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Sulfonylurea (antidiabetic)

Gliclazide prescribing across the NHS.

Gliclazide is the last sulfonylurea standing: 5.8m items a year while the rest of its class fades to residuals. It is cheap, it works fast, and guidelines keep finding it a role even as the SGLT2 and GLP-1 classes absorb all the attention. Slow decline, long tail.

Scorecard, last 12 months
Items
5.8m
dispensed in the last 12 months
Spend
£9.6m
at NIC, last 12 months
Year on year
-2.9% -2.9%
vs the 12 months before
Latest month
July 2026
most recent NHSBSA release
Key facts · plain English

The NHS in England dispensed 5,774,211 prescription items of Gliclazide in the 12 months to July 2026, across primary care and hospitals.

Spending on Gliclazide over those 12 months was £9.6m at net ingredient cost, the list price of what was dispensed before any discounts.

Items were down 2.9% on the previous 12 months.

99% of Gliclazide volume moved through primary care and 1% through hospital pharmacies.

Gliclazide is the largest of 5 chemical substances in Sulfonylureas (BNF 6.1.2.1), by items dispensed.

Among Integrated Care Boards, NHS West and North London ICB dispensed the highest volume of Gliclazide.

Source: NHS Business Services Authority open data (English Prescribing Data and SCMD), OGL v3.0. Items count prescriptions dispensed, not patients treated.

National trend · since 2020
Gliclazide, England: monthly items and spend
Items per month (teal) and spend, £ (orange)
items £ 2020-11 2023-09 2026-07 1 Jul 2026 · Price concession granted1 Jun 2026 · Price concession granted24 Oct 2025 · Generic or biosimilar entry19 May 2025 · Generic or biosimilar entry10 Apr 2025 · Generic or biosimilar entry1 Jun 2024 · Hospital framework awarded
Source: NHSBSA English Prescribing Data (OGL v3.0).

Diamond markers show events around this period: NICE decisions, safety alerts, supply notices, Drug Tariff moves and price concessions, new suppliers in dm+d and framework awards. Hover a marker for the date and type. The evidence behind each one, with the source quote and link, sits behind Apply.

MonthItemsSpend (NIC)
July 2026 497,888 £867k
June 2026 479,776 £834k
May 2026 462,497 £720k
April 2026 475,923 £795k
March 2026 487,788 £762k
February 2026 447,741 £694k
January 2026 487,350 £762k
December 2025 506,119 £844k
November 2025 462,798 £771k
October 2025 501,656 £840k
September 2025 493,327 £879k
August 2025 471,348 £836k

The same series as the chart, most recent month first. The full monthly history, as CSV, sits behind Apply.

Cost per item · price erosion
Gliclazide, England: cost per item
Actual cost per item, primary care (£)
£3.38 £1.38 2020-11 2023-09 2026-07
Source: NHSBSA English Prescribing Data (OGL v3.0).
Market share

93.5% of its class.

Gliclazide is the largest of 5 chemical substances in Sulfonylureas (BNF 6.1.2.1), by items dispensed in July 2026. The full class league, who's gaining, and the month-by-month share movement sit behind Apply.

See the full class picture →

Seasonality
Average items by calendar month, indexed to the year (100 = average)
120 100 80 JFMAMJJASOND

Average items by calendar month across the full history, indexed to the annual mean.

Who supplies it · dm+d register

27 suppliers hold a live gliclazide listing, across 79 packs.

A A H Pharmaceuticals Ltd, Accord-UK Ltd, Alliance Healthcare (Distribution) Ltd, Almus Pharmaceuticals Ltd, Bristol Laboratories Ltd, Brown & Burk UK Ltd, Crescent Pharma Ltd, Drug Tariff Special Order, Flamingo Pharma (UK) Ltd, Genesis Pharmaceuticals Ltd, Ipca Laboratories UK Ltd, Key Pharmaceuticals Ltd, Krka UK Ltd, Lexon (UK) Ltd, Lupin Healthcare (UK) Ltd, Medihealth (Northern) Ltd, Medreich Plc, Milpharm Ltd, Noumed Life Sciences Ltd, Phoenix Healthcare Distribution Ltd, Relonchem Ltd, Rivopharm (UK) Ltd, RX Farma, Servier Laboratories Ltd, Sigma Pharmaceuticals Plc, Special Order, Teva UK Ltd. In the last twelve months 0 packs were listed and 6 discontinued. Every pack, its GTIN and published list price, and each week's changes are in the full report.

A listing in the NHS Dictionary of Medicines and Devices means a product may be supplied. It says nothing about sales or market share, and the list price is the reimbursement price, not what any buyer pays. Contains information from dm+d 10.1.0, published by the NHS Business Services Authority under the Open Government Licence v3.0.

Where it's prescribed · England

Gliclazide across all 36 ICBs.

Every Integrated Care Board in England, shaded by how much gliclazide its GPs dispense per head of population. Hover an ICB to name it. The ranked figures for all 36 ICBs, and the drill-down to practice level, are in the full report.

