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East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
Notes:

Hospital only guidance

 Details...
09.01  Anaemias and some other blood disorders
09.01.01  Iron-deficiency anaemias
09.01.01.01  Oral iron
 note 

Primary care guidance

Ferrous Sulphate
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Blue

Available as

  • 200mg tab
 
   
Ferrous Fumarate
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Blue

The 210mg tab is for primary care use only


Available as

  • 210mg tab
  • 140mg/5ml liquid
  • 322mg tab
 
   
Ferrous Gluconate
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Formulary
Blue

Avaiable as

  • 300mg tab
 
   
Sodium Feredetate (Sytron®)
(liquid)
Formulary
Blue
 
   
09.01.01.01  Iron and folic acid
Iron and Folic Acid (Pregaday®)
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Formulary
Blue

Antenatal clinics only

 
   
09.01.01.01  Compound iron preparations to top
09.01.01.02  Parenteral iron
Ferric Carboxymaltose (Ferinject®)
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Red Hospital

Whereas iron dextran (Cosmofer) is the iron infusion of choice for hospital in-patients for whom discharge is not imminent, ferric carboxymaltose (Ferinject) - with its shorter infusion time - can be utilised in clinical areas with high turnover of patients (e.g. renal, haematology, maternity, etc) and within hospital in-patients areas where a quicker administration of an iron infusion will facilitate discharge (e.g. Emergency Assessment Unit).

 

 

 
   
Iron Dextran (CosmoFer®)
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Red Hospital

Hospital only guidance

Iron Dextran (Cosmofer) is the iron infusion of choice for hospitalised patients for whom discharge from hospital is not imminent. It is administered as an infusion over approximately 4-6hours and required initial careful monitoring for sensitivity reactions.

Dose calculator

Click here to open up Cosmofer calculator

 
   
Iron Sucrose (Venofer®)
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Red Hospital
 
   
09.01.02  Drugs used in megaloblastic anaemias
Cyanocobalamin
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Blue

Primary care guidance

SLS restriction

Cyanocobalamin is only available on the NHS to treat or prevent vitamin B12 deficiency in a patient who is a vegan or who has a proven vitamin B12 deficiency of dietary origin

 Endorse prescription ‘SLS’

 Currently available brands may not be suitable for vegans

 
   
Folic Acid (tabs, liquid)
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Blue

Check vitamin B12 levels in all people before starting folic acid

 
   
Hydroxocobalamin (Vitamin B12)
(injection)
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Formulary
Blue
 
   
09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
09.01.03  Erythropoietin
 note 

MHRA:Very rare risk of severe cutaneous adverse reactions (SCARs)

Darbepoetin Alfa (Aranesp®)
(injection)
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High Cost Medicine

Traffic light information

Traffic light Details
Red renal patients;all indications
Double Red tumours;all indications
 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
Epoetin alfa (Eprex®)
(injection)
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High Cost Medicine

Traffic light information

Traffic light Details
Red renal patients;all indications
Double Red tumours;all indications
 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
Epoetin beta (NeoRecormon®)
(injection)
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High Cost Medicine

Traffic light information

Traffic light Details
Red renal patients;all indications
Double Red tumours;all indications
 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
09.01.03  Iron overload to top
Deferasirox
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Red Hospital
High Cost Medicine
 
   
Desferrioxamine Mesilate
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Red Hospital
High Cost Medicine
 
   
09.01.04  Drugs used in autoimmune thrombocytopenic purpura
Anagrelide (Xagrid®)
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Red Hospital

Traffic light information

Traffic light Details
Red
  • Essential thrombocythaemia 
  • Within clinical trials
 
   
Eltrombopag (tabs)
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Red Hospital
High Cost Medicine

MHRA:Reports of interference with bilirubin and creatinine test results

 
Link  NICE TA293: Eltrombopag for treating chronic ITP
   
Lusutrombopag tablets (Mulpleo ®)
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Red Hospital
High Cost Medicine
CCG

MHRA:Reports of interference with bilirubin and creatinine test results

 
Link  TA617 Lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure
   
Romiplostim (injection)
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Red Hospital
High Cost Medicine
 
