BNF Chapter 9

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Nutrition & Blood

BLOOD & BLOOD-FORMING ORGANS
1 Anaemias
1.1 Hypoplastic, haemolytic & renal anaemias
EPOETINSNOTES
EPOETIN BETANEO-RECORMON Pre-filled syringes 500Units, 1000Units, 2000Units, 3000Units, 4000Units, 10,000Units, 20,000Units & 30,000Units.
1.1 Iron deficiency anaemia
MHRA Risk Management of IV Iron Hypersensitivity Reactions (2014)

SASH Iron Deficiency Anaemia and IV Iron guideline in Adults (2019)

MONOFER

(IRON ISOMALTOSIDE 1000)

MONOFER 100mg/ml, 500mg/5mg, 1g/10ml vials1st line for adults requiring IV administration

APC traffic light status: RED

FERINJECT

(FERRIC CARBOXYMALTOSE) 

FERINJECT 100mg/2ml, 1g/10ml, 2g/20ml vials
2nd line for adults requiring IV iron administration.1st line for maternity and paediatric patients requiring IV iron administration.Ferinject Administration GuideAPC traffic light status: RED
VENOFER

(IRON SUCROSE)

Venofer 20mg/ml, 5ml vials)
NICE Quality Standards (Anaemia)
MHRA Risk Management of IV Iron Hypersensitivity Reactions

VENOFER is restricted to paediatrics
and as an alternative for adult patients unable to take Monofer or Ferinject
APC traffic light status: RED
ORAL IRONNOTES
SASH Iron Deficiency Anaemia and IV Iron guideline in Adults (2019)

Iron content of different iron salts
Iron saltcontent of ferrous iron
Ferrous fumarate 210mg68mg
ferrous fumarate 140mg/5ml45mg/5ml
Ferrous gluconate 300mg35mg
Ferrous sulphate 200mg65mg

 

 

FERROUS FUMARATETablets 210mg, 322mg

Syrup 140mg in 5ml

FERROUS GLUCONATETablets 300mg
FERROUS SULPHATETablets 200mg
SODIUM FEREDETATE (Sytron)Elixir 190mg in 5ml (27.5mg ferrous iron in 5ml)
FERROUS FUMARATE + FOLIC ACIDPREGADAY (equiv) 100mg Fe / 350 micrograms folic acid.
1.3 Megaloblastic anaemia
VITAMINS & TRACE ELEMENTS – FolatesNOTES
FOLIC ACID Tablets 5mg

Syrup 2.5mg in 5ml

VITAMINS & TRACE ELEMENTS – Vitamin B groupNOTES
CYANOCOBALAMINTablets 50 micrograms
HYDROXOCOBALAMINInjection 1mg in 1mlHydroxocobalamin is the vitamin B12 of choice for therapy
2 Iron Overload
ANTIDOTES & CHELATORS – iron chelatorsNOTES
DESFERRIOXAMINE MESILATEInjection 500mgAPC traffic light status: RED
DEFERIPRONE Tablets 500mgRESTRICTED Use.
HAEMATOLOGY OnlyAPC traffic light status: RED
3 Neutropenia & Stem Cell Mobilisation
3.1 Neutopenia
IMMUNOSTIMULANTS – Granulocyte-colony stimulating factorsNOTES
FILGRASTIM (NIVESTIM)Pre-filled syringe 300 micrograms, 480 microgramsFilgrastim switch policy

Filgrastim switch poster for nurses

Filgrastim patient information

paediatric filgrastim guideline Jan 2017

APC traffic light status: RED

4 Platelet Disorders
ANTIHAEMORRHAGICS – Thrombopoietin receptor agonistsNOTES
ELTROMBOPAG 25mg & 50mg Tablets [Revolade]RESTRICTED HAEMATOLOGY Only [CCG Funded PBrE]

NICE TA293: Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura

Surrey ITP Pathway PCN statement: Eltrombopag for Aplastic Anaemia

APC traffic light status: RED

LUSUTROMBOPAG3mg TabletsRESTRICTED HAEMATOLOGY Only [CCG Funded PBrE]

NICE TA617: Lusutrombopag for treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure

