netFormulary The Pennine Acute Hospitals NHS
NHS Trust Formulary  
 Search
 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
(210mg tablets)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice 68mg iron per tablet 
Ferrous Fumarate
(322mg tablets)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 100mg iron per tablet 
   
Ferrous Sulphate
(200mg tablets)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 65mg iron per tablet 
   
Ferric Maltol (Feraccru®)
(30mg hard capsules)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Green 2
30mg iron per capsule

Restricted Item Consultant gastroenterologist only

Alternative to IV iron in IBD patients intolerant to existing oral iron products, as per GMMMMG recommendations  
Link  GMMMG recommendation: Ferric maltol for iron deficiency anaemia in IBD patients
   
Ferrous Fumarate
(140mg/5ml sugar-free syrup)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 45mg iron per 5ml 
   
Sodium Feredetate (Sytron®)
(190mg/5ml sugar-free elixir)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 27.5mg iron per 5ml 
   
09.01.01.01  Iron and folic acid
09.01.01.01  Compound iron preparations to top
09.01.01.02  Parenteral iron
 note 

IV iron dose should be calculated according to body weight and iron deficit and administered in strict accordance with the posology and method of administration described in the product information for each individual product (note that advice varies between products) Caution is needed with every dose of intravenous iron that is given, even if previous administrations have been well tolerated

IV iron products should only be administered when staff trained to evaluate and manage anaphylactic or anaphylactoid reactions—as well as resuscitation facilities—are immediately available

Patients should be closely monitored for signs of hypersensitivity during and for at least 30 minutes after every administration of an IV iron product. In the event of a hypersensitivity reaction, treatment should be stopped immediately and appropriate management initiated. Report any adverse effects via the Yellow Card Scheme (www.mhra.gov.uk/yellowcard)

Iron Isomaltoside (Monofer®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Red
Injection

  
Ferric Carboxymaltose (Ferinject®)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
Red
Injection 
   
Iron Dextran (CosmoFer®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Injection

 
   
Iron Sucrose (Venofer®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Injection 
   
09.01.02  Drugs used in megaloblastic anaemias
Hydroxocobalamin
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Injection 
Folic Acid
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Tablets
Oral syrup
Injection unlicensed(unlicensed) 
Cyanocobalamin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Grey
Tablets

Only for use in those patients who are truly unable to tolerate injections and who are vegan or have a proven dietary deficiency.  
   
09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
Anti-human thymocyte immunoglobulin (rabbit)  (Thymoglobuline®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
 
   
09.01.03  Erythropoietin
 note 

MHRA Drug Safety Update 2007

Overcorrection of haemoglobin concentration in patients with chronic kidney disease may increase the risk of death and serious cardiovascular events. In patients with cancer, clinical trial data show an unexplained excess mortality and increased risk of tumour progression with erythropoietin treatment, and overcorrection of haemoglobin concentration may increase the risk of thrombosis and related complications.

• Patients should only be treated when symptoms of anaemia are present

• The haemoglobin concentration should be maintained within the range 10-12g/100ml (avoid concentrations higher than 12g/100ml). The haemaglobin concentration should not be increased beyond that which provides adequate control of symptoms of anaemia.

• Treatment of symptomatic anaemia with erythropoeitins in patients with cancer is only licensed for patients receiving chemotherapy.

• The decision to use erythropoietin should be based on an assessment of the benefits and risks for individual patients; blood transfusion may be the preferred treatment for anaemia associated with cancer chemotherapy.

 

There have been very rare reports of pure red cell aplasia in patients treated with epoetin alfa. These patients should not be switched to another form of erythropoietin.

