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East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
Notes:

The guideline for 'Appropriate prescribing of Oral Nutritional Supplements (ONS) in the treatment of Adult Malnutrition in primary care' can be accessed on netFormulary via this link

Joint Staffordshire CCG's Statement Regarding ONS in Primary Care.

Staffordshire and Stoke-on-Trent CCG's recommend in all cases of Malnutrition:

1. Appropriate nutritional assessment should be undertaken to assess risk in all patients.

2. Food fortification or over-the-counter nutritional supplements should be advised as firt-line treatment in patients with low/medium nutritional risk.

3. For patients at high risk (or those who fail to achieve the target MUST scores after first-line treatment) should be considered for ONS supplements or dietetic referral as detailed in the guidelines.

 Details...
09.06.04  Expand sub section  Vitamin D
Alfacalcidol (One-Alpha)
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Formulary
Green
Alfacalcidol_Cap 1mcg
Alfacalcidol_Cap 250ng
Alfacalcidol_Cap 500ng
Alfacalcidol_Dps 5mcg/ml
 
   
Colecalciferol
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Formulary
Green
Colecalciferol Capsule 800u
Colecalciferol Tablet 800u
 
   
Ergocalciferol (Calfovit D3)
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Formulary
Green
Calfovit D3_Pdr Sach 3.1g/800u 
   
09.06.04  Expand sub section  Vitamin D with Calcium
Calci-D (calcium and colecalciferol)
(ONCE daily chewable preparation)
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First Choice
Green
CALCI-D 1000 mg /1000 IU chewable tablets
Note dose is 1 tablet chewed or sucked ONCE daily, advisabable to take with evening meal.
In pregnant women 1/2 a tablet a day (tablets are scored)
Preferred formulary choice for calcium and vitamin D preparation 
Colecalciferol and Calcium Carbonate (Adcal-D3)
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Second Choice
Green
Adcal-D3_Capl 750mg/200u

Only caplets are formulary and for use where chewable Calci-D tablets not tolerated .
Where a chewable preparation is suitable use Calci-D 
   
Colecalciferol (Adcal-D3)
(Dispersible)
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Formulary
Green
Adcal-D3_Dissolve Tab Eff 1.5g/400u(Lem)

Dispersible preparations are more expensive and are reserved for patients with swallowing difficulties

 
   
 ....
 Non Formulary Items
Calcitriol

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Non Formulary
 
Calcitriol  (Calcijex®)

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Non Formulary
 
Calcitriol  (Rocaltrol®)

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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
 
Colecalciferol  (Accrete 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 Adcal-D3_chewable 1500mg/400u (Tutti frutti and Lemon)

non formulary as where a chewable preparation is suitable for use Calci-D chewable tablest are preferred which is a once daily preparation.

Adcal is reserved for where a chewable tablets have not been tolerated and a swallowable caplet preparation is preferable.
 
Colecalciferol and Calcium Carbonate  (Calcichew-D3 Forte)

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Non Formulary
 
Dihydrotachysterol  (AT 10®)

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Non Formulary
 
Ergocalciferol

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Non Formulary
 
Ergocalciferol  (Calceos®)

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Non Formulary
 
Paricalcitol  (Zemplar)

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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

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

netFormulary