APC Policy statement – Lusutrombopag for treating thrombocytopenia

APC traffic light status: RED

ROMIPLOSTIM 250 microgram vial [Nplate S/C Injection]
(powder for reconstitution)
RESTRICTED HAEMATOLOGY Only [CCG Funded PBrE]

NICE TA221:Romiplostim for the treatment of chronic immune (idiopathic) thrombocytopenic purpura 

Surrey ITP Pathway

APC traffic light status: RED

NUTRITION & METABOLIC DISORDERS
1 Fluid & Electrolyte Imbalances
BICARBONATENOTES
SODIUM BICARBONATECapsules 500mg

Tablets 600mg

4.2%, 8.4%  Injection 10ml

1.26%, Polyfusor 500ml
8.4% Polyfusor 200ml

ELECTROLYTES & MINERALS – PotassiumNOTES
POTASSIUM CHLORIDE  + POTASSIUM BICARBONATESANDO-K Effervescent Tablets (12mmol potassium per tablet)
POTASSIUM CHLORIDEKay-Cee-L Syrup (1mmol/ml potassium)
ELECTROLYTES & MINERALS – SodiumNOTES
SODIUM CHLORIDE600 mg Sustained Release Tablets
(SLOW SODIUM, 10mmol Na+)
ELECTROLYTES & MINERALS – Oral rehydration saltsNOTES
DISODIUM HYDROGEN CITRATE + GLUCOSE + POTASSIUM CHLORIDE + SODIUM CHLORIDEDIORALYTE Sachets (Regular)
POTASSIUM CHLORIDE  + SODIUM CHLORIDE + CODIUM CITRATE with rice powderDIORALYTE RELIEF Sachets (Blackcurrant).
1.1 Calcium Imbalance
1.1a Hypercalcaemia & hypercaluria
CALCIUM REGULATING DRUGS – Bone resorption inhibitorsNOTES
CINACALCETTablets
30mg, 60mg & 90mg
APC traffic light status: RED
1.1b Hypocalaemia
ELECTROLYTES & MINERALS – CalciumNOTES
CALCIUM GLUCONATE10 % Injection
 CALCIUM CHLORIDE10mmol in 10ml Injection
CALCIUM CARBONATEADCAL Chewable tablets  (containing 600mg calcium)

CACIT Dispersible tablets (containing 500mg calcium)

CALCIUM CARBONATE + CALCIUM LACTATE GLUCONATESANDOCAL-1000 Effervescent tablets (containing 1000mg calcium).
1.2 Low Blood Volume
PLASMA SUBSTITUTESNOTES
GELATINGELOFUSIN 4% Infusion.
1.3a Hypomagnesaemia
ELECTROLYTES & MINERALS – MagnesiumNOTES

SaSH Hypomagnesaemia Guideline

MAGNESIUM ASPARTATEMagnaspartate 10mmol sachetsLicensed oral preparation suitable for use in adults and children from 2 years upwards
MAGNESIUM GLYCEROPHOSPHATETablets 4mmolUnlicensed. For use in children under 2 years of age
MAGNESIUM SULPHATE50% Injection (20mmol of Mg and Sulphate ions in 10ml).
1.4 Phosphate Imbalance
1.4a Hyperphosphataemia
ELECTROLYTES & MINERALS – Phosphate bindersNOTES
ALUMINIUM HYDROXIDE475 mg Capsules
CALCIUM CARBONATE1.5g CaCO3 (600mg Ca) Chewable Tablets (ADCAL).
1.4b Hypophosphataemia
PHOSPHATE SUPPLEMENTSNOTES
PHOSPHATEPhosphate Sandoz 16.1mmol Dispersible Tablets.
1.5 Potassium Imbalance
1.5a Hyperkalaemia
ANTIDOTES & CHELATORS – Cation exchange resinsNOTES
(CALCIUM POLYSTYRENE-SULPHONATE) CALCIUM RESONIUM 300g Powder potSaSH Hyperkalaemia guideline 
SODIUM ZIRCONIUM CYCLOSILICATE5g, 10g powder sachetsNICE TA599: Sodium zirconium cyclosilicate for treating hyperkalaemia