Darbepoetin Alfa (Aranesp®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Red
Injection  
Epoetin alfa (Eprex®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Red
Injection 
Epoetin beta (NeoRecormon®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Injection 
   
09.01.03  Iron overload to top
Deferasirox (Exjade®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
High Cost Medicine
Dispersible tablets

PbR Excluded - commissioned by NHS England 
   
Desferrioxamine Mesilate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
High Cost Medicine
Injection

PbR Excluded- commissioned by NHS England 
   
Deferiprone (Ferriprox®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
High Cost Medicine
Tablets

PbR Excluded - commissioned by NHS England 
   
09.01.04  Drugs used in platelet disorders
Anagrelide (Xagrid®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Capsules 
   
Eltrombopag (Revolade®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
High Cost Medicine
Tablets

PbR Excluded - commissioned by CCG 
Link  NICE TA293: Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura (review of technology appraisal 205)
   
Romiplostim (Nplate®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
High Cost Medicine
Injection

PbR excluded - commissioned by CCG
Prescribers need to ensure manufacturer makes romiplostim available with the discount agreed as part of the patient access scheme.  
Link  NICE TA221: Thrombocytopenic purpura - romiplostim
   
09.01.05  G6PD deficiency
09.01.06  Drugs used in neutropenia
Filgrastim (Zarzio®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Red
Injection 
Pegfilgrastim (Neulasta®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Injection 
Link  MHRA Drug Safety Update: Filgrastim and pegfilgrastim: risk of potentially life-threatening capillary leak syndrome
   
Lenograstim (Granocyte®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
Injection 
   
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
Potassium Chloride (Sando-K®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Effervescent tablets 
Potassium Chloride (Kay-Cee-L®)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice Syrup 
Link  PAT Guideline: Electrolyte Disturbances
   
09.02.01.01  Potassium removal
Polystyrene Sulphonate Resins (Calcium Resonium®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green 1
Powder 
   
09.02.01.02  Oral sodium and water
Sodium Chloride (Slow Sodium®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Modified release tablets 
Link  PAT Guideline: Electrolyte Disturbances
   
09.02.01.02  Oral rehydration therapy (ORT) to top
Oral Rehydration Salts (e.g. Dioralyte®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Oral powder 
   
09.02.01.03  Oral bicarbonate
Sodium Bicarbonate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Capsules
Tablets

 
   
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 0.9% Injection
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 2ml amps
5ml amps
10ml amps
20ml amps
 
   
Sodium Chloride 0.9% Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 50ml bag
100ml bag
250ml bag
500ml bag
500ml polyfusor
1L bag 
   
Sodium Chloride 0.45% Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag 
   
Sodium Chloride Polyfusor (500ml)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 0.18%
0.9%
1.8%
2.7%
5% 
   
09.02.02.01  Intravenous glucose to top
Glucose 5% Intravenous
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 50ml bag
100ml bag
250ml bag
500ml bag
500ml Polyfusor
1L bag
 
   
Glucose 10% Intravenous
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag
1L bag
 
   
Glucose 15% Intravenous
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag 
   
Glucose 20% Intravenous
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag 
   
Glucose 50% Intravenous
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 20ml amps
50ml vial
500ml bag 
   
Sodium Chloride 0.18% and Glucose 10% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag 
   
Sodium Chloride 0.18% and Glucose 4% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag
1L bag 
   
Sodium Chloride 0.45% and Glucose 10% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag 
   
Sodium Chloride 0.45% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag
 
   
Sodium Chloride 0.9% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag
1L bag 
   
09.02.02.01  Intravenous potassium
Controlled Drug Potassium Chloride 15% Concentrate BP
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 10ml amps (Contains 20mmol potassium)

Restricted Item Only the designated areas given in Appendix 1 of the Intravenous Potassium Policy have been authorised to stock and administer strong potassium chloride solutions as indicated. Potassium chloride concentrated solutions must never be transferred between clinical areas

Must be stored in a Controlled Drugs cupboard.

Must NEVER be administered undiluted
(NPSA 'Never Event) 
Link  PAT Intravenous Potassium Policy
   
Controlled Drug Potassium Chloride 3% in Sodium Chloride 0.9%
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 100ml bag (contains 40mmol potassium)

Restricted Item Only the designated areas given in Appendix 1 of the Intravenous Potassium Policy have been authorised to stock and administer strong potassium chloride solutions as indicated. Potassium chloride concentrated solutions must never be transferred between clinical areas

Order as a Controlled Drug.