Link  NICE TA221: Thrombocytopenic purpura - romiplostim
   
09.01.05  G6PD deficiency
09.01.06  Drugs used in neutropenia
Filgrastim
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Red Hospital
 
   
09.01.07  Drugs used to mobilise stem cells
09.02  Fluids and electrolytes to top
09.02.01  Oral preparations for fluid and electrolyte imbalance
09.02.01.01  Oral potassium
 note 

Review potential causes of hypokalaemia: 

  • Inadequate potassium intake in diet
  • Drugs e.g. corticosteroids, diuretics, laxatives
  • Chronic diarrhoea
  • Vomiting
  • Sweating
Potassium Chloride (Sando-K®)
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First Choice
Blue

One tablet = 12mmol potassium

 
Potassium Chloride (Kay-Cee-L®)
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Blue

One ml = 1mmol potassium

 
   
09.02.01.01  Potassium removal
Calcium Resonium® (Polystyrene Sulphonate Resins)
(powder)
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Red Hospital

Discontinue when potassium less than or equal to 5mmol/L

 
   
Resonium A® (Polystyrene Sulphonate Resins)
(powder)
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Red Hospital

Contains sodium rather than calcium – useful for where there is hypercalcaemia as well hyperkalaemia

 
   
Sodium zirconium cyclosilicate (Lokelma ®)
(Oral Powder Sachets)
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Red Hospital

Discontinue when potassium less than or equal to 5mmol/L

Sodium zirconium cyclosilicate (Lokelma®) can be used in outpatient care for patients with persistent hyperkalaemia and chronic kidney disease stage 3b to 5 or heart failure, if they:

  • have a confirmed serum potassium level of at least 6.0 mmol/litre
  • are not taking an optimised dosage of renin-angiotensin-aldosterone system (RAAS) inhibitor because of hyperkalaemia, and
  • are not on dialysis.
 
Link  Sodium zirconium cyclosilicate for treating hyperkalaemia Technology appraisal guidance [TA599]
   
09.02.01.02  Oral sodium and water
Sodium Chloride (Slow Sodium®)
(MR tabs)
Formulary
Blue
 
   
09.02.01.02  Oral rehydration therapy (ORT) to top
Oral Rehydration Salts (Electrolade®)
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Blue

Can be bought OTC

 
   
09.02.01.03  Oral bicarbonate
Sodium Bicarbonate (caps,tabs)
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Green
 
   
Sodium Bicarbonate (infusion)
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Red Hospital
 
   
09.02.02  Parenteral preparations for fluid and electrolyte imbalance
 note 

Hospital only guidance

09.02.02.01  Electrolytes and water
09.02.02.01  Intravenous sodium
Ringer's Solution for Injection
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Red Hospital
 
   
Sodium Chloride and Glucose Intravenous Infusion
Formulary
Red Hospital
 
   
Sodium Chloride Intravenous
Formulary
Red Hospital
 
   
09.02.02.01  Intravenous glucose to top
Glucose Intravenous
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Red Hospital
 
   
09.02.02.01  Intravenous potassium
Potassium Chloride and Glucose Intravenous Infusion
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Red Hospital
 
   
Potassium Chloride and Sodium Chloride Intravenous Infusion
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Red Hospital
 
   
Potassium Chloride, Sodium Chloride and Glucose Intravenous Infusion
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Red Hospital
 
   
Controlled Drug Potassium Chloride Concentrate (Sterile)
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Red Hospital

CD Treated as a controlled drug at IHT

 
   
09.02.02.01  Bicarbonate and lactate
09.02.02.01  Water
Water for Injection
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Blue
 
   
09.04  Oral nutrition
 note 

Primary care guidance

09.04.01  Foods for special diets to top
09.04.02  Enteral nutrition
 note 

North East Essex CCG

For a summary of first line products to prescribe please see link

NEECCG Oral Nutritional Supplements First line options

 

 

Ipswich & East CCG

Primary care guidance

1st Line

MUST screen the patient first:

Advise food fortification (food first) - see links above

If food first tried but found inadequate and patient’s condition complies with ACBS guidelines, prescribe:

Powdered milkshake style: AYMES Shake or Foodlink Complete or Foodlink Complete with Fibre

Patients with renal disease should be assessed by a dietitian prior to prescribing the above.

