NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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9 Nutrition and blood

9.6 Vitamins

9.6.1 Vitamin A

9.6.2 Vitamin B group

Preferred list
VITAMIN B & C (PABRINEX) (Injection)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5106.htm

Total Formulary

9.6.3 Vitamin C

Preferred list
ASCORBIC ACID

Prescribing Notes:

Used in the prevention and treatment of scurvy.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5126.htm

9.6.4 Vitamin D

Preferred list
ALFACALCIDOL

Restrictions: Restricted to specialist initiation.

Prescribing Notes:

Not suitable for treatment of vitamin D deficiency.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5138.htm

CALCIUM AND VITAMIN D (tablets, chewable tablets)

Prescribing Notes:

The current preferred calcium and vitamin D preparations in Primary Care are Accrete D3 tablets (twice daily) and  TheiCal-D3 chewable tablets (which are taken once daily).

Please note: Calcium and vitamin D preparations may vary in strength, dosage and frequency.

Total Formulary
CALCITRIOL

Restrictions: Not approved for use in osteoporosis.

Prescribing Notes:

excluding Calcijex® preparation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/201148.htm

CALCIUM AND VITAMIN D (effervescent tablets, sachets, caplets)

Restrictions: These formulations of calcium and vitamin D are restricted to use when chewable tablet or tablet formulations are not tolerated.

Prescribing Notes:

Calcium and vitamin D tablets or chewable tablets are the preferred formulations and should be used in preference (see Preferred List). 

Please note: Calcium and vitamin D preparations may vary in strength, dosage and frequency

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/66778.htm#_66778

COLECALCIFEROL (VITAMIN D)

Restrictions:

Excludes Fultium D3 3,200 unit strength. Invita D3 oral ampoules are restricted to use only when other oral vitamin D preparations are not suitable.

Prescribing Notes:

Guidance on when to measure vitamin D levels and the subsequent management of vitamin D deficiency and insufficiency are available to those with access to StaffNet within the Electronic Clinical Guidelines Repository by searching for "Vitamin D".  Also see the Vitamin D Q&A document for Primary Care.

Vitamin D supplementation usually falls into two broad categories, low dose supplementation and high dose supplementation.  Low dose is considered to be doses of 1,000 units daily or less and is used most often for supplementation in insufficiency states. High dose vitamin D is considered to be doses in excess of 20,000 units per week.  High dose vitamin D is more likely to be used in deficiency states leading to morbidity.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/PHP6244-colecalciferol.htm

9.6.5 Vitamin E

Preferred list
VITAMIN E

Restrictions: Restricted to specialist initiation .

Prescribing Notes:

Alternative name is alphatocopherylacetate. Available as a 500mg/5ml suspension.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5146.htm

9.6.6 Vitamin K

Preferred list
VITAMIN K

Prescribing Notes:

Menadiol sodium phosphate - a water soluble oral preparation to prevent vitamin K deficiency in malabsorption syndromes. Contraindicated in late pregnancy. Phytomenadione - used for the prophylaxis and treatment of vitamin K deficiency bleeding and for the reversal of the anticoagulant effect of warfarin. It is available as tablets and as injection.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5149.htm

9.6.7 Multivitamin preparations

Preferred list
MULTIVITAMINS

Prescribing Notes:

Formulary preparations are Vitamin capsules BPC and Abidec® drops (contains vitamin groups A, B, C and D).

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5154.htm

Total Formulary
KETOVITE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5167.htm

RENAVIT

Restrictions: Restricted to specialist initiation for use in patients undergoing peritoneal dialysis.

BNF Link: https://www.medicinescomplete.com/mc/bnf/current/PHP33840-renavit.htm?q=renavit&t=search&ss=text&p=1#_hit