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Appendix 2: Borderline Substances
Infantile colic products
BNF | BNFC | SPC

Tees Do Not Prescribe/Grey List

Colief is not considered to be a medicinal product suitable for prescribing on the NHS unless the criteria set out by the Advisory Committee on Borderline Substances (ACBS) are met.

Infacol is denoted in the BNF as being less suitable for prescribing on the NHS. Evidence does not support use.

Gripe water is not licensed for the treatment of infantile colic and should not be used.

 

Gluten-free Luxury Products
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of gluten free luxury items is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.

Practices should only prescribe gluten-free staple foods to patients with a confirmed diagnosis or gluten-sensitive enteropathies, in line with local guidelines for recommended number of units per month.

Only the following staple foods are approved on NHS prescription in Tees:

  •  Flour e.g. flour mix, blended mix, white or fibre mix and multipurpose mix
  •  Plain bread rolls or loaves
  •  Part baked bread e.g. white bread, fibre loaf, flat bread

Patients may still purchase other gluten-free products which are readily available from pharmacies, health stores and supermarkets.

Guidelines for the supply of gluten-free products in Tees CCGs

Lactose free infant milks
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of lactose-free infant milks is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.

Prescribing of formula milk is only to be initiated by GPs whilst awaiting referral to a paediatrician/ dietetics.  To be prescribed only under consultant paediatrician/ dietetics advice and then only in accordance with ACBS guidelines.