Potassium chloride infusion 40mmol in 100ml sodium chloride 0.9% must be
stored in a locked cupboard and kept separate from other infusion bags. 
   
Potassium Chloride 0.15% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 10mmol of potassium) 
   
Potassium Chloride 0.15% and Sodium Chloride 0.9% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 10mmol of potassium) 
   
Potassium Chloride 0.15%, Sodium Chloride 0.45% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 10mmol of potassium) 
   
Potassium Chloride 0.15% and Glucose 10% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 10mmol of potassium)

unlicensedUnlicensed special - manufactured to order and may not always be available 
   
Potassium Chloride 0.15%, Sodium Chloride 0.18% and Glucose 4% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 10mmol of potassium) 
   
Potassium Chloride 0.3% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium) 
   
Potassium Chloride 0.3% and Sodium Chloride 0.9% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium) 
   
Potassium Chloride 0.3%, Sodium Chloride 0.18% and Glucose 4% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium) 
   
Potassium Chloride 0.3%, Sodium Chloride 0.45% and Glucose 10% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium)

 
   
Potassium Chloride 0.3%, Sodium Chloride 0.9% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium) 
   
Potassium Chloride 0.3% and Glucose 10% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium)

unlicensedUnlicensed special - manufactured to order and may not always be available 
   
Potassium Chloride 0.3%, Sodium Chloride 0.45% and Glucose 5% Intravenous Infusion
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 20mmol of potassium)

unlicensedUnlicensed special - manufactured to order and may not always be available 
   
Potassium Chloride 0.6% and Glucose 5%
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 40mmol of potassium)

unlicensedUnlicensed special - manufactured to order and may not always be available

Restricted Item 500ml bags containing 40mmol of potassium may be kept as stock in critical
care areas. They will be supplied from the Pharmacy department to other wards
on a named patient basis only. 
   
Potassium Chloride 0.6% and Sodium Chloride 0.9%
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag (contains 40mmol of potassium)

unlicensedUnlicensed special - manufactured to order and may not always be available

Restricted Item 500ml bags containing 40mmol of potassium may be kept as stock in critical
care areas. They will be supplied from the Pharmacy department to other wards
on a named patient basis only. 
   
09.02.02.01  Bicarbonate and lactate
Compound Sodium Lactate Intravenous Infusion
(Hartmann's Solution)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml bag
1 litre bag 
   
Sodium Bicarbonate
(Injection)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 4.2% 5ml amps unlicensedunlicensed
4.2% 10ml amps unlicensedunlicensed
8.4% 10ml amps 
   
Sodium Bicarbonate (Minijet®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 4.2% 10ml Minijet
8.4% 10ml Minijet
8.4% 50ml Minijet
 
   
Sodium Bicarbonate (Polyfusor®)
(500ml)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 1.26%
1.4%
4.2%
8.4% 
   
09.02.02.02  Plasma and plasma substitutes
Human Albumin Solution
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary note This is a BLOOD product. Obtain from haematology (not pharmacy). 
   
09.02.02.02  Plasma substitutes
Gelatin (Gelaspan®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice  
Gelatin (Gelofusine®)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice May be supplied as an alternative to Gelaspan if unavailable 
   
09.03  Intravenous nutrition to top
Parenteral Nutrition (TPN)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary See Chapter 24 for full list of TPN bags available.

