Acute attacks of hereditary angioedema in patients with
C1-esterase inhibitor deficiency
▶BY SLOW INTRAVENOUS INJECTION
▶Adult (body-weight up to 84 kg): 50 units/kg for 1 dose,
to be administered over 5 minutes, dose may be
repeated if necessary; maximum 2 doses per day
▶Adult (body-weight 84 kg and above): 4200 units for
1 dose, to be administered over 5 minutes, dose may be
repeated if necessary; maximum 2 doses per day
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Scottish Medicines Consortium (SMC) decisions
SMC No. 745/11
The Scottish Medicines Consortium has advised (August
2018) that conestat alfa (Ruconest ®) is accepted for use
within NHS Scotland for the treatment of acute
angioedema attacks in adults and adolescents with
hereditary angioedema due to C1 esterase inhibitor
deficiency. This advice is contingent upon the continuing
availability of the patient access scheme in NHS Scotland
or a list price that is equivalent or lower.
All Wales Medicines Strategy Group (AWMSG) decisions
AWMSG No. 786
The All Wales Medicines Strategy Group has advised
(November 2018) that conestat alfa (Ruconest ®) is
recommended as an option for use within NHS Wales for
the treatment of acute angioedema attacks in adults and
adolescents with hereditary angioedema due to C1
esterase inhibitor deficiency. This recommendation
applies only in circumstances where the approved Wales
Patient Access Scheme (WPAS) is utilised or where the
list/contract price is equivalent or lower than the WPAS
price.
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