APC Policy statement: Sodium zirconium cyclosilicate TA599

APC traffic light status: RED

PATIROMER8.4g powder sachetsNICE TA623: Patiromer for treating hyperkalaemia
1.5b Hypokalaemia
ELECTROLYTES & MINERALS – PotassiumNOTES
POTASSSIUM CHLORIDE15% Injection (20mmol K+ in 10ml)This preparation is a Controlled Drug within the SASH Trust
POTASSIUM CHLORIDE  + POTASSIUM BICARBONATESANDO-K Effervescent Tablets (12mmol potassium per tablet)
POTASSIUM CHLORIDEKay-Cee-L Syrup (1mmol/ml potassium).
2 Metabolic Disorders
METABOLIC DISEASE – WILSONS/GAUCHERS/CARNITINE DEFICIENCYNOTES
PENICILLAMINE125mg Tablets
CARNITOR PAEDIATRIC30 % Solution (3g/10ml)
SODIUM  BENZOATE2g in 10ml injectionUNLICENSED MEDICINE

ON ADVICE OF TERTIARY CENTRE ONLY

3 Mineral & Trace Elements Deficiencies
3.2 Zinc Definciency
ELECTROLYTES & MINERALS – ZincNOTES
ZINC SULPHATE125mg (45mg Zn) Effervescent Tablets 

 

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4 Nutrition (intravenous)
Important Info
Intralipid 20%For the management of severe systemic local anaesthetic toxicity ONLY. It is advised that clinicians discuss all cases with ‘National Poisons Information Service’ before administering intralipid.

NOT FOR USE AS PARENTERAL NUTRITUION

5 Nutrition (oral)
Feeds should not be prescribed on TTO’s unless on the instruction of a dietitian
BUILD-UP (Flavoured)SachetNot kept in pharmacy
Ordered from kitchens via dietitian
Child Enteral Feeds: Less than 1kcal/ml &  less than 4g protein/100ml
NUTRINI LOW ENERGY MULTIFIBRELiquid tube feedACBS: Disease related malnutrition, intractable malabsorption,  growth failure, pre-operative preparation of malnourished patients, dysphagia, short bowel syndrome, bowel fistula

Gluten free, residual lactose, contains fish oil

PEPTI JUNIORPowderACBS: Disaccharide and/or whole protein intolerance, or where amino acids and peptides are indicated in conjunction with medium chain triglycerides.

Residual lactose, Contains fish oil

Child Enteral Feeds: 1kcal/ml &  less than 4g protein/100ml
FREBINI ORIGINAL FIBRELiquid (tube feed) BagACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 1-10 years, body weight 8-30kg

Gluten free, residual lactose, contains fish oil & fish gelatin

FREBINI ORIGINALLiquid (tube feed) Bag
INFATRINILiquid sip or tube feedACBS: Failure to thrive, disease related malnutrition and malabsorption in child from birth up to body weight 8kg

Gluten free, contains fish oil

NEOCATE ADVANCEPowderACBS: Proven whole protein intolerance, short bowel syndrome, intractable malabsorption, or other gastro-intestinal disorders where an elemental diet is indicated.

Milk protein-free

NUTRINI LiquidLiquid (tube feed) BagACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 1-6 years, body weight 8-20kg

Gluten free, residual lactose, contains fish oil

PAEDIASURE LiquidLiquid sip or tube feedACBS: In child 1-10year weighing 8-30kg: Disease related malnutrition, intractable malabsorption,  growth failure, pre-operative preparation of malnourished patients, dysphagia, short bowel syndrome, bowel fistula

Gluten free, residual lactose

PAEDIASURE FIBRE LiquidLiquid sip or tube feed
TENTRINI LiquidACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 7-12 years body weight 21-45kg

Gluten free, residual lactose, contains fish oil

TENTRINI MULTI-FIBRE Liquid
Child Enteral Feeds: More than 1kcal/ml &  less than 4g protein/100ml
FREBINI ENERGYLiquid sip feedACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 1-6 years weighing 8-20kg

Gluten free, residual lactose

FREBINI ENERGY FIBRELiquid tube feedACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 1-10 years weighing 8-30kg

Gluten free, residual lactose, contains fish oil & fish gelatin

FREBINI ENERGY FIBRE Drink200ml Sip FeedACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 1-10 years weighing 8-30kg

Gluten free, residual lactose

Child Enteral Feeds: 1.5kcal/ml &  more than 4g protein/100ml
NUTRINI ENERGYLiquid tube feedACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 1-6 years weighing 8-20kg

