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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.01  Anaemias and some other blood disorders
09.01.01  Iron-deficiency anaemias
09.01.01.01  Oral iron
Ferrous Fumarate (Fersamal®)
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Formulary  
   
Ferrous Gluconate
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Formulary
Green
Tablet 300mg

300mg tablet = 35mg of iron. Only use if intolerent of other iron salts (but often no better)
 
   
Ferrous Sulphate
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Formulary
Green
Tablet 200mg
  • 200mg tablets= 65mg iron
     
  •    
    Sodium Feredetate (Sytron®)
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    Formulary
    Green
    Elixir
  • Sodium feredetate 190 mg equivalent to 27.5 mg of iron/5 mL
     
  •    
    09.01.01.01  Iron and folic acid
    09.01.01.01  Compound iron preparations to top
    09.01.01.02  Parenteral iron
     note 

    Prescribe parenteral iron products by brand name - important differences between formulations
    Facilities for cardiopulmonary resuscitation should be available

    Ferric Derisomaltose (Monofer®)
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    First Choice
    Red

    Monofer should be prescribed as the IV iron of choice at BTHFT. Monofer should be prescribed in all clinical areas with an exception of renal, paediatrics, obstetrics and gynaecology.

    The guideline can be found here.

     
    Ferric Carboxymaltose (Ferinject®)
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    First Choice
    Red

    Ferinject should only be prescribed in the following clinical areas:

    • Renal
    • Obstetrics and gynaecology
    • Paediatrics


    A single dose of Ferinject should not exceed 1,000 mg of iron (20 mL) per day. Do not administer 1,000 mg of iron (20 mL) more than once a week.

    For dose calculation please SPC
     

     
    Iron Sucrose (Venofer®)
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    Restricted Drug Restricted
    Red
    Ferinject first line
  • Venofer is used first line for haemodialysis patients as they are having 100mg doses regularly, hence more cost effective for this indication  
  •    
    Iron Dextran (CosmoFer®)
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    Restricted Drug Restricted
    Red
    Ferinject first line
  • Only use if contraindicated to ferinject 
  •    
    09.01.02  Drugs used in megaloblastic anaemias
    Folic Acid
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    Formulary
    Green
    Tablet, Syrup

  • Tablets can be crushed and dispersed. Liquid available for paediatrics.
     
  •    
    Hydroxocobalamin
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    Formulary
    Green
    IM Injection
  • vitamin B12 of choice for therapy - retained in the body longer

     
  •    
    09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
    Hydroxycarbamide
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    Formulary  
       
    09.01.03  Erythropoietin
    Darbepoetin Alfa
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    Formulary
    Red
    Injection:
    - Prefilled syringes
    - Prefilled disposable injection device (Aranesp®SureClick)

     
       
    Epoetin alfa (Eprex®)
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    Restricted Drug Restricted
    Red
    Injection

  • Restricted for haematology and renal use only


     
  •    
    Epoetin beta (NeoRecormon®)
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    Formulary
    Red
    Injection
  • Restricted for haematology and renal use only

     
  •    
    09.01.03  Iron overload to top
    Deferasirox
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    Formulary
    Red
    Dispersible tablet 
       
    Deferiprone
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    Formulary
    Red
    Tablet 
       
    Desferrioxamine Mesilate
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    Formulary
    Red
     
       
    09.01.04  Drugs used in autoimmune thrombocytopenic purpura
    Anagrelide
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    Formulary
    Red
    Capsule
  • On Haematologist advice only.
     
  •    
    Eltrombopag
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    Restricted Drug Restricted
    Red
    Tablet 
    Link  NICE TA293: Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura (review of technology appraisal 205)
       
    Romiplostim
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    Restricted Drug Restricted
    Red
    Injection
  • Restriced for use in line with NICE guidelines 
  • Link  NICE TA221: Thrombocytopenic purpura - romiplostim
       
    09.01.05  G6PD deficiency
    09.01.06  Drugs used in neutropenia
    Filgrastim (Zarzio®)
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    Formulary
    Red
     
       
    09.01.07  Drugs used to mobilise stem cells
    Plerixafor
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    Restricted Drug Restricted  
       
    09.02  Fluids and electrolytes to top
    09.02.01  Oral preparations for fluid and electrolyte imbalance
    09.02.01.01  Oral potassium
    Potassium Chloride (Sando-K®)
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    Formulary
    Green
    Tablet
  • 1 tablet = 12mmol of K+
     