NHS Cheshire and Merseyside ICBNHS Staffordshire and Stoke-on-Trent ICBNHS Shropshire, Telford and Wrekin ICBNHS Lincolnshire ICBNHS Leicester, Leicestershire and Rutland ICBNHS Coventry and Warwickshire ICBNHS Herefordshire and Worcestershire ICBNHS North East London ICBNHS South East London ICBNHS South West London ICBNHS Kent and Medway ICBNHS Cornwall and the Isles of Scilly ICBNHS Devon ICBNHS Somerset ICBNHS Bristol, North Somerset and South Gloucestershire ICBNHS Bath and North East Somerset, Swindon and Wiltshire ICBNHS Dorset ICBNHS Gloucestershire ICBNHS Lancashire and South Cumbria ICBNHS North East and North Cumbria ICBNHS Humber and North Yorkshire ICBNHS West Yorkshire ICBNHS Birmingham and Solihull ICBNHS Greater Manchester ICBNHS Derby and Derbyshire ICBNHS Northamptonshire ICBNHS Nottingham and Nottinghamshire ICBNHS South Yorkshire ICBNHS Black Country ICBNHS Central East ICBNHS Essex ICBNHS Hampshire and Isle of Wight ICBNHS Norfolk and Suffolk ICBNHS Surrey and Sussex ICBNHS Thames Valley ICBNHS West and North London ICB
Items per 1,000 registered patients, 12 months
FewerMore

Darker shading marks where Gliclazide is dispensed most per head of population. Exact figures for every ICB, and the drill-down to practice level, are in the full report.

Data: NHSBSA English Prescribing Data (OGL v3.0). Boundaries: ONS Open Geography portal, ICBs April 2026, contains OS data © Crown copyright and database right 2026.

Zoomed out to the 7 NHS regions.

The same 12 months rolled up to NHS England's seven regions, ranked by intensity.

North WestMidlandsMidlandsMidlandsMidlandsMidlandsMidlandsLondonLondonLondonSouth EastSouth WestSouth WestSouth WestSouth WestSouth WestSouth WestSouth WestNorth WestNorth East and YorkshireNorth East and YorkshireNorth East and YorkshireMidlandsNorth WestMidlandsMidlandsMidlandsNorth East and YorkshireMidlandsEast of EnglandEast of EnglandSouth EastEast of EnglandSouth EastSouth EastLondon
Items per 1,000 registered patients, 12 months
London
North East and Yorkshire
Midlands
East of England
North West
South West
South East
Data: NHSBSA English Prescribing Data (OGL v3.0). Regions: ONS Open Geography portal, NHS England regions April 2026. Contains OS data © Crown copyright and database right 2026.
Top 3 previews

The teaser view.

Three rows each. The full 36-ICB view, every prescribing organisation, every strength and the hospital picture sit below the fold, behind Apply.

Top ICBs by volume
  1. 1 NHS West and North London ICB 558k
  2. 2 NHS North East and North Cumbria ICB 393k
  3. 3 NHS North East London ICB 353k
  4. – + 33 more. See the full 36-ICB table. See all →
Fastest-growing ICBs (YoY)
  1. 1 NHS North East London ICB +3.4%
  2. 2 NHS West and North London ICB +2.2%
  3. 3 NHS South West London ICB +0.5%
  4. – + 33 more. See every ICB, ranked. See all →
Top formulations
  1. 1 Gliclazide 80mg tablets 59%
  2. 2 Gliclazide 40mg tablets 30%
  3. 3 Gliclazide 30mg modified-release tablets 8%
  4. – + 3 more. See every strength and pack. See all →
Primary vs secondary care
Primary 99% Hospital 1%

Split of items across NHSBSA primary care and SCMD hospital dispensing.

Deprivation · IMD 2019

Prescribing by deprivation.

Items per 1,000 registered patients by IMD decile: 1 = most deprived, 10 = least
63.1 0 12345678910

Items per 1,000 registered patients by deprivation decile (1 = most deprived), practice deprivation weighted by where each practice's patients live. Read the shape rather than the absolute level: the most and least deprived deciles cover far fewer practices, and age structure drives much of the gradient.

Beyond England

The devolved nations.

NationItems · 12 monthsData to
England 5.8m July 2026
Scotland 430k June 2026
Northern Ireland 107k May 2026
Wales 357k April 2026

Each nation publishes its own community prescribing data, with different coding and list rules, so read these per-nation rather than as an exact UK total. Sources: NHSBSA (England), Public Health Scotland, NHS Wales Shared Services Partnership, OpenDataNI. Used under the Open Government Licence v3.0.

Honesty strip

What open data won't tell you about gliclazide.

Hypoglycaemia, the reason prescribers hesitate over sulfonylureas, leaves no trace in prescribing data.

Read exactly what the data covers →

Common questions

Asked and answered.

Is gliclazide prescribing rising or falling in the NHS?

Falling. England dispensed 5,774,211 items of Gliclazide in the 12 months to July 2026, down 2.9% on the previous 12 months. Items count prescriptions dispensed, not patients treated, so the change can reflect dose and duration shifts as well as patient numbers.

How much does the NHS spend on gliclazide?

£9.6m at net ingredient cost in the 12 months to July 2026. Net ingredient cost is the list price of the medicine before discounts and rebates; the NHS's final bill, especially for hospital medicines, is usually lower.

Where in England is gliclazide prescribed most?

By raw volume, NHS West and North London ICB dispensed the most gliclazide in the last 12 months. Raw volume favours the biggest populations; the map on this page shades every ICB by items per head to correct for that.

How up to date is this data?

This page runs to July 2026, the most recent NHSBSA release. Prescribing data publishes roughly six to eight weeks in arrears, and DoseTrend refreshes within 48 hours of each monthly release.

Locked · Applicants only

The full breakdown.

Every ICB, every prescribing organisation, every strength, the hospital view with what trusts paid and who holds each framework line, Signals with their sources, and the monthly briefing PDF. The rows below are placeholders; the real tables sit behind the application.

Locked · Applicants only

See the full picture for Gliclazide.

All 36 ICBs, prescribing organisations, formulation splits, Signals, and the hospital view with what trusts paid. Plus who won the NHS contract: 4 gliclazide framework lines, 3 suppliers. £1,500 a month per molecule, price published, applications reviewed by a human within one working day.

No card details to apply. About one applicant in ten gets told the open data can't answer their question, before paying anything.

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