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Harrogate & District NHS Foundation Trust
Harrogate & Rural District Clinical Commissioning Group
 
 
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 Formulary Chapter 9: Blood - Full Chapter
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09.01  Anaemias and some other blood disorders
09.01.01  Iron-deficiency anaemias
09.01.01.01  Oral iron
Ferrous Fumarate (Fersaday®)
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Formulary Tablets 322mg (100mg iron)

Formulary switch from ferrous sulphate 
   
Sodium Feredetate (Sytron®)
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Formulary Liquid 27.5mg iron in 5ml 
   
09.01.01.01  Iron and folic acid
Iron and Folic Acid (Pregaday®)
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Formulary Tablets 100mg iron & 350micrograms folic acid 
   
09.01.01.01  Compound iron preparations to top
09.01.01.02  Parenteral iron
Iron Dextran (CosmoFer®)
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Restricted Drug Restricted Injection 50mg/ml

Initiation on the advice of a Haematologist

Use pre-printed chart 
   
Iron IsomaltosideBlack Triangle (Monofer®)
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Restricted Drug Restricted
Red

 

100 mg/ml solution for injection/infusion.

Refer to IV Iron Policy

 
Link  IV Iron Policy
Link  Monofer Prescription Chart
   
Iron Sucrose (Venofer)
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Restricted Drug Restricted Injection 20mg/ml

Use pre-printed chart 
   
09.01.02  Drugs used in megaloblastic anaemias
Folic Acid
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Formulary Tablets 5mg
Liquid 2.5mg/5ml 
   
Hydroxocobalamin
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Formulary Injection 1mg/ml 
   
09.01.03  Drugs used in hypoplastic, haemolytic, and renal anaemias
09.01.03  Erythropoietin
Epoetin alfa (Eprex®)
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Formulary  
   
09.01.03  Iron overload to top
Deferasirox (Exjade®)
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Restricted Drug Restricted Dispersible tablets 125mg, 250mg, 500mg

Initiation by Consultant Haematologist only 
   
Deferiprone (Ferriprox®)
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Restricted Drug Restricted Tablets 500mg

Initiation by Consultant Haematologist only 
   
Desferrioxamine Mesilate (Desferal®)
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Restricted Drug Restricted Injection 500mg 
   
09.01.04  Drugs used in autoimmune thrombocytopenic purpura
Anagrelide (Xagrid®)
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Restricted Drug Restricted Capsules 500micrograms

Initiation by Consultant Haematologists only 
   
Eltrombopag (Revolade®)
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Restricted Drug Restricted
Red
Approved in line with NICE TA293 
Link  Drug Safety Update - Eltrombopag (Revolade): reports of interference with bilirubin and creatinine test results
Link  NICE TA293: Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic perpura
   
09.01.05  G6PD deficiency
09.01.06  Drugs used in neutropenia
Filgrastim (Zarzio®)
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Formulary Pre-filled syringe
300 micrograms/0.5ml
480 micrograms/0.5ml 
   
Pegfilgrastim (Neulasta®)
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Restricted Drug Restricted Pre-filled syringe 6mg/0.6ml

Initiation by Consultant Haematologist/Oncologist only 
   
09.01.07  Drugs used to mobilise stem cells
09.02  Fluids and electrolytes to top
 note 

Management of vitamin D deficiency guidelines

Management of acute hypocalcaemia guidelines

Management of hypercalcaemia guidelines

Management of hypomagnesaemia guidelines

Management of acute hypophosphataemia guidelines

Management of hypokalaemia guidelines

Management of acute hyperkalaemia pathway

Use of intravenous potassium chloride infusions

Evaluation of hypernatraemia flowchart

Phosphate Infusion (Polyfuser)
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Formulary
Red

See link to hypophosphataemia guidelines

 
Link  Guidelines for the Management of Acute Hypophosphataemia in Adults
   
09.02.01  Oral preparations for fluid and electrolyte imbalance
09.02.01.01  Oral potassium
Potasium Chloride (Kay-Cee-L®)
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Formulary Liquid 1mmol/ml potassium 
   
Potasium Chloride (Sando-K®)
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Formulary Effervescent tablets (12mmol potassium)  
   
Potasium Chloride (Slow-K®)
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Formulary
Green

MR tablets 600mg (8mmol potassium)

MR tablets only to be prescribed if effervescent tablets or liquid preparations are inappropriate.

Branded proect has been discontinued only specialsare available to order - these may be expensive.