  •    
    Potassium Chloride (Kay-Cee-L®)
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    Formulary
    Green
    Syrup
  • 1mL = 1mmol of K+

     
  •    
    09.02.01.01  Potassium removal
    Patiromer sorbitex calciumBlack Triangle (Veltassa®)
    (Powder for oral suspension)
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    First Choice
    Red
    • 8.4g and 16.8g sachets
    • For treatment of acute and chronic hyperkalaemia
     
    Polystyrene sulphonate resins (Calcium Resonium®)
    (Powder for oral/rectal suspension)
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    First Choice
    Amber
    • 300g tub. Includes a 15g scoop
    • For treatment of acute and chronic hyperkalaemia

     

    • Due to be replaced by patiromer sorbitex calcium (Veltassa®)
     
    09.02.01.02  Oral sodium and water
    Sodium Chloride (Slow Sodium®)
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    Formulary  
       
    09.02.01.02  Oral rehydration therapy (ORT) to top
    Oral Rehydration Salts (Dioralyte®)
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    Formulary
    Green
    oral powder 
       
    09.02.01.03  Oral bicarbonate
    Sodium Bicarbonate
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    Formulary
    Green
    Capsule (500mg = approx. 6 mmol each of Na+ and HCO3-)
  • Capsules can be opened and the contents dispersed in water.
     
  •    
    09.02.02  Parenteral preparations for fluid and electrolyte imbalance
    09.02.02.01  Electrolytes and water
    09.02.02.01  Intravenous sodium
    Sodium Chloride Intravenous
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    Formulary
    Amber
    Available in multiple strengths.
    Infusions:
  • Sodium Chloride 0.45% infusion 500ml bag or polyfusor
  • odium Chloride 0.9% infusion 50ml, 100ml, 250ml, 500ml, 1 litre
  • Sodium Chloride 1.8% infusion 500ml
  • Sodium Chloride 2.7% infusion 500ml polyfusor

    Ampoules:
  • Sodium Chloride 0.9% injection 2ml, 5ml, 10ml and 20ml ampoules
  • Sodium Chloride 30% injection 10ml
     
  •    
    09.02.02.01  Intravenous glucose to top
    Glucose Intravenous
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    Formulary
    Amber
    Available in multiple strengths

    Infusion
  • Dextrose 5% infusion 50ml, 100ml, 250ml, 500ml, 1 litre
  • Dextrose 10% infusion 500ml
  • Dextrose 20% infusion 100ml,500ml
  • Dextrose 50% infusion 500ml

    Ampoules
  • Dextrose 10% 10ml ampoules
  • dextrose 50% 50ml ampoules 
  •    
    09.02.02.01  Intravenous potassium
    Potassium Chloride and Glucose Intravenous Infusion
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    Formulary
    Amber
    Available in multiple strengths
  • Potassium Chloride 10mmol in 500mL with Dextrose 5% (20mmol per litre)
  • Potassium Chloride 10mmol in 500mL with Dextrose 10% (20mmol per litre)
  • Potassium Chloride 20mmol in 500mL with Dextrose 5% (40mmol per litre)
  • Potassium Chloride 20mmol in 500mL with Dextrose 10% (40mmol per litre)
  • Potassium Chloride 20mmol in 1000mL with Dextrose 5% (20mmol per litre)
  • Potassium Chloride 40mmol in 500mL with Dextrose 5% (80mmol per litre)
  • Potassium Chloride 40mmol in 1000mL with Dextrose 5% (40mmol per litre)
     
  •    
    Potassium Chloride, Sodium Chloride and Glucose Intravenous Infusion
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    Formulary
    Amber
    Available in multiple strengths
  • Potassium Chloride 10mmol in 500mL with Dextrose 4% & Sodium Chloride 0.18% (20mmol per litre)
  • Potassium Chloride 10mmol in 500mL with Dextrose 5% & Sodium Chloride 0.45% (20mmol per litre)
  • Potassium Chloride 20mmol in 500mL with Dextrose 5% & Sodium Chloride 0.45% (40mmol per litre)
  • Potassium Chloride 20mmol in 1000mL with Dextrose 2.5% & Sodium Chloride 0.45% (20mmol per litre)
  • Potassium Chloride 20mmol in 500mL with Dextrose 4% & Sodium Chloride 0.18% (40mmol per litre)
  • Potassium Chloride 20mmol in 1000mL with Dextrose 4% & Sodium Chloride 0.18% (20mmol per litre)
  • Potassium Chloride 40mmol in 1000mL with Dextrose 4% & Sodium Chloride 0.18% (40mmol per litre)
     
