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Nutrition and metabolic disorders
Nutrition and metabolic disorders / Metabolic acidosis
  potassium citrate with potassium bicarbonate Non-formulary at HHFT and not suitable for primary care prescribing
Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Modified-release granules
Sibnayal (Advicenne S.A.) Non-formulary at HHFT and not suitable for primary care prescribing
Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

Nutrition and metabolic disorders / Fluid and electrolyte imbalances
  disodium hydrogen citrate with glucose, potassium chloride and sodium chloride Joint formulary choice
  Powder for oral solution
AACT Rehydration (Essential-Healthcare Ltd)
Dioralyte (Dendron Brands Ltd)
  glucose Hospital only
  Oral solution
Rapilose OGTT (Penlan Healthcare Ltd)
  Oral gel
Glucose (Non-proprietary)
AACE Gluco (Essential-Healthcare Ltd)
AddGluco (TriOn Pharma Ltd)
Dextrogel (Neoceuticals Ltd)
GlucoBoost (Ennogen Healthcare Ltd)
GlucoGel (BBI Healthcare Ltd)
Rapilose (Penlan Healthcare Ltd)
  Infusion
Glucose (Non-proprietary) Hospital only
  Solution for infusion
Glucose (Non-proprietary) Hospital only
  Oral liquid
Glucojuice (BBI Healthcare Ltd, Flavour Not Specified)
  potassium chloride with calcium chloride dihydrate and sodium chloride Not approved for prescribing
  Infusion
Potassium chloride with calcium chloride dihydrate and sodium chloride (Non-proprietary) Not approved for prescribing
  potassium chloride with calcium chloride, sodium chloride and sodium lactate Hospital only
  Infusion
Potassium chloride with calcium chloride, sodium chloride and sodium lactate (Non-proprietary) Hospital only
  potassium chloride with glucose Hospital only
  Infusion
Potassium chloride with glucose (Non-proprietary) Hospital only
  potassium chloride with glucose and sodium chloride Hospital only
  Infusion
Potassium chloride with glucose and sodium chloride (Non-proprietary) Hospital only
  potassium chloride with potassium bicarbonate Not approved for prescribing
  Effervescent tablet
Potassium chloride with potassium bicarbonate (Non-proprietary)
Sando-K (Alturix Ltd)
  potassium chloride with rice powder, sodium chloride and sodium citrate Joint formulary choice
  Powder for oral solution
Dioralyte Relief (Dendron Brands Ltd)
  potassium chloride with sodium chloride Hospital only
  Infusion
Potassium chloride with sodium chloride (Non-proprietary) Hospital only
  sodium bicarbonate Specialist knowledge/initiation
  Gastro-resistant capsule
Nephrotrans (Medice UK Ltd)
  Oral solution
Sodium bicarbonate (Non-proprietary) Specialist knowledge/initiation
EssCarb (Essential-Healthcare Ltd)
Thamicarb (Thame Laboratories Ltd) Specialist knowledge/initiation
  Solution for injection
Sodium bicarbonate (Non-proprietary) Hospital only
  Infusion
Sodium bicarbonate (Non-proprietary) Hospital only
  Ear drops
Sodium bicarbonate (Non-proprietary)
KliarVax Sodium Bicarbonate (Essential-Healthcare Ltd)
  Oral tablet
Sodium bicarbonate (Non-proprietary)
EssCarb (Essential-Healthcare Ltd)
  Oral capsule
Sodium bicarbonate (Non-proprietary)
EssCarb (Essential-Healthcare Ltd)
  sodium chloride Joint formulary choice
  Modified-release tablet
AadNaCl (Essential-Healthcare Ltd)
Slow Sodium (Alturix Ltd) Joint formulary choice
  Oral solution
Sodium chloride (Non-proprietary)
Syrisal (Thame Laboratories Ltd)
  Solution for injection
Sodium chloride (Non-proprietary) Hospital only
  Infusion
Sodium chloride (Non-proprietary) Hospital only
  Solution for infusion
Sodium chloride (Non-proprietary) Hospital only
  Nebuliser liquid
Sodium chloride (Non-proprietary)
  Eye drops
Sodium chloride (Non-proprietary)
AabChlor (TriOn Pharma Ltd)
AacEdem (Essential-Healthcare Ltd)
AcuSal (Essential-Healthcare Ltd)
Addlube (TriOn Pharma Ltd)
Aeon Sodium Chloride (Rayner Pharmaceuticals Ltd)
DROPtonic (Kestrel Ophthalmics Ltd)
Hypersal (Ennogen Healthcare Ltd)
Natklor (Blumont Healthcare Ltd)
ODM5 (Kestrel Ophthalmics Ltd)
SodiEye (TriOn Pharma Ltd)
  Eye ointment
Sodium chloride (Non-proprietary)
SodiEye (TriOn Pharma Ltd)
  Nasal drops
Sodium chloride (Non-proprietary)
Mandanol (M & A Pharmachem Ltd)
Nasosal (Dendron Brands Ltd)
  sodium chloride with glucose
  Infusion
Sodium chloride with glucose (Non-proprietary)
Nutrition and metabolic disorders / Low blood volume
  albumin solution Hospital only
  Solution for infusion
Albumin solution (Non-proprietary) Hospital only
Albunorm (Octapharma Ltd) Hospital only
Alburex (CSL Behring UK Ltd) Hospital only
Albutein (Grifols UK Ltd)
Zenalb (Bio Products Laboratory Ltd) Hospital only
  gelatin Hospital only
  Infusion
Gelaspan (B.Braun Medical Ltd) Hospital only
Gelofusine (B.Braun Medical Ltd) Hospital only
Geloplasma (Fresenius Kabi Ltd) Hospital only
Nutrition and metabolic disorders / Hypercalcaemia and hypercalciuria
  cinacalcet Shared care guideline NICE TA117
NICE TA117
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

