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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.01  Expand sub section  Anaemias and some other blood disorders
09.01.01  Expand sub section  Iron-deficiency anaemias
09.01.01.01  Expand sub section  Oral iron
Ferrous Sulphate
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First Choice

Dosage: Once daily is the first choice . This is usually provides appropriate absoprtion of iron, taking more frequently may increase side effects with little or no added benefit. 

 
Sodium Feredetate (Sytron)
Second Choice

In patients who require a liquid preparation 

 
   
Ferrous Fumarate
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Restricted Drug Restricted

note Note that Ferrous sulfate is the preferred formulary choice. 

Please discuss with pharmacy before prescribing ferrous fumarate. 

This should only occur as an exception when ferrous sulfate or sodium feredetate has not been tolerated. 

 

Dosage: Once daily is the first choice . This is usually provides appropriate absoprtion of iron, taking more frequently may increase side effects with little or no added benefit. 

 
   
09.01.01.01  Expand sub section  Iron and folic acid
09.01.01.01  Expand sub section  Compound iron preparations to top
09.01.01.02  Expand sub section  Parenteral iron
Ferric Carboxymaltose (Ferinject)
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First Choice  
Iron Dextran (CosmoFer)
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Second Choice

If Ferinject unsuitable 

 
   
09.01.02  Expand sub section  Drugs used in megaloblastic anaemias
Folic Acid
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Formulary  
   
Hydroxocobalamin
(Vitamin B12)
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Formulary

See cyanocobalamin for guidance during the COVID-19 pandemic 

 
   
Cyanocobalamin
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Restricted Drug Restricted

Restricted Item Information on restriction 

Restricted to oncology / haematology / renal use only

 

During the COVID-19 pandemic cyanocobalamin can use used in other specialities instead of hydroxocobalamin as per the Britsh society for haematology. 

Click here for the guidance - CLICK HERE

 
   
09.01.03  Expand sub section  Drugs used in hypoplastic, haemolytic, and renal anaemias
Cytotoxic Drug Hydroxycarbamide (Siklos)
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Formulary  
   
09.01.03  Expand sub section  Erythropoietin
Darbepoetin Alfa (Aranesp)
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Formulary
Red
High Cost Medicine
 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
Epoetin alfa (Eprex)
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Formulary
Red
High Cost Medicine
 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
Epoetin beta (NeoRecormon)
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Formulary
Red
High Cost Medicine
 
Link  NICE CG114: Anaemia in chronic kidney disease
Link  NICE TA323: Erythropoiesis‑stimulating agents during chemotherapy
   
09.01.03  Expand sub section  Iron overload to top
Deferasirox (Exjade)
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Formulary
High Cost Medicine
 
   
Deferiprone (Ferriprox)
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Formulary
High Cost Medicine
 
   
Desferrioxamine Mesilate (Desferal®)
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Formulary  
   
09.01.04  Expand sub section  Drugs used in autoimmune thrombocytopenic purpura
Anagrelide (Xagrid)
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Formulary  
   
Eltrombopag (Revolade)
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Restricted Drug Restricted
High Cost Medicine

Chronic immune (idiopathis) thrombocytopenic purpura in patients refractory to other treatments e.g. corticosteroids or immunoglobulins

 
Link  NICE TA293: Eltrombopag for treating chronic ITP
   
Romiplostim (Nplate)
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Formulary
High Cost Medicine
 
Link  NICE TA221: Thrombocytopenic purpura - romiplostim
   
09.01.05  Expand sub section  G6PD deficiency
09.01.06  Expand sub section  Drugs used in neutropenia
Filgrastim (Zarzio, Accofil)
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Formulary  
   
Pegfilgrastim (Neulasta)
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Formulary
High Cost Medicine
 
   
09.01.07  Expand sub section  Drugs used to mobilise stem cells
09.02  Expand sub section  Fluids and electrolytes to top
09.02.01  Expand sub section  Oral preparations for fluid and electrolyte imbalance
09.02.01.01  Expand sub section  Oral potassium
Potassium Chloride (Kay-Cee-L)
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Formulary  
   