  •    
    09.02.02.01  Bicarbonate and lactate
    Compound Sodium Lactate Intravenous Infusion
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    Formulary
    Red
  • Hartmann's Solution 500ml or 1 litre
  • Half Strength Hartmann's Solution
  • Dextrose 5% & Half Strength Hartmann's Solution 500ml polyfusor
  • Hartmann's Solution = Sodium Chloride 0.6%, Sodium Lactate 0.25%, Potassium Chloride 0.04%, Calcium Chloride 0.027%
     
  •    
    Sodium Bicarbonate
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    Formulary
    Amber
    Available in multiple strengths:
  • Sodium Bicarbonate 1.26% 500ml polyfusor (supply problems - probably not available)
  • Sodium Bicarbonate 1.4% 500ml polyfusor (supply problems - probably not available)
  • Sodium Bicarbonate 4.2% 10ml ampoules or 500ml polyfusor
  • Sodium Bicarbonate 8.4% 10ml ampoules or 500ml polyfusor
     
  •    
    09.02.02.01  Water
    09.02.02.02  Plasma and plasma substitutes
    Albumin Solution
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    Formulary  
       
    09.02.02.02  Plasma substitutes to top
    Gelatin (Gelofusine®)
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    Formulary
    Red
    Infusion
  • 500ml and 1 litre bags available
     
  •    
    Gelatin (Haemaccel®)
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    Formulary  
       
    09.03  Intravenous nutrition
    09.03  Supplementary preparations
    09.04  Oral nutrition
    09.04.01  Foods for special diets
    09.04.02  Enteral nutrition to top
    09.05  Minerals
    09.05.01  Calcium and magnesium
    09.05.01.01  Calcium supplements
    Calcium carbonate with calcium lactate gluconate (Calvive)
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    First Choice
    Green

    Calvive 1000 effervescent tablets (replacement for Sandocal)

    Electrolyte guidelines available here

     
    Calcium Chloride
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    Formulary
    Red
    Injection 10%
    Acute treatment of hypocalcaemia, see local guidance

     
       
    Calcium Gluconate
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    Formulary
    Red
    Injection 10%
  • Ca2+ approx 225micromol/ml 
  •    
    Calcium-Sandoz®
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    Formulary
    Green
    Syrup - CURRENT SUPPLY ISSUES ALTERNATIVES INCLUDE CACIT EFFERVESCENT TABLETS AND SANDOCAL
  • calcium glubionate 1.09 g, calcium lactobionate 727 mg (calcium 108.3 mg or Ca2+ 2.7 mmol)/5 mL
     
  •    
    09.05.01.02  Hypercalcaemia and hypercalciuria
    Cinacalcet
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    Formulary
    Red
    Tablets 30mg, 60mg and 90mg 
    Link  NICE TA117: Hyperparathyroidism - cinacalcet
       
    09.05.01.03  Magnesium to top
    Magnesium Glycerophosphate
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    Formulary
    RED ULM
    Tablet (unlicensed)
  • Contains 4mmol magnesium per tablet
  • Tablets can be crushed and dispersed in water.
     
  • Link  NICE: Evidence Summary: Magnesium glycerophosphate
       
    Magnesium Sulphate
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    Formulary  
    Link  UKMI Q&A: Can magnesium sulphate be given subcutaneously?
    Link  UKMI Q&A: Magnesium sulphate injection: converting between millimoles, milligrams and percentage w/v.
       
    09.05.02  Phosphorus
    09.05.02.01  Phosphate supplements
    Phosphate supplements (Phosphate-Sandoz®)
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    Formulary
    Amber
    Effervescent tablet
  • Contains 16.1mmol phosphate, 20.4mmol sodium and 3.1mmol potassium per tablet

     
  • Link  BTHFT Management of Electrolyte Disturbances
       
    09.05.02.02  Phosphate-binding agents
    Calcium Acetate (Phosex®)
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    Formulary
    Green
    Tablets
  • Generally recommended as first line phosphate binder. More effective than calcichew and less elemental calcium.
     