If sufficient information has not been provided and if you do not feel happy to continue to prescribe then it is advisable to refer the patient back to the specialist clinic. Please complete an inappropriate request communication form and send this as soon as possible to the contact provided in the form. 

  Oral tablet
Cinacalcet (Non-proprietary)
Mimpara (Amgen Ltd)
  Oral granules
Mimpara (Amgen Ltd)
  etelcalcetide Non-formulary at HHFT and not suitable for primary care prescribing NICE TA448
Where positive NICE Technology Appraisal(s) apply to this medicine but Homerton Healthcare NHS Foundation Trust does not provide the service

This medicine is not recommended for use at Homerton Healthcare NHS Foundation Trust as the trust does not provide this specialist service. Note that this medicine may be prescribed by other provider trusts that are accredited to provide this specialist service.

  Solution for injection
Parsabiv (Amgen Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Hypocalcaemia
  calcium carbonate Joint formulary choice
  Chewable tablet
Calcium carbonate (Non-proprietary) Joint formulary choice
A1-Cal (TriOn Pharma Ltd)
A1-Cal Max (TriOn Pharma Ltd)
AaceCa (Essential-Healthcare Ltd)
Adcal (Kyowa Kirin International UK NewCo Ltd) Joint formulary choice
Calcichew (Forum Health Products Ltd) Joint formulary choice
Rennie (Bayer Plc) Not approved for prescribing
Setlers Antacid (Thornton & Ross Ltd) Not approved for prescribing
SunVit-Pro (SunVit-D3 Ltd)
  Effervescent tablet
Calcium carbonate (Non-proprietary)
A1-Cal (TriOn Pharma Ltd)
  calcium carbonate with calcium lactate gluconate Specialist knowledge/initiation
  Effervescent tablet
Calvive (Haleon UK Trading Ltd)
  calcium chloride Hospital only
  Solution for injection
Calcium chloride (Non-proprietary) Hospital only
  calcium gluconate Not approved for prescribing
  Effervescent tablet
Calcium gluconate (Non-proprietary)
  Solution for injection
Calcium gluconate (Non-proprietary) Hospital only
  calcium lactate Not approved for prescribing
  calcium phosphate
  parathyroid hormone Non-formulary at HHFT and not suitable for primary care prescribing
Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Powder and solvent for solution for injection
Natpar (Takeda UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Hyperkalaemia
  calcium chloride
  Solution for injection
Calcium chloride (Non-proprietary)
  calcium gluconate
  Effervescent tablet
Calcium gluconate (Non-proprietary)
  Solution for injection
Calcium gluconate (Non-proprietary)
  calcium polystyrene sulfonate Hospital only
  Powder for oral or rectal suspension
Calcium polystyrene sulfonate (Non-proprietary)
  insulin Hospital only NICE TA151
NICE TA943
  Solution for injection
Insulin (Non-proprietary) Hospital only
Actrapid (Novo Nordisk Ltd) Hospital only
Humulin S (Eli Lilly and Company Ltd)
Hypurin Porcine Neutral (Wockhardt UK Ltd)
  patiromer calcium Hospital only NICE TA623
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Powder for oral suspension
Veltassa (Vifor Fresenius Medical Care Renal Pharma UK Ltd)
  salbutamol
  Solution for injection
Ventolin (GlaxoSmithKline UK Ltd)
  Solution for infusion
Ventolin (GlaxoSmithKline UK Ltd)
  Pressurised inhalation
Airomir (Teva UK Ltd)
Airomir Autohaler (Teva UK Ltd)
Salamol (Teva UK Ltd)
Salamol Easi-Breathe (Teva UK Ltd)
Ventolin Evohaler (GlaxoSmithKline UK Ltd)
  Inhalation powder
Easyhaler (Orion Pharma (UK) Ltd)
Salbulin Novolizer (Viatris UK Healthcare Ltd)
Ventolin Accuhaler (GlaxoSmithKline UK Ltd)
  Nebuliser liquid
Salbutamol (Non-proprietary)
Brodilaten (Kent Pharma (UK) Ltd)
Ventolin (GlaxoSmithKline UK Ltd)
  sodium polystyrene sulfonate Hospital only
  Powder for oral or rectal suspension
Resonium A (Sanofi)
  sodium zirconium cyclosilicate Specialist knowledge/initiation NICE TA599
Sodium zirconium cyclosilicate formulary status depending on indication

Life-threatening hyperkalaemia in emergency care
Blue - Hospital only

Persistent hyperkalaemia and chronic kidney disease stage 3b to 5 or heart failure
Amber - Specialist knowledge/initiation

Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Powder for oral suspension
Lokelma (AstraZeneca UK Ltd)
Nutrition and metabolic disorders / Hypokalaemia
  potassium bicarbonate with potassium acid tartrate Not approved for prescribing
  potassium chloride Specialist knowledge/initiation
Injection/infusion formulations

The injection/infusion formulation of this medicine is not recommended for prescribing in primary care (i.e. hospital only prescribing).

