netFormulary Dorset NHS
The Dorset Formulary has been developed in associations with
NHS Dorset Clinical Commissioning Group
Dorset County Hospital NHS Foundation Trust
Dorset Healthcare University NHS Foundation Trust
Poole Hospital NHS Foundation Trust
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
 
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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
Notes:
Chapter review date:
 Details...
A2.01  Enteral feeds
A2.01.01  Enteral feeds (non-disease specific): less than 5 g protein/100 mL
A2.01.01.01  Enteral feeds: 1 kcal/mL and less than 5 g protein/100 mL
Nutricomp® Standard
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Formulary
Green

NICE CG32 (Feb 2006) Nutrition support in adults www.nice.org.uk/page.aspx?o=cg032niceguideline

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Adult sip feeds containing 1kcal/ml (Fresubin Original, Ensure, Fortimel, Clinutren ISO) should not be prescribed as they are less cost effective compared to 1.5kcal/ml sip feeds

 
   
A2.01.01.02  Enteral feeds: Less than 1 kcal/mL and less than 5 g protein/100 mL
A2.01.02  Enteral feeds (non-disease specific): 5 g (or more) protein/100 mL to top
A2.01.02.01  Enteral feeds: 1.5 kcal/mL and 5 g (or more) protein/100 mL
A2.01.02.02  Enteral feeds: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL
A2.01.02.03  Enteral feeds: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL
Altraplen® Compact
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Formulary
Green

NICE CG32 (Feb 2006) Nutrition support in adults

This has a smaller volume and more than 2kcals /ml these can very useful in those who struggle with a larger volume

 
   
Altraplen® Protein
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Formulary
Amber

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Restrict use to those patients with increased protein requirement. Use only under direction of dietitian. Not to be used for those with renal insufficiency

 
   
Ensure Compact
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Formulary
Green

NICE CG32 (Feb 2006) Nutrition support in adults

This has a smaller volume and more than 2kcals /ml these can very useful in those who struggle with a larger volume

 
   
Ensure® TwoCal
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Formulary

Green  NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Amber Restrict use to those patients with increased protein requirement. Use only under direction of dietitian. Not to be used for those with renal insufficiency.

 

 
   
A2.01.03  Enteral feeds: Child under 12 years
A2.01.03.01  Enteral feeds, Child: Less than 1 kcal/mL and less than 4g protein/100 mL to top
Nutriprem 2
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Formulary
Amber

For promoting catch up growth in pre-term and small for gestational age infants. Use up to 6 months corrected age. 

 
   
SMA Pro Gold Prem 2®
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Formulary
Amber

For promoting catch up growth in pre-term and small for gestational age infants. Use up to 6 months corrected age. 

 
   
A2.01.03.01  Amino acid formula (essential and non-essential amino acids)
A2.01.03.02  Enteral feeds, Child: 1.5 kcal/mL and less than 4g protein/100 mL
Infatrini®
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Formulary
Amber

ACBS indication: disease related malnutrition and malabsorption, or growth failure. For use from birth to 18 months. 

 
   
A2.01.03.02  Hydrolysate Formula
A2.01.03.03  Enteral feeds, Child: More than 1 kcal/mL and less than 4g protein/100 mL
Fortini®
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Formulary
Green

Nutritionally complete. 

For use in children over 1 year of age.

 
   
Fortini®Multifibre
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Formulary
Green

Includes Smoothie Multifibre.

Nutritionally complete.

For use in children over 1 year of age.

 
   
Paediasure Peptide®
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Formulary
Green

For use from age 1 - 10 years and 8-30 kg body weight.

 
   
A2.01.03.04  Enteral feeds, Child: 1.5 kcal/mL and more than 4g protein/100 mL to top
A2.02  Nutritional supplements
A2.02  Carbohydrate powder
A2.02.01  Nutritional supplements: less than 5 g protein/100 mL
A2.02.01.01  Nutritional supplements: 1 kcal/mL and less than 5 g protein/100 mL
Ensure® Shake
(Original Nutritional Shakes)
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First Choice
Green

Calories are based on a sachet made up with 200ml of full cream milk and contains approx 385 kcals.

If patient likes milky drinks, prescribe as a supplement to diet 1-2 servings/day.

Not suitable for patients with cow's milk intolerance or galactosaemia.

Not nutritionally complete.

If patient dislikes milk drinks, choose from the juice style supplements instead.

 

 
A2.02.01.02  Nutritional supplements: More than 1 kcal/mL and less than 5 g protein/100 mL to top
AYMES Shake (Milkshake style and Juice shakes)
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First Choice
Green

Calorie content is based on a sachet being made up with 200ml of full cream milk and contains approx. 385 Kcals.

If patient likes milky drinks, prescribe as a supplement to diet 1-2 servings/day.

Not suitable for patient with cow's milk intolerence or galactosaemia.

Not nutritionally complete.

If patient dislikes milky drinks choose from the juice style supplements instead.

 
Aymes® Complete
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Formulary
Green

NICE CG32 (Feb 2006) Nutrition support in adults www.nice.org.uk/page.aspx?o=cg032niceguideline

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Adult sip feeds containing 1kcal/ml (Fresubin Original, Ensure, Fortimel, Clinutren ISO) should not be prescribed as they are less cost effective compared to 1.5kcal/ml sip feeds

 
   
Ensure® Plus Juce
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Formulary
Green

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Useful for those patients with preference to juice /dislike to milk. However note these are less cost effective in terms of calorie and protein content than milk based sips.

