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9. Nutrition and Blood
Ferric Maltol (Feraccru)
BNF | BNFC | SPC

NTAG Recommendation September 2016

The Northern (NHS) Treatment Advisory Group recommends the use of oral Ferric Maltol as an alternative option in patients with mild to moderate IDA with IBD who have tried at least two oral ferrous salts and have a reported intolerance to oral ferrous salts due to adverse effects after an adequate trial. Initiation and prescribing of Ferric Maltol should be carried out by an IBD specialist.

Ferrous Fumarate
BNF | BNFC | SPC

Tablets 210mg

Syrup 140mg/5ml

Ferrous Sulphate
BNF | BNFC | SPC

Tablets 200mg

Pregaday
BNF | BNFC | SPC
Iron Modified-Release Preparations
BNF | BNFC | SPC
Folic Acid
BNF | BNFC | SPC

Tablets 400microgram, 5mg

 

Hydroxocobalamin
BNF | BNFC | SPC

Injection 1mg/ml

Darbepoetin alfa (Aranesp)
BNF | BNFC | SPC

Tariff Excluded (dialysis-induced anaemia only); NHSE Commissioned

Approved: NICE TA323

 

Epoetin alfa
BNF | BNFC | SPC

Tariff Excluded (dialysis-induced anaemia only); NHSE Commissioned

Approved: NICE TA323

Epoetin beta (NeoRecormon)
BNF | BNFC | SPC

Tariff Excluded (dialysis-induced anaemia only); NHSE Commissioned

Approved: NICE TA323

Methoxy Polethylene Glycol-Epoetin Beta (Mircera)
BNF | BNFC | SPC

Injection 

Epoetin delta
BNF | BNFC | SPC
Epoetin theta
BNF | BNFC | SPC

Tariff Excluded (dialysis-induced anaemia only); NHSE Commissioned

Approved: NICE TA323

Epoetin zeta
BNF | BNFC | SPC

Tariff Excluded (dialysis-induced anaemia only); NHSE Commissioned

Approved: NICE TA323

Deferasirox
BNF | BNFC | SPC

Chronic iron overload in patients with haemolytic anaemia

Deferiprone
BNF | BNFC | SPC

Iron Overload

Desferrioxamine
BNF | BNFC | SPC

Iron overload; iron poisoning

Anagrelide
BNF | BNFC | SPC

Thrombocythaemia

Eltrombopag
BNF | BNFC | SPC

Tariff Excluded; CCG Commissioned for adult patients (NHSE in paediatric indications)

Approved: NICE TA293 - Eltrombopag for treating chronic immune (idiopathic) thrombocytopenic purpura

Romiplostim
BNF | BNFC | SPC

Tariff Excluded; CCG Commissioned in adults (NHSE in paediatric indications)

Approved: NICE TA221 - Romiplostim for the treatment of chronic immune (idiopathic) thrombocytopenic purpura

Filgrastim
BNF | BNFC | SPC

Neutropenia

Lenograstim
BNF | BNFC | SPC

in hep.B only; for a specific clinical trial

Pegfilgrastim
BNF | BNFC | SPC

Neutropenia

Vitamins and Minerals
BNF | BNFC | SPC

Tees Do Not Prescribe/Grey List

Prescribing of vitamin and mineral supplements is not supported by Hartlepool & Stockton-on-Tees CCGs.

Vitamin and mineral supplements should only be prescribed in line with an ACBS indication, i.e. only in the management of actual or potential vitamin or mineral deficiency; they are not to be prescribed as dietary supplements or as a general “pick-me-up”.

If patients still want to take vitamins and minerals for dietary supplementation or as a “pick-me-up” they should be advised that they can be purchased as selfcare over-the-counter.

Some patients may be eligible for NHS Healthy Start vitamins which are specifically designed for pregnancy, breastfeeding and growing children. They are available free of charge from local distribution points. More information is available on the Healthy Start Vitamins website.

PrescQIPP Bulletin 117: Drop List

Calcium Carbonate Effervescent 1.25g (Cacit)
BNF | BNFC | SPC

Tablets effervescent 1.25g (Cacit)

Cinacalcet
BNF | BNFC | SPC

Tablets 30mg 60mg 90mg

Consultant endocrinologist initiation only

Shared Care for primary hyperparathyroidism when parathyroidectomy is not clinically appropriate, parathyroid carcinoma, parathyroid hyperplasia when parathyroidectomy is not clinically appropriate.

Endocrinology Shared Care Guideline

 

For all other indications, this drug is Red (In-Tariff but commissioned by NHSE in Adult Renal Dialysis only)

NICE TA117

Etelcalcetide
BNF | BNFC | SPC

NHSE Commissioned

Secondary hyperparathyroidism

Approved: NICE TA448

Magnesium Glycerophosphate
BNF | BNFC | SPC

Tablets

Unlicensed special - Prescribe as Magnaphate to ensure consistently priced product 

 

Magnesium-L-aspartate (Magnaspartate)
BNF | BNFC | SPC

Hypomagnesaemia - STHFT

Lanthanum
BNF | BNFC | SPC
Lanthanum (Renal Dialysis indications)
BNF | BNFC | SPC

Red when used for indications related to renal dialysis (NHS England funded)

 

Sevelamer
BNF | BNFC | SPC
Sevelamer (Renal Dialysis indications)
BNF | BNFC | SPC

Red when used for indications related to renal dialysis (NHS England funded)

Sodium Fluoride
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Sodium Monofluorophosphate
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Stannous Fluoride
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Complementary Therapies
BNF | BNFC | SPC

Tees Do Not Prescribe/Grey List

Limited evidence base and a lack of robust randomised controlled trials directly comparing them with standard treatments.


Some are also associated with severe adverse effects, they may significantly interact with other medicines and can delay accurate diagnosis of underlying pathology. None reviewed by NICE recommend their use.

Lutein and Antioxidants
BNF | BNFC | SPC

Tees Do Not Prescribe/Grey List

There is little evidence to support the use of lutein and antioxidant vitamin preparations to prevent progression of AMD, they are considered low priority and poor value for money. There is some concern that the high doses of vitamins and minerals needed may cause harm in some people.

A healthy diet rich in oily fish, leafy green vegetables and fresh fruit may be recommended or alternatively advise patients to purchase dietary supplements over the counter.  Products are food supplements and not licensed medicines.

PrescQIPP bulletin 86: Lutein and antioxidant vitamins for prevention of age-related macular degeneration (AMD) (DROP-List)

NTAG: Dietary Supplements for Treatment of Age-Related Macular Degeneration

Dietary Supplements
BNF | BNFC | SPC

NTAG Rejected: Dietary supplements for treatment of Age Related Macular Degeneration 3/6/14 - Rejected due to lack of evidence and safety concerns

Thiamine
BNF | BNFC | SPC

Tablets 50mg, 100mg

NICE clinical guideline 100

Vitamin B Compound
BNF | BNFC | SPC

Alcohol-use disorders: diagnosis and management of physical complications. NICE CG100 only includes the use of thiamine