  Modified-release tablet
Potassium chloride (Non-proprietary) Not approved for prescribing
Aad K (Essential-Healthcare Ltd)
  Oral solution
Kay-Cee-L (Geistlich Sons Ltd) Specialist knowledge/initiation
  Infusion
Potassium chloride (Non-proprietary)
  Solution for infusion
Potassium chloride (Non-proprietary) Hospital only
Nutrition and metabolic disorders / Hypomagnesaemia
  magnesium aspartate Not approved for prescribing
  Powder for oral solution
AsparMag (Essential-Healthcare Ltd)
Magnaspartate (Kora Healthcare)
  magnesium citrate
  Oral tablet
Magnesium citrate (Non-proprietary)
  magnesium glycerophosphate Specialist knowledge/initiation
  Chewable tablet
Magnesium glycerophosphate (Non-proprietary) Specialist knowledge/initiation
MagnEss Gly (Essential-Healthcare Ltd)
MagnaPhate (Arjun Products Ltd) Specialist knowledge/initiation
MagnaPhos (TriOn Pharma Ltd) Specialist knowledge/initiation
  Oral solution
LiquaMag GP (Fontus Health Ltd) Specialist knowledge/initiation
MagnEss Gly (Essential-Healthcare Ltd)
MagnaPhos (TriOn Pharma Ltd) Specialist knowledge/initiation
  Oral tablet
Magnesium glycerophosphate (Non-proprietary)
  Oral capsule
Magnesium glycerophosphate (Non-proprietary)
MagnEss Gly (Essential-Healthcare Ltd)
MagnaPhos (TriOn Pharma Ltd)
  magnesium sulfate Hospital only
  Solution for injection
Magnesium sulfate (Non-proprietary) Hospital only
  Solution for infusion
Magnesium sulfate (Non-proprietary) Hospital only
  Powder
Magnesium sulfate (Non-proprietary)
Nutrition and metabolic disorders / Hyperphosphataemia
  calcium acetate Not approved for prescribing
  Oral tablet
Calcium acetate (Non-proprietary)
Phosex (Pharmacosmos UK Ltd)
Renacet (Stanningley Pharma Ltd)
  calcium acetate with magnesium carbonate Not approved for prescribing
  Oral tablet
Rephoren (Vifor Fresenius Medical Care Renal Pharma UK Ltd)
  lanthanum Hospital only
  Chewable tablet
Lanthanum (Non-proprietary)
Fosrenol (Takeda UK Ltd) Hospital only
  Oral powder
Fosrenol (Takeda UK Ltd)
  sevelamer Hospital only
  Oral tablet
Sevelamer (Non-proprietary)
Renagel (Sanofi)
Renvela (Sanofi)
  Powder for oral suspension
Sevelamer (Non-proprietary)
Renvela (Sanofi)
  sucroferric oxyhydroxide Non-formulary at HHFT and not suitable for primary care prescribing
  Chewable tablet
Velphoro (Vifor Fresenius Medical Care Renal Pharma UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Hypophosphataemia
  burosumab
  Solution for injection
Crysvita (Kyowa Kirin Ltd)
  phosphate Not approved for prescribing
  Effervescent tablet
Phosphate Sandoz (Alturix Ltd)
  Infusion
Phosphate (Non-proprietary) Not approved for prescribing
  Solution for infusion
Phosphate (Non-proprietary) Not approved for prescribing
Nutrition and metabolic disorders / Phenylketonuria
  sapropterin dihydrochloride Non-formulary at HHFT and not suitable for primary care prescribing NICE TA729
Where positive NICE Technology Appraisal(s) apply to this medicine but Homerton Healthcare NHS Foundation Trust does not provide the service

This medicine is not recommended for use at Homerton Healthcare NHS Foundation Trust as the trust does not provide this specialist service. Note that this medicine may be prescribed by other provider trusts that are accredited to provide this specialist service.

  Soluble tablet
Sapropterin dihydrochloride (Non-proprietary)
Kuvan (BioMarin (U.K.) Ltd)
Nutrition and metabolic disorders / Lysosomal acid lipase deficiency
  sebelipase alfa
  Solution for infusion
Kanuma (Alexion Pharma UK Ltd)
Nutrition and metabolic disorders / Mucopolysaccharidosis
  elosulfase alfa Non-formulary at HHFT and not suitable for primary care prescribing NICE HST19
Where positive NICE Technology Appraisal(s) apply to this medicine but Homerton Healthcare NHS Foundation Trust does not provide the service

This medicine is not recommended for use at Homerton Healthcare NHS Foundation Trust as the trust does not provide this specialist service. Note that this medicine may be prescribed by other provider trusts that are accredited to provide this specialist service.

