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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
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A2.02.02.01  Expand sub section  Nutritional supplements: 1.5 kcal/mL and 5 g (or more) protein/100 mL
Ensure® Plus Commence
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG or other tube fed patients or patients with head and neck cancer or motor neurone disease. Traffic lighting for these patients in Care Homes is Brown. 

APCO SMarch 2021.

 
   
Ensure® Plus Milkshake style
(Sip feed)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG or other tube patients or patients with head and neck cancer or motor neurone disease when traffic lighting is Brown.

APCO March 2021.

 
   
Ensure® Plus Fibre
(Sip or tube feed)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG or other tube fed patients or patients with head and neck cancer or motor neurone disease when traffic lighting is Brown.

APCO September 2015.

 
   
Ensure® Plus Yoghurt style
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases. Exceptions are PEG tube patients or patients with head and neck cancer or motor neurone disease.

APCO September 2015.

 
   
Fortisip® Yoghurt Style
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases. Exceptions are PEG tube patients or patients with head and neck cancer or motor neurone disease.

APCO September 2015.

 
   
Fortisip® Bottle
(Sip feed)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG tube patients or patients with head and neck cancer or motor neurone diseasein Care homes when traffic lighting is Brown.

APCOMarch 2021.

 
   
Fresubin® Energy
(Sip feed)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG or other tube fed patients or patients with head and neck cancer or motor neurone disease living in Care Homes when traffic lighting is Brown.

APCO March 2021.

 
   
Fresubin® Energy Fibre
(Sip feed)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG or other tube fed patients or patients with head and neck cancer or motor neurone disease living in Care Homes when traffic lighting is Brown.

APCO March 2021.

 
   
Nutrison® Energy Multi Fibre
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber Continuation

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

Exceptions are PEG or other tube fed patients or patients with head and neck cancer or motor neurone disease living in Care Homes when the traffic lighting is Brown.

APCO March 2021

 
   
Resource® Energy
(Sip feed)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Brown Traffic Light  In line with Clinical Commissioning Policy 277

APCO May 2017.

Black Traffic Light  For patients in care and nursing homes. Food fortification by care home staff should be used in most cases.

NB Exceptions are PEG or other tube fed patients or patients with head and neck cancer or motor neurone disease living in Care Homes when traffic lighting is Brown.

APCO March 2021.

 
   
 ....
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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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