These are not suitable for those with an allergy to cow’s milk.

 
   
Fortijuce®
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Formulary
Green

Nutritionally complete juice type sip feed.

Useful for those patients with preference to juice /dislike to milk. However note these are less cost effective in terms of calorie and protein content than milk based sips.

These are not suitable for those with an allergy to cow's milk.

Adult patients

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Paediatric patients

For use in children over 1 year of age.

 

 

 
   
Fresubin® Jucy
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Formulary
Green

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Useful for those patients with preference to juice /dislike to milk. However note these are less cost effective in terms of calorie and protein content than milk based sips.

These are not suitable for those with an allergy to cow’s milk.

 
   
Paediasure Plus Juce®
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Formulary
Green

Nutrionally complete.

For children 1-10 years of age, and 8-30kg in weight.

 
   
A2.02.02  Nutritional supplements: 5 g (or more) protein/100 mL
A2.02.02.01  Nutritional supplements: 1.5 kcal/mL and 5 g (or more) protein/100 mL
Ensure® Plus Fibre
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Formulary
Green

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Restrict use to those patients with bowel problems as slightly more expensive than 1.5kcal.ml sips without fibre.

 
   
Ensure® Plus Milkshake style
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Formulary
Green

NICE CG32 (Feb 2006) Nutrition support in adults www.nice.org.uk/page.aspx?o=cg032niceguideline

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Adult sip feeds containing 1kcal/ml (Fresubin Original, Ensure, Fortimel, Clinutren ISO) should not be prescribed as they are less cost effective compared to 1.5kcal/ml sip feeds

 
   
Ensure® Plus Yoghurt style
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Formulary
Green

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Useful for patients with taste changes e.g. as a side effect to cancer treatments

 
   
Fortisip® Yoghurt Style
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Formulary
Green

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Useful for patients with taste changes e.g. as a side effect to cancer treatments

 
   
Fortisip® Bottle
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Formulary
Green

Adult patients

NICE CG32 (Feb 2006) Nutrition support in adults www.nice.org.uk/page.aspx?o=cg032niceguideline

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Adult sip feeds containing 1kcal/ml (Fresubin Original, Ensure, Fortimel, Clinutren ISO) should not be prescribed as they are less cost effective compared to 1.5kcal/ml sip feeds

Paediatric patients

Do not use in patients < 1 year of age, use with caution in children 1-5 years of age.

 

 
   
Fresubin® Energy
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Formulary
Green
 
   
Fresubin® Energy Fibre
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Formulary
Green

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Restrict use to those patients with bowel problems as slightly more expensive than 1.5kcal.ml sips without fibre.

 
   
Fresubin® Thickened Stage 2
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Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed)

Useful for patients who have difficulty mixing powdered thickener into drinks or who are not compliant with thickened drinks made with powder.

Reduces risk of aspiration by removing potential for error

 
   
Ensure Plus Savoury
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Formulary
Green

NICE CG32 (Feb 2006) Nutrition support in adults www.nice.org.uk/page.aspx?o=cg032niceguideline

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Adult sip feeds containing 1kcal/ml (Fresubin Original, Ensure, Fortimel, Clinutren ISO) should not be prescribed as they are less cost effective compared to 1.5kcal/ml sip feeds

 
   
Fresubin® Protein Energy Drink
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Formulary
Amber

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Restrict use to those patients with increased protein requirement. Use only under direction of dietitian. Not to be used for those with renal insufficiency.

 
   
Fresubin® Thickened Stage 1
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Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed)

Useful for patients who have difficulty mixing powdered thickener into drinks or who are not compliant with thickened drinks made with powder.

Reduces risk of aspiration by removing potential for error

 
   
A2.02.02.02  Nutritional supplements: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL
Ensure® Plus Crème
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Formulary
Green

NICE CG32 Nutrition support in adults

For use predominantly with patients with swallowing problems/dysphagia although can be useful for those with taste fatigue with sip feeds

 
   
Nutricrem®
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Formulary
Green

NICE CG32 Nutrition support in adults

For use predominantly with patients with swallowing problems/dysphagia although can be useful for those with taste fatigue with sip feeds

 
   
A2.02.02.03  Nutritional supplements: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL
Complan® Shake
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First Choice
Green

The calories are based on a sachet made up with 200ml of full cream milk and contain approx. 385 kcals.

If your patient likes milky drinks prescribe as a supplement to diet 1-2 servings/day.

Not suitable for patient with cow’s milk intolerance or galactosaemia. Not nutritionally complete.

If your patient dislikes milky drinks choose from the juice style supplements instead.

 
Foodlink® Complete
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First Choice

The calories are based on a sachet made up with 200ml of full cream milk and contain approx. 385 kcals.

If your patient likes milky drinks prescribe as a supplement to diet 1-2 servings/day.

Not suitable for patient with cow’s milk intolerance or galactosaemia.

Not nutritionally complete.

If your patient dislikes milky drinks choose from the juice style supplements instead.

 
Forticreme® Complete
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Formulary
Green

NICE CG32 Nutrition support in adults

For use predominantly with patients with swallowing problems/dysphagia although can be useful for those with taste fatigue with sip feeds

 
   
Fortini Compact Multifibre®
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Formulary
Green

For use in children over 1 year of age. 