Patients with diabetes should have their oral intake assessed before any oral nutritional supplement is prescribed.  Blood glucose levels should be monitored and treatment reviewed as necessary.

2nd Line

Milkshake style: Ensure Plus or Nutricomp Drink Plus or AYMES Complete or Ensure Compact or Fresubin 2kcal

Juice style: Ensure Plus Juce

Yoghurt style: Ensure Plus Yoghurt Style

High protein: Foodlink Complete or Ensure Compact or Altraplen Protein

Savoury style: AYMES Shake chicken or Ensure Plus Savoury

Fibre sips: Foodlink Complete with Fibre

Semi-solid desserts: Nutricrem or Resource Dessert Energy

09.05  Minerals
 note 

Hospital only guidance

09.05.01  Calcium and magnesium
09.05.01.01  Calcium supplements
Cacit ®
(Calcium carbonate)
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Blue

One tablet = 12.6mmol calcium

 
   
Calcichew ®
(Calcium carbonate)
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Blue

One tablet = 12.6mmol calcium

 
   
Calcium Chloride (injection)
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Red Hospital
 
   
Calcium Gluconate (10% injection)
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Red Hospital
 
   
Sandocal-1000 ®
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Green
 
   
09.05.01.02  Hypercalcaemia and hypercalciuria to top
Cinacalcet (Mimpara®)
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Red Hospital
High Cost Medicine
BlueTeq

Traffic light information

Traffic light Details
Red

Cinacalcet is a "Hospital Only Medicine" within ESNEFT and prescribing should be limited within Secondary Care practice. This applies to patients with:

  • Primary hyperparathyroidism or parathyroid carcinoma
  • Secondary hyperparathyroidism in end-stage renal failure

 

 
Link  NICE TA117: Hyperparathyroidism - cinacalcet
   
Etelcalcetide (Parsabiv®)
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Red Hospital
 
Link  NICE TA448 : Etelcalcetide for treating secondary hyperparathyroidism
   
09.05.01.03  Magnesium
 note 

Hospital only guidance

Medication related policy

Magnesium repletion

Magnesium Glycerophosphate (NeoMag ®)
Formulary
Blue

4mmol chewable tablets

 
   
Magnesium Sulphate (injection)
Formulary
Red Hospital

MHRA:Risk of skeletal adverse effects in the neonate following prolonged or repeated use in pregnancy


Available as

  • 50% amps
  • 20% amps (for maternity use only)
 
Link  Hypertensive Disorders in Pregnancy and Childbirth
Link  Magnesium in maternity
Link  Pre Term Labour and Pre Labour Rupture of Membranes – Prevention and Management
   
09.05.02  Phosphorus
09.05.02.01  Phosphate supplements
 note 

Hospital only guidance

Medication related policy

Phosphate repletion

Phosphate supplements (Phosphate-Sandoz®)
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Blue
 
   
Phosphate Polyfusor ®
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Red Hospital
 
   
09.05.02.02  Phosphate-binding agents
Cacit® (Calcium Carbonate )
(effervescent tablets)
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Blue

One tablet = 12.6mmol calcium

 
   
Calcichew® (Calcium Carbonate)
(chewable tab)
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Blue

One tablet = 12.6mmol calcium

 
   
Calcium Acetate (tabs)
Formulary
Green

Renal use only

One tablet = 6.2mmol calcium

 
   
Sevelamer Carbonate (Renvela®)
(tabs, powder)
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Amber
High Cost Medicine

Hospital only guidance

Therapeutic substitution

Patients using sevelamer hydrochloride (Renagel®) can be therapeutically substituted to sevelamer carbonate (Renvela®) without any dose ajustment

 
Link  Sevelamer carbonate- Shared care
   
Lanthanum (Fosrenol ®)
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Red Hospital
High Cost Medicine

Hyperphosphataemia in established renal failure on dialysis

 
   
sucroferric oxyhydroxide (tabs)
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Red Hospital

Hospital only guidance

Initiation

Only for dialysis patients as per SPC and only as a third line agent in those patients unable to tolerate or adhere to the large tablet burden of sevelamer and lanthanum carbonate.