 
   
09.02.01.01  Potassium removal
patiromer
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Formulary
Red

Use in renal patients must be approved by a renal consultant

Awaiting further information for prescribing in Cardiology

 
Link  NICE TA623 Patiromer for treating hyperkalaemia
   
Polystyrene Sukphonate Resins (Calcium Resonium®)
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Formulary Oral powder 
   
Sodium Zirconium Cyclosilicate
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Formulary
Green

NOTE** For Renal patients: This medicine is restricted - Named patient basis only APC December 2019 

 

 
Link  NICE TA599 Sodium zirconium cyclosilicate for treating hyperkalaemia
   
09.02.01.02  Oral sodium and water
09.02.01.02  Oral rehydration therapy (ORT) to top
Oral Rehydration Salts
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Formulary Plain/Blackcurrant flavour 
   
09.02.01.03  Oral bicarbonate
Sodium Bicarbonate
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Formulary Capsules 500mg 
   
09.02.02  Parenteral preparations for fluid and electrolyte imbalance
09.02.02.01  Electrolytes and water
 note 

Evaluation of hypernatraemia

09.02.02.01  Intravenous sodium
Sodium Chloride Intravenous
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Formulary 0.45% (500ml)
0.9% (50ml & 50ml Minibag plus)
0.9% (100ml & 100ml Minibag plus)
0.9% (250ml)
0.9% (500ml)
0.9% (1000ml)
5% Polyfusor (500ml)  
   
Sodium chloride 3% solution (Hypertonic saline)
 Track Changes
Restricted Drug Restricted
Red
 
Link  Guidelines for the use of hypertonic saline
   
Sodium Chloride and Glucose Intravenous Infusion
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Formulary NaCl 0.9%, Glucose 5% (500ml)
NaCl 0.45%, Glucose 5% (500ml)
NaCl 0.18%, Glucose 4% (500ml)
NaCl 0.18%, Glucose 4% (1000ml)
NaCl 0.18%, Glucose 10% (500ml)
 
   
09.02.02.01  Intravenous glucose to top
Glucose Intravenous
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Formulary 5% (100ml, 250ml, 500ml, 1000ml))
10% (500ml)
12.5% (250ml)
15% (500ml)
20% (500ml)
50% (500ml) 
   
09.02.02.01  Intravenous potassium
Potassium Chloride and Glucose Intravenous Infusion
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Formulary Potassium 0.15%(20mmol), Glucose 5% (1000ml)
Potassium 0.3%(40mmol), Glucose 5% (1000ml)
Potassium 0.3%(40mmol), Glucose 10% (500ml) 
   
Potassium Chloride and Sodium Chloride Intravenous Infusion
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Formulary Potassium 0.15%(20mmol), NaCl 0.9% (1000ml)
Potassium 0.3%(40mmol), NaCl 0.9% (1000ml)
Potassium 0.45%(60mmol), NaCl 0.9% (1000ml)
*Potassium 0.6%(80mmol), NaCl 0.9% (500ml)*

*ECG monitoring required 
   
Potassium Chloride Concentrate (Sterile)
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Restricted Drug Restricted Pre-filled syringe 50mmol/50ml

For use on ITU only 
   
Potassium Chloride, Sodium Chloride and Glucose Intravenous Infusion
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Formulary Potassium 0.15%(20mmol),NaCl 0.45%,Glucose 5% (500ml)

Potassium 0.3%(40mmol),NaCl 0.18%,Glucose 4% (1000ml)

Potassium 0.3%(40mmol),NaCl 0.45%,Glucose 5% (500ml)

*Potassium 0.15%(20mmol),NaCl 0.18%,Glucose 4% (500ml)

*SCBU only 
   
Sodium Bicarbonate Infusion
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Formulary Polyfusor
1.26% (500ml)
2.74% (500ml)
4.2% (500ml)
8.4% (200ml) 
   
09.02.02.01  Bicarbonate and lactate
Sodium Bicarbonate (Min-I-Jet® Sodium Bicarbonate)
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Formulary Minijet 4.2%, 8.4% 
   
Sodium Lactate Intravenous Infusion, Compound
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Formulary 500ml, 1000ml 
   
09.02.02.01  Water
Water for Injection
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Formulary 5ml, 10ml, 20ml, 100ml 
   
09.02.02.02  Plasma and plasma substitutes
Human Albumin Solution
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Restricted Drug Restricted Obtain from Haematology 
   
09.02.02.02  Plasma substitutes to top
Tetrastarch (Volulyte®)
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Formulary 6% (500ml) 
   