 
   
Fortisip® Compact
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Formulary
Green

This has a smaller volume and more than 2kcals /ml these can very useful in those who struggle with a larger volume

Adult patients

NICE CG32 (Feb 2006) Nutrition support in adults

Paediatric patients

Paediatric patients: do not use in patients < 1 year of age, use with caution in children 1-5 years of age.

 
   
Fortisip® Compact Fibre
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Formulary
Green

125ml volume with same nutritional value as 200ml bottle so useful for those who cannot manage a large volume

Adult patients

NICE CG32 Nutrition support in adults

Paediatric patients

Paediatric patients: do not use in patients < 1 year of age, use with caution in children 1-5 years of age.

 
   
Fortisip® 2kcal
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Formulary

Green NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool)

Amber Restrict use to those patients with increased protein requirement. Use only under direction of dietitian. Not to be used for those with renal insufficiency.

 
   
Fresubin® 2 kcal Drink
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Formulary
Green

NICE CG32 Nutrition support in adults

 
   
Fresubin® 2 kcal Fibre Drink
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Formulary
Green

NICE CG32 Nutrition support in adults 125ml volume with same nutritional value as 200ml bottle so useful for those who cannot manage a large volume

 
   
Fresubin® YOcreme
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Formulary
Green

NICE CG32 Nutrition support in adults

For use predominantly with patients with swallowing problems/dysphagia although can be useful for those with taste fatigue with sip feeds

 
   
Fresubin® 2kcal Crème
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Formulary
Green

NICE CG32 Nutrition support in adults

For use predominantly with patients with swallowing problems/dysphagia although can be useful for those with taste fatigue with sip feeds

 
   
Nutilis® Complete Stage 1
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Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed)

Useful for patients who have difficulty mixing powdered thickener into drinks or who are not compliant with thickened drinks made with powder.

Reduces risk of aspiration by removing potential for error

 
   
Nutilis® Complete Stage 2
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Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed)

Useful for patients who have difficulty mixing powdered thickener into drinks or who are not compliant with thickened drinks made with powder.

Reduces risk of aspiration by removing potential for error

 
   
Nutilis® Complete Stage 3
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Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed)

Useful for patients who have difficulty mixing powdered thickener into drinks or who are not compliant with thickened drinks made with powder.

Reduces risk of aspiration by removing potential for error

 
   
Fortisip® Compact Protein
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Formulary
Amber

NICE CG32 Nutrition support in adults

Should be prescribed only after nutrition screening has taken place using a validated tool e.g. MUST (Malnutrition Universal Screening Tool) 

Restrict use to those patients with increased protein requirement. Use only under direction of dietitian. Not to be used for those with renal insufficiency.

 
   
A2.02.02.04  High Protein Products to top
A2.03  Specialised formulas
A2.03.01  Specialised formulas: Infant and child
Nutramigen 1 with LGG ®
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Formulary
Green

For cow's milk protein allergy in infants under 6 months of age

 
   
Nutramigen 2 with LGG ®
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Formulary
Green

For cow's milk protein allergy in infants over 6 months of age

 
   
Althera®
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Formulary
Green

Alternative option for cow’s milk protein allergy 

 
   
Aptamil Pepti 1®
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Formulary
Green
Alternative option for cow's milk protein allergy in infants under 6 months of age 
   
Aptamil Pepti 2®
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Formulary
Green
Alternative option for cow’s milk protein allergy in infants over 6 months of age 
   
Aptamil Pepti Junior®
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Formulary
Green

Alternative option for cow's milk protein allergy

 
   
Enfamil AR®
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Formulary
Green

Pre-thickened feed for use in severe gastro-oesophageal reflux. 

 
   
Enfamil® O-Lac
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Formulary
Green

For use in proven lactose intolerance (not suitable for use in cow's milk allergy).

If used for temporary lactose intolerance after a bout of gastroenteritis, it should only be used for 6-8 weeks before titrating back onto standard infant formula. 

 
   
Similac Alimentum®
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Formulary
Green

Alternative option for cow’s milk protein allergy 

 
   
SMA LF®
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Formulary
Green

For use in proven lactose intolerance - not suitable for use in cow's milk protein allergy. 

If used for temporary lactose intolerance following a bout of gastroenteritis, this should only be for a period of 6-8 weeks before titrating back onto standard infant formula. 

 
   
Survimed® OPD
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Formulary
Amber

If patient dislikes or does not tolerate Modulen IBD then trial of Elemental 028 extra can be considered

Available in 2 flavours or the unflavoured one can be made more palatable using the flavour modjuls

Use liquid E028 for patients who need to take product away from home or who dislike the taste of powdered E028

Short bowel syndrome, intractable malabsorption, inflammatory bowel disease, bowel fistulae.

 
   
Vital 1.5kcal
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Formulary
Amber

If patient dislikes or does not tolerate Modulen IBD then trial of Elemental 028 extra can be considered

Available in 2 flavours or the unflavoured one can be made more palatable using the flavour modjuls

Use liquid E028 for patients who need to take product away from home or who dislike the taste of powdered E028

Short bowel syndrome, intractable malabsorption, inflammatory bowel disease, bowel fistulae.