  •    
    Calcium Carbonate
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    Formulary
    Green
    Tablets
  • Calcium-based phosphate binders may be used as the initial binder therapy for patients with chronic kidney disease as they are cheap and relatively efficacious, in conjunction with dietary phosphate restriction, to control phosphorus and parathyroid levels.
  • If hypercalcaemia develops with the use of calcium carbonate, it may be necessary to convert to calcium acetate, a non calcium-containing phosphate binder, or a combination of both.
     
  •    
    Calcium salts with magnesium carbonate (Osvaren®)
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    Formulary  
       
    Lanthanum (Fosrenol ®)
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    Restricted Drug Restricted
    Amber
    Tablet
     
       
    Sevelamer Carbonate (Renvela®)
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    Restricted Drug Restricted
    Amber
    Powder for oral suspension (sachets)
     
       
    Sevelamer Hydrochloride  (Renagel®)
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    Restricted Drug Restricted
    Amber
    Tablets
     
       
    Sucroferric Oxyhydroxide (Velphoro® )
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    Formulary
    Red

    Chewable tablet

     
       
    09.05.03  Fluoride
    09.05.04  Zinc to top
    Zinc Sulphate
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    Formulary
    Amber
    Effervescent Tablet
  • 45mg elemental zinc 
  •    
    09.05.05  Selenium
    Selenium (Selenase®)
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    Formulary
    Green
    IV injection
  • TPN team  
  •    
    09.06  Vitamins
    09.06.01  Vitamin A
    Vitamins A and D
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    Formulary  
       
    Vitamins A C and D (Healthy Start Children's Vitamin Drops®)
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    Formulary  
       
    09.06.02  Vitamin B group
    Pyridoxine Hydrochloride
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    Formulary  
       
    Thiamine
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    Formulary
    Green
    Tablets 50mg and 100mg
    Usual dose range: 50 to 100mg TDS 
       
    Thiamine (Pabrinex®)
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    Formulary
    Green
  • I/M High Potency injection, for intramuscular use only, ascorbic acid 500 mg, nicotinamide 160 mg, pyridoxine hydrochloride 50 mg, riboflavin 4 mg, thiamine hydrochloride 250 mg/7 mL. (in 2 amps)
    Excipients include benzyl alcohol (avoid in neonates)

  • I/V High Potency injection, for intravenous use only, ascorbic acid 500 mg, anhydrous glucose 1 g, nicotinamide 160 mg, pyridoxine hydrochloride 50 mg, riboflavin 4 mg, thiamine hydrochloride 250 mg/10 mL. (in 2 × 5 mL amps)


  • Wernickes Encephalopathy
    2-3 pairs of ampoules three times a day for 2 to 4 days depending on response

  • Prophylaxis of Wernickes Encephalopathy
    One pair of ampoules twice daily for at least 3 to 5 days 
  • Link  Bradford Alcohol withdrawal assessment policy
       
    09.06.02  Oral vitamin B complex preparations to top
    Vitamin B Tablets, Compound Strong
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    Formulary
    Green
    Tablets
    Usual dose : 2 three times daily
     
       
    09.06.02  Other compounds
    09.06.03  Vitamin C
    Ascorbic Acid
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    Formulary
    Green
    Tablets 50mg, 100mg, 200mg, 500mg
     
       
    09.06.04  Vitamin D
    Alfacalcidol
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    Formulary  
       
    Calcitriol
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    Formulary  
       
    Colecalciferol
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    Formulary
    Green

    Colecalciferol preparations supplied for treatment of deficency only

    • Plenchol 20,000 unit capsules
    • Thorens 10,000 unit/ml oral drops- for children and adults with swallowing difficulties
    • Maintenance doses (e.g. 1000 unit capsules) not stocked
     
       
    Ergocalciferol
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    Formulary  
       
    Paricalcitol
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    Formulary  
       
    09.06.04  Vitamin D with Calcium
    Adcal D3®
    (Chewable tablets)
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    First Choice
    Green
    • Colecalciferol 400 units (10 micrograms) + calcium carbonate 1500mg (calcium 600mg) per tablet
     
    Adcal D3 Dissolve®
    (Effervescent tablets)
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    Second Choice
    Green
    • Colecalciferol 400 units + calcium carbonate 1500mg per tablet
    • For patients who cannot chew or swallow tablets or for giving via an enteral tube
     
