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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
Notes:

Infant feeding guideline 2018

Summary page Infant Feeding Guideline 2018

 Details...
A2.01  Expand sub section  Enteral feeds
Similac Alimentum
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First Choice
Green

Cows Milk Protein Allergy

 

Extensively Hydrolysed Formula

 

First Choice Agent

 
SMA Alfamino
(Amino Acid Formulae)
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Second Choice
Green

Cows Milk Protein Allergy 2nd line

First line for anaphylactic reaction/severe reations

 

 
   
SMA High Energy
(Energy Dense Formula)
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Second Choice
Amber Recommended

See faltering growth guidance

 
   
Aptamil Pepti 1 and 2
(Extensively hydrolysed formula)
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Formulary
Green
 
   
Nutramigen 1 with LGG
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Formulary
Green

Cows Milk Protein Allergy

 

First Line Agent

 

Extensively Hydrolysed formula

 
   
Nutramigen 2 with LGG
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Formulary
Green

Cows Milk Protein Allergy

 

Extensively Hydrolysed Formula

 

First line agent

 
   
SMA Althera
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Formulary
Green

Extensively Hydrolysed Formulae - CMPA

 
   
Aptamil Pepti 1
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Formulary
Green

Pepti 1 and 2 - for Cows Milk Protein Allergy

 

Extensively Hydrolysed Formula

 

First line agent

 
   
Aptamil Pepti Junior
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Formulary
Amber Recommended

On the advice of secondary care only

 

Cows Milk Allergy and malabsorption

 
   
Infatrini Peptisorb
(Energy Dense Formula)
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Formulary
Amber Recommended

See faltering growth guideline

 
   
Infatrini
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Formulary
Amber Recommended

Energy Dense Feed

Should not be started in primary care without specialist advice

 

 

 
   
Neocate LCP
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Formulary
Green

Amino Acid Formula

Second line option

First line for severe reactions/anaphylactic reactions/reactions to breast milk

 

Refer to secondary care

 
   
Nutramigen Puramino
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Formulary
Green

Amino Acid Formula

 

First line for severe reactions/ anaphylactic reactions/ reactions to breast milk

 

Refer to secondary care

 
   
Nutriprem 2
(Powder)
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Amber Recommended

For pre term infants

Follow discharge information - review at 6 months corrected age

Powder should be prescribed - ready made liquid for exceptional circumstances only (immunocompromised patients)

 

 

 
   
Pregestimil Lipil
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Amber Recommended

On advice of secondary care only

 

Cows milk allergy with malabsorption

 
   
Similac High Energy
(Energy Dense Formula)
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Formulary
Amber Recommended

See faltering growth guideline

 
   
SMA Alfamino
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Formulary
Green

Amino Acid Formula

 

First line for severe reactions/ anaphylactic reactions/ reactions to breast milk

 

Refer to secondary care

 
   
SMA Pro Gold Prem 2
(Powder)
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Formulary
Amber Recommended

Should not be initiated in primary care

 

Follow hospital discharge instructions

Ensure review at 6 months corrected age

 
   
SMA Pro High Energy
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Formulary
Amber Recommended

Energy dense formula

 
   
A2.01.01  Expand sub section  Enteral feeds (non-disease specific): less than 5 g protein/100 mL
A2.01.01.01  Expand sub section  Enteral feeds: 1 kcal/mL and less than 5 g protein/100 mL
A2.01.01.02  Expand sub section  Enteral feeds: Less than 1 kcal/mL and less than 5 g protein/100 mL
A2.01.02  Expand sub section  Enteral feeds (non-disease specific): 5 g (or more) protein/100 mL to top
A2.01.02.01  Expand sub section  Enteral feeds: 1.5 kcal/mL and 5 g (or more) protein/100 mL
A2.01.02.02  Expand sub section  Enteral feeds: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL
A2.01.02.03  Expand sub section  Enteral feeds: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL
A2.01.03  Expand sub section  Enteral feeds: Child under 12 years
A2.01.03.01  Expand sub section  Enteral feeds, Child: Less than 1 kcal/mL and less than 4g protein/100 mL to top
A2.01.03.01  Expand sub section  Amino acid formula (essential and non-essential amino acids)
A2.01.03.02  Expand sub section  Enteral feeds, Child: 1.5 kcal/mL and less than 4g protein/100 mL
A2.01.03.02  Expand sub section  Hydrolysate Formula
A2.01.03.03  Expand sub section  Enteral feeds, Child: More than 1 kcal/mL and less than 4g protein/100 mL
A2.01.03.04  Expand sub section  Enteral feeds, Child: 1.5 kcal/mL and more than 4g protein/100 mL to top
 ....
 Non Formulary Items
Aptamil Anti-Reflux
(Pre-thickened and thickening formula)

