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:
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A2.03.01  Expand sub section  Specialised formulas: Infant and child
Nutramigen 1 with LGG ®
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First Choice
Green

First line choice for cow's milk protein allergy in infants under 6 months of age

 
Nutramigen 2 with LGG ®
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First Choice
Green

First line choice for cow's milk protein allergy in infants over 6 months of age

 
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.

 
   
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. 

 
   
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.

 
   
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. 

 
   
SMA Staydown®
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Formulary
Green

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

 
   
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 
   
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

 
   
 ....
 Non Formulary Items
Caprilon

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Non Formulary
 
Infasoy®

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Non Formulary
 
Locasol®

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Non Formulary
 
Neocate Active

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Non Formulary
 
Neocate Advance

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Non Formulary
 
Pregestimil®

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Non Formulary
 
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

 
  
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
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Link to adult BNF
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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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