SELEXID (pivmecillinam), related to beta-lactams
                   			INFECTIOUS DISEASES - Update
						
                   	
                    
                        Opinions on drugs - 
	
		Posted on 
	
		
			Oct 25 2017
		
		
	
	
						
                    
                Reason for request
										Re-assessment of the actual benefit and of the improvement in actual benefit
									
									No clinical benefit demonstrated when compared with available alternatives in the treatment of urinary tract infections in adult women, in second-line in the therapeutic strategy.
- SELEXID has Marketing Authorisation in the treatment of urinary tract infections in adult women.
- It is a second-line therapeutic option in adult women in the treatment of acute uncomplicated cystitis and cystitis at risk of complication (including cystitis in pregnancy) as well as in the treatment of urinary tract colonisation in pregnancy.
- Its efficacy has been demonstrated only in the case of acute uncomplicated cystitis in adult women. In other clinical situations, no studies are available.
- The new dosages and indications are based on therapeutic recommendations in the field of urinary tract infections.
Clinical Benefit
| Substantial | - | 
Clinical Added Value
| no clinical added value | - | 
Therapeutic use
| - | 
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