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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
A2.02.01.02  Expand sub section  Nutritional supplements: >1 kcal/mL and <5 g protein/100 mL
AYMES ActaSolve Smoothie
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary
GP - 1st
  • Sachets - requires a patient to be able to mix with water 
  • Mango, peach, pineapple, strawberry & cranberry
  • Gluten-free
  • Halal certified
  • Suitable for vegetarians and vegans
  • Not suitable for
    • Patients requiring complete nutrition e.g. reliant entirely on supplements, patients requiring enteral feeding
    • Patients with soya intolerance
    • Children under 3 years of age
  • Caution in diabetic patients

Provider notes

Non-formulary 

Primary care notes

First-choice product for patients - see Primary Care Guidance

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
AYMES Shake
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary
GP - 1st
  • Sachets - requires a patient to be able to mix with full-fat milk 
  • Vanilla, banana, strawberry, chocolate, neutral
  • Gluten-free
  • Halal certified (except for chicken flavour)
  • Suitable for vegetarians (except for chicken flavour)
  • May not be appropriate in the following patients
    • Patients requiring complete nutrition e.g. reliant entirely on supplements, patients requiring enteral feeding
    • Renal patients (CKD stage 4 and 5)
    • Vegans and patients with lactose intolerance

Provider notes

Non-formulary 

Primary care notes

First-choice product - see Primary Care Guidance

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
Ensure Plus Juce
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary
GP - 2nd
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  • Bottle (220mL)
  • Apple, orange, fruit punch, peach, lemon and lime, strawberry
  • Clinically lactose and gluten-free
  • Halal certified (except lemon and lime)
  • Kosher certified (except strawberry)
  • Suitable for vegetarian diets (except strawberry)

Provider notes

  • NMUH:
    • Taste aberrations/aversions to milky supplements, fat intolerance/steatorrhoea, Cancer cachexia, poor wound healing, anorexia, Disease-related malnutrition, short bowel syndrome, Intractable malabsorption, pre-operative preparation for those who are malnourished. Proven inflammatory bowel disease, total gastrectomy, bowel fistulae, dysphagia Non-milk tasting. For patients who dislike milk. Used to meet nutritional requirements in addition to oral intake
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary

Primary care notes

Second-choice product - for patients who did not tolerate first-line choices and cannot tolerate milk-based supplements- see Primary Care Guidance

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
Nutricia PreOp
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
 ....
 Non Formulary Items
Fortijuce

View adult BNF View SPC online View childrens BNF
Non Formulary
Fresubin Jucy

View adult BNF View SPC online View childrens BNF
Non Formulary
Paediasure Plus Juce

View adult BNF View SPC online View childrens BNF
Non Formulary
ProvideXtra Juice Drink

View adult BNF View SPC online View childrens BNF
Non Formulary
Resource Dessert Energy

View adult BNF View SPC online View childrens BNF
Non Formulary
Resource Fruit

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
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Link to adult BNF
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Link to SPCs
Homecare
Homecare

Traffic Light Status Information

Status Description

GP - 1st

Medicines suitable for first-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - 2nd

Medicines suitable for second-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

GP - Grey

Medicines on hospital formularies which have not been reviewed for suitability in primary care.  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

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