NICE recommends naftidrofuryl oxalate as a possible treatment for intermittent claudication in people with peripheral arterial disease.

NICE does not recommend cilostazol, pentoxifylline or inositol nicotinate for intermittent claudication in people with peripheral arterial disease.

Who can have naftidrofuryl oxalate?

You should be able to have naftidrofuryl oxalate if you have peripheral arterial disease and intermittent claudication if vasodilators are considered appropriate for you after taking other treatment options into account.

Why has NICE said this?

NICE looks at how well treatments work, and also at how well they work in relation to how much they cost the NHS.

NICE recommended naftidrofuryl oxalate because it works better and costs less than other drug treatments available on the NHS.

Cilostazol, pentoxifylline and inositol nicotinate do not work as well as naftidrofuryl oxalate and cost more, so NICE did not recommend them.

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

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