 
   
09.05.03  Fluoride to top
09.05.04  Zinc
Zinc Sulphate
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Formulary
Blue

Available as

  • Effervescent Tablets
  • Capsules
 
   
09.05.05  Selenium
09.06  Vitamins
09.06.01  Vitamin A
09.06.02  Vitamin B group to top
Pyridoxine Hydrochloride
(Pyridoxine)
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Blue
 
   
Thiamine
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Blue
 
Link  NICE CG100: Management of alcohol-related physical complications
Link  NICE CG115: Alcohol dependence - diagnosis, assessment and management
   
Pabrinex® (Vitamin B and C)
(IV/IM injection)
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Formulary
Red Hospital
 
Link  NICE CG100: Management of alcohol-related physical complications
Link  NICE CG115: Alcohol dependence - diagnosis, assessment and management
   
09.06.02  Oral vitamin B complex preparations
Vitamin B Tablets, Compound Strong
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Formulary
Blue
 
   
09.06.02  Other compounds
09.06.03  Vitamin C
Ascorbic Acid (Vitamin C)
(tabs)
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Blue

Available OTC

 
   
09.06.04  Vitamin D
Colecalciferol 25,000 unit liquid (Invita D3® )
(25,000 unit tablets (licensed) are available in secondary care. Patients may be discharged on these instead of the Invita D3 liquid brand)
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Formulary
Blue

Joint guidance

See below for joint guidance on treating vitamin D deficiency

 

 

 

 
Link  Primary Care Pathway for the Treatment of Vitamin D Deficiency in Paediatric patients (Child 0- 17 years) with eGFR ≥30ml/​min
Link  Vitamin D Deficiency in patients with eGFR >30ml/min (18+yrs)
   
Colecalciferol 2400 units/ml liquid
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Blue

Joint guidance

See below for joint guidance on treating vitamin D deficiency

 
Link  SNEE Primary Care Pathway for the Treatment of Vitamin D Deficiency in Paediatric patients (Child 0- 17 years) with eGFR ≥30ml/​min
   
Calci-D® (Colecalciferol and Calcium Carbonate)
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Blue

Adcal D3/Calceos 1 tab BD is roughly equivalent to Calci-D 1 OD

Adcal D3/Calceos 1 tab OD is roughly equivalent to Calci-D half tab OD

 
   
Adcal D3 dissolvable  (Colecalciferol and Calcium Carbonate)
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Formulary
Blue

Adcal-D3 [chewable] is non-formulary.

The dissolvable tablet is for use in patients with swallowing difficulties or enteral feeding tubes

 
   
Colecalciferol 800 units
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Formulary
Blue
 
   
Alfacalcidol (One-Alpha®)
(caps, oral drops, injection)
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Formulary
Green
 
   
Calcitriol
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Formulary
Green
 
   
Ergocalciferol
(injection)
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Formulary
Red Hospital
 
   
09.06.05  Vitamin E to top
09.06.06  Vitamin K
 note 

Hospital only guidance

Pregnancy

Click here for prescribing guidance

Choice of formulation

Click here for IHT newsletter

Phytomenadione (tab/caps/injection)
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Blue

Preparation of choice for anticoagulant induced haemorrhage

 
   
Menadiol Sodium Phosphate (tabs)
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Formulary
Blue

Water soluble vitamin K preparation.

Preparation of choice for patients with biliary obstruction or hepatic disease.

 
   
09.06.07  Multivitamin preparations
 note 

Primary care guidance

Prescribing advice

Should only be prescribed if recommended by a dietician/gastroenterologist otherwise can be purchased by patients

Multivitamin preparations (Abidec®)
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Blue
 
   
Multivitamin preparations (Dalivit®)
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Formulary
Blue
 
   
09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
Multivitamins
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Formulary
Blue

Can be bought OTC

 
   
Vitamin and mineral supplements (Forceval®)
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Formulary
Blue

Can be bought OTC

 
   
Vitamin and mineral supplements (Ketovite®)
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Formulary
Blue

Can be bought OTC


Ketovite capsules, tablets and liquid are not interchangable

 
   
