netFormulary Isle of Wight NHS
Formulary  
 Search
 Formulary Chapter 9: Nutrition and blood - Full Chapter
Chapter Links...
 Details...
09.06.04  Expand sub section  Vitamin D
Colecalciferol and Calcium Carbonate (Theical ® Calci-D ® Accrete D3 One a Day®)
View adult BNF View SPC online View childrens BNF
First Choice
Green

Once daily dosing

TheiCal widely accepted and good compliance

Reduced pill burden

 
Colecalciferol and Calcium Carbonate (Calcichew-D3 Forte®)
View adult BNF View SPC online View childrens BNF
First Choice
Green Hospital

First choice in hospital

Patients to be reverted back to pre admission option on discharge, unless no longer clinically indicated.

 
Colecalciferol and Calcium carbonate (Adcal-D3®)
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Second line Ca/Vit D combination product after OD dosing options exhausted.

 

 
   
Colecalciferol
View adult BNF View SPC online View childrens BNF
Formulary
Green

For use where proven symptomatic defciency (<30nmol/L) and rapid correction is justified

Patients post correction or with insufficiency should be encouraged to self manage through sunlight diet and OTC supplements

Where deemed clinically appropriate please ensure licensed products are prescribed.

 
   
Alfacalcidol (One-Alpha®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Hydroxylated Vitamin D analogue:

Typically limited to patients with severe renal impairment and requiring supplementation

Plasma calcium concentrations need monitoring due to risk of hypercalcaemia at high doses. Hypercalcaemia is indicator of vitamin D toxicity 

ALL patients receiving pharmacological doses of vitamin D require plasma calcium concentrations checking at intervals (once or twice weekly initially and when nausea and vomiting occurs) 

 

 
   
Calcitriol (Rocaltrol®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
Ergocalciferol
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
   
 ....
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
SMC
Scottish Medicines Consortium
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

Drugs that may be initiated, stabilised and maintained by primary, secondary or tertiary care Secondary and tertiary care prescribing may be continued by primary care. [this does not indicate first/second line choice]  

Green Hospital

Items used by the Hospital but would not normally be continued into primary care. Primary care prescribers can change to GREEN first or second.   

Green plus

Initiation of drugs by primary care following written advice from secondary/ tertiary care advice.  

Yellow

Drugs that may be continued in primary care following initiation and stabilisation in secondary/tertiary care  

Amber

Items requiring a shared care agreement. These items should be initiated and stabilised by secondary or tertiary care. The GP should only be asked to take over prescribing through a formal shared care agreement. Secondary care will be expected to continue prescribing until the agreement is made.  

Red

Hospital/ Trust ONLY. These are items the secondary and tertiary care are responsible for prescribing and will need to continue to prescribe for long term maintenance. These items will NOT be prescribed in primary care. But primary care should be informed the patient is receiving these items. This will include NHSE funded items requiring repatriation.  

GP - Black

Items covered by NHSE ‘Should not prescribe in primary care list’ – See CCG policy on Drugs of limited clinical value  

GP - Grey

Grey List: Items covered by NHSE ‘Should not prescribe in primary care list’ that are not to be routinely prescribed but may be suitable in a defined population – See CCG policy on Drugs of limited clinical value  

netFormulary