 
   
Alfamino®
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Formulary
Amber
On advice of dietitian or hospital specialist, for cow's milk protein allergy and other ACBS indications 
   
Elemental 028® Extra
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Formulary
Amber

If patient dislikes or does not tolerate Modulen IBD then trial of Elemental 028 extra can be considered

Available in 2 flavours or the unflavoured one can be made more palatable using the flavour modjuls

Use liquid E028 for patients who need to take product away from home or who dislike the taste of powdered E028

Short bowel syndrome, intractable malabsorption, inflammatory bowel disease, bowel fistulae.

 
   
Infatrini Peptisorb®
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Formulary
Amber

200ml bottle. 

Nutritionally complete. 

For use from birth to 8kg weight. 

 
   
Modjul® Flavour System (Nutricia)
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Formulary
Amber

If patient dislikes or does not tolerate Modulen IBD then trial of Elemental 028 extra can be considered

Available in 2 flavours or the unflavoured one can be made more palatable using the flavour modjuls

Use liquid E028 for patients who need to take product away from home or who dislike the taste of powdered E028

Short bowel syndrome, intractable malabsorption, inflammatory bowel disease, bowel fistulae.

 
   
Neocate Junior®
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Formulary
Amber

Neocate Junior is a rarely used product. It is for use in children with severe ongoing allergies who have difficulty maintaining adequate nutritional intake and are usually prescribed for children with a complex clinical picture.

 
   
Neocate Spoon®
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Formulary
Amber

Neocate Spoon is a weaning aid suitable for short term use by infants who are unable to take adequate amounts of specialised infant formula to meet their nutritional requirements for calcium. Its ongoing use should be closely monitored.

 
   
Neocate LCP®
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Formulary
Amber
On advice of dietitian or hospital specialist, for cow's milk protein allergy and other ACBS indications 
   
Nutramigen PURAMINO®
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Formulary
Amber

On advice of dietitian or hospital specialist, for cow’s milk protein allergy and other ACBS indications

 
   
A2.03.02  Specialised formulas for specific clinical conditions
Modulen IBD®
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Formulary
Amber

Paediatric and adult patients.

Short bowel syndrome, intractable malabsorption, inflammatory bowel disease, bowel fistulae.

 
   
Peptamen®
(Vanilla 1kcal/1ml)
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Formulary
Amber

Short bowel syndrome, intractable malabsorption, inflammatory bowel disease, bowel fistulae.

 
   
A2.04  Feed supplements
A2.04.01  High-energy supplements to top
A2.04.01.01  High-energy supplements: carbohydrate
Fresubin® 5 kcal Shot
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Formulary
Amber

NICE CG32 Nutrition support in adults

(Modular energy supplements to be used under direction of Dietitian only)

 
   
Maxijul® Super Soluble
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Formulary
Amber

(Modular energy supplements to be used under direction of Dietitian only)

Adult patients

NICE CG32 Nutrition support in adults

Paediatric patients

Flavoured carbohydrate supplements are not suitable for children under 1 year of age, dilute liquid supplements forfore use in children under the age of 5. 

 
   
Polycal®
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Formulary
Amber

NICE CG32 Nutrition support in adults

(Modular energy supplements to be used under direction of Dietitian only)

 
   
S.O.S®
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Formulary
Green

Includes:

S.O.S 10

S.O.S 15

S.O.S 20

S.O.S 25

For use as an emergency regimen in the dietary management of inborn errors of metabolism (from birth).

Contents of each sachet should be reconstituted with water to a total volume of 200 mL. S.O.S. products are age-range specific - consult product literature.

 
   
Vita® Savory
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Formulary
Amber

NICE CG32 Nutrition support in adults

(Modular energy supplements to be used under direction of Dietitian only)

 
   
A2.04.01.02  High-energy supplements: fat
Calshake®
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Second Choice
Green

Generally use as a second choice to 1.5kcal/ml sip feeds as not nutritionally complete. However these supplements do provide more calories per ml approx. 600kcal in 250ml so useful for those with very high calorie needs (when reconstituted with whole milk) e.g. CF Patients

 
   
Enshake®
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Second Choice
Green

Generally use as a second choice to 1.5kcal/ml sip feeds as not nutritionally complete. However these supplements do provide more calories per ml approx. 600kcal in 250ml so useful for those with very high calorie needs (when reconstituted with whole milk) e.g. CF Patients

 
   
Calogen®
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Formulary
Amber

Energy supplement.

Calogen and Calogen extra contain some vitamins & minerals 

To be used under direction of dietitian only.

Dilute before use in child under the age of 5.

 
   
Altrashot
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Formulary
Amber
 
   
Calogen Extra®
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Formulary
Amber

Energy supplement.

To be used under direction of dietitian only.

Paediatric patients: not suitable in children under the age of 3, use with caution in children aged 3-6 years. 

 
   
Calogen Extra® shots
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Formulary
Amber

Energy supplement.

Calogen and Calogen extra contain some vitamins & minerals

To be used under direction of dietitian only.

Paediatric patients: not suitable in children under the age of 3, use with caution in children aged 3-6 years. 

 
   
Duocal® Super Soluble
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Formulary
Amber

For paediatric patients. 

 
   
Liquigen®
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Formulary
Amber

Liquigen is an emulsion consisting of approximately 50% MCT oil and 50% water.