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Non Formulary

Should be bought OTC

 
Aptamil LF
(Lactose Free Formulae)

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Non Formulary

To be bought OTC

 
Elemental 028 Extra

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Non Formulary
 
Enafamil AR
(Prethickened and Thickened Formula)

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Non Formulary

Should be bought OTC

 

 
Enfamil O-Lac

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Non Formulary

DO NOT PRESCRIBE - OTC MILK TO BE BOUGHT

 
Ensure Twocal

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Non Formulary
 
Fortini

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Non Formulary
 
Fortini Multifibre

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Non Formulary
 
Fresubin 1800 Complete

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Non Formulary
 
Fresubin 2250 complete

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Non Formulary
 
Fresubin Energy
(Tube feed)

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Non Formulary
 
Fresubin Energy Fibre
(tube feed)

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Non Formulary
 
Fresubin HP Energy

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Non Formulary
 
Fresubin Original Fibre

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Non Formulary
 
Fresubin Soya Fibre

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Non Formulary
 
Fresubin 1000 Complete

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Non Formulary
 
Fresubin 1200 Complete

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Non Formulary
 
Fresubin Original

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Non Formulary
 
Isosource Energy

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Non Formulary
 
Isosource Energy Fibre

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Non Formulary
 
Isosource Fibre

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Non Formulary
 
Isosource Standard

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Non Formulary
 
Jevity

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Non Formulary
 
Jevity 1.5 kcal

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Non Formulary
 
Jevity Plus

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Non Formulary
 
Jevity Plus HP

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Non Formulary
 
Jevity Promote

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Non Formulary
 
Novasource GI Forte

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Non Formulary
 
Novasource Gl Control

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Non Formulary
 
Nutrini Energy Multifibre

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Non Formulary
 
Nutrini Multifibre

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Non Formulary
 
Nutrini Energy

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Non Formulary
 
Nutrini

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Non Formulary
 
NutriniExtra

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Non Formulary
 
NutriniLow Energy Multifibre

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Non Formulary
 
NutriniPeptisorb

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Non Formulary
 
Nutriprem 2 Liquid
(Ready made bottles)

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Non Formulary
 
Nutrison Concentrated

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Non Formulary
 
Nutrison Low Sodium

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Non Formulary
 
Nutrison Peptisorb

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Non Formulary
 
Nutrison

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Non Formulary
 
Nutrison Energy

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Non Formulary
 
Nutrison Energy Multi Fibre

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Non Formulary
 
Nutrison MCT

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Non Formulary
 
Nutrison Multi Fibre

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Non Formulary
 
Nutrison Protein Plus

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Non Formulary
 
Nutrison Protein Plus Multi Fibre

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Non Formulary
 
Nutrison Soya

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Non Formulary
 
Nutrison Soya Multi Fibre

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Non Formulary
 
Nutrison 1000 Complete Multi Fibre

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Non Formulary
 
Nutrison 1200 Complete Multi Fibre

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Non Formulary
 
Osmolite

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Non Formulary
 
Osmolite 1.5 kcal

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Non Formulary
 
Osmolite Plus

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Non Formulary
 
Paediasure Plus

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Non Formulary
 
Peptamen

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Non Formulary
 
Peptamen HN

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Non Formulary
 
Peptisorb

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Non Formulary
 
Perative

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Non Formulary
 
Pre-Aptamil

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Non Formulary
 
SMA Gold Prem 2 Liquid
(Ready made bottles)

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Non Formulary
 
SMA LF
(Lactose Free Formulae)

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Non Formulary

To be bought OTC

 
SMA Stay Down
(Pre-thickened and Thickening Formula)

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Non Formulary
 
SMA Stay Down
(Pre-thickened and Thickening Formula)

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Non Formulary
 
SMA Wysoy

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Non Formulary

DO NOT PRESCRIBE - OTC MILK TO BE BOUGHT

 
Survimed OPD

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Non Formulary
 
Tentrini

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Non Formulary
 
Tentrinienergy

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Non Formulary
 
TentriniMultifibre

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Non Formulary
 
Vital 1.5kcal

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Primary and Secondary Care (unrestricted) may be prescribed by GPs, hospital doctors or other qualified prescribers in primary and secondary care  

Amber Initiation

Amber Initiated: first prescription from specialist, on going supplies from primary care (or when stabilised on therapy).  

Amber Recommended

Amber recommended: first prescription may be supplied by primary care under the advice of a specialist.  

Amber with Shared Care

For initiation within a specialist service followed by ongoing prescribing in primary care according to published shared care guidance  

Red

For initiation and ongoing prescribing in secondary care only. Medicines in this category may be further restricted to use by specific hospital departments only.  

Blue

For prescribing in primary care only  

netFormulary