BNF Section 9: NUTRITION AND BLOOD

 

 

 

 

Section 9.1      Anaemias and some other blood disorders

Section 9.2      Fluids and electrolytes  

 

Section 9.3      Intravenous nutrition

 

Section 9.4      Oral nutrition

 

Section 9.5      Minerals

 

Section 9.6      Vitamins

 

Section 9.7      Bitters and tonics

 

Section 9.8      Metabolic disorders

 

 

 

 

 

 

 

 

 

BNF Section 9.1: ANAEMIAS AND SOME OTHER BLOOD

DISORDERS

 

 

Top of section

 

 

Iron-deficiency anaemias

 

 

Oral iron

 

 

FERROUS SULPHATE

FERROUS SULPHATE 200mg tablets                

 

FERROUS SULPHATE 325mg M/R tablets (Ferrograd®)         

 

FERROUS SULPHATE 200mg tablets (28)     

TTO pack

 

 

SODIUM FEREDETATE

SODIUM FEREDETATE 190mg/5ml sugar-free oral liquid

27.5mg iron/5ml

 

 

FERROUS FUMARATE

FERROUS FUMARATE 210mg tablets                   

 

FERROUS FUMARATE 305mg capsules                  

 

FERROUS FUMARATE 140mg/5ml sugar-free oral liquid      

 

 

 

FERROUS GLUCONATE

FERROUS GLUCONATE 300mg tablets                        

 

 

 

 

 

Parenteral iron

 

 

IRON ISOMALTOSIDE 1000

IRON (AS IRON ISOMALTOSIDE 1000) 100 mg/mL, Injection,1-mL vial (Monofer®)           

 

 

 

 

 

Drugs used in megaloblastic anaemias

 

 

CYANOCOBALAMIN

CYANOCOBALAMIN 1mg/1ml injection                       

Restricted: Haematology (Schilling test)

 

 

HYDROXOCOBALAMIN

HYDROXOCOBALAMIN 1mg/1ml injection                     

 

 

 

FOLIC ACID

FOLIC ACID 400microgram tablets                        

Prevention of neural tube defects

FOLIC ACID 5mg tablets                                 

 

FOLIC ACID 2.5mg/5ml sugar-free oral liquid             

 

 

 

 

 

Drugs used in hypoplastic, haemolytic and renal anaemias

 

 

Erythropoietins

 

 

DARBEPOETIN ALFA

DARBEPOETIN ALFA 500microgram/1ml syringe              

Restricted: Haematology

 

 

EPOETIN ALFA

EPOETIN ALFA (EPREX) 1,000units/0.5mL SYRINGE          

Eprex®

Restricted:

Haematology/Renal

EPOETIN ALFA (EPREX) 10,000units/1mL SYRINGE           

EPOETIN ALFA (EPREX) 2,000units/0.5mL SYRINGE          

EPOETIN ALFA (EPREX) 20,000units/0.5mL SYRINGE         

EPOETIN ALFA (EPREX) 3,000units/0.3mL SYRINGE          

EPOETIN ALFA (EPREX) 30,000units/0.75mL SYRINGE        

EPOETIN ALFA (EPREX) 4,000units/0.4mL SYRINGE          

EPOETIN ALFA (EPREX) 40,000units/1mL SYRINGE           

EPOETIN ALFA (EPREX) 5,000units/0.5mL SYRINGE          

 

 

EPOETIN BETA

EPOETIN BETA 500units/0.3ml syringe

Neorecormon®

Restricted:

Haematology/Renal

EPOETIN BETA 2,000units/0.3ml syringe

EPOETIN BETA 3,000units/0.3ml syringe 

EPOETIN BETA 4,000units/0.3ml syringe

EPOETIN BETA 5,000units/0.3ml syringe

EPOETIN BETA 6,000units/0.3ml syringe 

EPOETIN BETA 10,000units/0.6ml syringe

EPOETIN BETA 20,000units/0.6ml syringe

EPOETIN BETA 30,000units/0.6ml syringe 

 

 

 

 

Sickle cell disease

 

 

HYDROXYCARBAMIDE

HYDROXYCARBAMIDE 500mg capsules                        

Restricted: Haematology

 