  Solution for infusion
Vimizim (BioMarin (U.K.) Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
  galsulfase Hospital only
  Solution for infusion
Naglazyme (BioMarin (U.K.) Ltd) Hospital only
  idursulfase Hospital only
  Solution for infusion
Elaprase (Takeda UK Ltd) Hospital only
  laronidase Non-formulary at HHFT and not suitable for primary care prescribing
  Solution for infusion
Aldurazyme (Sanofi) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Carnitine deficiency
  levocarnitine Non-formulary at HHFT and not suitable for primary care prescribing
  Oral solution
Levocarnitine (Non-proprietary) Non-formulary at HHFT and not suitable for primary care prescribing
  Oral capsule
Levocarnitine (Non-proprietary)
Nutrition and metabolic disorders / Alpha-mannosidosis
  velmanase alfa NICE HST29
  Powder for solution for infusion
Lamzede (Chiesi Ltd)
Nutrition and metabolic disorders / Hypophosphatasia
  asfotase alfa Non-formulary at HHFT and not suitable for primary care prescribing NICE HST23
  Solution for injection
Strensiq (Alexion Pharma UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Tyrosinaemia type I
  nitisinone Non-formulary at HHFT and not suitable for primary care prescribing
  Oral suspension
Orfadin (Swedish Orphan Biovitrum Ltd) Hospital only
  Oral capsule
Nitisinone (Non-proprietary)
Orfadin (Swedish Orphan Biovitrum Ltd)
Nutrition and metabolic disorders / Urea cycle disorders
  carglumic acid Non-formulary at HHFT and not suitable for primary care prescribing
  Dispersible tablet
Carglumic acid (Non-proprietary)
Carbaglu (Recordati Rare Diseases UK Ltd)
Ucedane (Eurocept International bv)
  glycerol phenylbutyrate Non-formulary at HHFT and not suitable for primary care prescribing
  Gastroenteral or oral liquid
Ravicti (Immedica Pharma AB)
  sodium benzoate
  sodium phenylbutyrate Hospital only
  Oral tablet
Ammonaps (Immedica Pharma AB)
  Oral granules
Pheburane (Eurocept International bv)
Nutrition and metabolic disorders / Primary hyperoxaluria
  lumasiran NICE HST25
  Solution for injection
Oxlumo (Alnylam UK Ltd)
Nutrition and metabolic disorders / Gaucher's disease
  eliglustat Non-formulary at HHFT and not suitable for primary care prescribing NICE HST5
  Oral capsule
Cerdelga (Sanofi)
  imiglucerase Hospital only
  Powder for solution for infusion
Cerezyme (Sanofi)
  miglustat Non-formulary at HHFT and not suitable for primary care prescribing NICE TA912
  Oral capsule
Miglustat (Non-proprietary)
Opfolda (Amicus Therapeutics UK Operations Ltd)
Yargesa (Piramal Critical Care Ltd)
Zavesca (Janssen-Cilag Ltd)
  velaglucerase alfa Non-formulary at HHFT and not suitable for primary care prescribing
  Powder for solution for infusion
VPRIV (Takeda UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Amyloidosis
  inotersen NICE HST9
  Solution for injection
Tegsedi (Swedish Orphan Biovitrum Ltd)
  patisiran NICE HST10
  Solution for infusion
Onpattro (Alnylam UK Ltd)
  tafamidis Non-formulary at HHFT and not suitable for primary care prescribing NICE TA984
Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Oral capsule
Vyndaqel (Pfizer Ltd)
  vutrisiran NICE TA868
  Solution for injection
Amvuttra (Alnylam UK Ltd)
Nutrition and metabolic disorders / Fabry's disease
  agalsidase alfa Non-formulary at HHFT and not suitable for primary care prescribing
  Solution for infusion
Replagal (Takeda UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
  agalsidase beta Non-formulary at HHFT and not suitable for primary care prescribing
  Powder for solution for infusion
Fabrazyme (Sanofi)
  migalastat Non-formulary at HHFT and not suitable for primary care prescribing NICE HST4
  Oral capsule
Galafold (Amicus Therapeutics UK Operations Ltd)
  pegunigalsidase alfa NICE TA915
  Solution for infusion
Elfabrio (Chiesi Ltd)
Nutrition and metabolic disorders / Niemann-Pick disease
  miglustat Non-formulary at HHFT and not suitable for primary care prescribing NICE TA912
  Oral capsule
Miglustat (Non-proprietary)
Opfolda (Amicus Therapeutics UK Operations Ltd)
Yargesa (Piramal Critical Care Ltd)
Zavesca (Janssen-Cilag Ltd)
  olipudase alfa
  Powder for solution for infusion
Xenpozyme (Sanofi)
Nutrition and metabolic disorders / Wilson's disease
  penicillamine Hospital only
  Oral tablet
Penicillamine (Non-proprietary)
  trientine Non-formulary at HHFT and not suitable for primary care prescribing
  Oral tablet
Cuprior (Orphalan UK Ltd)
  Oral capsule
Trientine (Non-proprietary)
Cufence (Univar Solutions B.V.)
  zinc acetate Not approved for prescribing
  Oral capsule
Wilzin (Recordati Rare Diseases UK Ltd)
Nutrition and metabolic disorders / Alkaptonuria
  nitisinone
  Oral suspension
Orfadin (Swedish Orphan Biovitrum Ltd)
  Oral capsule
Nitisinone (Non-proprietary)
Orfadin (Swedish Orphan Biovitrum Ltd)
Nutrition and metabolic disorders / Cystinuria
  penicillamine Hospital only
  Oral tablet
Penicillamine (Non-proprietary)
Nutrition and metabolic disorders / Acute porphyrias
  givosiran NICE HST16
  Solution for injection
Givlaari (Alnylam UK Ltd)
  haem arginate Hospital only
  Solution for infusion
Normosang (Recordati Rare Diseases UK Ltd) Hospital only
Nutrition and metabolic disorders / Pompe disease
  alglucosidase alfa Non-formulary at HHFT and not suitable for primary care prescribing
  Powder for solution for infusion
Myozyme (Sanofi)
  avalglucosidase alfa NICE TA821
  Powder for solution for infusion
Nexviadyme (Sanofi)
  cipaglucosidase alfa NICE TA912
  Powder for solution for infusion
Pombiliti (Amicus Therapeutics UK Operations Ltd)
  miglustat NICE TA912
  Oral capsule
Miglustat (Non-proprietary)
Opfolda (Amicus Therapeutics UK Operations Ltd)
Yargesa (Piramal Critical Care Ltd)
Zavesca (Janssen-Cilag Ltd)
Nutrition and metabolic disorders / Leptin deficiency
  metreleptin Non-formulary at HHFT and not suitable for primary care prescribing NICE HST14
NICE HST14
Where positive NICE Technology Appraisal(s) apply to this medicine but Homerton Healthcare NHS Foundation Trust does not provide the service

