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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.06.02  Expand sub section  Vitamin B group
Pyridoxine Hydrochloride
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Formulary
Amber 2

Tablet

  • Tablets disperse in water if needed. Liquid can be made specially if required. See here for general advice on dispersing tablets.
  • NB use for the treatment of PMS is classified grey (see unlicensed section)
 
   
Thiamine
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Formulary
Green

Tablet

  • Advice on indication, dose and duration of oral B vitamins see Notts APC Alcohol Dependence Guidelines.
  • Tablets disperse in water if needed. Liquid can be made specially if required. See here for general advice on dispersing tablets.
 
Link  NUH: Acute Alcohol Withdrawal Guideline
Link  SFH: Wernicke-Korsakoff syndrome - prophylaxis and treatment
Link  NICE: Alcohol dependence - diagnosis, assessment and management
Link  NICE: Management of alcohol-related physical complications
   
Thiamine (Pabrinex®)
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Formulary
Amber 2
  • Intramuscular (IM) Injection = Amber 2 as per Notts APC Alcohol Dependence Guidelines May be administered in primary care by appropriately trained professionals using the correct administration technique.
  • Intravenous (IV) Injection = Amber 2, use as per local alcohol detoxification policies
 
Link  NUH: Alcohol Withdrawal Guideline
Link  SFH: Wernicke-Korsakoff syndrome - prophylaxis and treatment
Link  SFH: Pabrinex dose compilation table
Link  SFH: Pabrinex IV Infusion Guideline
Link  NICE: Alcohol dependence - diagnosis, assessment and management
Link  NICE: Management of alcohol-related physical complications
   
09.06.02  Expand sub section  Oral vitamin B complex preparations
Vitamin B Tablets, Compound Strong
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Formulary
Green

Tablet

  • For use in alcohol dependence see Notts APC Alcohol Dependence Guidelines. Note that use in alcohol dependence is not well supported by evidence, see RMOC info here and NHS England info here.
  • Tablets disperse in water if needed (may take a few minutes to dissolve). See here for general advice on dispersing tablets.
  • SFH: See Wernicke-Korsakoff Syndrome guideline.
  • NUH: Not used in alcohol detox guidance (consider thiamine and multivitamins as per policy)
 
   
09.06.02  Expand sub section  Other compounds
 ....
 Non Formulary Items
Nicotinamide

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Non Formulary
Grey
 
Other Compounds  (Potaba®)

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Non Formulary
Grey
Link  UKMI Q&A: Oral treatments for treating Peyronie’s disease
 
Riboflavin

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Non Formulary
Grey
 
Vitamin B complex preparations  (Vigranon B®)

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Non Formulary
Grey
Syrup
  • Can't be prescribed on FP10 prescription (blacklisted)
  •  
    Vitamin B Tablets (Compound)

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    Non Formulary
    Grey
     
      
    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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