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 Formulary Chapter 25: A2 - Borderline substances - Full Chapter
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A2.03.01  Expand sub section  Specialised formulas: Infant and child
Similac® Alimentum
(Extensively hydrolysed formula)
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First Choice
Green

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. 

 
Althera®
(Extensively hydrolysed formula)
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First Choice
Green

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® 1
(Extensively hydrolysed formula)
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First Choice
Green

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)
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First Choice
Green

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)
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First Choice
Green

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)
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First Choice
Green

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.

 
Cow and Gate Pepti-Junior®
(Extensively hydrolysed formula with MCT (medium chain triglycerides))
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Formulary
Amber Continuation

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))
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Formulary
Amber Continuation

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.

 
   
Infatrini® Peptisorb
(Extensively hydrolysed formula)
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Formulary
Amber Continuation

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)
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Formulary
Amber Continuation

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)
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Formulary
Amber Continuation

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.

 
   
Alfamino®
(Amino acid formula)
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Formulary
Amber Continuation

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.

 
   
Caprilon®
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Formulary
Amber Continuation

MCT enhanced formula for children with disorders in which a high intake of MCT is beneficial.

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

 
   
Locasol®
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Formulary
Amber Continuation

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.

 
   
 ....
 Non Formulary Items
Aptamil LF®

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Non Formulary
Black

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

 
Aptamil® Anti-reflux

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Non Formulary
Black

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

Available to purchase over the counter.

APCO September 2017.

 

 
Cow and Gate® Anti-reflux

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Non Formulary
Black

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

Available to purchase over the counter.

APCO September 2017.

 
Enfamil® AR

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Non Formulary
Black

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

Available to purchase over the counter.

APCO September 2017.

 
Enfamil® O-Lac

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Non Formulary
Black

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®

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Non Formulary
Black

Not recommended for prescribing due to lack of evidence.

APCO January 2020.

 
Nutramigen 3 with LGG®

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Non Formulary
Black

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

APCO January 2020.

 
SMA ® PRO Anti-reflux

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Non Formulary
Black

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

Available to purchase over the counter.

APCO September 2017.

 
SMA LF®

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Non Formulary
Black

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®

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Non Formulary
Black

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
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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