Vitamin B Compound Strong and Vitmain B Compound should be discontinued as a repeat prescription for all patients. NICE CG32: Nutrition support for adults: - oral nutrition support, enteral tube feeding and parenteral nutrition Intramuscular (IM) Injection = as per Notts APC Alcohol Dependence Guidelines. May be administered in primary care by appropriately trained professionals using the correct administration technique. It's important for children to eat a wide variety of foods to make sure they're getting all the energy and nutrients they need to grow and develop properly.

Amber Drug Guidance: Colecalciferol 300,000 units IM Injection for the Treatment of Vitamin D Deficiency or Insufficiency in Children NHS Clinical Commissioners Items which should not routinely be prescribed in primary care: Guidance for CCGsAmber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

Vitamin, mineral, and trace element supplement in children 3–10 years with restrictive therapeutic diets Abidec drops are a multivitamin preparation, containing the fat-soluble vitamins A (retinol) and D2 (ergocalciferol) and the water-soluble vitamins C (ascorbic acid), B 1 (thiamine), B 2 (riboflavin), B 3 (nicotinamide or niacin) and B 6 (pyridoxine). Multivitamins may be prescribed in the NHS to prevent or treat deficiency but not as dietary supplements

Grey Drugs are locally-agreed medicines which are only recommended for restricted use within the Leeds Health Economy. Available as 50mg tablet (May be dispersed in water if needed. See here for general advice on dispersing tablets.) and 1g effervescent tablet.

Vitamin supplements that contain vitamin A and D, such as Abidec, are not recommended for babies who are drinking more than 500ml of formula milk per day, because infant formula is supplemented with these vitamins. Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry. Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice and has a working experience and knowledge within a speciality area

CUHFT: Approved by JDTC in March 2022 foruse by patients on parenteral nutrition (PN) who are not receiving multivitamins and trace elements in their PN Vitamin D is only found in a few foods, such as oily fish and eggs. It's also added to some foods, such as fat spreads and breakfast cereals. But it’s difficult to get enough vitamin D from food alone. Patients requiring maintenance doses of vitamin D for insufficiency should be recommended to SELF-CARE where the patient is both willing and able. The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.

Suspension 500mg of dl-alpha-tocopherol acetate (500 units) in 5ml.(See tableof liquid medicines requiring dose adjustment) symptoms, tell your doctor or go to the Accident and Emergency department of your nearest hospital. If your child feels ill after using Abidec Multivitamin Drops, or you notice any unusual or unexpected

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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 Nottinghamshire APC. The licensed product (Thame labs) contains nuts and is therefore not suitable for patients with nut allergy. Babies who are having more than 500ml (about a pint) of infant formula a day should not be given vitamin supplements. This is because formula is fortified with vitamins A, C and D and other nutrients. Primary Care - Second line formulary choice for treatment of deficiency for adults 18 years and above including pregnant or breastfeeding women: