MTW NHS Trust West Kent CCG

Drug Status Key

  • Preferred
  • Second Line
  • Third Line
  • Specialist Initiation
  • Hospital Only
  • Not Approved for Formulary

Oesophageal varices

NICE Guidance (also see drug-specific NICE link below)

  Acute upper gastrointestinal bleeding pathway. Terlipressin is used for bleeding from oesophageal varices; it is licensed to be given for up to 72 hours. However, the NICE treatment pathway for managing variceal bleeding states "offer terlipressin to patients with suspected variceal bleeding at presentation. Stop treatment after definitive haemostasis has been achieved, or after 5 days, unless there is another indication for its use."