09.03  Intravenous nutrition
Intralipid 20%
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Restricted Drug Restricted 500ml 
   
09.03  Supplementary preparations
09.04  Oral nutrition
09.04.01  Foods for special diets
09.04.02  Enteral nutrition to top
09.05  Minerals
09.05.01  Calcium and magnesium
Calcium Gluconate 10%
(50ml and 100ml)
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Formulary
Red

Please see link to Hypocalcaemia Guidelines

 
Link  Guidelines for the Management of Acute Hypocalcaemia in Adults
   
09.05.01.01  Calcium supplements
Calcium Salts (Calcium Chloride)
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Formulary
Amber
 
Link  Hyperkalaemia pathway and documentation
Link  Hyperkalaemia treatment protocol
   
09.05.01.02  Hypercalcaemia and hypercalciuria
 note  Management of hypercalcaemia guidelines
Bisphosphonates
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Formulary
Green
 
   
Cinacalcet (Mimpara®)
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Restricted Drug Restricted Tablets 30mg, 90mg

For use by the Renal Unit only 
   
09.05.01.03  Magnesium to top
Magnesium Aspartate
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Formulary Sachets 10mmol  
Link  Guidelines for the management of acute hypomagnesaemia in adults
   
Magnesium Sulphate
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Formulary Injection 50% (2mmol/ml)
Infusion 20% (Delivery Suite only)
 
Link  Guidelines for the Management of Acute Hypomagnesaemia in Adults
Link  Magnesium sulphate IV for the treatment of acute severe asthma in adults
   
09.05.02  Phosphorus
09.05.02.01  Phosphate supplements
Phosphate supplements
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Formulary Effervescent tablets (Phosphate Sandoz):
Phosphate 16.1mmol, Potassium 3.1mmol, Sodium 20.4mmol per tablet

Polyfusor (500ml):
Phosphate 50mmol, Potassium 9.5mmol, Sodium 81mmol in 500ml 
Link  Guidelines for the Management of Acute Hypophosphataemia in Adults
   
09.05.02.02  Phosphate-binding agents
Aluminium Hydroxide (Alu-Cap®)
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Restricted Drug Restricted Capsules 475mg

Initiation on the advice of a Renal Specialist 
   
Calcium Salts (Calcichew®)
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Restricted Drug Restricted Chewable tablets 1.25mg (500mg calcium)

Initiation on the advice of a Renal Specialist  
Link  Guidelines for the Management of Acute Hypocalcaemia in Adults
   
Calcium Salts (Phosex®)
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Restricted Drug Restricted Tablets 1g

Initiation on the advice of a Renal Specialist  
   
Lanthanum (Fosrenol ®)
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Restricted Drug Restricted Chewable tablets 500mg, 750mg

Initiation on the advice of a Renal Specialist  
   
Sevelamer (Renagel®)
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Restricted Drug Restricted Tablets 800mg

Initiation on the advice of a Renal Specialist  
   
09.05.03  Fluoride
Mouthwash tablets (Tellodont® )
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Formulary Soluble tablets 
   
09.05.04  Zinc to top
Zinc Sulphate
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Formulary Effervescent tablets 125mg(45mg elemental zinc) 
   
09.05.05  Selenium
09.06  Vitamins
09.06.01  Vitamin A
09.06.02  Vitamin B group
Nicotinamide
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Formulary
Black

Nicotinamide is recomended by the HaRD APC (Feb 2020) for the prevention of non- melanoma skin cancers in high risk patients, those with multiple previous skin cancers +/- immunosuppression. However the APC does NOT authorise the prescribing of this product. The APC recommends patients be advised to purchase this product Over The Counter.

 
   
Pyridoxine Hydrochloride (Pyridoxine)
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Formulary Tablets 50mg 
   
Thiamine
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Formulary Tablets 50mg, 100mg 
Link  Guidelines for the management of refeeding syndrome in adults
   
Thiamine (Pabrinex®)
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Formulary IM injection
IV injection 
Link  Guidelines for the management of refeeding syndrome in adults
   
09.06.02  Oral vitamin B complex preparations to top
Vitamin B Tablets (Compound Strong)
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Formulary Contain nicotinamide 20mg, pyridoxine 2mg, riboflavin 2mg, thiamine 5mg  
Link  Guidelines for the managment of refeeding syndrome in adults
   
Vitamin B complex preparations (Vigranon B®)
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Formulary Long-term manufacturing problem 
Link  Guidelines for the management of refeeding syndrome in adults
   