Potassium Chloride (Sando-K)
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Formulary  
   
09.02.01.01  Expand sub section  Potassium removal
Polystyrene Sulphonate Resins (Calcium Resonium)
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Formulary  
   
09.02.01.02  Expand sub section  Oral sodium and water
09.02.01.02  Expand sub section  Oral rehydration therapy (ORT) to top
Oral Rehydration Salts
Formulary  
   
09.02.01.03  Expand sub section  Oral bicarbonate
Sodium Bicarbonate
(oral)
Formulary  
   
09.02.02  Expand sub section  Parenteral preparations for fluid and electrolyte imbalance
09.02.02.01  Expand sub section  Electrolytes and water
09.02.02.01  Expand sub section  Intravenous sodium
Sodium Chloride Intravenous
Formulary  
   
09.02.02.01  Expand sub section  Intravenous glucose to top
Glucose Intravenous
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Formulary  
   
09.02.02.01  Expand sub section  Intravenous potassium
09.02.02.01  Expand sub section  Bicarbonate and lactate
Sodium Bicarbonate
(injection)
Formulary

Sodium Bicarbonate polyfusors (1.26%, 1.4%, 2.74% and 8.4%) are out of stock until Autumn 2020, As per andrew email 08.04.2020

 
Link  Sdoium Bicarbonate shortage
   
09.02.02.01  Expand sub section  Water
Water for Injection
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Formulary  
   
09.02.02.02  Expand sub section  Plasma and plasma substitutes
Albumin Solution
(Isotonic solutions)
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Formulary  
   
09.02.02.02  Expand sub section  Plasma substitutes to top
Dextran 70
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Formulary  
   
Gelatin (Geloplasma)
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Formulary  
   
09.03  Expand sub section  Intravenous nutrition
Supplementary Preparations (Addiphos®)
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Formulary  
   
Supplementary Preparations (Additrace®)
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Formulary  
   
Supplementary Preparations (Cernevit®)
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Formulary  
   
Supplementary Preparations (Dipeptiven®)
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Formulary  
   
Supplementary Preparations (Glycophos® Sterile Concentrate)
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Formulary  
   
Supplementary Preparations (Peditrace®)
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Formulary  
   
Supplementary Preparations (Solivito N®)
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Formulary  
   
Supplementary Preparations (Vitlipid N®)
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Formulary  
   
09.03  Expand sub section  Supplementary preparations
09.04  Expand sub section  Oral nutrition
09.04.01  Expand sub section  Foods for special diets
09.04.02  Expand sub section  Enteral nutrition to top
09.05  Expand sub section  Minerals
09.05.01  Expand sub section  Calcium and magnesium
09.05.01.01  Expand sub section  Calcium supplements
Calcium carbonate
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Formulary  
   
Calcium Chloride
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Formulary  
   
Calcium Gluconate
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Formulary  
   
Sandocal-1000
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Formulary  
   
09.05.01.02  Expand sub section  Hypercalcaemia and hypercalciuria
Cinacalcet (Mimpara)
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Formulary
High Cost Medicine
 
Link  NICE TA117: Hyperparathyroidism - cinacalcet
   
09.05.01.03  Expand sub section  Magnesium to top
Magnesium Aspartate (Magnaspartate)
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Formulary  
   
Magnesium Glycerophosphate
Formulary  
   
Magnesium Sulphate
Formulary  
   
09.05.02  Expand sub section  Phosphorus
09.05.02.01  Expand sub section  Phosphate supplements
Phosphate Polyfusor
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Formulary  
   
Phosphate supplements (Phosphate-Sandoz)
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Formulary  
   
09.05.02.02  Expand sub section  Phosphate-binding agents
Sevelamer Carbonate (Renvela)
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Restricted Drug Restricted
High Cost Medicine
 
