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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.05.02.02  Expand sub section  Phosphate-binding agents
Aluminium Hydroxide (Alu-Cap)
(Phosphate binder)
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Restricted Drug Restricted
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Secondary care notes

  • NMUH approvals:
    • Alu-Cap can be used as a phosphate binding agent in chronic renal failure. The dose is 4 to 20 capsules daily in divided doses depending on the phosphate level of the patient.
  • RFL approvals:
    • Restricted to renal patients only.
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Renal patients only
 
   
Calcium Acetate (Phosex)
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Restricted Drug Restricted
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Restricted to renal patients only
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
Calcium Carbonate (Adcal)
(Phosphate binder)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Calcium Carbonate (Calcichew)
(Phosphate binder)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Calcichew is available on the Formulary for the management of hyperphosphotaemia in renal patients
  • RFL approvals:
    • Nil
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
Calcium Carbonate (Calcium-500)
(Phosphate binder)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Restricted to renal patients only
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
Lanthanum (Fosrenol )
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Restricted Drug Restricted
High Cost Medicine
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Restricted to renal patients only
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
Sevelamer Carbonate (Renvela)
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Formulary
High Cost Medicine
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Not applicable
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
Sevelamer Hydrochloride  (Renagel)
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Restricted Drug Restricted
High Cost Medicine
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Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Restricted to renal patients only
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
   
 ....
 Non Formulary Items
Calcium acetate  (PhosLo)

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Non Formulary
 
Calcium Acetate  (Renacet)

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Non Formulary
 
Calcium acetate + Magnesium carbonate  (Osvaren)

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Non Formulary
 
Calcium carbonate  (Calcium-500)
(Calcium supplement)

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Non Formulary
 
Calcium Salts  (Everose®)

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Non Formulary
 
Colestilan  (BindRen)

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Non Formulary
High Cost Medicine
 
Ferric citrate coordination complex  (Fexeric)

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Non Formulary
 
sucroferric oxyhydroxide  (Velphoro)

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Non Formulary
 
  
Key
note Notes
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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
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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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