       
    Adcal D3® Caplets
    (Film coated tablet)
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    Second Choice
    Green
    • Colecalciferol 200 units (5 micrograms) + calcium carbonate 750mg (calcium 300mg) per caplet
    • For patients who cannot tolerate Adcal D3 chewable tablets but can swallow tablets
     
       
    09.06.05  Vitamin E to top
    Alpha Tocopheryl Acetate
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    Formulary  
       
    09.06.06  Vitamin K
    Menadiol Sodium Phosphate
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    Formulary  
    Link  UKMI Q&A: National guidance on vitamin K in obstetric cholestasis
       
    Phytomenadione
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    Formulary  
       
    Phytomenadione (Konakion® MM)
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    Formulary  
       
    Phytomenadione (Konakion® MM Paediatric)
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    Formulary  
    Link  UKMI Q&A: Guidance on the use of vitamin K for obstetric cholestasis
       
    09.06.07  Multivitamin preparations
    Multivitamin preparations (Abidec®)
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    Formulary  
    Link  UKMI Q&A: Abidec and peanut allergy
       
    Multivitamin preparations (Dalivit®)
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    Formulary  
       
    09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
    Multivitamin
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    Formulary  
       
    Vitamin and mineral supplements (Forceval Soluble®)
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    Formulary  
       
    Vitamin and mineral supplements (Forceval®)
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    Formulary  
       
    Vitamin and mineral supplements (Ketovite®)
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    Formulary  
       
    09.07  Bitters and tonics
    09.08  Metabolic disorders to top
    09.08.01  Drugs used in metabolic disorders
    Biotin
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    Formulary
    Red
     
       
    Glycine
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    Formulary
    • Capsules
    • Use by specialist metabolic service only
     
       
    09.08.01  Wilsons disease
    Penicillamine
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    Restricted Drug Restricted  
       
    Trientine Dihydrochloride
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    Restricted Drug Restricted  
       
    09.08.01  Carnitine deficiency
    Carnitine (Carnitor®)
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    Restricted Drug Restricted
    Red
     
       
    09.08.01  Fabry's disease
    09.08.01  Gaucher's disease to top
    09.08.01  Mucopolysaccharidosis I
    Idursulfase (Elaprase®)
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    Restricted Drug Restricted  
       
    Laronidase (Aldurazyme®)
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    Restricted Drug Restricted
    Red
     
       
    09.08.01  Pompe disease
    Alglucosidase Alfa (Myozyme®)
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    Restricted Drug Restricted  
       
    09.08.01  Nephropathic cystinosis
    Mercaptamine (Cystagon®)
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    Restricted Drug Restricted  
       
    09.08.01  Urea cycle disorders
    Carglumic Acid (Carbaglu®)
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    Restricted Drug Restricted
    Red
     
       
    Sodium Benzoate
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    Formulary  
       
    Sodium Phenybutyrate (Ammonaps®, Pheburane®)
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    Restricted Drug Restricted
    Amber
     
       
    09.08.02  Acute porphyrias to top
    Haem Arginate (Normasang®)
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    Restricted Drug Restricted  
       
    09.08.02  Drugs unsafe for use in acute porphyrias
     ....
     Non Formulary Items
    Agalsidase Alfa and Beta  (Fabrazyme®)

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    Non Formulary
    Red
     
    Agalsidase Alfa and Beta  (Replagal®)

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    Non Formulary
    Red
     
    Alpha Tocopherol  (Vedrop®)

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    Non Formulary
     
    Aluminium Hydroxide  (Alu-Cap®)

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    Non Formulary
     
    Antilymphocyte globulin (Equine)

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    Non Formulary
     
    Arginine

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    Non Formulary
     
    Babiven start up

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    Non Formulary
     
    Bisphosphonates

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    Non Formulary
     
    Bitters and tonics

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    Non Formulary
     
    Bitters and tonics  (Effico®)

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    Non Formulary
     
    Bitters and tonics  (Labiton®)

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    Non Formulary
     
    Bitters and tonics  (Metatone®)