   
Sevelamer Hydrochloride  (Renagel)
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Restricted Drug Restricted
High Cost Medicine
 
   
Lanthanum (Fosrenol )
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Restricted Drug Restricted
Amber
High Cost Medicine

Restricted specifically to control of hyperphosphataemia in patients with chronic renal failure. Only to be initiated by the renal team.

https://www.swyapc.org/shared-care-guidelines/

 
   
sucroferric oxyhydroxide (Velphoro)
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Restricted Drug Restricted
Red
High Cost Medicine

Control of serum phosphorus levels in dialysis patients

 
   
09.05.03  Expand sub section  Fluoride
09.05.04  Expand sub section  Zinc to top
Zinc Sulphate (Solvazinc)
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Formulary  
   
09.05.05  Expand sub section  Selenium
Selenium (Selenase®)
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Formulary  
   
09.06  Expand sub section  Vitamins
09.06.01  Expand sub section  Vitamin A
Vitamins A and D
(Halibut-liver oil)
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Formulary  
   
09.06.02  Expand sub section  Vitamin B group
Pyridoxine Hydrochloride
(Pyridoxine)
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Formulary  
   
Thiamine
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Formulary  
Link  NICE CG100: Management of alcohol-related physical complications
Link  NICE CG115: Alcohol dependence - diagnosis, assessment and management
   
09.06.02  Expand sub section  Oral vitamin B complex preparations to top
Vitamin B Tablets, Compound Strong
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Formulary  
   
09.06.02  Expand sub section  Other compounds
09.06.03  Expand sub section  Vitamin C
Ascorbic Acid (Vitamin C)
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Formulary  
   
09.06.04  Expand sub section  Vitamin D
Colecalciferol
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Formulary  
   
Ergocalciferol
(Oral)
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Formulary  
   
Alfacalcidol (One-Alpha)
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Formulary  
   
Calcitriol
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Formulary  
   
Calcium Carbonate with Colecalciferol
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Formulary  
   
09.06.05  Expand sub section  Vitamin E
Alpha Tocopheryl Acetate
(Vitamin E)
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First Choice

Vitamin E oral suspension 

 
Alpha Tocopheryl Acetate (INJECTION)
(Vitamin E)
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Restricted Drug Restricted

Restricted Item Information on restriction

Injection restricted to use by Paediatrics for chronic liver disease with inadequate response to oral treatment.

 
   
09.06.06  Expand sub section  Vitamin K to top
Menadiol Sodium Phosphate
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Formulary  
   
Phytomenadione
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Formulary  
   
09.06.07  Expand sub section  Multivitamin preparations
Multivitamin preparations (Abidec)
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Formulary  
   
Multivitamin preparations (Dalivit)
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Formulary  
   
09.06.07  Expand sub section  Vitamin and mineral supplements and adjuncts to synthetic diets
Vitamin and mineral supplements (Forceval Soluble)
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Formulary  
   
Vitamin and mineral supplements (Forceval)
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Formulary  
   
Vitamin and mineral supplements (Ketovite)
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Formulary  
   
09.07  Expand sub section  Bitters and tonics
09.08  Expand sub section  Metabolic disorders
09.08.01  Expand sub section  Drugs used in metabolic disorders to top
Asfotase alfa (Strensiq)
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Formulary  
   
09.08.01  Expand sub section  Wilsons disease
09.08.01  Expand sub section  Carnitine deficiency
Levocarnitine (Carnitor)
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Formulary
High Cost Medicine
 
   
09.08.01  Expand sub section  Fabry's disease
09.08.01  Expand sub section  Gaucher's disease
09.08.01  Expand sub section  Mucopolysaccharidosis I to top
09.08.01  Expand sub section  Pompe disease
09.08.01  Expand sub section  Nephropathic cystinosis
09.08.01  Expand sub section  Urea cycle disorders
09.08.02  Expand sub section  Acute porphyrias
09.08.02  Expand sub section  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
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
Homecare
Homecare

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