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Nutrition and metabolic disorders
Nutrition and metabolic disorders / Fluid and electrolyte imbalances
  disodium hydrogen citrate with glucose, potassium chloride and sodium chloride FORMULARY PRODUCT
  glucose HOSPITAL ONLY PRESCRIBING
  Infusion
Glucose (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Glucose (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  potassium chloride with calcium chloride, sodium chloride and sodium lactate
  Infusion
Potassium chloride with calcium chloride, sodium chloride and sodium lactate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  sodium bicarbonate SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
NHS England OTC- Ear Wax

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for removal of earwax should not be routinely offered - appropriate for self-care
  • Exceptions:* Perforated ear drum. General exceptions in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.
  • Example OTC medicines:* Olive oil drops• Arachis oil/chlorobutanol hemihydrate drops, e.g Cerumol® (pharmacy only)• Docusate sodium 0.5% drops, e.g. Waxsol® (pharmacy only)• Acetic acid 2%, e.g Ear Calm® Spray (Pharmacy only)
  • Resources: 1-page patient information sheet.    *PrescQIPP's Self-care and OTC Items - Quick Reference Guide for GPs
  Oral solution
Sodium bicarbonate (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Solution for injection
Sodium bicarbonate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Infusion
Sodium bicarbonate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  sodium chloride SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Modified-release tablet
Slow Sodium (Alturix Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Solution for injection
Sodium chloride (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Can be prescribed for Palliative Care or End of Life Care symptom management

FORMULARY FOR PALLIATIVE/END OF LIFE CARE SYMPTOM MANAGEMENT: PAIN
Nutrition and metabolic disorders / Low blood volume
  albumin solution HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Albumin solution (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Albunorm (Octapharma Ltd) HOSPITAL ONLY PRESCRIBING
Alburex (CSL Behring UK Ltd) HOSPITAL ONLY PRESCRIBING
Zenalb (Bio Products Laboratory Ltd) HOSPITAL ONLY PRESCRIBING
  gelatin HOSPITAL ONLY PRESCRIBING
  Infusion
Gelaspan (B.Braun Medical Ltd) HOSPITAL ONLY PRESCRIBING
Gelofusine (B.Braun Medical Ltd) HOSPITAL ONLY PRESCRIBING
Geloplasma (Fresenius Kabi Ltd) HOSPITAL ONLY PRESCRIBING
Isoplex (Kent Pharma (UK) Ltd) HOSPITAL ONLY PRESCRIBING
Volplex (Kent Pharma (UK) Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Hypercalcaemia and hypercalciuria
  cinacalcet SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines NICE TA117
NICE TA117
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository


If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
 
Nutrition and metabolic disorders / Hypocalcaemia
  calcium gluconate
  Solution for injection
Calcium gluconate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Hyperkalaemia
  calcium gluconate
  Solution for injection
Calcium gluconate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  calcium polystyrene sulfonate HOSPITAL ONLY PRESCRIBING
  insulin HOSPITAL ONLY PRESCRIBING NICE TA151
NICE TA943
  Solution for injection
Insulin (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Actrapid (Novo Nordisk Ltd) HOSPITAL ONLY PRESCRIBING
Humulin S (Eli Lilly and Company Ltd) HOSPITAL ONLY PRESCRIBING
Hypurin Porcine Neutral (Wockhardt UK Ltd) HOSPITAL ONLY PRESCRIBING
  patiromer calcium HOSPITAL ONLY PRESCRIBING NICE TA623
  sodium zirconium cyclosilicate SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines NICE TA599
Sodium zirconium cyclosilicate for treating hyperkalaemia Technology appraisal guidance [TA599]

Due to high monitoring and titration requirements, please liaise with secondary care for an agreed pathway before agreeing to continue prescribing.
Nutrition and metabolic disorders / Hypokalaemia
  potassium chloride SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Modified-release tablet
Potassium chloride (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral solution
Kay-Cee-L (Geistlich Sons Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Infusion
Potassium chloride (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Potassium chloride (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Hypomagnesaemia
  magnesium sulfate HOSPITAL ONLY PRESCRIBING
  Solution for injection
Magnesium sulfate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Magnesium sulfate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Hyperphosphataemia
  lanthanum SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository


If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
 
Shared Care Guidelines

Please click the link to access agreed Shared Care Guidelines (SCG) from Barts Health NHS Trust and NELFT:

  Chewable tablet
Fosrenol (Takeda UK Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository


If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .
 