Please see Appendix 3 of attached link for details on out-of-hours TPN use 
Link  PAT: Nutrition Support in Adults: Hospital Setting
   
09.03  Supplementary preparations
09.04  Oral nutrition
 note  The following products may be prescribed following discussion with a dietitian.
Vital 1.5kcal 200ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Enshake
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Vanilla
Chocolate
Strawberry
Banana
 
   
Ensure Compact 125ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Vanilla
Strawberry
Banana 
   
Ensure Plus Bottles 220ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Chocolate
Strawberry
Coffee
Vanilla
Raspberry
Banana
Orange
Fruits of Forest
Neutral
Peach
 
   
Ensure Plus Creme
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Vanilla
Neutral
Chocolate
Banana 
   
Ensure Plus Fibre 200ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Vanilla
Chocolate
Raspberry
Banana
Strawberry
 
   
Ensure Plus Juce 220ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Strawberry
Fruit Punch
Lemon & Lime
Orange
Peach
Apple 
   
Ensure Plus Yoghurt Style 220ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Strawberry Swirl
Orchard Peach
 
   
Ensure Twocal 200ML
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Banana
vanilla
Neutral
Strawberry
 
   
Infatrini Peptisorb
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Neocate Active
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Neocate LCP
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Neocate Spoon
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Nutriprem 2
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Nutriprem Hydrolysed
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Paediasure 200ml Bottle
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Paediasure Fibre 200ml Bottle
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Paediasure Peptide 200ml Bottle
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Paediasure Plus 200ml Bottle
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Paediasure Plus Fibre 200ml Bottle
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Paediasure Plus Juice 200ml Bottle
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Pepti Junior (Cow and Gate)
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Polycal
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Procal
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Similac alimentum
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Similac High Energy
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Calogen
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Enfamil AR
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
Enfamil olac
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose dependent on age 
   
09.04.01  Foods for special diets
09.04.02  Enteral nutrition
 note  The following products may be prescribed following discussion with a dietitian.
Two Cal
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Vital 1.5kcal
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Jevity
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml
1000ml
1500ml
 
   
Jevity 1.5kcal
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml
1000ml
1500ml
 
   
Jevity PLUS
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml
1000ml
1500ml
 
   
Jevity PLUS HP
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Jevity Promote
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Osmolite
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml
1000ml
1500ml
 
   
Osmolite 1.5kcal
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml
1000ml
1500ml
 
   
Osmolite HP
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Osmolite PLUS
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml
1000ml
1500ml
 
   
Paediasure 500ml Bag
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Paediasure Fibre 500ml Bag
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Paediasure Peptide 500ml Bag
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Paediasure Plus 500ml Bag
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Paediasure Plus Fibre 500ml Bag
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
Neocate Advance
(Paediatric)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Dose calculated by dietitian 
   
09.05  Minerals to top
09.05.01  Calcium and magnesium
09.05.01.01  Calcium supplements
Calcichew®
(Calcium Carbonate 1.25g [500mg calcium])
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Chewable tablets 
Adcal®
(Calcium Carbonate 1.5g [600mg calcium])
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Chewable tablets 
   
Cacit®
(Calcium Carbonate 1.25g [500mg calcium])
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Effervescent tablets 
   
Calcium Gluconate 10% Injection
(8.4mg calcium per ml)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Injection

 
Link  MHRA Safety Alert (2010): Calcium gluconate 10% in 10 mL glass containers: Risk of aluminium exposure
   
Calcium Chloride 10% Injection
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Injection 
   
09.05.01.02  Hypercalcaemia and hypercalciuria
Cinacalcet (Mimpara®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
Tablets

Use is subject to a local shared-care agreement with the patient's GP (see link) 
Link  NICE TA117: Hyperparathyroidism - cinacalcet
Link  PAT Shared Care Protocol: Cinacalcet for Primary Hyperparathyroidism
   
09.05.01.03  Magnesium
Magnesium Sulphate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 50% Injection
10% Injection

1 gram Mg = 4 mmol Mg.

 
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.
   
