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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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09.06  Expand sub section  Vitamins
09.06.01  Expand sub section  Vitamin A
09.06.02  Expand sub section  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  Expand sub section  Oral vitamin B complex preparations
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  Expand sub section  Other compounds to top
09.06.03  Expand sub section  Vitamin C
Ascorbic Acid
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Formulary Tablets 50mg, 200mg, 500mg 
   
09.06.04  Expand sub section  Vitamin D
Colecalciferol (vitamin D3)
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Formulary
Green
 
Link  Management of vitamin D deficiency 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)
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Formulary
Green
 
Link  Guidelines for the Management of Acute Hypocalcaemia in Adults
   
Ergocalciferol
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Formulary
Green
Injection 300,000 units 
Link  Management of vitamin D deficiency guidelines
   
09.06.05  Expand sub section  Vitamin E
09.06.06  Expand sub section  Vitamin K
Menadiol Sodium Phosphate
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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  Expand sub section  Multivitamin preparations to top
Mutivitamin
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Formulary Tablets 
   
09.06.07  Expand sub section  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
   
 ....
 Non Formulary Items
Alpha Tocopherol  (Vedrop®)

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Non Formulary
 
Alpha Tocopheryl Acetate  (Vitamin E)

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Non Formulary
 
Calcitriol

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Non Formulary
 
Calcitriol  (Rocaltrol®)

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Non Formulary
 
Calcium and Ergocalciferol

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Non Formulary
 
Calcium Carbonate with Colecalciferol  (Cacit D3)

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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)

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Non Formulary
 
Multivitamin preparations  (Dalivit)

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Non Formulary
 
Paricalcitol  (Zemplar)

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Non Formulary Capsules 1 microgram, 2 micrograms
Injection 5 micrograms/ml

Initiation on the advice of a Renal Specialist
 
Riboflavin

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Non Formulary
 
Vitamin and mineral suppliments  (Ketovite)

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Non Formulary
 
Vitamins A and D

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Non Formulary
 
Vitamins A,C and D (Healthy start vitamins for women)

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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.  

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