Gluten free, residual lactose, contains fish oil

PAEDIASURE PLUSLiquid sip or tube feedACBS: Child 1-10years weight 8-30kgDisease related malnutrition, intractable malabsorption,  growth failure, pre-operative preparation of malnourished patients, dysphagia, short bowel syndrome, bowel fistula

Gluten free, residual lactose

PAEDIASURE PLUS FIBRELiquid sip or tube feed
TENTRINI ENERGYLiquid tube feedACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failure in child 7-12 years weight 21-45kg
TENTRINI ENERGY MULTI-FIBRELiquid tube feedACBS: Disease related malnutrition, intractable malabsorption,  growth failure, pre-operative preparation of malnourished patients, dysphagia, short bowel syndrome, bowel fistula, proven inflammatory bowel disease in child 7-12 years wight 21-45kg
Specialised formulas: Infant & child: Amino acid-based formula
NEOCATE LPCPowderACBS: Cow’s milk allergy, multiple food protein intolerance, conditions requiring an elemental diet
Specialised formulas: Infant & child: Hydrolysate formula
NUTRAMIGEN 1PowderACBS: Dietary management of cow’s milk allergy with or without lactose intolerance

residual lactose

NUTRAMIGEN 2PowderACBS: Dietary management of cow’s milk allergy with or without lactose intolerance

gluten free, residual lactose

PEPDITEPowderACBS: Disaccharide and/or whole protein intolerance

lactose free, contains meat (pork) and soya derivatives

PEPDITE 1+ (Was Pepdite 2+)PowderACBS: Disaccharide and/or whole protein intolerance, or where amino acids or peptides are indicated in conjunction with medium chain triglycerides

lactose free, contains meat (pork) and soya derivatives

(Was Pepdite 2+)

PREGESTIMILPowderACBS: Disaccharide and/or whole protein intolerance, or where amino acids or peptides are indicated in conjunction with medium chain triglycerides

gluten free, lactose free

Specialised formulas: Infant & child: Residual lactose formula
SMA HIGH ENERGY SMA LF  (lactose free)LiquidACBS: Proven lactose intolerance

Residual lactose

Specialised formulas: Infant & child: MCT-enhanced formula
PEPDITE MCTPowderACBS: Disorders in which high intake of MCT is beneficial

gluten free, lactose free, contains meat (pork) and soya derivatives

PEPDITE MCT (1+)Powder
Specialised formulas: Infant & child: Soya based formula
WYSOYPowderACBS: Proven lactose and associated sucrose intolerance in pre-school children, galactokinase deficiency, galactosaemia, proven cow’s milk sensitivity

lactose free

Specialised formulas: Infant & child: Pre-thickened infant feeds
ENFAMIL ARPowderACBS: significant gastro-oesophageal reflux

contains lactose, pregelatinatised glucose

CAROBEL (Instant)Powderthickening feeds in the treatment of vomiting
SMA STAYDOWNPowder
Enteral Feeds: 1kcal/ml &  less than 5g protein/100ml
NUTRISON LOW SODIUMLiquidRestricted for ITU.
All other wards on DIETITIAN request only
FRESUBIN ORGINAL FIBRELiquid (tube feed) BagACBS: Disease related malnutrition, intractable malabsorption, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome

Gluten free, residual lactose, contains fish oil

FRESUBIN ORIGINALLiquid (tube feed) BagACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula

Gluten free, residual lactose, contains fish gelatin. Feed in flexible pack contains fish oil & fish gelatin

NUTRISON SOYA LiquidRestricted for ITU.
All other wards on DIETITIAN request onlyACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, cows milk & lactose intoleranceGluten free, residual lactose, milk protein free
SURVIMED OPDLiquidRestricted for ITU
All other wards on DIETITIAN request onlyACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, growth failureGluten free, residual lactose, contains fish oil
Enteral Feeds: Less than 1kcal/ml &  less than 5g protein/100ml
ELEMENTAL 028 EXTRASachets, LiquidRestricted DIETITIAN request only

ACBS: short bowel syndrome, intractable malabsorption, proven inflammatory bowel disease, bowel fistula