Magnesium Aspartate (Magnaspartate®)
(10mmol/sachet)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Sachets

 
   
09.05.02  Phosphorus to top
09.05.02.01  Phosphate supplements
Phosphate effervescent tablets (Phosphate-Sandoz®)
(16.1mmol/tablet)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice  
Phosphate Polyfusor®
(50mmol per 500ml)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 500ml Polyfusor 
   
09.05.02.02  Phosphate-binding agents
Calcium Acetate (Phosex®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice
Green 3
1 gram tablets

 
Calcium Carbonate (Calcichew®)
View adult BNF View SPC online View childrens BNF  Track Changes
Second Choice
Green 3
500mg chewable tablets

 
   
Lanthanum (Fosrenol ®)
View adult BNF View SPC online View childrens BNF  Track Changes
Third Choice
Green 3
Tablets

 
   
Sevelamer Hydrochloride  (Renagel®)
View adult BNF View SPC online View childrens BNF  Track Changes
Third Choice
Green 3
Tablets 
   
Aluminium Hydroxide (Alu-Cap®)
View adult BNF View SPC online View childrens BNF  Track Changes
Fourth Choice
Green 3
475mg capsules

 
   
09.05.03  Fluoride
09.05.04  Zinc
Zinc Sulphate (Solvazinc®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Effervescent tablets 
   
09.05.05  Selenium to top
09.06  Vitamins
09.06.01  Vitamin A
Vitamins A and D
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Capsules

unlicensedunlicensed 
   
09.06.02  Vitamin B group
Thiamine
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Tablets 
B Vitamins, High Potency (Pabrinex®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Intravenous Injection
Intramuscular Injection 
Link  MHRA Safety Information on Pabrinex and Allergic Reactions
   
Pyridoxine Hydrochloride
(Vitamin B6)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets
Injection
Oral Solution unlicensedunlicensed 
   
09.06.02  Oral vitamin B complex preparations
Vitamin B Tablets, Compound Strong
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Tablets

For the prevention of re-feeding syndrome only 
Vitamin B Tablets (Compound)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets 
   
09.06.02  Other compounds to top
09.06.03  Vitamin C
Ascorbic Acid
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets
 
   
09.06.04  Vitamin D
Colecalciferol
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Capsules
Oral solution

 
Ergocalciferol
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Oral solution
IM injection 
Alfacalcidol (One-Alpha®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green 3
Capsules
Oral Solution

For maintenance, not for treatment.

Green Traffic Light Frequency of plasma calcium monitoring should be determined by secondary care clinicians and communicated to primary care 
Link  GMMMG Guidelines: CKD Mineral Bone Disorder
   
Calcitriol
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Capsules

For maintenance, not for treatment 
   
09.06.04  Vitamin D with Calcium
Colecalciferol and Calcium Carbonate (Adcal-D3®)
View adult BNF View SPC online View childrens BNF  Track Changes
First Choice Chewable Tablets
Caplets
Effervescent Tablets

 
Calcium and Colecalciferol (Calceos®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Chewable tablets 
   
Calcium and colecalciferol (Calfovit D3®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Sachets 
   
Colecalciferol and Calcium Carbonate (Calcichew-D3®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Chewable tablets 
   
Colecalciferol and Calcium Carbonate (Calcichew-D3® Forte)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Chewable tablets 
   
09.06.05  Vitamin E
Alpha Tocopheryl Acetate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Oral suspension 
   
09.06.06  Vitamin K to top
Menadiol Sodium Phosphate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets

Water-soluble. For use in patients with fat malabsorption syndromes, e.g. biliary obstruction or hepatic disease (BNF) 
Link  UKMI Q&A: National guidance on vitamin K in obstetric cholestasis
   
Phytomenadione
(10mg/ml injection)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary 1ml amps (Konakion®MM)
0.2ml amps (Konakion®MM Paediatric) - may be given orally

 
   
09.06.07  Multivitamin preparations
Multivitamin preparations (Abidec®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Oral drops 
Link  PAT: Neonatal Doses Policy
   
Multivitamin preparations (Dalivit®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Oral drops

Only use if Abidec is unavailable  
   
Mutivitamins
(Vitamins BPC)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Capsules 
   
