Cambridgeshire and Peterborough
Formulary
 
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9 Nutrition and blood
09-01-02 Drugs used in megaloblastic anaemias

Folic Acid
Formulary

 

  • 400microgram strength can be purchased from a Community Pharmacist - Recommend Self-Care.
  • Pregnant women with diabetes, epilepsy or a raised body mass index (BMI) will need a prescription for a higher dose of folic acid, 5mg per day.
    • The 5mg strengths of folic acid must be prescribed.
    • Please see links below for further information. 



 

Link  C & P CCG: Your choices leaflet - before, during and after pregnancy
Link  UKTIS - Use of folic acid in pregnancy
 

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Hydroxocobalamin
Formulary

 



  • For guidance on when to use IM hydroxocobalamin or oral cyanocobalamin (available OTC) please see the Guideline for the management of Vitamin B12 deficiency (adults) - link below. 


 

Link  C & P CCG: Guideline for the management of Vitamin B12 deficiency - for adults
 

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Cyanocobalamin
Restricted

 



  • Cyanocobalamin tablets can be purchased from a Community Pharmacist. Self care recommended for the prevention of deficiency.



  • For guidance on when it is appropriate to use IM hydroxocobalamin or oral cyanocobalamin (available OTC) please see the Guideline for the management of Vitamin B12 deficiency (adults) – link below.



  • NWAFT:  Restricted to treatment of, or to prevent, vitamin B12 deficiency in a patient who is a vegan or who has proven vitamin B12 deficiency of dietary origin.



  • Non - Formulary at all other trusts. 





 

Link  C & P CCG: Guideline for the management of Vitamin B12 deficiency - for adults
 

Restricted Drug OTC View adult BNF  View SPC online  View childrens BNF