Shared Care Guidelines

Please click the link to access agreed Shared Care Guidelines (SCG) from Barts Health NHS Trust and NELFT:

  sevelamer SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
Shared Care Guidelines

Please click the link to access agreed Shared Care Guidelines (SCG) from Barts Health NHS Trust and NELFT:

  sucroferric oxyhydroxide HOSPITAL ONLY PRESCRIBING
  Chewable tablet
Velphoro (Vifor Fresenius Medical Care Renal Pharma UK Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Hypophosphataemia
  phosphate SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Infusion
Phosphate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Phosphate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Phenylketonuria
  sapropterin dihydrochloride HOSPITAL ONLY PRESCRIBING NICE TA729
Nutrition and metabolic disorders / Mucopolysaccharidosis
  galsulfase HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Naglazyme (BioMarin (U.K.) Ltd) HOSPITAL ONLY PRESCRIBING
  idursulfase HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Elaprase (Takeda UK Ltd) HOSPITAL ONLY PRESCRIBING
  laronidase HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Aldurazyme (Sanofi) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Carnitine deficiency
  levocarnitine HOSPITAL ONLY PRESCRIBING
Levocarnitine

There are no metabolic specialist centres in this North East London STP.
  Oral solution
Levocarnitine (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Hypophosphatasia
  asfotase alfa HOSPITAL ONLY PRESCRIBING NICE HST23
  Solution for injection
Strensiq (Alexion Pharma UK Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Tyrosinaemia type I
  nitisinone HOSPITAL ONLY PRESCRIBING
  Oral suspension
Orfadin (Swedish Orphan Biovitrum Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Urea cycle disorders
  carglumic acid HOSPITAL ONLY PRESCRIBING
  sodium phenylbutyrate HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Gaucher's disease
  imiglucerase HOSPITAL ONLY PRESCRIBING
  Powder for solution for infusion
Cerezyme (Sanofi) HOSPITAL ONLY PRESCRIBING
  miglustat HOSPITAL ONLY PRESCRIBING NICE TA912
  velaglucerase alfa HOSPITAL ONLY PRESCRIBING
  Powder for solution for infusion
VPRIV (Takeda UK Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Fabry's disease
  agalsidase alfa HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Replagal (Takeda UK Ltd) HOSPITAL ONLY PRESCRIBING
  agalsidase beta HOSPITAL ONLY PRESCRIBING
  Powder for solution for infusion
Fabrazyme (Sanofi) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Niemann-Pick disease
  miglustat HOSPITAL ONLY PRESCRIBING NICE TA912
Nutrition and metabolic disorders / Wilson's disease
  penicillamine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  trientine HOSPITAL ONLY PRESCRIBING
  zinc acetate HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Acute porphyrias
  haem arginate HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Normosang (Recordati Rare Diseases UK Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Pompe disease
  alglucosidase alfa HOSPITAL ONLY PRESCRIBING
  Powder for solution for infusion
Myozyme (Sanofi) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Homocystinuria
  betaine HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Nephropathic cystinosis
  mercaptamine HOSPITAL ONLY PRESCRIBING
  Gastro-resistant capsule
Procysbi (Chiesi Ltd) HOSPITAL ONLY PRESCRIBING
  Eye drops
Mercaptamine (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Cystadrops (Recordati Rare Diseases UK Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Nutrition (intravenous)
  parenteral nutrition supplements
  Solution for infusion
Parenteral nutrition supplements (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Dipeptiven (Fresenius Kabi Ltd) HOSPITAL ONLY PRESCRIBING
Tracutil (B.Braun Medical Ltd) HOSPITAL ONLY PRESCRIBING
  Powder for solution for infusion
Solivito N (Fresenius Kabi Ltd) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Vitamin deficiency
  alfacalcidol SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral drops
One-Alpha (Neon Healthcare Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Solution for injection
One-Alpha (Neon Healthcare Ltd) HOSPITAL ONLY PRESCRIBING
  alpha tocopherol SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral solution
Vedrop (Recordati Rare Diseases UK Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  alpha tocopheryl acetate SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Chewable tablet
E-Tabs (Ennogen Healthcare International Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Ephynal (Imported (Italy)) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral suspension
Alpha tocopheryl acetate (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  ascorbic acid NON-FORMULARY
  Chewable tablet
Ascorbic acid (Non-proprietary) NON-FORMULARY
Ascur (Ennogen Healthcare Ltd) NON-FORMULARY
  calcitriol NON-FORMULARY
  Oral solution
Calcitriol (Non-proprietary) NON-FORMULARY
  colecalciferol FORMULARY PRODUCT
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
  Chewable tablet
Colecalciferol (Non-proprietary) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Urgent-D (Vega Nutritionals Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
  Orodispersible tablet
Colecalciferol (Non-proprietary) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
  Oral solution
Aciferol D3 (Rhodes Pharma Ltd) FORMULARY PRODUCT
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Baby D (Kora Healthcare) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
E-D3 (Ennogen Healthcare Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
InVita D3 (Consilient Health Ltd) FORMULARY PRODUCT
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Pro D3 (Synergy Biologics Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
SunVit D3 (SunVit-D3 Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Thorens (Galen Ltd) NON-FORMULARY
  Oral drops
Colecalciferol (Non-proprietary) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
E-D3 (Ennogen Healthcare Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Fultium-D3 (Internis Pharmaceuticals Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
InVita D3 (Consilient Health Ltd) FORMULARY PRODUCT
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Pro D3 (Synergy Biologics Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
SunVit D3 (SunVit-D3 Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Thorens (Galen Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
  colecalciferol with calcium carbonate
  Chewable tablet
Calceos (Galen Ltd) FORMULARY PRODUCT
Calcichew D3 (Forum Health Products Ltd) NON-FORMULARY
Kalcipos-D (Viatris UK Healthcare Ltd) FORMULARY PRODUCT
Natecal (Chiesi Ltd) FORMULARY PRODUCT
  Effervescent granules
Cacit D3 (Theramex HQ UK Ltd) FORMULARY PRODUCT
  ergocalciferol NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
  Oral solution
Ergocalciferol (Non-proprietary) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
Eciferol (Rhodes Pharma Ltd) NON-FORMULARY
Vit D: Colecalciferol