This medicine is not recommended for use at Homerton Healthcare NHS Foundation Trust as the trust does not provide this specialist service. Note that this medicine may be prescribed by other provider trusts that are accredited to provide this specialist service.

  Powder for solution for injection
Myalepta (Chiesi Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Nutrition and metabolic disorders / Homocystinuria
  betaine Hospital only
  Oral powder
Amversio (SERB)
Cystadane (Recordati Rare Diseases UK Ltd)
Nutrition and metabolic disorders / Nephropathic cystinosis
  mercaptamine Non-formulary at HHFT and not suitable for primary care prescribing
  Gastro-resistant capsule
Procysbi (Chiesi Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
  Eye drops
Mercaptamine (Non-proprietary) Non-formulary at HHFT and not suitable for primary care prescribing
Cystadrops (Recordati Rare Diseases UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
  Oral capsule
Cystagon (Recordati Rare Diseases UK Ltd)
Nutrition and metabolic disorders / Nutrition (intravenous)
  parenteral nutrition supplements Hospital only
  Powder for solution for injection
Cernevit (Baxter Healthcare Ltd)
  Solution for infusion
Parenteral nutrition supplements (Non-proprietary) Hospital only
Dipeptiven (Fresenius Kabi Ltd) Hospital only
Peditrace (Fresenius Kabi Ltd) Hospital only
Tracutil (B.Braun Medical Ltd) Hospital only
  Powder for solution for infusion
Solivito N (Fresenius Kabi Ltd) Hospital only
Nutrition and metabolic disorders / Vitamin deficiency
  alfacalcidol Specialist knowledge/initiation
  Oral drops
One-Alpha (Neon Healthcare Ltd) Specialist knowledge/initiation
  Solution for injection
One-Alpha (Neon Healthcare Ltd) Hospital only
  Oral capsule
Alfacalcidol (Non-proprietary)
AlciDol (TriOn Pharma Ltd)
AlfaD (Theramex HQ UK Ltd)
AlfacalEss (Essential-Healthcare Ltd)
One-Alpha (Neon Healthcare Ltd)
  alpha tocopherol Not approved for prescribing
  Oral solution
Vedrop (Recordati Rare Diseases UK Ltd) Not approved for prescribing
  alpha tocopheryl acetate Not approved for prescribing
  Chewable tablet
Alpha-E (TriOn Pharma Ltd)
AlphaToc-E (Essential-Healthcare Ltd)
E-Tabs (Ennogen Healthcare International Ltd) Not approved for prescribing
Ephynal (Imported (Italy)) Not approved for prescribing
  Oral suspension
Alpha tocopheryl acetate (Non-proprietary) Not approved for prescribing
Liqua-E (TriOn Pharma Ltd)
  Oral capsule
Alpha tocopheryl acetate (Non-proprietary)
AlphaToc-E (Essential-Healthcare Ltd)
E-Caps (Ennogen Healthcare Ltd)
Nutra-E (TriOn Pharma Ltd)
Vita-E (Typharm Ltd)
  ascorbic acid Joint formulary choice
  Chewable tablet
Ascorbic acid (Non-proprietary) Joint formulary choice
  Oral tablet
Ascorbic acid (Non-proprietary)
AascorbDose (TriOn Pharma Ltd)
Vodexo (Kent Pharma (UK) Ltd)
  Oral capsule
Ascorbic acid (Non-proprietary)
  calcifediol monohydrate
  Oral capsule
Domnisol (Flynn Pharma Ltd)
  calcitriol Specialist knowledge/initiation
  Oral solution
Calcitriol (Non-proprietary) Specialist knowledge/initiation
  Cutaneous ointment
Silkis (Galderma (UK) Ltd)
  Oral capsule
Calcitriol (Non-proprietary)
Rocaltrol (Atnahs Pharma UK Ltd)
  colecalciferol Joint formulary choice
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Chewable tablet
Colecalciferol (Non-proprietary) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Urgent-D (Vega Nutritionals Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Orodispersible tablet
Colecalciferol (Non-proprietary) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Oral solution
Colecalciferol (Non-proprietary) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Aactive D3 (TriOn Pharma Ltd)
Aciferol D3 (Rhodes Pharma Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Baby D (Kora Healthcare) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

