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Lancashire Teaching Hospitals NHS Foundation Trust
Chorley and South Ribble CCG
Greater Preston CCG
 
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 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
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Formulary
Green
 
   
Ferrous Sulphate
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Formulary
Green
 
   
Sodium Feredetate
 Track Changes
Restricted Drug Restricted
Green

Paediatrics only

Sytron®

 

 
   
09.01.01.01  Iron and folic acid
09.01.01.01  Compound iron preparations to top
09.01.01.02  Parenteral iron
Ferric Carboxymaltose
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Red

Ferinject®

 
   
Iron Dextran
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Red

CosmoFer®

 
   
Iron Sucrose
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Red

Venofer®

 
   
09.01.02  Drugs used in megaloblastic anaemias
Folic Acid
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Green

400microgram and 5mg tablets

2.5mg/5ml SF syrup

 
   
Hydroxocobalamin
(Vitamin B12)
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Green
 
   
09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
09.01.03  Erythropoietin
Darbepoetin Alfa
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First Choice
Red
High Cost Medicine

Aranesp®

 
Epoetin beta
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Second Choice
Red
High Cost Medicine

NeoRecormon®

 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
09.01.03  Iron overload to top
Deferiprone (Ferriprox®)
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Red
High Cost Medicine
 
   
Desferrioxamine Mesilate
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Red
High Cost Medicine
 
   
09.01.04  Drugs used in autoimmune thrombocytopenic purpura
Anagrelide
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Red
 
   
09.01.05  G6PD deficiency
09.01.06  Drugs used in neutropenia
Filgrastim
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Red

Zarzio®

 
   
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®)
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Green

Sando K®

Effervescent Tablets

 
   
Potassium Chloride
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Green

Kay Cee L®

Syrup

 
   
09.02.01.01  Potassium removal
Polystyrene Sulphonate Resins (Calcium Resonium®)
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Amber
 
   
09.02.01.02  Oral sodium and water
09.02.01.02  Oral rehydration therapy (ORT) to top
Oral Rehydration Salts (Dioralyte®)
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Formulary
Purple

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
09.02.01.03  Oral bicarbonate
Sodium Bicarbonate
(oral)
 Track Changes
Formulary
Amber
 
   
09.02.02  Parenteral preparations for fluid and electrolyte imbalance
09.02.02.01  Electrolytes and water
09.02.02.01  Intravenous sodium
09.02.02.01  Intravenous glucose to top
09.02.02.01  Intravenous potassium
09.02.02.01  Bicarbonate and lactate
09.02.02.01  Water
09.02.02.02  Plasma and plasma substitutes
09.02.02.02  Plasma substitutes to top
09.03  Intravenous nutrition
09.03  Supplementary preparations
09.04  Oral nutrition
09.04.01  Foods for special diets
09.04.02  Enteral nutrition to top
09.05  Minerals
09.05.01  Calcium and magnesium
09.05.01.01  Calcium supplements
Calcium Chloride
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Red

Injection

 
   
Calcium Gluconate
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Red

Injection

 
   
Calcium Salts
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Green

Calcium carbonate - Calcichew®; Adcal®

Calcium carobonate with calcium lactate gluconate - Sandocal®

 
   
09.05.01.02  Hypercalcaemia and hypercalciuria
Cinacalcet (Mimpara®)
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Red
High Cost Medicine
 
Link  NICE TA117: Hyperparathyroidism - cinacalcet
   
09.05.01.03  Magnesium to top
Magnesium Aspartate
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Formulary
Amber

Magnaspartate®

 
   
Magnesium Sulphate
 Track Changes
Formulary
Red
 
   
Magnesium Glycerophosphate
 Track Changes
Unlicensed Drug Unlicensed
Amber
 
   
09.05.02  Phosphorus
09.05.02.01  Phosphate supplements
Phosphate Polyfusor®
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Formulary
Red
 
   
Phosphate supplements
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Amber

Phosphate-Sandoz®

 
   
09.05.02.02  Phosphate-binding agents
Aluminium Hydroxide
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Formulary
Amber

Alu-Cap®

 
   
Calcium Acetate
 Track Changes
Formulary
Amber

Phosex®

 
   
Calcium Carbonate
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Amber

Calcichew®

 
   
Calcium Salts
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Formulary
Red

Osvaren®

 
   
Lanthanum
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Formulary
Amber
High Cost Medicine

Fosrenol ®

 
   
Sevelamer Carbonate
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Formulary
Amber
High Cost Medicine

Renvela®

 
   
Sevelamer Hydrochloride
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Formulary
Amber
High Cost Medicine

Renagel®

 
   
09.05.03  Fluoride
09.05.04  Zinc to top
Zinc Sulphate (Solvazinc®)
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Formulary  
   