09.08  Metabolic disorders
09.08.01  Drugs used in metabolic disorders to top
09.08.01  Phenylketonuria
PKU 2 gel (Strensiq®)
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Formulary  
   
PKU gel (Strensiq®)
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Formulary  
   
 ....
 Non Formulary Items
Alpha Tocopherol  (Vedrop®)

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Non Formulary
 
Alpha Tocopheryl Acetate
(Vitamin E)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aluminium Hydroxide  (Alu-Cap®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Antithymocyte Immunoglobulin (Equine)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Betaine
(Homocystinuria)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Biotin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bisphosphonates

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA464 : Bisphosphonates for treating osteoporos
 
Calcium acetate  (PhosLo®)

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Non Formulary
 
Calcium Acetate  (Renacet®)

Non Formulary
 
Calcium Salts

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Non Formulary
 
Calcium Salts
(Calcium lactate)

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Non Formulary
 
Calcium Salts

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Non Formulary
 
Calcium Salts
(Calcium-500)

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Non Formulary
 
Calcium Salts  (Calcium-500®)

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Non Formulary
 
Calcium Salts  (Everose®)

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Non Formulary
 
Calcium Salts  (Osvaren®)

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Non Formulary
 
Calcium Salts  (Renacet®)

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Non Formulary
 
Calcium-Sandoz ®

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Non Formulary
 
Chenodexoycholic acid  (Xenbilox®)

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Non Formulary
 
Colecalciferol 1,000 units  (Sunvit D3®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Colecalciferol 10,000units/ml drops  (Thorens®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Colecalciferol 2,400 units/ml drops  (Invita D3® oral drops)

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Non Formulary
 
Colecalciferol 2,740units/ml drops  (Fultium-D3® Drops)

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Non Formulary
 
Colecalciferol 3200 unit capsules  (Fultium D3®)

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Non Formulary
 
Colecalciferol and Calcium Carbonate  (Calchichew-D3 Once Daily)

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Non Formulary
 
Colecalciferol and Calcium Carbonate  (Calcichew-D3®)

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Non Formulary
 
Colecalciferol and Calcium Carbonate  (Calcichew-D3® Forte)

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Non Formulary
 
Colecalciferol and Calcium Carbonate  (TheiCal- D3)

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Non Formulary
 
Colestilan  (BindRen®)

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Non Formulary
High Cost Medicine
 
Compound iron preparations  (Ferrograd C®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Compound iron preparations  (Givitol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Compound Sodium Lactate Intravenous Infusion
(Known as hartmanns solution)

Non Formulary
 
Deferiprone  (Ferriprox®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Desferrioxamine Mesilate  (Desferal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dihydrotachysterol  (AT 10®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Eculizumab

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Efmoroctocog alfa  (Elocta®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Eliglustat  (Cerdelga®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Epoetin Theta  (Eporatio®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ergocalciferol  (Calceos®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferric citrate coordination complex  (Fexeric®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferric maltol  (Ferracru®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferrous Fumarate  (Fersamal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferrous Sulphate  (Ferrograd®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferrous Sulphate  (Ironorm® drops)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferumoxytol Injection  (Rienso ®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fluoride

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Non Formulary
 
Flurides  (Duraphat® (Mouthwash))

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Non Formulary
 
Flurides  (Duraphat® (Toothpaste))

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Non Formulary
 
Flurides  (En-De-Kay® (Mouthwash))

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Non Formulary
 
Flurides  (En-De-Kay® (Oral Drops))

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Non Formulary
 
Flurides  (En-De-Kay® (Tablet))

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Non Formulary
 
Flurides  (Flour-a-day® (Tablet))

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Non Formulary
 
Flurides  (FlouriGard® (Gel))

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Non Formulary
 
Flurides  (FlouriGard® (Mouthwash))

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Non Formulary
 
Flurides  (FluoriGard® (Tablet))

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Non Formulary
 
Glycerol phenylbutyrate  (Ravicti®)

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Non Formulary
 
Iron and Folic Acid  (Ferrograd Folic®)

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Non Formulary
 
Iron and Folic Acide  (Fefol®)

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Non Formulary
 
Iron and Folic Acide  (Galfer FA®)

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Non Formulary
 
Iron Isomaltoside  (Monofer®)