 

 

 

Iron overload

 

 

DESFERRIOXAMINE                      

DESFERRIOXAMINE 500mg injection

 

DESFERRIOXAMINE INFUSION Various Strengths (PREPARED DOSE)                         

Restricted: Haematology

 

 

 

 

Drugs used in platelet disorders

 

 

Idiopathic thrombocytopenic purpura

 

 

ELTROMBOPAG

ELTROMBOPAG (AS OLAMINE) 25 mg Tablets, film coated (Revolade®)

Restricted: Haematology

ELTROMBOPAG (AS OLAMINE) 50 mg Tablets, film coated (Revolade®)

 

 

 

ROMIPLOSTIM

ROMIPLOSTIM 250microgram injection                       

Restricted: Haematology

 

 

 

 

 

Essential thrombocythaemia

 

 

ANAGRELIDE

ANAGRELIDE 500microgram capsules                       

Restricted: Haematology

 

 

 

 

Drugs used in neutropenia

 

 

FILGRASTIM

FILGRASTIM 300microgram/0.5ml (30MU) syringe           

Prescribe filgrastim generically.

FILGRASTIM 480microgram/0.8ml (48MU) syringe         

FILGRASTIM 300microgram/1ml (30MU) vial (Neupogen®)            

Neupogen® brand restricted to paediatrics only

FILGRASTIM 300microgram/0.5ml (30MU) syringe (Neupogen®) 

FILGRASTIM 480microgram/0.5ml (48MU) syringe  (Neupogen®)      

 

 

PEGFILGRASTIM

PEGFILGRASTIM 6mg Pre-Filled Syringe Neulasta®

Restricted: Haematology in line with appropriate protocols

 

 

 

 

 

 

 

BNF Section 9.2: FLUIDS AND ELECTROLYTES

 

Top of section

 

 

Oral preparations for fluid and electrolyte imbalance

 

 

Oral potassium

 

 

POTASSIUM CHLORIDE

POTASSIUM CHLORIDE effervescent tablets (Sando)  

 

POTASSIUM CHLORIDE 600mg M/R tablets (Slow-K®)                  

Tablets are large and can cause oesophageal burns if not swallowed properly. Patient must be in an upright position and able to take with meals and a full glass of water

POTASSIUM CHLORIDE 1mmol/1ml oral liquid   

 

(Kay-Cee-L®)

 

 

 

 

 

Management of hyperkalaemia

 

 

POLYSTYRENE SULPHONATE RESINS

CALCIUM POLYSTYRENE SULPHONATE powder

 

(Calcium Resonium®)

 

 

 

 

 

Oral sodium and water

 

 

SODIUM CHLORIDE

SODIUM CHLORIDE 600mg M/R tablets                      

 

SODIUM CHLORIDE 5mmol/1ml oral liquid                  

 

 

 

 

 

Oral rehydration therapy (ORT)

 

 

ORAL REHYDRATION SALTS (ORS)

Dioralyte® oral powder (natural)                           

 

Dioralyte® oral powder (blackcurrant)

Restricted: Paediatrics

 

 

 

 

Oral bicarbonate

 

 

SODIUM BICARBONATE

SODIUM BICARBONATE 500mg capsules

 

 

 

 

 

Parenteral preparations for fluid and electrolyte imbalance

 

 

Intravenous sodium

 

 

SODIUM CHLORIDE

SODIUM CHLORIDE 0.18% infusion (Polyfusor® 500ml)

Polyfusor

SODIUM CHLORIDE 0.45% infusion (500ml)                 

IV infusion bags

SODIUM CHLORIDE 0.9% infusion (50ml)                   

SODIUM CHLORIDE 0.9% infusion (100ml)                  

SODIUM CHLORIDE 0.9% infusion (250ml)                  

SODIUM CHLORIDE 0.9% infusion (500ml)                  

SODIUM CHLORIDE 0.9% infusion (1000ml)                     

SODIUM CHLORIDE 0.9% injection (5ml)

Ampoules

SODIUM CHLORIDE 0.9% injection (10ml)