09.05.05  Selenium
09.06  Vitamins
Paravit CF (®)
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Formulary
Amber

For Children with Cystic Fibrosis with pancreatic Insufficiency

Capsules

Solution - if unable to swallow capsules

 
   
09.06.01  Vitamin A
Vitamins A and D
(Halibut-liver oil)
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Formulary
Purple

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
09.06.02  Vitamin B group
Pyridoxine Hydrochloride
(Pyridoxine)
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Formulary
Amber

5mg/5ml suspension

10mg tablets

 
   
Thiamine
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Green
 
Link  NICE CG100: Management of alcohol-related physical complications
Link  NICE CG115: Alcohol dependence - diagnosis, assessment and management
   
Thiamine
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Formulary
Red

Pabrinex®

 
Link  NICE CG100: Management of alcohol-related physical complications
Link  NICE CG115: Alcohol dependence - diagnosis, assessment and management
   
09.06.02  Oral vitamin B complex preparations to top
09.06.02  Other compounds
09.06.03  Vitamin C
Ascorbic Acid (Vitamin C)
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Formulary
Purple

50mg, 100mg and 500mg tablets

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
09.06.04  Vitamin D
Alfacalcidol
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Amber

One -Alpha®

 
   
Colecalciferol
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Green

Plenachol® 20,000 unit and 40,000 unit capsules

 
   
Colecalciferol
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Purple

400 unit capsule & 800 unit capsule 

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
Colecalciferol and Calcium Carbonate
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Formulary
Green

Adcal D3; Calcichew D3 forte; Accrete D3

 
   
Ergocalciferol
(Injection)
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Formulary
Red
 
   
09.06.05  Vitamin E
Alpha Tocopheryl Acetate
(Vitamin E)
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Formulary
Amber
 
   
09.06.06  Vitamin K to top
Menadiol Sodium Phosphate
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Green
 
   
Phytomenadione (Konakion® MM)
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Green

Konakion® MM Paediatric; oral, IM or IV injection

Konakion® MM; Slow IV injection or IV infusion

 
   
09.06.07  Multivitamin preparations
Multivitamin preparations (Dalivit®)
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Formulary
Purple

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
Mutivitamin
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Formulary
Purple

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
Vitamin and mineral supplements (Forceval®)
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Formulary
Purple

Drug included within CCG low priority prescribing policy. EXEMPTIONS EXIST FOR CERTAIN INDICATIONS. Please consult attached policy for list of excepted indications for prescribing of this drug.

 
   
09.07  Bitters and tonics
09.08  Metabolic disorders
09.08.01  Drugs used in metabolic disorders to top
Ubidecarenone
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Formulary  
   
09.08.01  Wilsons disease
Penicillamine
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Formulary
Amber 2
 
   
09.08.01  Carnitine deficiency
Levocarnitine (Carnitor®)
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Formulary
High Cost Medicine
 
   
09.08.01  Fabry's disease
09.08.01  Gaucher's disease
09.08.01  Mucopolysaccharidosis I to top
09.08.01  Pompe disease
09.08.01  Nephropathic cystinosis
Mercaptamine (Cystagon®)
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Formulary
High Cost Medicine
 
   
09.08.01  Urea cycle disorders
Sodium Benzoate
 Track Changes
Formulary  
   
Sodium Phenylbutyrate (Ammonaps®)
 Track Changes
Formulary  
   
09.08.02  Acute porphyrias
09.08.02  Drugs unsafe for use in acute porphyrias to top
 ....
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

Suitable for prescribing in primary care following recommendation or initiation by a specialist. Little or no specific monitoring required. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Brief prescribing document or information sheet may be required.  

Amber 1

Suitable for prescribing in primary care following recommendation or initiation by a specialist. Minimal monitoring required. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Full prior agreement about patient’s on-going care must be reached under the shared care agreement.  

Amber 2

Initiated by specialist and transferred to primary care following a successful initiation period. Significant monitoring required on an on-going basis. Full prior agreement about patient’s on-going care must be reached under the shared care agreement. Suitable for enhanced service.  

Black

NOT recommended for use by the NHS in Lancashire. Includes medicines that NICE has not recommended for use and terminated technology appraisals, unless there is a local need.  

Blue

Products shown as blue have different Traffic Light List classifications dependent on indication. See the accompanying text next to the product for further information  

Green

Appropriate for initiation and ongoing prescribing in both primary and secondary care. Generally, little or no routine drug monitoring is required.  

Purple

Low Priority for Prescribing - see Low Priority for Prescribing Policy  

Red

Medicine is supplied by the hospital for the duration of the treatment course. Primary care initiation or continuation of treatment is not recommended unless exceptional circumstances such as specialist GP.  

Red Specialist Centre

Prescribing restricted to Specialist Centres only  

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