09.06.02  Other compounds
09.06.03  Vitamin C
Ascorbic Acid
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Formulary Tablets 50mg, 200mg, 500mg 
   
09.06.04  Vitamin D
Colecalciferol (vitamin D3)
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Formulary
Green
 
Link  Vitamin D guidelines
   
Alfacalcidol
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Formulary
Green
Capsules 0.25micrograms, 1microgram 
Link  Guidelines for the Management of Acute Hypocalcaemia in Adults
   
Colecalciferol and Calcium Carbonate (Adcal-D3®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
Link  Guidelines for the Management of Acute Hypocalcaemia in Adults
   
Ergocalciferol
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Formulary
Green
Injection 300,000 units 
Link  Vitamin D guidelines
   
09.06.05  Vitamin E
09.06.06  Vitamin K to top
Menadiol Sodium Phosphate
View adult BNF View SPC online View childrens BNF
Formulary Tablets 10mg

(long-term manufacturing problem. Phytomenadione 1mg available)

 
   
Phytomenadione (Konakion® MM)
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Formulary Injection 10mg/ml 
   
Phytomenadione (Konakion® MM Paediatric)
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Formulary Injection (can be used orally) 2mg/0.2ml 
   
09.06.07  Multivitamin preparations
Mutivitamin
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Formulary Tablets 
   
09.06.07  Vitamin and mineral supplements and adjuncts to synthetic diets
Vitamin and mineral suppliments (Forceval®)
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Formulary
Red

Capsules and soluble tablets

Approved July 2018 APC meeting for Refeeding protocol - see link

 
Link  Guidelines for the management of refeeding syndrome in adults
   
09.07  Bitters and tonics
09.08  Metabolic disorders
09.08.01  Drugs used in metabolic disorders to top
09.08.01  Wilsons disease
09.08.01  Carnitine deficiency
09.08.01  Fabry's disease
09.08.01  Gaucher's disease
09.08.01  Mucopolysaccharidosis I to top
09.08.01  Pompe disease
09.08.01  Nephropathic cystinosis
09.08.01  Urea cycle disorders
09.08.02  Acute porphyrias
09.08.02  Drugs unsafe for use in acute porphyrias to top
 ....
 Non Formulary Items
Agalsidase Alfa and Beta  (Fabrazyme®)

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Non Formulary
 
Agalsidase Alfa and Beta  (Replagal®)

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Non Formulary
 
Albumin Solution  (Isotonic solutions)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alglucosidase Alfa  (Myozyme®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alpha Tocopherol  (Vedrop®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alpha Tocopheryl Acetate  (Vitamin E)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Antilymphocyte globulin (Equine)

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Non Formulary
 
Bitters and tonics  (Effico®)

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Non Formulary
 
Bitters and tonics  (Gentian Mixture Alkaline BP)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bitters and tonics  (Labiton®)

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Non Formulary
 
Bitters and tonics  (Metatone®)

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Non Formulary
 
Calcitriol

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Non Formulary
 
Calcitriol  (Rocaltrol®)

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Non Formulary
 
Calcium and Ergocalciferol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium Carbonate with Colecalciferol  (Cacit® D3)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium Salts  (Adcal®)

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Non Formulary
 
Calcium Salts  (Cacit®)

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Non Formulary
 
Calcium Salts  (Calcichew®)

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Non Formulary
 
Calcium Salts  (Calcium Gluconate)

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Non Formulary
 
Calcium Salts  (Calcium Lactate)

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Non Formulary
 
Calcium Salts  (Calcium-500)

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Non Formulary
 
Calcium Salts  (Calcium-500®)

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Non Formulary
 
Calcium Salts  (Calcium-Sandoz®)

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Non Formulary
 
Calcium Salts  (Osvaren®)

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Non Formulary
 
Calcium Salts  (PhosLo®)

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Non Formulary
 
Calcium Salts  (Sandocal®)

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Non Formulary
 
Carglumic Acid  (Carbaglu®)

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Non Formulary
 
Carnitine  (Carnitor®)

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Non Formulary
 
Colecalciferol  (Sandocal®)

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Non Formulary
 
Colecalciferol and Calcium Carbonate  (Calceos® )

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Non Formulary
Green
 
Colecalciferol and Calcium Carbonate  (Calcichew-D3®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Compound iron preparations  (Ferrograd C®)

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Non Formulary
 
Compound iron preparations  (Givitol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cyanocobalamin

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Non Formulary
 
Darbepoetin Alfa  (Aranesp®)