SODIUM CHLORIDE 1.8% infusion (Polyfusor® 500ml)

Polyfusor

SODIUM CHLORIDE 2.7% infusion (500ml)                  

IV infusion bag

SODIUM CHLORIDE 30% (3g/10ml) injection

Ampoule

 

 

 

 

Intravenous glucose

 

 

GLUCOSE

GLUCOSE 5% infusion (50ml)                             

IV infusion bags

GLUCOSE 5% infusion (250ml)                            

GLUCOSE 5% infusion (500ml)                            

GLUCOSE 5% infusion (1000ml)                                

GLUCOSE 10% infusion (1000ml)                              

GLUCOSE 10% infusion (500ml)                           

GLUCOSE 20% injection (100ml)

GLUCOSE 20% infusion (500ml)                          

GLUCOSE 50% injection (20ml)                 

Ampoules

GLUCOSE 50% injection (50ml)                           

GLUCOSE 50% prefilled syringe (50ml)                   

syringe

GLUCOSE 50% infusion (500ml)                           

IV infusion bag

 

 

 

 

Intravenous glucose and sodium chloride

 

 

GLUCOSE/SODIUM CHLORIDE

GLUCOSE 4%, SODIUM CHLORIDE 0.18% infusion (500ml)

IV infusion bags

GLUCOSE 4%, SODIUM CHLORIDE 0.18% infusion (1000ml)

GLUCOSE 5%, SODIUM CHLORIDE 0.9% infusion (500ml)

Restricted: Paediatrics

 

 

 

 

Intravenous infusions containing potassium

 

 

0.15% potassium chloride provides 20mmol K+/litre

0.3% potassium chloride provides 40mmol K+/litre

 

 

500ml bags containing 10mmol potassium

 

 

POTASSIUM 10mmol / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.15%, SODIUM CHLORIDE 0.9% infusion (500ml)     

 

 

 

 

POTASSIUM 10mmol / GLUCOSE

POTASSIUM CHLORIDE 0.15%, GLUCOSE 5% infusion (500ml)  

 

 

 

 

POTASSIUM 10mmol / GLUCOSE / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.15%, GLUCOSE 4%, SODIUM CHLORIDE 0.18% (500ml)  

 

 

POTASSIUM CHLORIDE 0.15%, GLUCOSE 5%, SODIUM CHLORIDE 0.45% (500ml)  

Restricted: Paediatrics

POTASSIUM CHLORIDE 0.15%, GLUCOSE 5%, SODIUM CHLORIDE 0.9% &  infusion (500ml)    

Restricted: Paediatrics

 

 

 

 

500ml bags containing 20mmol potassium

 

 

POTASSIUM 20mmol / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.3%, SODIUM CHLORIDE 0.9% infusion (500ml)

 

 

 

 

POTASSIUM 20mmol / GLUCOSE

POTASSIUM CHLORIDE 0.3%, GLUCOSE 5% infusion (500ml)  

 

 

POTASSIUM CHLORIDE 0.3%, GLUCOSE 10% infusion (500ml)      

 

 

 

 

POTASSIUM 20mmol / GLUCOSE / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.3%, GLUCOSE 5%, SODIUM CHLORIDE 0.45% (500ml)   

Restricted: Paediatrics

POTASSIUM CHLORIDE 0.3%, GLUCOSE 5%, SODIUM CHLORIDE 0.9% infusion (500ml)    

 

 

 

 

1000ml bags containing 20mmol potassium

 

 

POTASSIUM 20mmol / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.15%, SODIUM CHLORIDE 0.9% infusion (1000ml)  

 

 

 

 

POTASSIUM 20mmol / GLUCOSE

POTASSIUM CHLORIDE 0.15%, GLUCOSE 5% infusion (1000ml)

 

 

 

 

POTASSIUM 20mmol / GLUCOSE / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.15% (20mmol), GLUCOSE 4%, SODIUM CHLORIDE 0.18% (1000ml)

 

 

 

 

 

 

1000ml bags containing 40mmol potassium

 

 

POTASSIUM 40mmol / GLUCOSE

POTASSIUM CHLORIDE 0.3%, GLUCOSE 5% infusion (1000ml)

