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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
A2.02.02.03  Expand sub section  Nutritional supplements: >1.5 kcal/mL and ≥5 g protein/100 mL
Foodlink Complete Powder
(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 
  • 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

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
   
Altraplen Compact
View adult BNF View SPC online View childrens BNF
Formulary
GP - 2nd
  • 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)
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 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

 
Link  NCL JFC: Oral Nutritional Supplement Formulary in Adults - Primary Care Guidance
   
Ensure Compact
(Nutritional supplement)
View adult BNF View SPC online View childrens BNF
Formulary
GP - 2nd
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  • 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

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

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
   
 ....
 Non Formulary Items
Complan Shake
(Powder sachet)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Foodlink Complete with Fibre

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fortisip Compact

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fortisip Compact Fibre

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fortisip Extra

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fresubin 2 kcal Drink

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fresubin 2 kcal Fibre Drink

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fresubin Powder Extra

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nutilis Complete Creme Level 3

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nutilis Complete Drink Level 3

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nutricrem

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Renilon 7.5

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Resource 2.0 Fibre

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vegenat-med Balanced Protein

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vegenat-med High Protein

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
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
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

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.

  

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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