Enteral Feeds: 1.5kcal/ml &  5g (or more) protein/100ml
FRESUBIN ENERGY FIBRELiquid (tube feed) BagACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula

Gluten free, residual lactose, contains fish oil & fish gelatin

FRESUBIN ENERGY Neutral flavourLiquid (tube feed) Bag
FRESUBIN ENERGY Drink200ml Sip FeedACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula

Gluten free, residual lactose, contains fish oil

FRESUBIN HP EnergyLiquid tube feedRestricted DIETITIAN request only

ACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, CAPD, haemodyalysis

Gluten free, residual lactose, contains fish oil & fish gelatin

Enteral Feeds: More than 1.5kcal/ml &  5g (or more) protein/100ml
FRESUBIN 2kcalCreme
Enteral Feeds: Less than 1.5kcal/ml &  5g (or more) protein/100ml
FRESUBIN 1000 COMPLETELiquid (tube feed) BagRestricted DIETITIAN request only

ACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula

Gluten free, residual lactose, contains fish oil

FRESUBIN 1200 COMPLETELiquid (tube feed) Bag
FRESUBIN 1800 CompleteLiquid (tube feed) Bag
Nutritional Supplements: More than 1kcal/ml & less than 5g protein/100ml
FRESUBIN JUICY Sip FeedsACBS: Disease related malnutrition, intractable malabsorption, pre-operative preparation of malnourished patients, dysphagia, proven inflammatory bowel disease, following total gastrectomy, short bowel syndrome, bowel fistula, CAPD, haemodyalysis

Gluten free, residual lactose

Specialised formulas for specific clinical conditions
MODULEN IBD400g CanRestricted DIETITIAN request only

Crohn’s disease active phase, and in remission if malnourished

Gluten free, residual lactose

NEPRO LiquidRestricted for ITU.
All other wards on DIETITIAN request onlyACBS: chronic renal failure who are on haemodialysis or CAPD, or with cirrhosis, or other conditions requiring a high energy, low fluid, low electrolyte dietGluten free, residual lactose
High-energy supplements: carbohydrate
MAXIJUL SUPER SOLUBLEPowderACBS: disease related malnutrition, malabsorption states or other conditions requiring fortification with a high or readily available carbohydrate supplement.

Gluten free, lactose free

MAXIJULOrange Flavour LiquidRestricted for ITU.
All other wards on DIETITIAN request only
High-energy supplements: fat
LIQUIGENEmulsionRestricted DIETITIAN request only

ACBS: Steatorrhoea associated with cystic fibrosis of the pancreas, intestinal lymphangiectasia, intestinal surgery, chronic liver disease, liver cirrhosis, other proven malabsorption syndromes, ketogenic diet in epilepsy, and in type 1 lipoproteinaemia

Gluten free, lactose free

fat & carbohydrate
DUOCAL SUPER SOLUBLEPowderACBS: disease related malnutrition, malabsorption states or other conditions requiring fortification with a high fat (or fat & carbohydrate) supplement.
High-energy supplements: protein
protein
Prosource TF Liquid45ml sachetRestricted to ITU on dietitian advice

ACBS: Biochemically proven hypoproteinaemia

Gluten free,  lactose free, contains beef derivatives

Gluten free, lactose free, contains beef derivatives
protein & carbohydrate
FRESUBIN INTENSIVE500mlHigh protein feed

RESTRICTED to ICU only

DIETITIAN Recommendation only

protein, fat & carbohydrate
CALSHAKEsachetsACBS: disease related malnutrition, malabsorption states or other conditions requiring fortification with a fat/carbohydrate supplement.

Gluten free, contains lactose

Various Flavours Oral Powder Banana, Chocolate, Strawberry, Vanilla

SCANDISHAKE85g sachetsACBS: Disease-related malnutrition, malabsorption states, or other conditions requiring fortification with a high fat or carbohydrate (with protein) supplement.