E-D3 (Ennogen Healthcare Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

InVita D3 (Consilient Health Ltd) Joint formulary choice
InVita D3®

InVita D3® should only be prescribed for patients with established swallowing difficulties

Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Pro D3 (Synergy Biologics Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

SunVit D3 (SunVit-D3 Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Thorens (Galen Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Oral drops
Colecalciferol (Non-proprietary) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Aactive D3 (TriOn Pharma Ltd)
E-D3 (Ennogen Healthcare Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Fultium-D3 (Internis Pharmaceuticals Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Healthmarque (Kinerva Ltd)
InVita D3 (Consilient Health Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Pro D3 (Synergy Biologics Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Provitavit Vitamin D (Cuttlefish Ltd)
SunVit D3 (SunVit-D3 Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Thorens (Galen Ltd) Joint formulary choice
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Form unstated
Colecalciferol (Non-proprietary)
DailyD (Kora Healthcare)
ToddlerD (Kora Healthcare)
  Oral tablet
Colecalciferol (Non-proprietary)
Aactive D3 (TriOn Pharma Ltd)
AceCal D3 (Essential-Healthcare Ltd)
Aciferol D3 (Rhodes Pharma Ltd)
ColeDose D3 (TriOn Pharma Ltd)
ColeKal-D3 (Essential-Healthcare Ltd)
Colextra-D3 (Synergy Biologics Ltd)
Cubicole D3 (Cubic Pharmaceuticals Ltd)
Desunin (Viatris UK Healthcare Ltd)
E-D3 (Ennogen Healthcare International Ltd, Ennogen Healthcare Ltd)
Healthmarque (Kinerva Ltd)
Stexerol-D3 (Kyowa Kirin International UK NewCo Ltd)
SunVit D3 (SunVit-D3 Ltd)
YPV Vitamin D3 (GlucoRx Ltd)
  Oral capsule
Colecalciferol (Non-proprietary)
Aace D3 (Essential-Healthcare Ltd)
Aactive D3 (TriOn Pharma Ltd)
Aciferol D3 (Rhodes Pharma Ltd)
Actium D3 (MaN Pharma Ltd)
ColeDose D3 (TriOn Pharma Ltd)
ColeKal-D3 (Essential-Healthcare Ltd)
Colextra-D3 (Synergy Biologics Ltd)
Cubicole D3 (Cubic Pharmaceuticals Ltd)
D-Max (Nutraconcepts Ltd)
D-Pearls (Pharma Nord (UK) Ltd)
DailyD (Kora Healthcare)
E-D3 (Ennogen Healthcare International Ltd, Ennogen Healthcare Ltd)
Fultium-D3 (Internis Pharmaceuticals Ltd)
Hux D3 (Huxley Europe Ltd)
InVita D3 (Consilient Health Ltd, Forum Health Products Ltd)
LipoSil (Silicon Pharma Ltd)
OsteoCaps D3 (Rhodes Pharma Ltd)
Plenachol (Accord-UK Ltd)
Pro D3 (Synergy Biologics Ltd)
RestorD3 (TriOn Pharma Ltd)
Strivit-D3 (Strides Pharma UK Ltd)
SunVit D3 (SunVit-D3 Ltd)
SynerVit-D3 (Synergy Pharmaceuticals)
  colecalciferol with calcium carbonate Joint formulary choice
  Chewable tablet
Colecalciferol with calcium carbonate (Non-proprietary) Joint formulary choice
A1-Cal D3 (TriOn Pharma Ltd)
A1-Cal D3 Max (TriOn Pharma Ltd)
AaceCa D3 (Essential-Healthcare Ltd)
Accrete D3 One a Day (Thornton & Ross Ltd) Joint formulary choice
Adcal-D3 (Kyowa Kirin International UK NewCo Ltd) Joint formulary choice
Calceos (Galen Ltd) Joint formulary choice
Calci-D (Forum Health Products Ltd) Joint formulary choice
Calcichew D3 (Forum Health Products Ltd) Joint formulary choice
Calcichew D3 Forte (Forum Health Products Ltd) Joint formulary choice
Evacal D3 (Teva UK Ltd) Joint formulary choice
Kalcipos-D (Viatris UK Healthcare Ltd) Joint formulary choice
Natecal (Chiesi Ltd) Joint formulary choice
SunVit D3 (SunVit-D3 Ltd)
SunVit-D3 with Calcium (SunVit-D3 Ltd) Joint formulary choice
TheiCal-D3 (Stirling Anglian Pharmaceuticals Ltd) Joint formulary choice
  Effervescent tablet
Adcal-D3 (Kyowa Kirin International UK NewCo Ltd)
ColeKal-D3 (Essential-Healthcare Ltd)
SunVit D3 (SunVit-D3 Ltd)
  Effervescent granules
Colecalciferol with calcium carbonate (Non-proprietary) Joint formulary choice
Cacit D3 (Theramex HQ UK Ltd) Joint formulary choice
  Oral tablet
Colecalciferol with calcium carbonate (Non-proprietary)
Accrete D3 (Thornton & Ross Ltd)
Adcal-D3 (Kyowa Kirin International UK NewCo Ltd)
  ergocalciferol Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Oral solution
Ergocalciferol (Non-proprietary) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