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    Non Formulary
     
    Cacit®

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    Non Formulary Each tablet contains 1.25g calcium carbonate which when dissolved in water provides 500mg of calcium (equivalent to 12.5mmol of calcium) as calcium citrate. Excipients include: citric acid, sodium saccharin, sodium cyclamate,sunset Yellow FCF (E110) and flavouring agent. Advice from the Pharmacy Department at Alder Hey Hospital for administration of paediatric doses is to take one tablet and dissolve in 20mL water resulting in an orange flavoured solution containing 12.5mmol of Calcium in 25mL, from which the required dose can be withdrawn
     
    Calcichew®

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    Non Formulary
     
    Calcitriol  (Calcijex®)

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    Non Formulary
     
    Calcitriol  (Rocaltrol®)

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    Non Formulary
     
    Calcium acetate  (PhosLo®)

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    Non Formulary
     
    Calcium and Ergocalciferol

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    Non Formulary
     
    Calcium Carbonate with Colecalciferol  (Cacit® D3)

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    Non Formulary
     
    Calcium Salts

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    Non Formulary
     
    Calcium Salts  (Adcal®)

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    Non Formulary
     
    Calcium Salts  (Adcal®)

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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  (Renacet®)

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    Non Formulary
     
    Colecalciferol  (Accrete D3®)

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    Non Formulary
     
    Colecalciferol  (Adcal-D3®)

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    Non Formulary
     
    Colecalciferol  (Kalcipos-D®)

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

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    Non Formulary
     
    Colecalciferol 20,000 units  (Pro D3®, Dekristol®)

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    Non Formulary
     
    Colecalciferol 3,000 units per ml liquid

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    Non Formulary
     
    Colecalciferol 800 units  (Desunin)

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

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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
     
    Colestilan  (BindRen®)

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    Non Formulary
     
    Compound iron preparations  (Ferrograd C®)

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    Non Formulary
     
    Cyanocobalamin

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    Non Formulary
     
    Dextran 40®

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    Non Formulary
     
    Dextran 70  (RescueFlow®)

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    Non Formulary
     
    Dextran 70®

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    Non Formulary
     
    Dihydrotachysterol  (AT 10®)

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    Non Formulary
     
    Epoetin Theta  (Eporatio®)

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    Non Formulary
     
    Ergocalciferol  (Calceos®)

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    Non Formulary
     
    Ergocalciferol  (Calfovit D3®)

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    Non Formulary
     
    Etherified Starch

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    Non Formulary
     
    Etherified Starch

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    Non Formulary
     
    Etherified Starch  (HAES-steril®)

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    Non Formulary
     
    Etherified Starch  (Hemohes®)

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    Non Formulary
     
    Etherified Starch  (Infukoll®)

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    Non Formulary
     
    Ferrous Fumarate  (Fersaday®)

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    Non Formulary
     
    Ferrous Fumarate  (Galfer®)

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    Non Formulary
     
    Ferrous Sulphate  (Ferrograd®)

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    Non Formulary
     
    Ferrous Sulphate  (Ironorm® drops)

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    Non Formulary
     
    Filgrastim  (Neupogen®)

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    Non Formulary
    Red
     
    Filgrastim  (Nivestim®)

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    Non Formulary
    Red
     
    Filgrastim  (Ratiograstim®)

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    Non Formulary
    Red
     
    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
     
    Gelatin  (Gelaspan®)

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    Non Formulary
     
    Gelatin  (Geloplasma®)

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    Non Formulary
     
    Gelatin  (Volplex®)

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    Non Formulary
     
    Human Albumin Solution

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    Non Formulary
     
    Hypertonic Solution  (HyperHAES®)

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    Non Formulary
     
    Imiglucerase  (Cerezyme®)

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    Non Formulary
     
    Intralipid 20%

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    Non Formulary
     
    Iron and Folic Acid  (Ferrograd Folic®)

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    Non Formulary
     
    Iron and Folic Acid  (Pregaday®)

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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
     
    Lenograstim  (Granocyte®)

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    Non Formulary
    Red
     
    Magnesium Aspartate

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    Non Formulary
     
    Magnesium Chelate

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    Non Formulary
     
    Magnesium citrate

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    Non Formulary
     
    Magnesium Hydroxide Mixture BP

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

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    Non Formulary
     
    Miglustat  (Zavesca®)

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    Non Formulary
     
    Multivitamin  (Viteyes®)

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    Non Formulary
     
    Multivitamin including lutein  (PreserVision®)

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    Non Formulary
     
    Multivitamin including lutein  (Vitalux Plus®)

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    Non Formulary
     
    Multivitamin including lutein and zeaxanthin  (ICaps®)