Liquigen may be used in conditions requiring high energy where fat absorption is impaired and where a high MCT intake is indicated.

Liquigen can be used as part of the MCT ketogenic diet.

Liquigen can be used to fortify a wide variety of drinks and foods and is also useful as an energy enhancer in tube and sip feeds.

Liquigen is suitable from birth.

 
   
Procal MCT®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber

MCT Procal is a medicine containing the active ingredient(s) triglycerides medium chain formula.

 
   
Pro-Cal®
View adult BNF View childrens BNF  Track Changes
Formulary
Amber

Energy supplement.

To be used under direction of dietitian only.

Paediatric patiens: not suitable in children under the age of 3, use with caution in children aged 3-6 years. 

 
   
Pro-Cal® Shot
View adult BNF View childrens BNF  Track Changes
Formulary
Amber

Energy supplement.

To be used under direction of dietitian only.

Paediatric patients: not suitable in children under the age of 3, use with caution in children aged 3-6 years. 

 
   
Prosource® Jelly
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
 
   
Prosource® Plus
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
 
   
Scandishake® Mix
View adult BNF View childrens BNF  Track Changes
Formulary
Green in adult patients
 
Amber in paediatric patients

Generally use as a second choice to 1.5kcal/ml sip feeds as not nutritionally complete. However these supplements do provide more calories per ml approx. 600kcal in 250ml so useful for those with very high calorie needs (when reconstituted with whole milk) e.g. CF Patients

Paediatric patients: not suitable in children under the age of 3, use with caution in children aged 3-6 years. 

 
   
A2.04.01.02  Fat and Carbohydrate
ProSource®
View adult BNF View childrens BNF  Track Changes
Formulary
Amber
 
   
A2.04.01.03  High-energy supplements: protein
A2.04.01.03  Protein and carbohydrate to top
A2.04.01.03  Protein, fat, and carbohydrate
A2.04.02  Fibre, vitamin, and mineral supplements
 (Renavit®)
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Formulary
Amber
Tablet per 450 mg

Energy 3.15 kJ (0.75 kcal)

Protein Nil

Carbohydrate 170 mg

Fat Nil

Fibre Nil

ACBS Indications Dietary management of water-soluble vitamin deficiency in adults with renal failure on dialysis
 
   
A2.04.02  High-fibre supplements
A2.04.02  Vitamin and Mineral supplements
Fruitivits®
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Vitamin, mineral, and trace element supplement in children 3 - 10 years with restrictive therapeutic diets

 
   
Paediatric Seravit®
View adult BNF View childrens BNF  Track Changes
Formulary
Green
 
   
A2.05  Feed additives to top
A2.05.01  Special additives for conditions of intolerance
A2.05.02  Feed thickeners and pre-thickened drinks
Carobel, Instant®
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Formulary
Amber
 
   
Nutilis® Clear
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Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed). These tend to be better tolerated

For a syrup thick consistency per 200ml costs are as follows

  • Nutilis  = 14-21p
  • Nutilis Clear = 14.5p 
  • Thick & easy = 20p 
  • Thick & easy Clear = 20p 
  • Resource Thicken up = 18p 
  • Resource Thicken up clear = 16p
 
   
Nutilis® Powder
View adult BNF View childrens BNF  Track Changes
Restricted Drug Restricted
Amber

For adult and paediatric patients.

Should only be started under speech and language therapist guidance (dysphagia assessment needed).

Not stocked at RBCH - use Nutilis Clear

 
   
Resource® ThickenUp Clear
View adult BNF View childrens BNF  Track Changes
Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed). These tend to be better tolerated

For a syrup thick consistency per 200ml costs are as follows „h

  • Nutilis  = 14-21p „h
  • Nutilis Clear = 14.5p „h
  • Thick & easy = 20p „h
  • Thick & easy Clear = 20p „h
  • Resource Thicken up = 18p „h
  • Resource Thicken up clear = 16p
 
   
Resource® Thickened Drink
View adult BNF View childrens BNF  Track Changes
Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed)

Useful for patients who have difficulty mixing powdered thickener into drinks or who are not compliant with thickened drinks made with powder.

Reduces risk of aspiration by removing potential for error

 
   
Thick and Easy® Clear
View adult BNF View childrens BNF  Track Changes
Formulary
Amber

Should only be started under SLT guidance (dysphagia assessment needed). These tend to be better tolerated

For a syrup thick consistency per 200ml costs are as follows „h

  • Nutilis  = 14-21p „h
  • Nutilis Clear = 14.5p „h
  • Thick & easy = 20p „h
  • Thick & easy Clear = 20p „h
  • Resource Thicken up = 18p „h
  • Resource Thicken up clear = 16p
 
   
A2.05.03  Flavouring preparations
A2.06  Foods for special diets
A2.06.01  Gluten-free foods to top
 note 

NHS DORSET CCG update on Gluten Free Prescribing December 2018

The law regarding gluten-free prescribing has changed; the availability of gluten-free products on prescription has been limited and the Drug Tariff will reflect these changes from December 2018.

