Vitamin A (β-Carotene) Is essential for growth, maintenance of skin and mucous membranes such as the linings of the mouth, nose, lungs, digestive system, colon and for vision, particularly at night Selenium is an essential trace element, deficiency of which has been reported in man. It is thought to be involved in the functioning of membranes and the synthesis of amino acids. Deficiency of selenium in the diet of experimental animals produces fatty liver followed by necrosis. Vitamin C Vitamin C is an essential vitamin that plays an important role in maintaining the health of our cells, blood vessels and our resistance to infection. Vitamin C also helps bones, teeth, gums, skin and assists the absorption of iron from the blood Short-term use for treating severe thrombocytopenia in adults with chronic liver disease needing a planned invasive procedure following NICE TA617.

Colecalciferol with Calcium carbonatecaplets, 5 micrograms (200 units) + 750mg (equivalent to 300mg calcium) Paravit-CF is a ‘Food for Special Medical Purposes’containing vitamins A, D, E and K for the dietary management of patients with CF on the specific recommendation of a specialist in CF. It should be possible for patients to meet their iron requirements by oral diet and a complete multivitamin and mineral supplement containing the recommended daily allowance of iron. Can be given orally for patients on warfarin at risk of bleeding with high INR.See reversal guidance in chapter 2.8.3 This medicine contains E123 (amaranth) and E124 (ponceau 4R red) which may cause allergic reactions.The following account describes the absorption and fate of each of the active constituents of Forceval Capsules. Patients are likely to be taking at least 800mg calcium and 20 micrograms vitamin D, however, many patients will require additional vitamin D.

Paediatric drugs are frequently used outside of the SPC since many manufacturers fail to conduct the relevant trials needed to secure licensed use in paediatrics. Prescribers take full responsibility for prescribing products outside the license. However all prescribing should be carried out in the best interest of the child irrespective of license status.As a therapeutic nutritional adjunct in convalescence from surgery, e.g. where nutritional intake continues to be inadequate.

For any patient with medically diagnosed vit B12 deficiency (diet- or non-diet-related) or malabsorption of vit B12 where it is not possible to administer IM hydroxocobalamin, 1mg oral cyanocobalamin (Orobalin®) tablets are a prescription only medicine (POM) and can be issued on FP10. See SPC and BSW treatment pathway below for more information. Many products contain bovine gelatine, which may or not be certified Halal or Kosher. Other products contain Arachis (peanut) oil. Consult product literature as necessaryunlicensed tablets 100mg - Available on a names patient basis only and therefore are considerably moreexpensive than the suspension. Vitamin K Menadiol sodium phosphate tablets (TLS Green) Phytomenadione (oral & parenteral) (TLS Green) Dosage: Adults and the elderly: One capsule daily swallowed whole with water, preferably one hour after a meal. Not recommended in children under 12 years of age.