Cambridgeshire and Peterborough
Formulary
 
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9 Nutrition and blood
09-06-04 Vitamin D

Colecalciferol  Invita D3®
First Choice
  • Preferred brand when prescribed in Primary Care for the treatment of deficiency for adults 18 years and above:
    • Invita D3 50,000 IU soft gel capsules: ONE capsule once weekly for 6 weeks. 
    • Invita D3 50,000IU/ml oral solution: ONE ml oral solution ampoule once weekly for 6 weeks. 
    • The FULL course should be prescribed as an ACUTE prescription.  
    • Patients requiring maintenance doses of vitamin D for insufficiency should be recommended to SELF-CARE where the patient is both willing and able.
  • NWAFT, CUHFT and RPH:
    • Non formulary (alternative brands are recommended). 
    • Trust to provide full treatment course for vitamin D deficiency.



 

Link  C & P CCG: Vitamin D deficiency in Adults
 

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Colecalciferol  Thorens® 10,000 units/ml oral drops
First Choice
  • Preferred brand when prescribed in Primary Care for treatment of deficiency for paediatric patients 1 month of age and above - see link to guideline below for dosing details dependent upon age.
  • The FULL course should be prescribed as an ACUTE prescription.
  • Self-care for maintenance doses
    • Vitamin D supplementation for insufficiency or aligned to national prevention recommendations, parents/guardians should be requested to purchase over the counter, where the parent/guardian is willing and able.
    • Healthy Start Vitamin Drops are available for those who qualify from local distribution points. See guideline below for further details. 
  • NWAFT, CUHFT and RPH:
    • Non formulary (alternative brands are recommended). 
    • Trust to provide full treatment course for vitamin D deficiency.



 

Link  C & P CCG: Vitamin D deficiency in Paediatrics
 

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Colecalciferol 3200 unit capsules Fultium D3®
Second Choice
  • Primary Care - Second line formulary choice for treatment of deficiency for adults 18 years and above including pregnant or breastfeeding women:
    • Fultium-D3 3,200 IU capsules: ONE capsule daily for 12 weeks.  
    • Peanut-oil free capsules have been formulated since October 2014 but the peanut (arachis) oil version will continue to be available at wholesalers for some time, so it is recommended that the product formulation is checked before dispensing to patients with a known peanut or soya allergy. 
    • The FULL course should be prescribed as an ACUTE prescription.
    • Patients requiring maintenance doses of vitamin D for insufficiency should be recommended to SELF-CARE where the patient is both willing and able. 
  • NWAFT, CUHFT and RPH:
    • Non formulary (alternative brands are recommended). 
    • Trust to provide full treatment course for vitamin D deficiency.
Link  C & P CCG: Vitamin D deficiency in Adults
 

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Colecalciferol  Invita D3® 25,000IU single-dose oral solution unit
Second Choice
  • Primary Care - Second line formulary choice for treatment of deficiency for paediatric patients 1 month of age and above who require weekly dosing due to compliance - see link to guideline below for dosing details dependent upon age.
  • The FULL course should be prescribed as an ACUTE prescription.
  • Self-care for maintenance doses
    • Vitamin D supplementation for insufficiency or aligned to national prevention recommendations, parents/guardians should be requested to purchase over the counter, where the parent/guardian is willing and able.
    • Healthy Start Vitamin Drops are available for those who qualify from local distribution points. See guideline below for further details. 
  • NWAFT, CUHFT and RPH:
    • Non formulary (alternative brands are recommended).
    • Trust to provide full treatment course for vitamin D deficiency.



 

Link  C & P CCG: Vitamin D deficiency in Paediatrics
 

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Alfacalcidol One-Alpha®
Formulary

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Calcitriol
Formulary

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Colecalciferol
Restricted

RPH only - Restricted to cystic fibrosis patients 


Restricted Drug Red Hospital View adult BNF  View SPC online  View childrens BNF
Colecalciferol
Formulary

  • CUHFT - Delristol brand. 


    • 20,000 units = 500 micrograms

    • Dekristol is contraindicated for peanut or soya allergy sufferers, as capsules contain arachis oil (peanut oil).

    • Therapeutically equivalent to ergocalciferol (ref: Martindale)



Preferred treatment choice in primary care is currently Invita D3 range (licensed product)


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Colecalciferol 800 units Desunin®
Restricted

  • CUHFT only

  • Non - formulary at all other trusts


 


Restricted Drug Amber No SCG View adult BNF  View SPC online  View childrens BNF
Ergocalciferol
Formulary

 




    • 300,000 units in 1ml



 


Red Hospital View adult BNF  View SPC online  View childrens BNF
Colecalciferol 3,000 units per ml liquid
Restricted

  • NWAFT - Paediatric use only  


1mL = 3,000 units = 75 micrograms.


Therapeutically equivalent to ergocalciferol (ref: Martindale).


Unlicensed formulation. Use licensed product where available.


Restricted Drug Amber No SCG View adult BNF  View SPC online  View childrens BNF
Paricalcitol Zemplar®
Restricted

  • CUHFT and NWAFT only - Consultant nephrologists for IDU/C5 only in patients on dialysis who have failed on alfacalcitriol therapy.

  • Non formulary at all other trusts


Restricted Drug Red Hospital View adult BNF  View SPC online  View childrens BNF
Calcitriol Rocaltrol®
Non Formulary

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Calcium and colecalciferol Calceos®
Non Formulary

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Calcium and colecalciferol Kalcipos-D®
Non Formulary

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Calcium and Ergocalciferol
Non Formulary

Tablet


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Calcium Carbonate and colecalciferol  Calchichew-D3 Once Daily
Non Formulary

No formal submission


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Calcium Carbonate with Colecalciferol Cacit® D3
Non Formulary

Sachets


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Colecalciferol 1,000 units Sunvit D3®
Non Formulary
Tablet (unlicensed)
  • 1,000units = 25micrograms
  • Now use Desunin 800 unit tablets (licensed)

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    Colecalciferol 2,400 units/ml drops Invita D3® oral drops
    Non Formulary
    No formal assessment

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    Dihydrotachysterol AT 10®
    Non Formulary

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    Ergocalciferol
    Non Formulary

    Ongoing supply problems since May 2010

    • Also known as calciferol or Vitamin D2.
    • Therapeutically equivalent to colecalciferol (ref: Martindale)

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    Colecalciferol and Calcium Carbonate Calcichew-D3®
    Non Formulary

    Tablet

    • Only contains 5 micrograms (200 units) of D3 (inadequate for osteoporosis prophylaxis)

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