Sanatogen A-Z
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets 
Link  PAT Guidelines for the Management of Refeeding Syndrome in Adults
   
09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
Forceval®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Capsules
Soluble Tablets 
Link  PAT Guidelines for the Management of Refeeding Syndrome in Adults
   
Ketovite®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets
Liquid 
   
09.08  Metabolic disorders
09.08.01  Drugs used in metabolic disorders
Biotin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets

unlicensedunlicensed
 
   
09.08.01  Wilsons disease to top
Penicillamine
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Tablets 
   
09.08.01  Carnitine deficiency
Carnitine (Carnitor®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
09.08.01  Fabry's disease
09.08.01  Gaucher's disease
09.08.01  Mucopolysaccharidosis I
09.08.01  Pompe disease to top
09.08.01  Nephropathic cystinosis
09.08.01  Urea cycle disorders
Sodium Benzoate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
Sodium Phenybutyrate (Ammonaps®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary  
   
09.08.02  Acute porphyrias
09.08.02  Drugs unsafe for use in acute porphyrias
 ....
 Non Formulary Items
Agalsidase Alfa and Beta  (Fabrazyme®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Agalsidase Alfa and Beta  (Replagal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alglucosidase Alfa  (Myozyme®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcichew® Forte
(Calcium Carbonate 2.5g [1g calcium])

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Chewable tablets
 
Calcium acetate  (PhosLo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium and Ergocalciferol

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Calcium Salts  (Calcium-500®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium Salts  (Everose®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium Salts  (Osvaren®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium Salts  (Renacet®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium-Sandoz®
(108.3mg calcium per 5ml)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Syrup - DISCONTINUED
 
Carglumic Acid  (Carbaglu®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Colecalciferol and Calcium Carbonate  (Accrete D3®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Colecalciferol and Calcium Carbonate  (Cacit® D3)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Colecalciferol and Calcium Carbonate  (Kalcipos-D®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Colestilan  (BindRen®)

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

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Injection
 
Dextran 40®

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Dextran 70®

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

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Etherified Starch  (HAES-steril®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Etherified Starch  (Hemohes®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Etherified Starch  (Infukoll®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Ferrous Fumarate  (Galfer®)
(305mg capsules)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Ferrous Gluconate

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
 
Filgrastim  (Neupogen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Filgrastim  (Nivestim®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Filgrastim  (Ratiograstim®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (Duraphat® (Mouthwash))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (Duraphat® (Toothpaste))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (En-De-Kay® (Mouthwash))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (En-De-Kay® (Oral Drops))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (En-De-Kay® (Tablet))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (Flour-a-day® (Tablet))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (FlouriGard® (Gel))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (FlouriGard® (Mouthwash))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flurides  (FluoriGard® (Tablet))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gelatin  (Geloplasma®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gelatin  (Haemaccel®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gelatin  (Volplex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Haem Arginate  (Normasang®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydroxyethyl Starch Products

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary e.g. Tetraspan®, Voluven®

Because of the risk of kidney injury and mortality, HES solutions must no longer be used in patients with sepsis, burn injuries or critically ill patients.

HES solutions should only be used for the treatment of hypovolaemia due to acute blood loss when crystalloids alone are not considered sufficient.

There is a lack of robust long-term safety data in patients undergoing surgical procedures and in patients with trauma. The expected benefit of treatment should be carefully weighed against the uncertainties with regard to long-term safety, and other available treatment options should be considered.

HES solutions should be used at the lowest effective dose for the shortest period of time. Treatment should be guided by continuous haemodynamic monitoring so that the infusion is stopped as soon as appropriate haemodynamic goals have been achieved.

HES solutions are now contraindicated in patients with renal impairment or renal replacement therapy. The use of HES must be discontinued at the first sign of renal injury. An increased need for renal replacement therapy has been reported up to 90 days after HES administration. Patients’ kidney function should be monitored after HES administration.