 

 

 

 

POTASSIUM 40mmol / GLUCOSE / SODIUM CHLORIDE

POTASSIUM CHLORIDE 0.3% (40mmol), GLUCOSE 4%, SODIUM CHLORIDE 0.18% (1000ml)

 

 

POTASSIUM CHLORIDE 0.3% (40mmol) SODIUM CHLORIDE 0.9% infusion (1000ml)

 

 

 

 

 

 

Potassium chloride injection

 

 

POTASSIUM CHLORIDE

Controlled drug

POTASSIUM CHLORIDE 15% (1.5g/10ml = 20mmol) injection  

Stock on ITU, MHDU, CCU, NICU only

Use ready-made bag where possible.

Order in CD book & send drug chart to pharmacy.

Contact on call pharmacist out of hours.

 

 

 

 

Intravenous bicarbonate and lactate

 

 

SODIUM BICARBONATE

SODIUM BICARBONATE 1.26% infusion   

 

(Polyfusor® 500ml)

 

SODIUM BICARBONATE 1.4% infusion   

 

(Polyfusor® 500ml)

 

SODIUM BICARBONATE 2.74% infusion   

 

(Polyfusor® 500ml)

 

SODIUM BICARBONATE 4.2% injection (5ml)                

 

SODIUM BICARBONATE 4.2% syringe (10ml)

 

SODIUM BICARBONATE 8.4% syringe (10ml)

 

SODIUM BICARBONATE 8.4% syringe (50ml)

 

SODIUM BICARBONATE 8.4% infusion (100ml)

 

SODIUM BICARBONATE 8.4% infusion    

 

(Polyfusor® 200ml)

 

SODIUM BICARBONATE 840mg/10ml injection                

Restricted: NICU

 

 

SODIUM LACTATE

SODIUM LACTATE COMPOUND infusion    

 

(Hartmann's® 500ml)

  NOT for use in Adults in Anaesthetics,Theatres &Critical Care (Use Plasma-Lyte)

 

SODIUM LACTATE COMPOUND infusion       

(Hartmann's® 1000ml)

 

 

 

Other intravenous fluids

 

 

 

PLASMA-LYTE (repeated below in Section 9.3 Intravenous Nutrition)

PLASMA-LYTE 148 (PH 7.4) Solution For Infusion (1L)

PLASMA-LYTE 148 (PH 7.4) Solution For Infusion (500mL)

Restricted: Approved for Adults in TASCC and Maternity

 

 

Other drugs for correction of metabolic acidosis

 

 

TROMETAMOL (THAM)                

TROMETAMOL 3.6% (THAM) injection (5ml)                  

 

 

 

 

 

Water

 

 

WATER FOR injection

WATER FOR INJECTION (5ml)                    

 

WATER FOR INJECTION (10ml)                   

 

WATER FOR INJECTION (20ml)                   

 

WATER FOR INJECTION (100ml)                   

 

 

 

 

 

Plasma substitutes

 

 

GELATIN

GELATIN infusion (Gelofusine® 500ml bag)             

 

GELATIN infusion (Isoplex ® 500ml bag)

 

 

 

 

 

BNF Section 9.3: INTRAVENOUS NUTRITION

 

Top of section

 

 

TOTAL PARENTERAL NUTRITION (TPN)

Triomel 6g adult parenteral nutrition starter bag (1500ml)

Peripheral/Central administration

Triomel 10g adult parenteral nutrition bag (2500ml)

Triomel 10.4g adult parenteral nutrition bag (2000ml)

Central administration only

Triomel 14g adult parenteral nutrition bag (2000ml)

PARENTERAL NUTRITION (tailor-made bag)                 

Restricted: Nutrition team advice only

NEONATAL PARENTERAL NUTRITION UCH formula (450ml bag)          

Restricted: NICU

NEONATAL PARENTERAL NUTRITION  (tailor-made bag)

 

 

INTRALIPID

INTRALIPID 20% lipid emulsion (500ml)                  

Restricted: Critical Care/Theatres

NEONATAL PARENTERAL NUTRITION (tailor-made lipid syringe) 