Prescribe as colecalciferol by brand
  menadiol sodium phosphate SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  paricalcitol SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
A formal Shared Care Guideline (SCG) may be available.

Paricalcitol is HOSPITAL ONLY for refractory secondary hyperparathyroidism (SHPT) in patients with chronic kidney disease.
  Solution for injection
Zemplar (AbbVie Ltd) HOSPITAL ONLY PRESCRIBING
  phytomenadione SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  pyridoxine hydrochloride FORMULARY PRODUCT
  thiamine FORMULARY PRODUCT
  Modified-release tablet
Thiamine (Non-proprietary) NON-FORMULARY
  vitamin A NON-FORMULARY
  Oral drops
Vitamin A (Non-proprietary) NON-FORMULARY
  vitamin B complex NON-FORMULARY
  vitamin B substances with ascorbic acid
  Form unstated
Pabrinex Intravenous High Potency (Kyowa Kirin International UK NewCo Ltd) HOSPITAL ONLY PRESCRIBING
  vitamins A and D NON-FORMULARY
  vitamins with minerals and trace elements NON-FORMULARY
  Oral emulsion
Vitamins with minerals and trace elements (Non-proprietary) NON-FORMULARY
Nutrition and metabolic disorders / Neural tube defects (prevention in pregnancy)
  folic acid FORMULARY PRODUCT
  Oral solution
Folic acid (Non-proprietary) FORMULARY PRODUCT
Lexpec (Rosemont Pharmaceuticals Ltd) NON-FORMULARY
Nutrition and metabolic disorders / Selenium deficiency
  selenium NON-FORMULARY
  Oral solution
Selenase (Kora Healthcare) NON-FORMULARY
  Solution for injection
Selenase (Kora Healthcare) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Selenium (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Nutrition and metabolic disorders / Zinc deficiency
  zinc sulfate NON-FORMULARY