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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
Notes:

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

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A2.04.01.02  Expand sub section  High-energy supplements: fat
 note 

These products are not nutritionally complete and should not be used as sole source of nutrition. Recommended maximum dosage: 40mls QDS unless otherwise specified by a Dietitian.

Should be used in combination with other nutritional supplements and not alone.

Altrashot®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • On dietician recommendation only
  • Available in vanilla and strawberry flavours in 120ml bottles
  • Once opened Altrashot should be refrigerated and used within 24 hours.
 
   
Calogen Extra
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • On dietician recommendation only.
  • Available in neutral and strawberry flavour in 40ml shots
  • Available in neutral and strawberry flavour in 200ml bottles
  • Calogen Extra bottles once opened should be stored in a refrigerator (<5°C) and used within 48 hours. Calogen Extra "SPC"

 
   
Calogen®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • On dietician recommendation only
  • Available in neutral and strawberry flavour in 200ml bottles
  • Available in neutral, strawberry and banana flavour in 500ml bottles
  • Once opened refrigerate and discard after 14 days Calogen "SPC"
 
   
Duocal®
(Liquid)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • On dietician recommendation only
 
   
Duocal® Super Soluble
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • On dietician recommendation only 
  • Paediatric use
 
   
Liquigen®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • Paediatric use
  • On dietician recommendation only
 
   
Pro-Cal®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
  • On Dietician Advice Only
 
   
Scandishake® Mix
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Restricted Drug Restricted

 

  • On dietician recommendation only- not nutritionally complete
  • Available in chocolate, banana, strawberry, unflavoured and vanilla flavour in sachets
 
   
 ....
 Non Formulary Items
Calisan® 90

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Duobar®

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Non Formulary
 
Energivit®

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Non Formulary
 
Fresubin® 5 kcal Shot

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Non Formulary
 
MCT Duocal®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Medium-chain Triglyceride (MCT) Oil

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pro-Cal® Shot

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Protifar®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
QuickCal®

View adult BNF View SPC online View childrens BNF
Non Formulary
Grey
  • Discontinued Sept 2013
  •  
    Vitapro®

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Vitasavoury®

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
      
    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

    Grey

    Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.
    Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.
    Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.
      

    Red

    Medicines which should normally be prescribed by specialists only. eg hospital only.
    For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
      

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.
    Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC.
      

    Amber 2

    Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.
    A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.
    *Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice
      

    Amber 3

    Primary care/ non specialist may initiate as per APC guideline.
    The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.
      

    Green

    Medicines suitable for routine use within primary care.
    Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.   

    OTC

      

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