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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.05.01.01  Expand sub section  Calcium supplements
Cacit®
(Calcium carbonate)
View adult BNF View SPC online View childrens BNF
Formulary
Amber 2
Effervescent tablet 
   
Calcichew®
(Calcium carbonate)
View adult BNF View SPC online View childrens BNF
Formulary
Amber 1

Tablet (chewable)

 
   
Calcium Chloride
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Formulary
Red
Injection 10%
  • Red - acute treatment of hypocalcaemia, see local guidance
  • At SFH stocked in key areas for use as part of the cardiac arrest protocol.
  • Link to SPC 
  •    
    Calcium Gluconate
    View adult BNF View childrens BNF
    Formulary Red Traffic Light  Injection 10%- used for treatment of hyperkalaemia or hypocalcaemia
  • Link to SPC (injection)
    Amber Traffic Light  Effervescent tablet. Not first line calcium supplement. 
  • Link  NUH: Guideline for the Management of Acute Hyperkalaemia in Adults
    Link  SFH: Treatment of hyperkalaemia
    Link  UKMI Q&A: How is acute hypermagnesaemia treated in adults?
       
    Calcium Syrup (Alliance Pharma)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Syrup (0.51mmol of calcium per 1mL)
    Product is a food supplement.
    NUH only: For use where licensed products are not suitable.  
       
    Sandocal-1000®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2
    Effervescent tablet
  • Sandocal-400 - discontinued Nov 2011 
  •    
     ....
     Non Formulary Items
    Calcium Salts
    (Calcium lactate)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Calcium Salts

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Brands: Calcium 500 and Adcal®
     
    Calcium-Sandoz®

    View adult BNF View SPC online View childrens BNF
    Non Formulary Syrup
    27.01.15: Calcium-Sandoz Syrup has now been discontinued in the UK. See UKMI link below for advice on alternatives.
  • calcium glubionate 1.09 g, calcium lactobionate 727 mg (calcium 108.3 mg or Ca2+ 2.7 mmol)/5 mL
  • Link  UKMI: Info and advice on Calcium Sandoz shortage
     
      
    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

    Grey

    Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.
    Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.
    Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.
      

    Red

    Medicines which should normally be prescribed by specialists only. eg hospital only.
    For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
      

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.
    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.
      

    Amber 2

    Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.
    A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.
    *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
      

    Amber 3

    Primary care/ non specialist may initiate as per APC guideline.
    The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.
      

    Green

    Medicines suitable for routine 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.   

    OTC

      

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