Oxfordshire Clinical Commissioning Group Formulary

	Oxfordshire Clinical Commissioning Group
	Formulary

Search

Formulary Chapter 25: A2 - Borderline substances - Full Chapter

Chapter Links...

Clinical Commissioning Policy 277: Oral nutritional supplements (adults)

OCCG Guidelines: Infant Formula Guidelines

OCCG Guidelines: Infant Formula Guidelines Summary

OCCG Patient Leaflet: Food first

OCCG Patient Leaflet: Food fortification

OCCG Patient Leaflet: High energy drinks

OCCG Patient Leaflet: High energy snacks

Details...

A2.03.01

Specialised formulas: Infant and child

Alimentum^®
(Extensively hydrolysed formula)

First Choice

For the management of Cow's milk protein allergy in children, in line with:

Lactose free and suitable from birth.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Aptamil Pepti^® 1
(Extensively hydrolysed formula)

First Choice

For the management of Cow's milk protein allergy in children, in line with:

Contains lactose and may be used if there is a palatability issue. Suitable from birth to 6 months of age.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Aptamil Pepti^® 2
(Extensively hydrolysed formula)

First Choice

For the management of Cow's milk protein allergy in children, in line with:

Contains lactose and may be used if there is a palatability issue. Suitable from 6 months of age.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Nutramigen 1 with LGG^®
(Extensively hydrolysed formula)

First Choice

Previously known as Nutramigen Lipil 1.

For the management of Cow's milk protein allergy in children, in line with:

Lactose free and contains a unique probiotic Lactobacillus rhamnosus GG. Suitable from birth to 6 months of age.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Nutramigen 2 with LGG^®
(Extensively hydrolysed formula)

First Choice

Previously known as Nutramigen Lipil 2.

For the management of Cow's milk protein allergy in children, in line with:

Lactose free and contains a unique probiotic Lactobacillus rhamnosus GG. Suitable from 6 months of age.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

SMA Althera Powder^®
(Extensively hydrolysed formula)

First Choice

For the management of Cow's milk protein allergy in children, in line with:

Contains lactose and may be used if there is a palatability issue. Suitable from birth.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Aptamil Pepti-Junior^®
(Extensively hydrolysed formula with MCT (medium chain triglycerides))

Formulary

Suitable when cow's milk protein allergy is also accompanied by malabsorption.

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only, in line with:

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Pregestimil Lipil^®
(Extensively hydrolysed formula with MCT (medium chain triglycerides))

Formulary

Suitable when cow's milk protein allergy is also accompanied by malabsorption.

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only, in line with:

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

EleCare
(Amino acid formula)

Formulary

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only, for the management of Cow's milk protein allergy in children. Also suitable where a low osmolarity infant formula with MCT is appropriate. Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

See:

APCO July 2020.

Infatrini^® Peptisorb
(Extensively hydrolysed formula)

Formulary

High calorie EHF to optimise caloric intake in poor feeders with multiple food intolerances and malabsorption. Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only.

See:

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Neocate^® Junior
(Amino acid formula)

Formulary

Neocate^® Junior will replace Neocate^® Active and Neocate^® Advance over a period of 12 months, from April 2017 to April 2018. These are high calorie formulas and will not be required automatically by all infants over 1 year.

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only. Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

See:

APCO September 2017.

Nutramigen^® Puramino
(Amino acid formula)

Formulary

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only, for the management of Cow's milk protein allergy in children. Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

See:

APCO September 2017.

Locasol^®

Formulary

Low calcium formula for children with conditions of calcium intolerance requiring restriction of calcium and vitamin D intake.

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only.

SMA Alfamino^®
(Amino acid formula)

Formulary

Suitable for continuation in primary care following initiation or recommendation from a specialist or dietitian only, for the management of Cow's milk protein allergy in children. Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

See:

APCO September 2017.

Clinical Commissioning Policy 250B: Milk Products

OCCG Guidelines: Management of CMPA in children

iMAP Algorithm: Presentation of Suspected Cow’s Milk Allergy (CMA) in the 1st Year of Life

iMAP Algorithm: Management of Mild to Moderate Non-IgE Cow’s Milk Allergy (CMA)

iMAP Parent Leaflet – Initial Fact Sheet for Parents

Patient Information Leaflet: Temporary lactose intolerance

The iMAP Allergy-focused Clinical History for Suspected Cow’s Milk Allergy in Infancy

iMAP Parent Leaflet: The Early Home Reintroduction to Confirm the Diagnosis of Cow’s Milk Allergy

iMAP: The milk ladder

iMAP Milk Ladder Recipes

....

Non Formulary Items

Enfamil^® AR

Non Formulary

Not recommended for prescribing, in line with Clinical Commissioning Policy 250B.

Available to purchase over the counter.

APCO September 2017.

Enfamil^® O-Lac

Non Formulary

Available to purchase over the counter for secondary lactose intolerance, in line with:

Lactose free milks are not licensed for the treatment of colic. See patient information leaflet on temporary lactose intolerance.

APCO May 2007 and September 2017.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

Neocate Syneo^®

Non Formulary

Not recommended for prescribing due to lack of evidence.

APCO January 2020.

Nutramigen 3 with LGG^®

Non Formulary

Not recommended for prescribing, in most cases children over 12 months of age should be weaned off at this point.

APCO January 2020.

SMA ^® Anti-reflux

Non Formulary

Not recommended for prescribing, in line with Clinical Commissioning Policy 250B.

Available to purchase over the counter.

APCO September 2017.

SMA LF^®

Non Formulary

Available to purchase over the counter for secondary lactose intolerance, in line with:

Lactose free milks are not licensed for the treatment of colic. See patient information leaflet on temporary lactose intolerance.

APCO May 2007 and September 2017.

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

Wysoy^®

Non Formulary

Not recommended for prescribing. Available to purchase over the counter.

See:

Note: All allergy related queries from GPs can be sent to oxon.paedsallergyadvice@nhs.net.

APCO September 2017.

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	Red: Medicines which should only be prescribed in secondary care by a specialist.
	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: 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: Medicines which are suitable for initiation and ongoing prescribing within primary care.
	Brown: Medicines which should only be prescribed in restricted circumstances.
	Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.
	not used