Restricted: NICU

 

 

 

 

 

PLASMA-LYTE (repeated above in Section 9.3 Intravenous Nutrition)

PLASMA-LYTE 148 (PH 7.4) Solution For Infusion (1L)

PLASMA-LYTE 148 (PH 7.4) Solution For Infusion (500mL)

Restricted: Approved for Adults in TASCC  and Maternity

 

 

 

 

 

 

 

 

BNF Section 9.4: ORAL NUTRITION

 

Top of section

 

 

Contact dietician for advice with regard to use of the following products

 

 

Shaded products are restricted to use on recommendation by dietician

 

 

APTAMIL PEPTI 1 INFANT FORMULA (800g)                  

0-6 months

APTAMIL PEPTI 2 INFANT FORMULA (800g)                  

6 months to 1 year

 

 

CALOGEN FAT EMULSION (strawberry)                      

from age 1 year upwards

CALOGEN EMULSION (Unflavoured) (200mL)

 

 

 

CAROBEL INSTANT POWDER                                 

0-1years

 

 

DUOCAL SUPER SOLUBLE POWDER                            

 

 

 

ELEMENTAL 028 EXTRA LIQUID (grapefruit)                

from age 7 years upwards

ELEMENTAL 028 EXTRA LIQUID (orange-pineapple)        

ELEMENTAL 028 EXTRA LIQUID (summer fruits)             

ELEMENTAL 028 EXTRA POWDER (orange-pineapple)        

ELEMENTAL 028 EXTRA POWDER (plain)                     

 

 

ENFAMIL AR POWDER                                      

0-1years

 

 

FORTICREME COMPLETE PUDDING (banana, chocolate, forest fruits, vanilla)                  

 

 

 

FORTIJUCE SIP FEED (apple, lemon)                             

 

 

 

FORTINI MULTIFIBRE SIP FEED (chocolate, strawberry)                

1-3years

FORTINI SIP FEED (vanilla)                             

 

 

FORTISIP EXTRA SIP FEED (strawberry)                   

from 7 upwards

FORTISIP MULTIFIBRE SIP FEED (strawberry, vanilla)              

from 7 upwards

FORTISIP COMPACT SIP FEED (mocha, strawberry, vanilla)                   

from 7 upwards

FORTISIP YOGHURT SIP FEED (peach-orange)               

FORTISIP YOGHURT SIP FEED (vanilla-lemon)              

 

 

FRESUBIN ENERGY EASYBAG (500ml)                        

from 7 upwards

FRESUBIN ENERGY FIBRE EASYBAG (500ml)

FRESUBIN ORIGINAL EASYBAG (500ml)                       

FRESUBIN ORIGINAL FIBRE EASYBAG (500ml)                

 

 

INFATRINI LIQUID (100ml)                               

0-1years

 

 

LB2 PROBIOTIC NEONATAL DROPS (5mL)

Restricted to Paediatrics: Prevention of necrotising enterocolitis in neonates

 

Approved subject to review in 6 months (November 2016

 

 

MAXIJUL SUPER SOLUBLE POWDER                           

from age 1yr upwards

 

 

NEOCATE LCP POWDER (FEED)                              

0-5years

 

 

NUTILIS POWDER                                          

From age 3 years upwards

 

 

NUTRAMIGEN LIPIL STAGE 1 POWDER (400g)

0-6 months

NUTRAMIGEN LIPIL STAGE 2 POWDER (400g)

6 months to 1 year

 

 

NUTRINI EASYBAG                                        

1-7years

NUTRINI glass bottle                                   

NUTRINI ENERGY EASYBAG                                 

NUTRINI ENERGY GLASS BOTTLE                            

NUTRINI LOW ENERGY MULTI FIBRE BOTTLE                  

NUTRINI LOW ENERGY MULTI FIBRE PACK (500ml)             

 

 

NUTRIPREM 2 POWDER                                     

preterm to 6 months corrected age

NUTRIPREM BREAST MILK FORTIFIER                        

preterm - inpatient use only

 

 

NUTRISON LOW SODIUM                                    

 

 

 