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Non Formulary
 
Lenograstim  (Granocyte®)

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Non Formulary
High Cost Medicine
 
Magnesium Aspartate  (Magnaspartate®)

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Non Formulary

10mmol sachets

 
Magnesium Chelate

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Non Formulary
 
Magnesium citrate

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Non Formulary
 
Magnesium Hydroxide Mixture BP

Non Formulary
 
Methoxy Polyethylene Glycol-Epoetin Beta  (Mircera®)

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Non Formulary
High Cost Medicine
 
Multivitamin  (Viteyes®)

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Non Formulary
 
Multivitamin eye supplement  (MaculEH Light®)

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Non Formulary
 
Multivitamin including lutein  (PreserVision®, Vitalux Plus®)

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Non Formulary
 
Multivitamin including lutein  (Vitalux Plus®)

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Non Formulary
 
Multivitamin including lutein and zeaxanthin  (ICaps®, Macushield®, Ocuvite®)

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Non Formulary
 
Multivitamin including lutein and zeaxanthin  (Macushield®)

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Non Formulary
 
Multivitamin including lutein and zeaxanthin  (Ocuvite®)

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Non Formulary
 
Nicotinamide

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Non Formulary
 
Nitisinone

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Non Formulary
 
Oral Rehydration Salts

Non Formulary
 
Oral Rehydration Salts  (Dioralyte®)

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Non Formulary
 
Oral Rehydration Salts  (Dioralyte® Relief)

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Non Formulary
 
Oral Rehydration Salts  (Rapolyte®)

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Non Formulary
 
Other Compounds  (Potaba®)

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Non Formulary
 
Oxymetholone

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Non Formulary
 
Paricalcitol  (Zemplar®)

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Non Formulary
 
Pegfilgrastim  (Neulasta®)

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Non Formulary
High Cost Medicine
 
Penicillamine

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Non Formulary
 
Plerixafor  (Mozobil®)

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Non Formulary
High Cost Medicine
 
Polysaccharide Iron Complex  (Miferex®)

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Non Formulary
 
Potasium Chloride  (Klofer®)

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Non Formulary
 
Potassium Bicarbonate
(Potassium effervescent tablets)

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Non Formulary
 
Potassium Chloride  (Slow-K®)

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Non Formulary
 
Potassium Chloride 20mmol in 20ml Water For Injection

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Non Formulary
 
Potassium Chloride 50mmol in 50mL Sodium Chloride 0.9% prefilled syringe

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Non Formulary
 
Potassium dihydrogen phosphate
(Potassium acid phosphate)

Non Formulary
 
Preparations  (Forceval Protein Powder®)

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Non Formulary
 
Riboflavin

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Non Formulary
 
Sapropterin Dihydrochloride  (Kuvan®)

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Non Formulary
High Cost Medicine
 
Sebelipase alfa  (Kanuma®)

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Non Formulary
 
Selenium  (Selenase®)

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Non Formulary
 
Sevelamer Hydrochloride  (Renagel®)

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Non Formulary
High Cost Medicine
Link  IHT- Therapeutic Substitution Register
 
Sodium Bicarbonate
(injection)

Non Formulary
 
Sodium Bicarbonate  (Min-I-Jet® Sodium Bicarbonate)

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Non Formulary
 
Sodium Chloride 30% oral

Non Formulary
 
Sodium Dichloroacetate

Non Formulary
 
Trientine Dihydrochloride

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Non Formulary
 
Trisodium Edetate  (Limclair®)

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Non Formulary
 
Ubidecarenone

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Non Formulary
 
Vitamin B complex preparations  (Vigranon B®)

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Non Formulary
 
Vitamin B Tablets (Compound)

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Non Formulary
 
Vitamins A and D

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Non Formulary
 
Vitamins A and D  (4500 units/450 units caps)

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Non Formulary
 
Vitamins A and D  (Halycitrol®)

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Non Formulary
 
Vitamins A C and D
(Healthy start children’s vitamin drops)

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Non Formulary
 
Vitamins C, D and folic acid
(Healthy start vitamins for women)

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Non Formulary
 
Zinc Acetate  (Wilzin®)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

netFormulary