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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 25: A2 - Borderline substances - Full Section
Notes:

For specific CCG pathways for Cows Milk allergy and supplentary criteria, please refer to the APC website

 Useful Links
Link   COVID19: Should I prescribe Baby Milk during COVID19?
Link   Cows milk allergy Overarching Guideline
Link   Drug interactions with enteral feeds
Link   Enteral tube feeding guideline - see page 10 for unblocking tubes (SFH)
Link   Injections given enterally: UKMI Q & A
Link   Lactose intolerance in children- patient info (Notts APC)
Link   Lactose Intolerance in Infants guideline (NottsAPC)
Link   Nottinghamshire Oral Nutritional Supplement (sip feeds) Guidelines
Link   Nottinghamshire Sip Feed Guidelines (Quick Reference)
Link   Nutrition Support in Adults (including refeeding syndrome guidance) NICE guidance
Link   Premature infant feeding guidelines (Notts APC)
Link   Refeeding Syndrome: SFH notes
Link   CCG quick reference guide: Cow’s milk allergy & lactose intolerance - Infant feeds
Numbers in brackets indicate counts of (Formulary items, Non Formulary items)
A2.01 Enteral feeds (0,0)
A2.01.01.01 Enteral feeds: 1 kcal/mL and less than 5 g protein/100 mL (5,11)
A2.01.01.02 Enteral feeds: Less than 1 kcal/mL and less than 5 g protein/100 mL (1,0)
A2.01.02.01 Enteral feeds: 1.5 kcal/mL and 5 g (or more) protein/100 mL (3,9)
A2.01.02.02 Enteral feeds: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL (6,9)
A2.01.02.03 Enteral feeds: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL (1,2)
A2.01.03.02 Enteral feeds, Child: 1 kcal/mL and less than 4g protein/100 mL (5,0)
A2.01.03.03 Enteral feeds, Child: More than 1 kcal/mL and less than 4g protein/100 mL (0,0)
A2.01.03.04 Enteral feeds, Child: 1.5 kcal/mL and more than 4g protein/100 mL (5,0)
A2.01.03.05 Enteral feeds, Child: Less than 1 kcal/mL and less than 4g protein/100 mL (1,0)
A2.02.01 Powdered Oral Nutritional Supplements (5,2)
A2.02.01.01 Milkshake/ Yoghurt Style Sip Feeds (14,7)
A2.02.01.02 Juice Style Sip Feeds (4,3)
A2.02.02 Fibre containing sip feeds (5,0)
A2.02.02.01 Semi-solid Dessert Products (4,6)
A2.02.02.02 Pre-thickened Products (3,5)
A2.02.02.03 Compact sip feeds (6,8)
A2.03.01 Specialised formulas: Infant and child (16,9)
A2.03.02 Specialised formulas for specific clinical conditions (4,16)
A2.04.01 High-energy supplements (1,0)
A2.04.01.01 High-energy supplements: carbohydrate (1,5)
A2.04.01.02 High-energy supplements: fat (8,11)
A2.04.01.03 High-energy supplements: protein (2,4)
A2.05.01 Special additives for conditions of intolerance (0,3)
A2.05.02 Feed thickeners and pre-thickened drinks (4,8)
A2.06.01 Gluten-free foods (0,1)
A2.06.02 Low-protein foods (1,0)
A2.07 Nutritional supplements for metabolic diseases (1,0)
Phenylketonuria (4,23)
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