netFormulary North of Tyne and Gateshead Area Prescribing Committee NHS
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.06.04  Expand sub section  Vitamin D
Alfacalcidol
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Formulary
Green
  • 250 nanogram & 1 microgram capsules
  • 2 microgram/ml sugar-free oral drops – one drop containing approx. 100 nanograms of alfacalcidol 
  • 1 microgram in 0.5ml & 2 micrograms in 1ml injections
 
   
Colecalciferol
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Formulary
Green
  • 20microgram (800 units) capsules or tablets
    • For first line use in the long term maintenance treatment of patients with documented vitamin D deficiency following high strength therapy and also for use in patients with symptoms and insufficient levels. 

  • 500 microgram (20,000 units) capsules
    • For use in patients requiring high strength therapy for vitamin D deficiency. 

  • 2740iu/ml oral solution (Fultium®-D3 Drops) 
  • 1000iu and 3000iu buccal spray (DLux®) unlicensedunlicensed Red Traffic Light
    • Approved for use in paediatric parenteral nutrition patients with short bowel syndrome and adults with metabolic bone disease who have vitamin D deficiency despite previous treatment.

 
   
Ergocalciferol
(Calciferol)
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Formulary
Green
  • 250 microg. (10,000 units) & 1.25mg (50,000 units) tablets.
    • A 3000 units in 1ml suspension (unlicensedunlicensed) may be supplied if colecalciferol oral solution is not available.

  • 7.5mg (300,000 units) in 1ml injection.
 
   
Calcium Carbonate 1.5g and Colecalciferol 10micrograms (400iu) (Accrete®)
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Formulary
Green
  • First Choice combination
    • Film coated tablet containing calcium carbonate 1.5g and colecalciferol 10 micrograms (400 units)

 
   
Calcium Carbonate 1.5g and Colecalciferol 10micrograms (400iu) (Evacal®)
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Formulary
Green
  • Second Choice combination
    • Chewable tablet containing calcium carbonate 1.5g and colecalciferol 10 micrograms (400 units) approved as chewable option and also to be used in patients with peanut and soya allergy.

 
   
Calcium Phosphate 3.1g and Colecalciferol 20micrograms (800iu)  (Calfovit D3®)
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Formulary
Green
  • Second choice combination
    • Powder in sachets – calcium phosphate 3.1g (1.2g calcium) & Vitamin D3 800 units

 
   
Calcium and Ergocalciferol Tablets
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Formulary
Green
  • Second choice combination
    • Calcium lactate 300mg, calcium phosphate 150mg (Ca 97mg, 2.4 mmol) & ergocalciferol 10 micrograms (400 units).

 
   
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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
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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

Red

Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment. In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances.   

Amber

Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement. The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber. If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care.  

Green plus

Drugs normally recommended or initiated by hospital specialist, but where the provision of an information leaflet may be appropriate to facilitate continuing treatment by GPs. Many of these information sheets are in the process of development.  

Green

Drugs where prescribing by GPs is appropriate. Drugs not classified as Red, Amber or Green Plus (formerly blue in North of Tyne) are generally classified as ‘Green’ by default. The Green drugs listed here include those products normally initiated by hospital specialists where there was a need for discussion and debate as to the category in which they should be placed.  

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