Eciferol (Rhodes Pharma Ltd) Not approved for prescribing
Vitamin D3 (colecalciferol) product choice for adults

  • First Line: Aviticol® 20 000 IU capsule, Licensed medicine POM
  • Second line: Plenachol® 20 000 IU capsule or 40 000 IU capsule, Licensed medicine POM
  • Third-line: SunVit-D3® 20 000 IU film-coated tablet, Nutritional supplement
  • Third-line: Hux D3® 20 000 IU capsule, Nutritional supplement
  • For established swallowing difficulties only: InVita D3® 50 000 IU/mL oral solution ampoule, Licensed medicine POM

  Solution for injection
Ergocalciferol (Non-proprietary)
  Oral tablet
Ergocalciferol (Non-proprietary)
AacErgo (Essential-Healthcare Ltd)
Ergoral (Cubic Pharmaceuticals Ltd)
  Oral capsule
Ergocalciferol (Non-proprietary)
AacErgo (Essential-Healthcare Ltd)
Eciferol (Rhodes Pharma Ltd)
  ergocalciferol with calcium lactate and calcium phosphate Not approved for prescribing
  Oral tablet
Ergocalciferol with calcium lactate and calcium phosphate (Non-proprietary)
A1 Cal-E (TriOn Pharma Ltd)
CalciErgo (Essential-Healthcare Ltd)
  menadiol sodium phosphate Specialist knowledge/initiation
  Oral tablet
Menadiol sodium phosphate (Non-proprietary)
  paricalcitol Not approved for prescribing
  Solution for injection
Zemplar (AbbVie Ltd) Not approved for prescribing
  Oral capsule
Zemplar (AbbVie Ltd)
  phytomenadione Hospital only
PHYTOMENADIONE

Phytomenadione should only be prescribed in secondary care by or under the explicit direction of a specialist unless prescribed for chronic liver disease.

  Solution for injection
Phytomenadione (Non-proprietary)
  potassium aminobenzoate Not approved for prescribing
  Powder for oral solution
Potassium aminobenzoate (Non-proprietary)
  pyridoxine hydrochloride Specialist knowledge/initiation
  Oral solution
Apyrid (Essential-Healthcare Ltd)
PyriDose (TriOn Pharma Ltd)
  Oral tablet
Pyridoxine hydrochloride (Non-proprietary)
PyriDose (TriOn Pharma Ltd)
Pyrid (Ennogen Healthcare Ltd)
PyridoxEss (Essential-Healthcare Ltd)
  Oral capsule
Pyridoxine hydrochloride (Non-proprietary)
  thiamine Joint formulary choice
  Modified-release tablet
Thiamine (Non-proprietary) Not approved for prescribing
Athiam (Essential-Healthcare Ltd)
ThiaDose (TriOn Pharma Ltd)
  Oral solution
Athiam (Essential-Healthcare Ltd)
ThiaDose (TriOn Pharma Ltd)
  Oral tablet
Thiamine (Non-proprietary)
Athiam (Essential-Healthcare Ltd)
ThiaDose (TriOn Pharma Ltd)
ThiamEss (Essential-Healthcare Ltd)
  vitamin A Not approved for prescribing
Use of parenteral trace elements and vitamin A in bariatric patients

The JPG agreed to approve the use of parenteral copper, selium, zinc and vitamin A for the treatment of severe defficiencies in patients undergoing bariatric surgery. These preparations should only be prescribed by the bariatric team.

Formulary status - Hospital only

  • Selenium 10microgram/ml (10ml) ampoules
  • Copper sulphate 1mg/ml (5ml) ampoules
  • Zinc sulphate 50micromol/ml (10ml) ampoules
  • Vitamin A - 100,000units/2ml (1ml) ampoules

  Oral drops
Vitamin A (Non-proprietary) Not approved for prescribing
  vitamin B complex Joint formulary choice
  Oral tablet
Vitamin B complex (Non-proprietary)
B-CoVita Compound (Essential-Healthcare Ltd)
B-CoVita Strong (Essential-Healthcare Ltd)
CobiVit (TriOn Pharma Ltd)
  vitamin B substances with ascorbic acid
  Form unstated
Pabrinex Intramuscular High Potency (Kyowa Kirin International UK NewCo Ltd) Hospital only
Pabrinex Intravenous High Potency (Kyowa Kirin International UK NewCo Ltd)
  vitamins A and D
  Oral capsule
Vitamins A and D (Non-proprietary)
  vitamins A, C and D Joint formulary choice
Healthy Start vitamins for children

Healthy Start vitamins drops are available free of charge for babies and children from four weeks until their fourth birthday (for City and Hackney residents). Infants who are consuming more than 500ml of formula milk a day do not need Healthy Start vitamins until they start consuming less than this amount as vitamins are added to formula milk.