PSNC have published a guidance document with a table of gluten-free breads and mixes allowed on prescription from 20/12/2018https://psnc.org.uk/wp-content/uploads/2018/12/PSNC-Briefing-061.18-Changes-to-the-availability-of-gluten-free-foods-on-NHS-prescription-003.pdf

Dorset CCG will support prescribers to prescribe in line with the revised regulations which allow for no gluten-free products to be prescribed at NHS expense, other than gluten-free bread and/or gluten-free mixes.

Patients in receipt of NHS prescriptions for gluten-free bread and/or mixes should be diagnosed by their doctor as suffering from established gluten-sensitive enteropathies, including dermatitis herpetiformas and coeliac disease.

Please find the patient leaflet here

NHSE have published guidance for CCGs on Gluten Free prescribing: https://www.england.nhs.uk/publication/prescribing-gluten-free-foods-in-primary-care-guidance-for-ccgs/

 

A2.06.02  Low-protein foods
A2.06.02  Bread
A2.06.02  Cake, biscuits, and snacks
A2.06.02  Cereals
A2.06.02  Desserts to top
A2.06.02  Flour mixes and egg substitutes
A2.06.02  Pasta
A2.06.02  Pizza bases
A2.06.02  Savoury meals and mixes
A2.06.02  Spreads to top
A2.07  Nutritional supplements for metabolic diseases
A2.07  Glutaric aciduria (type 1)
A2.07  Glucogen storage disease
A2.07  Homocystinuria or hypermethioninaemia
A2.07  Hyperlysinamia to top
A2.07  sovaleric acidaemia
A2.07  Maple syrup urine disease
A2.07  Methylmalonic or propionic acidaemia
A2.07  Other inborn errors of metabolism
A2.07  Phenylketonuria to top
A2.07  Tyrosinaemia
A2.07  Urea cycle disorders (other than arginase deficiency)
 ....
 Non Formulary Items
Add-Ins®

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Non Formulary
 
Alicalm®

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Non Formulary
 
Calisan® 90

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Non Formulary
 
Caloreen®

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Non Formulary
Black

Energy supplement.

To be used under direction of dietitian only.

 
Caprilon

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Non Formulary
 
Clinutren® Dessert

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Non Formulary
 
Colief®

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Non Formulary

Self Care Self Care Medicine for primary care

 
Cystine Amino Acid Supplement

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Non Formulary
 
Dialamine®

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Non Formulary
 
DocOmega®

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Non Formulary
 
Duobar®

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Non Formulary
 
Duocal®

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Non Formulary
 
EAA® Supplement

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Non Formulary
 
Easiphen®

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Non Formulary
 
Energivit®

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Non Formulary
 
Ensure® Plus Commence

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Non Formulary
 
Fate®

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Non Formulary
 
Flavour Mix®

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Non Formulary
 
FlavourPac®

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Non Formulary
 
Foodlink® Complete with Fibre

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Non Formulary
 
Forticare®

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Non Formulary
 
Fortimel® Regular

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Non Formulary
 
Fortisip® Extra

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Non Formulary
Black

Restricted use - patients with increased protein requirements due to extensive wounds/pressure ulcers.
For use only under direction of dietitian.
Not to be used in patients with renal insufficiency.

 
Fresubin Powder Extra

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Non Formulary
Black
 
Fresubin® 2250 complete

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Non Formulary
 
Fresubin® HP Energy

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Non Formulary
 
Fresubin® Original Fibre

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Non Formulary
 
Fresubin® Soya Fibre

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Non Formulary
 
Fresubin® Original

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Non Formulary
 
Fructose

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Non Formulary
 
GA Gel®

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Non Formulary
 
Generaid®

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Non Formulary
 
Generaid® Plus

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Non Formulary
 
Glucose

View adult BNF View childrens BNF
Non Formulary
 
Glycosade®

View adult BNF View childrens BNF
Non Formulary
 
GSA Anamix® Infant

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Non Formulary
 
Harifen®

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Non Formulary
 
HCU Anamix® Infant

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Non Formulary
 
HCU cooler®

View adult BNF View childrens BNF
Non Formulary
 
HCU Express®

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Non Formulary
 
HCU gel®

View adult BNF View childrens BNF
Non Formulary
 
HCU LV®

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Non Formulary
 
Heparon® Junior

View adult BNF View childrens BNF
Non Formulary
 
HYPER LYS Anamix® Infant

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Non Formulary
 
Infasoy®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isoleucine Amino Acid Supplement

