Following a consultation process earlier in 2017, NHS England has published a list of medicines and other items that it recommends should not be routinely prescribed in primary care.¹ The proposed restrictions cover 18 products and include drugs such as co-proxamol, dosulepin, liothyronine, prolonged-release doxazosin, immediate release fentanyl, lidocaine plasters, as well as travel vaccines, homeopathy and some herbal treatments. The annual NHS spend on medicines in primary care …