HES solutions are contraindicated in severe coagulopathy. HES solutions should be discontinued at the first sign of coagulopathy. Blood coagulation parameters should be monitored carefully in case of repeated administration.


See EMA Review (via link)
Link  EMA: Hydroxyethyl starch solutions for infusion
 
Hypertonic Solution  (HyperHAES®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Imiglucerase  (Cerezyme®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iron and Folic Acid  (Ferrograd Folic®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iron and Folic Acid  (Pregaday®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iron and Folic Acide  (Fefol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iron and Folic Acide  (Galfer FA®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Laronidase  (Aldurazyme®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Magnesium citrate

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Magnesium Glycerophosphate

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary 4mmol tablets unlicensedunlicensed
1mmol/ml Liquid unlicensedunlicensed
Link  NICE: Evidence Summary: Magnesium glycerophosphate
 
Mercaptamine  (Cystagon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Methoxy Polyethylene Glycol-Epoetin Beta  (Mircera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Miglustat  (Zavesca®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin  (Viteyes®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin including lutein  (PreserVision®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin including lutein  (Vitalux Plus®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin including lutein and zeaxanthin  (ICaps®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin including lutein and zeaxanthin  (Macushield®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin including lutein and zeaxanthin  (Ocuvite®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oral Rehydration Salts  (Dioralyte® Relief)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Paricalcitol  (Zemplar®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Plasma-lyte 148

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Plerixafor  (Mozobil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Polystyrene Sulphonate Resins  (Resonium A®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Potasium Chloride  (Klofer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Potassium aminobenzoate  (Potaba®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Potassium Bicarbonate

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Potassium Chloride  (Slow-K®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Modified release tablets

Avoid unless effervescent tablets or liquid preparation inappropriate (BNF).

Must be swallowed whole with fluid during meals whilst sitting or standing.
 
Potassium dihydrogen phosphate

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ringer's Solution for Injection

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sandocal-1000®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Selenium  (Selenium-ACE®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Tablets
 
Sevelamer Carbonate  (Renvela®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Sodium Chloride 30% oral

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Dichloroacetate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Trientine Dihydrochloride

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamin B complex preparations  (Vigranon B®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamins A and D  (Halycitrol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamins A C and D

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamins C, D and folic acid

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zinc Acetate  (Wilzin®)

View adult BNF View SPC online View childrens BNF Track Changes
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

Drugs designated amber are suitable for shared care arrangements under a shared care protocol. Prescribing may be transferred from secondary to primary care once the patient is stabilised and agreed shared care arrangements have been established. Alternatively primary care may initiate under the supervision of secondary care if this option is given in the shared care document. It is recommended that shared care arrangements should be drawn up following local discussion and agreement by prescribing parties.   

Black

These products have been reviewed by the GM Joint Formulary Group and have been deemed not suitable for prescribing for adults in primary or secondary care within Greater Manchester. These decisions have been made on the basis of safety, efficacy and cost-effectiveness of the products.  

Green

Not used   

Green 1

Drugs designated green1 are suitable for initiation and ongoing prescribing within primary care.   

Green 2

Drugs designated green2 can be initiated by primary care following written or verbal advice from a specialist and then be subsequently safely prescribed in primary care with little or no monitoring required.  

Green 3

Drugs designated green3 are suitable for on-going prescribing within primary care after specialist initiation and an initial review (unless specified) in secondary care. Little or no monitoring is required.  

Grey

Not suitable for routine prescribing but may be suitable for a defined patient population. Whilst prescribers should think very carefully before prescribing or recommending any of the products on the grey list, there may be exceptional instances when the use of one of these products is necessary for a particular patient.   

Red

Drugs designated red are considered to be specialist medicines and prescribing responsibility for these medicines should normally remain with the consultant or specialist clinician. These drugs should not be initiated or prescribed in primary care. It is recommended that the supply of these specialist medicines should be organised via the hospital pharmacy, this may include arranging for supply via a home care company.   

netFormulary