Gluten free, contains lactose

Various flavours Oral Powders
Banana, Caramel, Chocolate, Strawberry, Vanilla

Vitamin & mineral supplements
PAEDIATRIC SERAVIT200g PowderACBS: Vitamin, mineral & trace element supplement in infants & children with restrictive therapeutic diets.
Feed thickeners & pre-thickened drinks
RESOURCE THICKENUP CLEARPowder1st line food/drink thickening agent
THICK AND EASYPowderReserved for small specific groups
(i.e. paediatrics, patients allergic to Resource)
6 Vitamin Deficiency
VITAMINS & TRACE ELEMENTS – MultivitaminsNOTES
VITAMINS A & D4000units / 400units Capsules
 Multivitamins & MineralsCENTRUM ADVANCE TabletRESTRICTED – Dietitian Recommendation Only
For in-patient use ONLY (Not for TTOs)
For oral use ONLY (Not for PEG, not for NG, do NOT crush)APC Traffic light status: RED
MULTIVITAMIN BPTablets
MULTIVITAMIN(Dalavit) Oral Drops (25ml).
VITAMINS & TRACE ELEMENTS – Vitamin BNOTES
PYRIDOXINE HYDROCHLORIDE (vitamin B6)10 mg, 50mg Tablets
THIAMINE (vitamin B1)50 mg, 100mg Tablets
VITAMIN B SUBSTANCES + ASCORBIC ACIDPABRINEX IM High Potency Injection,

PABRINEX IV High Potency Injection

VITAMIN B COMPOUND STRONGTabletsAPC Policy Statement: Vitamin B co strong for alcohol consumption

Alcohol consumption APC traffic light status: GREEN

Refeeding APC traffic light status: RED

VITAMINS with MINERALS and TRACE ELEMENTSKETOVITE Tablets

 

 

KETOVITE Liquid

Biotin 170micrograms, folic acid 250micrograms, pyridoxine hydrochloride 330micrograms, actomenaphthone 1mg, calcium pantothenate 1.16mg, nicotinamide 3.3mg, alpha tocopheryl acetate 5mg, ascorbic acid 16.6mg, inositol 50mg

 

Cyanocobalamin 2.5micrograms, choline chloride 30mg, ergocalciferol 80units, vitamin A 500units / 1ml

VITAMINS & TRACE ELEMENTS – Vitamin CNOTES
ASCORBIC ACID50mg, 200mg & 500 mg Tablets

1000mg Effervescent Tablets

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VITAMINS & TRACE ELEMENTS – Vitamin D & AnalogiesNOTES
APC Guideline Prevention, Investigation and Treatment of Vitamin D Deficiency and Insufficiency in Adults
ALFACALCIDOL250 nanogram, 1 microgram Capsules

2 microgram in 1ml Oral Drops

NPSA Alert Alfacalcidol

 

CALCITRIOL0.25 microgram,  0.5 microgram CapsulesDOH Guidance Letter on VITAMIN DVitamin D Guidelines (KSS-HPSU)

APC traffic light staus: GREEN

CHOLECALCIFEROL (vitamin D3)Capsules (Fultium D3) 800 units, 3200 units – daily dosing

Tablets (Stexerol) 25000 units – weekly dosing

Oral Solution 3000 units/ml

DOH Guidance Letter on VITAMIN DVitamin D Guidelines (KSS-HPSU)
CHOLECALCIFEROL + CALCIUM CARBONATEADCAL D3 DISSPERSIBLE/CHEWTABS: 400 units + 1.5g (15mmol Ca)

ADCAL D3 CAPLETS: 200 units + 750mg (7.5mmol Ca)

CACIT D3 Effervescent Granule Sachets: 440 units + 1.25g (12.6mmol Ca) 

CALCIUM & ERGOCALCIFEROL400units + 2.4mmol Ca Tablets
ERGOCALCIFEROL (Vitamin D2)300,000 units/ml oily injection for IMSUPPLY/SHORTAGE ISSUESDOH Guidance Letter on VITAMIN DVitamin D Guidelines (KSS-HPSU)
VITAMINS & TRACE ELEMENTS – Vitamin ENOTES
ALPHA TOCOPHERYL ACETATE500 mg in 5ml Suspension.
VITAMINS & TRACE ELEMENTS – Vitamin KNOTES
MENADIOL SODIUM PHOSPHATE10 mg TabletsUnlicensed medicine
PHYTOMENADIONE10 mg Tablets

KONAKION: 1mg in 0.5ml Injection

KONAKION MM: 10mg in 1ml Injection

KONAKION MM PAEDIATRIC: 2mg in 0.2ml Injection

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