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 Formulary Chapter 9: Nutrition and blood - Full Chapter
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09.06.04  Expand sub section  Vitamin D
 note 

Preparations may contain peanut and soya oil (suitable for vegetarians). Check allergy status prior to prescribing.

Colecalciferol
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Formulary

Capsules: 800 units, 20,000 units
Tablets: 800units, 1000units, 25,000 units


Liquid: Secondary care: contact pharmacy for advice regarding available brands. Primary care: use most clinically and cost effective option


Note,Green +  for bariatric indications

 
   
Colecalciferol and Calcium Carbonate
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Formulary

Please note, the following preparations are listed generically. Please be aware that the branded products issued by primary and secondary care, and patients may be changed onto an equivalent preparation depending on which products are most cost-effective.


Tablets: 1.5g Calcium Carbonate (600mg Calcium) and 400 units (10mcg) Colecalciferol
Chewable tablets: 1.5g Calcium Carbonate (600mg Calcium) and 400 units (10mcg) Colecalciferol
Eff Tablets: 1.5g Calcium Carbonate (600mg Calcium) and 400 units (10mcg)
Caplets: 750mg calcium carbonate (300mg Calcium) an 200units (5mcg) – used by secondary care, review use in primary care as more cost-effective options are available.             



Secondary care: contact pharmacy for advice regarding available brands. Primary care: use most clinically and cost effective option

 
   
Alfacalcidol
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Formulary

Capsules: 0.25 micrograms, 0.5 micrograms, 1 microgram
Oral drops (sugar-free): 2 micrograms/1 mL
Injection: 1 microgram/0.5 mL, 2 micrograms/1 mL

 
   
Calcitriol
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Formulary
Green +

Capsules: 0.25 micrograms, 0.5 micrograms

 
   
Ergocalciferol
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Formulary
Red

Injection: 300,000 units/1 mL, 600,000 units/2 mL

 
   
Paricalcitol (Zemplar)
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Formulary
Red

Capsules: 1 microgram, 2 micrograms, 4 micrograms
Injection: 5 micrograms/1 mL

 
   
 ....
 Non Formulary Items
Calcitriol  (Calcijex®)

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Non Formulary
 
Calcitriol  (Rocaltrol®)

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Non Formulary
 
Dihydrotachysterol  (AT 10®)

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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
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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 for hospital use or use by a specialist within specialist centre only. Initiation and monitoring of treatment should remain under the total responsibility of the appropriate hospital clinician or specialist. These drugs should only be prescribed under the direct supervision of that clinician or specialist and are not suitable for shared care arrangements. The drug should be supplied via the hospital or specialist centre for the duration of treatment.   

Amber

These are specialist drugs which must be initiated by secondary care specialist prescribers, but with the potential to transfer prescribing to primary care within written and agreed shared care protocols and according to the agreed process for transfer of care. For these drugs, in order to ensure patient safety, some aspects of care must remain with the specialist due to their complexity e.g. monitoring of disease or drug response. Other more routine aspects can be transferred to the GP e.g. monitoring of adverse effects and supply of the medicine. The specific responsibilities of the specialist and GP are defined in the shared care agreement for each drug. Shared care agreements are still under development for some amber drugs. Until these are available, it would be expected that any shared care request from secondary care to a GP would be accompanied by written information which defines prescribing and monitoring responsibilities. The hospital specialist should also provide the GP with enough information and support to allow the safe transfer and ongoing management of prescribing into primary care.   

Green +

Drugs which should usually be initiated in secondary care, or by a specialist clinician, but can be safely maintained in primary care with very little or no monitoring required. An information leaflet may be provided in order to facilitate ongoing prescribing in primary care.   

Green

These are defined as new and established drugs, which may be prescribed, initiated, changed or maintained on FP10 by the GP and, if appropriate, discontinued without recourse to secondary care. N.B. DRUGS NOT IDENTIFIED IN THE FORMULARY BY A RED, AMBER OR GREEN+ SYMBOL ARE CLASSIFIED AS GREEN.   

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