View adult BNF View childrens BNF
Non Formulary
 
Isosource® Energy

View adult BNF View childrens BNF
Non Formulary
 
Isosource® Energy Fibre

View adult BNF View childrens BNF
Non Formulary
 
Isosource® Fibre

View adult BNF View childrens BNF
Non Formulary
 
Isosource® Standard

View adult BNF View childrens BNF
Non Formulary
 
IVA Anamix® Infant

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Non Formulary
 
Jevity®

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Non Formulary
 
Jevity® 1.5 kcal

View adult BNF View childrens BNF
Non Formulary
 
Juvela®

View adult BNF View childrens BNF
Non Formulary
 
KetoCal®

View adult BNF View childrens BNF
Non Formulary
 
KetoCal® 4:1 LQ

View adult BNF View childrens BNF
Non Formulary
 
KeyOmega®

View adult BNF View childrens BNF
Non Formulary
 
Kindergen®

View adult BNF View childrens BNF
Non Formulary
 
L-Arginine

View adult BNF View childrens BNF
Non Formulary
 
Leucine Amino Acid Supplement

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Non Formulary
 
Locasol®

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Non Formulary
 
Lophlex®

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Non Formulary
 
Loprofin®

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Non Formulary
 
Loprofin®

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Non Formulary
 
Loprofin®

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Non Formulary
 
Loprofin®

View adult BNF View childrens BNF
Non Formulary
 
Loprofin®

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Non Formulary
 
Loprofin®

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Non Formulary
 
Loprofin® PKU Drink

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Non Formulary
 
Low protein / phenylalanine free foods

View adult BNF View childrens BNF
Non Formulary
 
Low protein / phenylalanine free foods

View adult BNF View childrens BNF
Non Formulary
 
Low protein / phenylalanine free foods

View adult BNF View childrens BNF
Non Formulary
 
Low protein drink

View adult BNF View childrens BNF
Non Formulary
 
L-Tyrosine

View adult BNF View childrens BNF
Non Formulary
 
Maxijul® Liquid

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Non Formulary
 
MCT Duocal®

View adult BNF View childrens BNF
Non Formulary
 
MDUD express®

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

View adult BNF View childrens BNF
Non Formulary
 
Methionine-free TYR Anamix® Infant

View adult BNF View childrens BNF
Non Formulary
 
Milupa PKU 2-prima®

View adult BNF View childrens BNF
Non Formulary
 
Milupa PKU 2-secunda®

View adult BNF View childrens BNF
Non Formulary
 
Milupa PKU 3-advanta®

View adult BNF View childrens BNF
Non Formulary
 
MMA/ PA Anamix® Infant

View adult BNF View childrens BNF
Non Formulary
 
MSUD Aid III®

View adult BNF View childrens BNF
Non Formulary
 
MSUD Anamix® Infant

View adult BNF View childrens BNF
Non Formulary
 
MSUD Anamix® Infant

View adult BNF View childrens BNF
Non Formulary
 
MSUD Anamix® Junior

View adult BNF View childrens BNF
Non Formulary
 
MSUD Anamix® Junior LQ

View adult BNF View childrens BNF
Non Formulary
 
MSUD cooler®

View adult BNF View childrens BNF
Non Formulary
 
MSUD gel®

View adult BNF View childrens BNF
Non Formulary
 
MSUD Maxamaid®

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Non Formulary
 
MSUD Maxamum®

View adult BNF View childrens BNF
Non Formulary
 
Multi-thick®

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Non Formulary
 
Neocate Active

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Non Formulary
 
Neocate Advance

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Non Formulary
 
Nepro HP®

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Non Formulary
 
Nestle ® Nutrition Flavour mix

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Non Formulary
 
Novasource® GI Forte

View adult BNF View childrens BNF
Non Formulary
 
Novasource® Gl Control

View adult BNF View childrens BNF
Non Formulary
 
Nutrini ® Energy Multifibre

View adult BNF View childrens BNF
Non Formulary
 
Nutrini ®Multifibre

View adult BNF View childrens BNF
Non Formulary
 
Nutrini Energy®

View adult BNF View childrens BNF
Non Formulary
 
Nutrini®

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Non Formulary
 
Nutrini®Extra

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Non Formulary
 
Nutrini®Low Energy Multifibre

View adult BNF View childrens BNF
Non Formulary
 
Nutrini®Peptisorb

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Non Formulary
 
Nutriprem Breast Milk Fortifier (Cow & Gate)