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Non Formulary
Amber Shared Care
For use in renal anaemia only
Link  York Shared Care Guidelines - Darbepoetin (Aranesp) for use in Chronic Renal Disease
 
Dextran 40®

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Non Formulary
 
Dextran 70  (RescueFlow®)

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Non Formulary
 
Dextran 70®

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Non Formulary
 
Epoetin beta  (NeoRecormon®)

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Non Formulary
 
Epoetin Theta  (Eporatio®)

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Non Formulary
 
Etherified Starch  (HAES-steril®)

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Non Formulary
 
Etherified Starch  (Hemohes®)

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Non Formulary
 
Etherified Starch  (Hetastarch)

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Non Formulary
 
Etherified Starch  (Infukoll®)

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Non Formulary
 
Etherified Starch  (Pentastarch)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ferric Carboxymaltose  (Ferinject®)

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Non Formulary
Black

Injection 50mg/ml

Link  Ferinject Prescription Chart
 
Ferrous Fumarate  (Fersamal®)

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Non Formulary
 
Ferrous Fumarate  (Galfer®)

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Non Formulary
 
Ferrous Gluconate

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Non Formulary
 
Ferrous Sulphate

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Non Formulary
 
Ferrous Sulphate  (Ferrograd®)

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Non Formulary
 
Ferrous Sulphate  (Ironorm® drops)

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Non Formulary
 
Filgrastim  (Neupogen®)

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Non Formulary
 
Filgrastim  (Ratiograstim®)

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Non Formulary
 
Fluoride

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Non Formulary
 
Gelatin  (Gelofusine®)

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Non Formulary
 
Gelatin  (Haemaccel®)

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Non Formulary
 
Gelatin  (Volplex®)

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Non Formulary
 
Haem Arginate  (Normasang®)

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Non Formulary
 
Hydroxycarbamide  (Siklos®)

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Non Formulary
 
Hypertonic Solution  (HyperHAES®)

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Non Formulary
 
Imiglucerase  (Cerezyme®)

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Non Formulary
 
Iron and Folic Acid  (Ferrograd Folic®)

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Non Formulary
 
Iron and Folic Acide  (Galfer FA®)

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Non Formulary
 
Laronidase  (Aldurazyme®)

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Non Formulary
 
Lenograstim  (Granocyte®)

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Non Formulary
 
Magnesium Chelate

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Non Formulary
 
Mercaptamine  (Cystagon®)

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Non Formulary
 
Methoxy Polyethylene Glycol-Epoetin Beta  (Micera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Miglustat  (Zavesca®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Multivitamin preparations  (Dalivit®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Paricalcitol  (Zemplar®)

View adult BNF View SPC online View childrens BNF
Non Formulary Capsules 1 microgram, 2 micrograms
Injection 5 micrograms/ml

Initiation on the advice of a Renal Specialist
 
Penicillamine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Plerixafor  (Mozobil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Plerixafor  (Mozobil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Polysaccharide Iron Complex  (Miferex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Polystyrene Sukphonate Resins  (Resonium A®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Potasium Chloride  (Klofer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Preparations  (Forceval Protein Powder®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Riboflavin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sapropterin Dihydrochloride  (Kuvan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Selenium  (Selenase®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Ringer's Solution for Injection)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Slow Sodium®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Phenybutyrate  (Ammonaps®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tetrastarch  (Venofundin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tetrastarch  (Voluven®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Trientine Dihydrochloride

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Trisodium Edetate  (Limclair®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamin and mineral suppliments  (Ketovite®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamins A and D

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vitamins A,C and D (Healthy start vitamins for women)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zinc Acetate  (Wilzin®)

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

Amber

Medicines which are suitable to be prescribed in primary care only after specialist recommendation. Ongoing prescribing by primary care includes titration of dose and assessment of efficacy. There is no need for ongoing monitoring other than for general adverse effects as listed in the BNF & SPC.  

Amber Shared Care

Medicines which are suitable to be prescribed in primary care only after specialist recommendation 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 be approved by the Harrogate & Rurual District Area Prescribing Committee (HaRD APC).   

Black

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) has reviewed and does not recommend for use at present based on a review of clinical and/or cost effectiveness data.   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with nationally recognised formularies e.g. BNF, BNF for Children, Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

Grey

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) have not yet reviewed.   

Red

Medicines for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician. The drug should be supplied by the hospital for the duration of the treatment course. Primary care prescriber initiation or continuation of treatemnt is not recommended.  

netFormulary