OXEPA READY TO HANG BOTTLE                             

 

 

 

PEPTI-JUNIOR POWDER                                    

0-1years

 

 

PRE-APTAMIL POWDER                                     

 

 

 

PREGESTIMIL POWDER                                     

 

 

 

PRELOAD NUTRITION POWDER                               

 

 

 

PROTIFAR POWDER                                        

 

 

 

SCANDISHAKE POWDER (BANANA)                            

3years upwards

SCANDISHAKE POWDER (CHOCOLATE)                          

SCANDISHAKE POWDER (strawberry)                        

SCANDISHAKE POWDER (vanilla)                           

 

 

SMA LF POWDER PAEDIATRIC FEED                          

 

 

 

SURVIMED OPD EASY BAG                                  

 

 

 

TENTRINI ENERGY BAG                                    

10years to 16years

TENTRINI ENERGY MULTIFIBRE ENTERAL FEED (500ml)

 

 

 

WYSOY POWDER                                           

0-1years

 

 

XP ANALOG POWDER                                       

 

 

 

 

 

Foods for Special Diets

 

 

Labinic Probiotic Drops

LABINIC® Paediatric Drops(5mL)

Restricted: Paediatrics

 

 

 

 

 

 

BNF Section 9.5: MINERALS

 

Top of section

 

 

Calcium and magnesium

 

 

Calcium

 

 

Oral preparations

 

 

CALCIUM SALTS

CALCIUM CARBONATE 1.5g chewable tablets (Adcal®)                                

Each tablet contains calcium 600mg (15mmol)

CALCIUM CARBONATE 1.25g effervescent tablets (Cacit®)

Each tablet contains calcium 500mg (12.5mmol)

CALCIUM LACTATE GLUCONATE 930mg, CALCIUM CARBONATE 700mg effervescent tablets                      

Each tablet contains calcium 400mg (10mmol)

(Sandocal 400®)

CALCIUM LACTATE GLUCONATE 2.263g, CALCIUM CARBONATE 1.75g effervescent tablets                       

Each tablet contains calcium 1g (25mmol)

(Sandocal 1000®)

CALCIUM GLUBIONATE 1.09g, CALCIUM LACTOBIONATE 727mg / 5ml syrup (Calcium-Sandoz®)       

5ml contains calcium 108.3mg (2.7mmol)

Compound preparations (calcium / colecalciferol)

CALCIUM CARBONATE 1.5g, COLECALCIFEROL 10 microgram chewable tablets (Adcal D3®)

Each tablet contains calcium 600mg (15mmol) & colecalciferol 400 units

Contains soya oil. Patients with peanut allergy may also experience a reaction to soya oil

CALCIUM CARBONATE 1.5g, COLECALCIFEROL 10 microgram caplets (tablets) (Adcal D3®)

Restricted: patients with compliance issues with chewable tablets or soya/peanut oil allergy

(This product does not contain soya or peanut oil)

**Note that tablet strength is different to chewable/effervescent tablets**

Each tablet contains calcium 300mg (7.5mmol) & colecalciferol 200 units

CALCIUM CARBONATE 1.5g, COLECALCIFEROL 10 microgram effervescent tablets (Adcal D3®)

Restricted: patients with swallowing difficulties/enteral tubes

Each tablet contains calcium 600mg (15mmol) & colecalciferol 400 units

Contains soya oil. Patients with peanut allergy may also experience a reaction to soya oil

 

 

 

 

Parenteral preparations

 

 

CALCIUM SALTS

CALCIUM CHLORIDE 10% injection (10ml syringe)

Calcium 680micromol/ml

CALCIUM GLUCONATE 10% injection (10ml ampoule)

Calcium 226micromol/ml

 

 

 

 

Hypercalcaemia and hypercalciuria 

 

 

CINACALCET

CINACALCET 30mg tablets

CINACALCET 60mg tablets

CINACALCET 90mg tablets

Restricted: Renal consultant

DTC authorisation needed – see link for further information

 

 

 

Magnesium

 

 

Oral preparations

 

 