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Non Formulary
 
Nutrison Concentrated

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Non Formulary
 
Nutrison Low Sodium

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Non Formulary
 
Nutrison Peptisorb

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Non Formulary
 
Nutrison®

View adult BNF View childrens BNF
Non Formulary
 
Nutrison® Energy

View adult BNF View childrens BNF
Non Formulary
 
Nutrison® Energy Multi Fibre

View adult BNF View childrens BNF
Non Formulary
 
Nutrison® Multi Fibre

View adult BNF View childrens BNF
Non Formulary
 
Nutrison® Soya

View adult BNF View childrens BNF
Non Formulary
 
Nutrison® Soya Multi Fibre

View adult BNF View childrens BNF
Non Formulary
 
Oral Impact®

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Non Formulary
 
Osmolite®

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Non Formulary
 
Osmolite® 1.5 kcal

View adult BNF View childrens BNF
Non Formulary
 
Paediasure Plus

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Non Formulary
 
Peptisorb®

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Non Formulary
 
Phenylalanine Amino Acid Supplement

View adult BNF View childrens BNF
Non Formulary
 
Phlexy-10® Exchange System

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Non Formulary
 
Phlexy-Vits®

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Non Formulary
 
PK Aid-4®

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Non Formulary
 
PK Foods®

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Non Formulary
 
PK Foods®

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Non Formulary
 
PK Foods®

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Non Formulary
 
PK Foods®

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Non Formulary
 
PKU Anamix® Infant

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Non Formulary
 
PKU Anamix® Junior

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Non Formulary
 
PKU Anamix® Junior LQ

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Non Formulary
 
PKU cooler10®

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Non Formulary
 
PKU cooler15®

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Non Formulary
 
PKU cooler20®

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Non Formulary
 
PKU express®

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Non Formulary
 
PKU gel®

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Non Formulary
 
PKU Lophlex® LQ 10

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Non Formulary
 
PKU Loplex® LQ 20

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Non Formulary
 
PKU Start®

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Non Formulary
 
Portifar®

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Non Formulary
 
Pre-Aptamil®

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Non Formulary
 
Pregestimil®

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Non Formulary
 
PreLoad

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Non Formulary
 
Product Metabloic Mineral Mixture®

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Non Formulary
 
Promin®

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Non Formulary
 
Promin®

View adult BNF View childrens BNF
Non Formulary
 
Promin®

View adult BNF View childrens BNF
Non Formulary
 
Promin®

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Non Formulary
 
ProSure®

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Non Formulary
 
Protifar

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Non Formulary
 
ProZero®

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Non Formulary
 
Pulmocare®

View adult BNF View childrens BNF
Non Formulary
 
QuickCal®

View adult BNF View childrens BNF
Non Formulary
 
Renamil®

View adult BNF View childrens BNF
Non Formulary
 
Renapro®

View adult BNF View childrens BNF
Non Formulary
 
Renastart®

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Non Formulary
 
Renilon® 7.5

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Non Formulary
 
Resource® 2.0 Fibre

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Non Formulary
 
Resource® Dessert Energy

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Non Formulary

For use predominantly for patients with swallowing difficulties/dysphagia.

Can also be useful for patients with taste fatigue with sip feeds.

 
Resource® Dessert Fruit

View adult BNF View childrens BNF Track Changes
Non Formulary
 
Resource® Energy

View adult BNF View childrens BNF Track Changes
Non Formulary
 
Resource® Protein

View adult BNF View childrens BNF Track Changes
Non Formulary

Restricted use - patients with increased protein requirements due to extensive wounds/pressure ulcers.
For use only under direction of dietitian.
Not to be used in patients with renal insufficiency.

 
Resource® ThickenUp®

View adult BNF View childrens BNF
Non Formulary
 
Respifor®

View adult BNF View childrens BNF
Non Formulary
 
S.O.S®

View adult BNF View childrens BNF
Non Formulary
 
SLO Drinks®

View adult BNF View childrens BNF
Non Formulary
 
Sno-Pro®

View adult BNF View childrens BNF
Non Formulary
 
Souvenaid®

View adult BNF View childrens BNF
Non Formulary
 
Suplena®

View adult BNF View childrens BNF
Non Formulary
 
Supportan®

View adult BNF View childrens BNF
Non Formulary
 
Symprove® (probiotic)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Taranis®

View adult BNF View childrens BNF
Non Formulary
 
Taranis®

View adult BNF View childrens BNF
Non Formulary
 
Tentrini®

View adult BNF View childrens BNF
Non Formulary
 
Tentrini®energy

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Non Formulary
 
Tentrini®Multifibre

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Non Formulary
 
Thixo-D®

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Non Formulary
 
TYR Anamix® Infant

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Non Formulary
 
TYR Anamix® Junior

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Non Formulary
 
TYR Anamix® Junior LQ

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Non Formulary
 
TYR cooler®

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Non Formulary
 
TYR express®

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Non Formulary
 
TYR Gel®

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Non Formulary
 
Tyrosine Amino Acid Supplement

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Non Formulary
 
Ultra PKU®

View adult BNF View childrens BNF
Non Formulary
 
Ultra PKU®

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Non Formulary
 
Valine Amino Acid Supplement

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Non Formulary
 
Vegenat® -med Balanced Protein

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Non Formulary
 
Vegenat® -med High Protein

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Non Formulary
 
Viitajoule®

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Non Formulary
 
Vita Bite®

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Non Formulary
 
Vitapro®

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Non Formulary
 
Vitaquick®

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Non Formulary
 
Vitasavoury®

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Non Formulary
 
VSL#3 (probiotic)

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Non Formulary

Self Care Self Care Medicine for primary care.

 
Wysoy®

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Non Formulary

Alternative option for cow's milk protein allergy in infants over 6 months of age

TO BE PURCHASED OVER THE COUNTER

 
XLEU Faladon

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Non Formulary
 
XLEU Maxamaid

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Non Formulary
 
XLYS Maxamaid

View adult BNF View childrens BNF
Non Formulary
 
XLYS, Low TRY, Maxamaid

View adult BNF View childrens BNF
Non Formulary
 
XLYS, TRY, Glutaridon

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Non Formulary
 
XMET Homidon

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Non Formulary
 
XMET Maxamaid

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Non Formulary
 
XMET Maxamum

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Non Formulary
 
XMTVI Asadon

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Non Formulary
 
XMTVI Maxamaid

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Non Formulary
 
XMTVI Maxamum®

View adult BNF View childrens BNF
Non Formulary
 
XP Maxamaid

View adult BNF View childrens BNF
Non Formulary
 
XP Maxamum

View adult BNF View childrens BNF
Non Formulary
 
XPHEN TYR Maxamaid

View adult BNF View childrens BNF
Non Formulary
 
XPHEN TYR Tyrosidon

View adult BNF View childrens BNF
Non Formulary
 
XPTM Tyrosidon

View adult BNF 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
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

Green

May be initiated, stabilised and maintained in primary, secondary or tertiary care  

Amber

Amber drug - without shared care  

Amber SCG

Amber drug - with shared care guideline  

Red

For secondary or tertiary care initiation and long-term maintenance of prescribing  

Black

Not recommended  

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