GP must not prescribe Healthy Start vitamins drops and should direct their patients to local community pharmacy for the vitamins drops. The vitamins can be collected from all community pharmacies in Hackney, and two in the City (Boots on Aldgate High Street and Niemans chemist on Goswell Road). The vitamins can also be collected from Linden Children's Centre, Woodberry Down Children's Centre and the One O'clock Club in Clissold Park.

  Oral drops
Vitamins A, C and D (Non-proprietary) Joint formulary choice
Healthy Start vitamins for children

Healthy Start vitamins drops are available free of charge for babies and children from four weeks until their fourth birthday (for City and Hackney residents). Infants who are consuming more than 500ml of formula milk a day do not need Healthy Start vitamins until they start consuming less than this amount as vitamins are added to formula milk.

GP must not prescribe Healthy Start vitamins drops and should direct their patients to local community pharmacy for the vitamins drops. The vitamins can be collected from all community pharmacies in Hackney, and two in the City (Boots on Aldgate High Street and Niemans chemist on Goswell Road). The vitamins can also be collected from Linden Children's Centre, Woodberry Down Children's Centre and the One O'clock Club in Clissold Park.

  vitamins with minerals and trace elements Not approved for prescribing
  Oral emulsion
Vitamins with minerals and trace elements (Non-proprietary) Not approved for prescribing
  Oral tablet
Vitamins with minerals and trace elements (Non-proprietary)
  Oral capsule
Forceval (Alliance Pharmaceuticals Ltd)
Nutrition and metabolic disorders / Neural tube defects (prevention in pregnancy)
  folic acid Joint formulary choice
  Oral solution
Folic acid (Non-proprietary) Joint formulary choice
Lexpec (Rosemont Pharmaceuticals Ltd) Joint formulary choice
  Oral tablet
Folic acid (Non-proprietary)
Nutrition and metabolic disorders / Mineral and trace elements deficiencies
  COPPER Hospital only
Use of parenteral trace elements and vitamin A in bariatric patients

The JPG agreed to approve the use of parenteral copper, selium, zinc and vitamin A for the treatment of severe defficiencies in patients undergoing bariatric surgery. These preparations should only be prescribed by the bariatric team.

Formulary status - Hospital only

  • Selenium 10microgram/ml (10ml) ampoules
  • Copper sulphate 1mg/ml (5ml) ampoules
  • Zinc sulphate 50micromol/ml (10ml) ampoules
  • Vitamin A - 100,000units/2ml (1ml) ampoules

Nutrition and metabolic disorders / Selenium deficiency
  selenium Hospital only
Injection/infusion formulations

The injection/infusion formulation of this medicine is not recommended for prescribing in primary care (i.e. hospital only prescribing).

Use of parenteral trace elements and vitamin A in bariatric patients

The JPG agreed to approve the use of parenteral copper, selium, zinc and vitamin A for the treatment of severe defficiencies in patients undergoing bariatric surgery. These preparations should only be prescribed by the bariatric team.

Formulary status - Hospital only

  • Selenium 10microgram/ml (10ml) ampoules
  • Copper sulphate 1mg/ml (5ml) ampoules
  • Zinc sulphate 50micromol/ml (10ml) ampoules
  • Vitamin A - 100,000units/2ml (1ml) ampoules

  Oral solution
Selenase (Kora Healthcare) Not approved for prescribing
  Solution for injection
Selenase (Kora Healthcare)
  Solution for infusion
Selenium (Non-proprietary) Hospital only
  Oral tablet
Selenium (Non-proprietary)
200-SEL (TriOn Pharma Ltd)
Abselen (Essential-Healthcare Ltd)
SelenoPrecise (Pharma Nord (UK) Ltd)
  Oral capsule
Selenium (Non-proprietary)
Nutrition and metabolic disorders / Zinc deficiency
  zinc sulfate Joint formulary choice
Use of parenteral trace elements and vitamin A in bariatric patients

The JPG agreed to approve the use of parenteral copper, selium, zinc and vitamin A for the treatment of severe defficiencies in patients undergoing bariatric surgery. These preparations should only be prescribed by the bariatric team.

Formulary status - Hospital only

  • Selenium 10microgram/ml (10ml) ampoules
  • Copper sulphate 1mg/ml (5ml) ampoules
  • Zinc sulphate 50micromol/ml (10ml) ampoules
  • Vitamin A - 100,000units/2ml (1ml) ampoules

  Effervescent tablet
Aactizinc (TriOn Pharma Ltd)
AadZinc (Essential-Healthcare Ltd)
Solvazinc (Galen Ltd)