 29: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Antiplatelet Drugs in General Practice in England

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Aspirin Clopidogrel Dipyridamole Others

© Copyright NHSBSA 2009

Page 30: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Antiplatelet Drugs in General Practice in England

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-08

Sep

-08

Quarter to

NIC

(£)

Aspirin Clopidogrel Dipyridamole Others

© Copyright NHSBSA 2009

Page 31: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Aspirin BNF 2.9 (E/C Tablets vs Other Formulations) in General Practice in England

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

7,000,000

8,000,000

9,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

Others E/C

© Copyright NHSBSA 2009

Page 32: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Aspirin BNF 2.9 (E/C Tablets vs Other Formulations) in General Practice in England

0

2,000,000

4,000,000

6,000,000

8,000,000

10,000,000

12,000,000

14,000,000

16,000,000

Sep-03

Dec-03

Mar-04

Jun-04

Sep-04

Dec-04

Mar-05

Jun-05

Sep-05

Dec-05

Mar-06

Jun-06

Sep-06

Dec-06

Mar-07

Jun-07

Sep-07

Dec-07

Mar-08

Jun-08

Sep-08

Quarter to

NIC

(£)

Others E/C

© Copyright NHSBSA 2009

Page 33: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Lipid-regulating Drugs (excluding Statins) in General Practice in England

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

Bezafibrate Fenofibrate Omega-3 Ciprofibrate Colestyramine Others

NB. Excluding Ezetimibe

© Copyright NHSBSA 2009

Page 34: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Lipid-regulating Drugs (excluding Statins) in General Practice in England

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

7,000,000

8,000,000

9,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

NIC

(£)

Bezafibrate Fenofibrate Omega-3 Ciprofibrate Colestyramine Others

NB. Excluding Ezetimibe

© Copyright NHSBSA 2009

Page 35: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of and Spending on Ezetimibe in General Practice in England

0

100,000

200,000

300,000

400,000

500,000

600,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

£0

£2,000,000

£4,000,000

£6,000,000

£8,000,000

£10,000,000

£12,000,000

£14,000,000

£16,000,000

£18,000,000

£20,000,000

NIC

(£)

Items NIC (£)

© Copyright NHSBSA 2009

Page 36: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Fibrates in General Practice in England

0

50,000

100,000

150,000

200,000

250,000

300,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

Bezafibrate Fenofibrate Ciprofibrate Gemfibrozil

© Copyright NHSBSA 2009

Page 37: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Fibrates in General Practice in England

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

4,000,000

4,500,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

NIC

(£)

Bezafibrate Fenofibrate Ciprofibrate Gemfibrozil

© Copyright NHSBSA 2009

Page 38: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Nicotinic Acid Group Drugs in General Practice in England

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

Nicotinic Acid Acipimox

© Copyright NHSBSA 2009

Page 39: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Nicotinic Acid Group Drugs in General Practice in England

0

50,000

100,000

150,000

200,000

250,000

300,000

Sep

-03

Dec-03

Mar-04

Jun-04

Sep

-04

Dec-04

Mar-05

Jun-05

Sep

-05

Dec-05

Mar-06

Jun-06

Sep

-06

Dec-06

Mar-07

Jun-07

Sep

-07

Dec-07

Mar-08

Jun-08

Sep

-08

Quarter to

NIC

(£)

Nicotinic Acid Acipimox

© Copyright NHSBSA 2009

Page 40: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Statins in General Practice in England

0

2,000,000

4,000,000

6,000,000

8,000,000

10,000,000

12,000,000

14,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

Simvastatin Atorvastatin Pravastatin Rosuvastatin Others

© Copyright NHSBSA 2009

Page 41: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Statins in General Practice in England

0

50,000,000

100,000,000

150,000,000

200,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

NIC

(£)

Simvastatin Atorvastatin Pravastatin Rosuvastatin Others

© Copyright NHSBSA 2009

Page 42: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Atorvastatin Tabs by Strength in General Practice in England

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

1,600,000

1,800,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

10mg 20mg 40mg 80mg

© Copyright NHSBSA 2009

Page 43: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Atorvastatin Tabs by Strength in General Practice in England

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

40,000,000

45,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

NIC

(£)

10mg 20mg 40mg 80mg

© Copyright NHSBSA 2009

Page 44: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Simvastatin Tabs by Strength in General Practice in England

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

10mg 20mg 40mg 80mg

© Copyright NHSBSA 2009

Page 45: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Simvastatin Tabs by Strength in General Practice in England

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

40,000,000

45,000,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

NIC

(£)

10mg 20mg 40mg 80mg

© Copyright NHSBSA 2009

Page 46: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of Rosuvastatin by Strength in General Practice in England

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

Item

s

5mg 10mg 20mg 40mg

© Copyright NHSBSA 2009

Page 47: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Spending on Rosuvastatin by Strength in General Practice in England

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

7,000,000

8,000,000

Sep-03

Dec-03

Mar-04

Jun-04

Sep-04

Dec-04

Mar-05

Jun-05

Sep-05

Dec-05

Mar-06

Jun-06

Sep-06

Dec-06

Mar-07

Jun-07

Sep-07

Dec-07

Mar-08

Jun-08

Sep-08

Quarter to

NIC

(£)

5mg 10mg 20mg 40mg

© Copyright NHSBSA 2009

Page 48: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

Trends in Prescribing of and Spending on Inegy® in General Practice in England

0

10,000

20,000

30,000

40,000

50,000

60,000

Jun-05

Sep-05

Dec-05

Mar-06

Jun-06

Sep-06

Dec-06

Mar-07

Jun-07

Sep-07

Dec-07

Mar-08

Jun-08

Sep-08

Quarter to

Item

s

£0

£500,000

£1,000,000

£1,500,000

£2,000,000

£2,500,000

£3,000,000

NIC

(£)

Items NIC

© Copyright NHSBSA 2009

Page 49: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

% Ratio of Prescribing of High Strength Statins (Atorvastatin 40mg / 80mg, Rosuvastatin 20mg / 40mg, Simvastatin 80mg and Inegy®)

vs All Other Statins in General Practice in England

0%

20%

40%

60%

80%

100%

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

% o

f It

ems

All other Statins High Strength

© Copyright NHSBSA 2009

Page 50: Trends in Prescribing of and Spending on Digoxin in General Practice in England © Copyright NHSBSA 2009.

% Ratio of Spending on High Strength Statins (Atorvastatin 40mg / 80mg, Rosuvastatin 20mg / 40mg, Simvastatin 80mg and Inegy®)

vs All Other Statins in General Practice in England

0%

20%

40%

60%

80%

100%

Sep

-03

Dec-03

Mar-04

Jun

-04

Sep

-04

Dec-04

Mar-05

Jun

-05

Sep

-05

Dec-05

Mar-06

Jun

-06

Sep

-06

Dec-06

Mar-07

Jun

-07

Sep

-07

Dec-07

Mar-08

Jun

-08

Sep

-08

Quarter to

% o

f N

IC (

£)

All other Statins High Strength

© Copyright NHSBSA 2009