netFormulary NHS
Nottinghamshire Area Prescribing Committee
Joint Formulary
 Formulary Chapter 9: Nutrition and blood - Full Chapter  Expand sub section  Electrolytes and water  Expand sub section  Intravenous sodium  Expand sub section  Intravenous glucose  Expand sub section  Intravenous potassium  Expand sub section  Bicarbonate and lactate to top
Sodium Bicarbonate
  • Available in multiple strengths:
    -Sodium Bicarbonate 1.26% 500ml polyfusor
    -Sodium Bicarbonate 1.4% 500ml polyfusor (if not available, use 1.26%)
    -Sodium Bicarbonate 4.2% 10ml ampoules or 500ml polyfusor
    -Sodium Bicarbonate 8.4% 10ml ampoules or 500ml polyfusor
  • Central or peripheral administration? See NUH IV guide or SFH advice.
  • 1.26% and 1.4% are clinically interchangable.
Link  SFH: How to make 1.26% sodium bicarbonate from 8.4%
Link  Sodium bicarbonate in AKI - Guidance on administration from ThinkKidneys
Compound Sodium Lactate Intravenous Infusion
(Known as hartmanns solution)
  • Hartmann's Solution 500ml or 1 litre
  • Half Strength Hartmann's Solution
  • Dextrose 5% & Half Strength Hartmann's Solution 500ml polyfusor
  • Link to SPC.
  • Hartmann's Solution = Sodium Chloride 0.6%, Sodium Lactate 0.25%, Potassium Chloride 0.04%, Calcium Chloride 0.027%
Link  icare2 - Temporary Change to IV Fluid Supplies from Baxter (Dec 2018)  Expand sub section  Water
 Non Formulary Items
Sodium Bicarbonate  (Min-I-Jet® Sodium Bicarbonate)

View adult BNF View SPC online View childrens BNF
Non Formulary
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
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Non Formulary Item Non Formulary section
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Unlicensed Drug
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Traffic Light Status Information

Status Description


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.


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.


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.