MAGNESIUM SALTS

MAGNESIUM GLYCEROPHOSPHATE 97.2mg (4mmol) tablets      

Unlicensed preparation: Named patient supply

MAGNESIUM GLYCEROPHOSPHATE 1mmol/1ml oral liquid       

Restricted: Paediatrics

Unlicensed preparation: Named patient supply

 

 

 

 

Parenteral preparations

 

 

MAGNESIUM SULPHATE

MAGNESIUM SULPHATE 10% Injection

Women’s Health (Neonatal)

MAGNESIUM SULPHATE 20% Injection

Everywhere else

 

 

 

 

Phosphorus

 

 

Phosphate supplements

 

 

Oral preparations

 

 

PHOSPHATE

Phosphate-Sandoz® effervescent tablets

Each tablet contains phosphate 16.1mmol, sodium 20.4mmol, potassium 3.1mmol

SODIUM DIHYDROGEN PHOSPHATE 15.6% 5mmol/5ml oral liquid

Restricted: NICU

 

 

 

 

Parenteral preparation

 

 

PHOSPHATE

PHOSPHATE infusion (Polyfusor® 500ml)

Contains phosphate 100mmol/l, potassium 19mmol/l, sodium 162mmol/l

 

 

 

 

Zinc

 

 

ZINC SULPHATE

ZINC SULPHATE 125mg effervescent tablets

 

 

 

 

 

Selenium

 

 

SELENIUM

Selenium-ACE® tablets                                   

 

 

 

 

 

 

 

BNF Section 9.6: VITAMINS

 

Top of section

 

 

Vitamin A

 

 

Vitamins A & D                               

Vitamins A & D capsules                                 

 

 

 

 

 

Vitamin B group

 

 

BIOTIN

BIOTIN 5mg tablets                                     

Restricted: Paediatrics

 

 

THIAMINE (Vitamin B1)

THIAMINE 50mg tablets                                  

 

THIAMINE 100mg tablets                                 

 

Compound parenteral preparation (vitamins B & C)

Pabrinex® IM high potency injection                     

 

Pabrinex® IV high potency injection                    

Infuse over 30 minutes.

Ensure facilities for treating anaphylaxis (including resuscitation) are available.

 

 

PYRIDOXINE (Vitamin B6)

PYRIDOXINE 10mg tablets                                 

 

PYRIDOXINE 50mg tablets                                

 

PYRIDOXINE 50mg/2ml injection                          

Restricted: Paediatrics

PYRIDOXINE 100mg/2ml injection                         

 

 

 

 

Oral Vitamin B complex preparation

 

 

VITAMIN B COMPOUND STRONG                 

VITAMIN B COMPOUND STRONG tablets                  

 

 

 

 

 

Vitamin C (ascorbic acid)

 

 

ASCORBIC ACID

ASCORBIC ACID 100mg tablets                            

 

ASCORBIC ACID 500mg tablets                             

 

ASCORBIC ACID 1g effervescent tablets 

 

ASCORBIC ACID 500mg/5ml injection                      

Restricted: Paediatrics

 

 

 

 

Vitamin D

 

 

ALFACALCIDOL

ALFACALCIDOL 250nanogram capsules                      

 

ALFACALCIDOL 500nanogram capsules                      

 

ALFACALCIDOL 1microgram capsules                       

 

ALFACALCIDOL 20microgram/10ml sugar-free oral drops

 

 

 

CALCIFEROL

CALCIFEROL 3000units/1ml oral liquid                   

Restricted: Paediatrics

 

 

CALCITRIOL                      

CALCITRIOL 250nanogram capsules                        

 

 

 

COLECALCIFEROL -  See Vitamin D Deficiency and Insufficiency Guidelines

COLECALCIFEROL 1,000 unit tablets

Lamberts Vitamin D3 tablets = product of choice.

Suitable for vegetarians and does not contain peanut or soya oil.

This is a health food supplement and not a licensed medicine. It should be purchased over the counter by the patient but may be prescribed if necessary.

Vigantoletten® tablets = unlicensed imported product - we do not routinely order this brand

Contains peanut oil

COLECALCIFEROL 800 unit capsules

Fultium D3®

Contains peanut oil, glycerol and gelatin

Has Halal certification

COLECALCIFEROL 20,000 unit capsules

Bio-Vitamin D3® = unlicensed imported product.