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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
     
    Oral Rehydration Salts

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    Non Formulary
     
    Oral Rehydration Salts  (Dioralyte® Relief)

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    Non Formulary
     
    Oral Rehydration Salts  (Electrolade®)

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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
     
    Parenteral Nutrition (TPN or PN)

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    Non Formulary
     
    Pegfilgrastim  (Neulasta®)

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    Non Formulary
    Red
     
    Phosphate Polyfusor®

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    Non Formulary
     
    Plasma-lyte 148

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    Non Formulary
     
    Polysaccharide Iron Complex  (Miferex®)

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    Non Formulary
     
    Polystyrene Sulphonate Resins  (Resonium A®)

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    Non Formulary
     
    Potasium Chloride  (Klofer®)

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    Non Formulary
     
    Potassium Bicarbonate

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    Non Formulary
     
    Potassium Chloride  (Slow-K®)

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    Non Formulary
    Green
    Tablet MR
  • 1 tablet = 8mmol of K+
  • Only to be used if Sando K or Kay Cee L inappropriate. Slow K should be swallowed whole, with fluid, during meals, whilst the patient is sitting upright
  •  
    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 Chloride and Sodium Chloride Intravenous Infusion

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    Non Formulary
     
    Potassium Chloride Concentrate (Sterile)

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    Non Formulary
     
    Potassium dihydrogen phosphate

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    Non Formulary
     
    Preparations  (Forceval Protein Powder®)

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    Non Formulary
     
    Riboflavin

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    Non Formulary
     
    Ringer's Solution for Injection

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    Non Formulary
     
    Sapropterin Dihydrochloride  (Kuvan®)

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

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    Non Formulary
     
    Sodium Chloride 30% oral

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    Non Formulary
     
    Sodium Chloride and Glucose Intravenous Infusion

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    Non Formulary
     
    Sodium Dichloroacetate

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    Non Formulary
     
    Supplementary Preparations  (Addiphos®)

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    Non Formulary
     
    Supplementary Preparations  (Additrace®)

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    Non Formulary
     
    Supplementary Preparations  (Cernevit®)

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    Non Formulary
     
    Supplementary Preparations  (Decan®)

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    Non Formulary
     
    Supplementary Preparations  (Dipeptiven®)

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    Non Formulary
     
    Supplementary Preparations  (Glycophos® Sterile Concentrate)

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    Non Formulary
     
    Supplementary Preparations  (Peditrace®)

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    Non Formulary
     
    Supplementary Preparations  (Solivito N®)

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    Non Formulary
     
    Supplementary Preparations  (Vitlipid N®)

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    Non Formulary
     
    Tetrastarch  (Tetraspan®)

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    Non Formulary
     
    Tetrastarch  (Venofundin®)

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    Non Formulary
     
    Tetrastarch  (Volulyte®)

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    Non Formulary
     
    Tetrastarch  (Voluven®)

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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 C, D and folic acid

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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

    Amber

    Medicines suitable to be prescribed in primary care after Specialist* recommendation or initiation. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust D&TC(s). *Specialist is defined as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice.   

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (D&TC) * All drugs awaiting the production or approval of a shared care guideline default to RED   

    Cancer Drug Fund

    Cancer Drug Fund   

    Green

    Medicines suitable for routine use and can be prescribed within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

    Green Specialist Initiation

    These drugs should be initiated only by a hospital or specialist clinician (GPSi) but there is no requirement for additional monitoring over the general requirements for all medicines. Some may require short or medium specialist monitoring of efficacy or dose titration before transferring in Primary care. The GP should have all the information they require to support continued prescribing.   

    Green Specialist Recomendation

      

    Grey

    Grey - Medicines, which the Drug & therapeutics Committee has actively reviewed and does not recommend for use at present following a review of clinical and/or cost effective data. Grey (assessment in progress) - will be reviewed at a future D&T meeting. Grey (awaiting submission) - The D&T are awaiting a submission from an appropriate practitioner. If you wish to make a submission for this medicine to be added to the formulary please email drug.information@bthft.nhs.uk .   

    Non Formulary

    Not recommended for prescribing as initial therapy, but can be continued if patient already stable on treatment   

    Red

    Medicines which should normally be prescribed by specialists only. ** For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care   

    RED ULM

    Unlicensed Medication  

    netFormulary