North Central London Formulary


	North Central London Joint Formulary

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Formulary Chapter 25: A2 - Borderline substances - Full Chapter

A2.02.02.03

Nutritional supplements: >1.5 kcal/mL and ≥5 g protein/100 mL

Foodlink Complete Powder
(Nutritional supplement)

Formulary

Sachets - requires a patient to be able to mix with full-fat milk
Chocolate, strawberry, banana, natural
Gluten-free
Suitable for vegetarians
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

NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance

Altraplen Compact

Formulary

Bottle (125mL)
Banana, hazel-chocolate, strawberry, vanilla
Clinically lactose and gluten-free
Suitable for vegetarian, Halal and Kosher diets (except strawberry)

Primary care notes

For patients who did not tolerate first-line choices and lower volume is indicated or fluid restricted- see Primary Care Guidance

AYMES Shake Compact
(Nutritional supplement)

Formulary

Sachets - requires a patient to be able to mix with full-fat milk
Vanilla, banana, strawberry, chocolate, neutral
Gluten-free
Halal certified (except strawberry)
Suitable for vegetarians (except strawberry)
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 for patients who cannot tolerate 200mL presentation - see Primary Care Guidance

NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance

Ensure Compact
(Nutritional supplement)

Formulary

Bottle (125mL)
Vanilla, banana, strawberry, café latte
Contains lactose
Gluten free
Halal certified (except strawberry)
Banana and vanilla flavours Kosher certified
Suitable for vegetarian diet (except strawberry)

Provider notes

NMUH:
- No restriction stated
RFL:
- Non-formulary
RNOH:
- Non-formulary
UCLH:
WH:
- Non-formulary

Primary care notes

Second-choice product - for patients who did not tolerate first-line choices and lower volume is indicated or fluid restricted - see Primary Care Guidance

NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance

Forticreme Complete
(Nutritional supplement)

Formulary

Provider notes

NMUH:
- Stroke, Dysphagia, fluid restrictions, CAPD, HD, Disease related malnutrition, short bowel syndrome, Intractable malabsorption, pre-operative preparation for those who are malnourished, inflammatory bowel disease, total gastrectomy, bowel fistulae, dysphagiaSemi-solid. High in protein. For dysphagia or requiring a soft diet, tolerating low volume of food
RFL:
- Non-formulary
RNOH:
- Non-formulary
UCLH:
WH:
- Non-formulary

Fortisip Compact Protein
(Nutritional supplement)

Formulary

Provider notes

NMUH:
- No restriction stated
RFL:
- Non-formulary
RNOH:
- Non-formulary
UCLH:
WH:
- Non-formulary

....

Non Formulary Items

Complan Shake
(Powder sachet)

Non Formulary

Foodlink Complete with Fibre

Non Formulary

Fortisip Compact

Non Formulary

Fortisip Compact Fibre

Non Formulary

Fortisip Extra

Non Formulary

Fresubin 2 kcal Drink

Non Formulary

Fresubin 2 kcal Fibre Drink

Non Formulary

Fresubin Creme

Non Formulary

Fresubin Powder Extra

Non Formulary

Nutilis Complete Creme Level 3

Non Formulary

Nutilis Complete Drink Level 3

Non Formulary

Nutricrem

Non Formulary

Renilon 7.5

Non Formulary

Resource 2.0 Fibre

Non Formulary

Resource Dessert Fruit

Non Formulary

Vegenat-med Balanced Protein

Non Formulary

Vegenat-med High Protein

Non Formulary

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs

Homecare

Traffic Light Status Information

Status	Description
	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.
	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
	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.