COLECALCIFEROL 80micrograms (3,200units) CAPSULES

Note: High Strength

COLECALCIFEROL 3,000 units/ml oral liquid

Restricted: Only to be used if capsules or injection are not suitable. See attached guidance for dose to treat deficiency (it is different to the dose using tablets/capsules).

Short shelf-life. “Special” liquid preparation, therefore may be very expensive.

COLECALCIFEROL 10,000 units/ml oral drops

Restricted: Paediatrics

Unlicensed imported product

COLECALCIFEROL 300,000 units injection

Unlicensed imported product

COLECALCIFEROL 25,000units/1Ml Oral Solution (3 amps) (INVITA D3®)

 

Compound preparations (calcium / colecalciferol)

CALCIUM CARBONATE 1.5g, COLECALCIFEROL 10 microgram chewable tablets (Adcal D3®)

Each tablet contains calcium 600mg (15mmol) & colecalciferol 400 units

Contains soya oil. Patients with peanut allergy may also experience a reaction to soya oil

CALCIUM CARBONATE 1.5g, COLECALCIFEROL 10 microgram caplets (tablets) (Adcal D3®)

Restricted: patients with compliance issues with chewable tablets or soya/peanut oil allergy

(This product does not contain soya or peanut oil)

**Note that tablet strength is different to chewable/effervescent tablets**

Each tablet contains calcium 300mg (7.5mmol) & colecalciferol 200 units

CALCIUM CARBONATE 1.5g, COLECALCIFEROL 10 microgram effervescent tablets (Adcal D3®)

Restricted: patients with swallowing difficulties/enteral tubes

Each tablet contains calcium 600mg (15mmol) & colecalciferol 400 units

Contains soya oil. Patients with peanut allergy may also experience a reaction to soya oil

 

 

ERGOCALCIFEROL

ERGOCALCIFEROL 300,000 units/1ml (7.5mg) injection

For IM use only

Restricted: Endocrinology/Haematology

(only if colecalciferol injection is not available)

 

 

 

 

 

 

Vitamin E

 

 

 

 

ALPHA TOCOPHERYL ACETATE

ALPHA TOCOPHERYL ACETATE 100mg chewable tablets

 

ALPHA TOCOPHERYL ACETATE 500mg/5ml oral liquid

 

 

 

 

 

Vitamin K

 

 

MENADIOL SODIUM PHOSPHATE

MENADIOL SODIUM PHOSPHATE 10mg tablets

 

 

 

PHYTOMENADIONE

PHYTOMENADIONE 10mg CHEWABLE tablets

 

PHYTOMENADIONE 10mg/1ml injection                          (Konakion® MM)                      

Not licensed for oral administration but may be given orally if tablets are unavailable

(same formulation as paediatric preparation)

PHYTOMENADIONE 2mg/0.2ml injection                     

Licensed for oral, IM or IV administration

(Konakion® MM Paediatric)

PHYTOMENADIONE 2mg/0.2ml injection      

TTO pack

 

 

 

 

Multivitamin preparations

 

 

MULTIVITAMINS

Vitamins BPC capsules                                 

 

Abidec® drops                                            

Paediatrics

 

 

 

 

Vitamin and mineral supplement

 

 

MULTIVITAMINS AND MINERALS

Forceval® capsules                                   

 

Forceval® Junior capsules                             

 

Ketovite® tablets                                        

 

Ketovite® liquid                            

 

 

 

 

 

 

 

BNF Section 9.7: BITTERS AND TONICS

 

Top of section

 

None currently on Trust formulary

 

 

 

 

 

 

BNF Section 9.8: METABOLIC DISORDERS

 

Top of section

 

 

Carnitine deficiency

 

 

CARNITINE (L-CARNITINE/ LEVOCARNITINE)

L-CARNITINE 300mg/ml (30%) oral solution                

Restricted: Paediatrics

CARNITINE 1g/5ml injection                             

L-CARNITINE 1g/10Ml ORAL SOLUTION