Oxfordshire Clinical Commissioning Group Formulary

	Oxfordshire Clinical Commissioning Group
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Formulary Chapter 9: Nutrition and blood - Full Chapter

09.06.04

Vitamin D

Colecalciferol and Calcium Carbonate (Calci-D^®)

First Choice

Calci-D is the most cost-effective calcium and vitamin D preparation. See Prescribing Points Dec 2016.

Available as a chewable tablet (1 tablet daily).

Colecalciferol and Calcium Carbonate (Accrete-D3^®)

Second Choice

Colecalciferol and Calcium Carbonate (Adacl D3^® Caplets)

Third Choice

Colecalciferol and Calcium Carbonate (Adacl D3^®)
(Effervescent tablets)

Formulary

Colecalciferol and Calcium Carbonate (Adcal-D3^®)

Formulary

Chewable tablets.

Colecalciferol and Calcium Carbonate (Calceos^®)

Formulary

Chewable tablets.

Colecalciferol and Calcium Carbonate (Calcichew D3^® Forte)

Formulary

Chewable tablets.

Colecalciferol and Calcium Carbonate (Natecal D3^®)

Formulary

Chewable tablets.

Ergocalciferol
(Injection)

Formulary

Secondary care use only.

Alfacalcidol (One-Alpha^®)

Formulary

Suitable for prescribing in primary care following specialist recommendation.

Calcitriol

Formulary

Suitable for prescribing in primary care following specialist recommendation.

Colecalciferol 1000 unit capsules/ tablets (Fultium-D3^®, Desunin^®)

Restricted

Available to purchase over the counter so only prescribe in patients with established osteopenia or osteoporosis or on advice of renal unit, in line with Clinical Commissioning Policy 88D.

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

Colecalciferol 800 unit capsules/ tablets (Strivit D3^®, Invita D3^®, Fultium-D3^®, Desunin^®)

Restricted

*Strivit D3® is the first line choice in Oxfordshire as it is the most cost-effective*

Strivit D3®, Invita D3®, Fultium D3® and Desunin® 800IU are prescription only medicines. However patients can be advised to purchase alternative preparations over the counter so only prescribe in patients with established osteopenia or osteoporosis or on advice of renal unit, in line with Clinical Commissioning Policy 88D.

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

Colecalciferol 2,740units/ml drops (Fultium-D3^® Drops)

Formulary

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

NB. 3 drops contain 200 units.

Colecalciferol 20,000 unit capsules (Strivit D3^®, Plenachol^®, Aviticol^®, Fultium-D3^®)

Formulary

*Strivit D3® is the first line choice in Oxfordshire as it is the most cost-effective*

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

Colecalciferol 2000 units/ml drops (SunVit-D3^® Drops)

Formulary

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

NB. 1 drop contain 100 units.

Colecalciferol 25,000 unit liquid (Invita D3^® )

Formulary

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

Colecalciferol 3200 unit capsules (Strivit D3^®, Fultium-D3^®)

Formulary

*Strivit D3® is the first line choice in Oxfordshire as it is the most cost effective*

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO January 2021).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

Colecalciferol 40,000 unit capsules (Plenachol^®)

Formulary

For vitamin D deficiency in line with Pathway for Treating Vitamin D Deficiency in Adults (APCO September 2016).

Also see Vitamin D Supplementation in Pregnancy Guidelines and Vitamin D Supplementation in Pregnancy Algorithm (APCO September 2017).

National Osteoporosis Guideline Group: Osteoporosis - Diagnosis & Management

OCCG Guidelines: Pathway for treating Vitamin D deficiency in adults

OCCG Guidelines: Vitamin D Supplementation in Pregnancy Algorithm

OCCG Guidelines: Vitamin D Supplementation in Pregnancy Guidelines

UKMI Q&A: Calcium & vitamin D preparations for vegetarians and vegans

UKMI Q&A: Vitamin D dosing for vitamin D deficiency

UKMI Q&A: Vitamin D dosing in pregnancy

UKMI Q&A: Vitamin D preparations for vegetarians and vegans

UKMI Q&A: Vitamin D product suitability for patients with a peanut or soya allergy

Vitamin D: all you need to know (public health information leaflet)

Vitamin D: information for healthcare professionals (Public Health England)

....

Non Formulary Items

Calcium and Ergocalciferol

Non Formulary

Calcium Carbonate with Colecalciferol

Non Formulary

Colecalciferol
(With alendronic acid )

Non Formulary

Colecalciferol 10,000units/ml drops (Thorens^®)

Non Formulary

Colecalciferol 2,400 units/ml drops (Invita D3^® oral drops)

Non Formulary

Colecalciferol 3,000 units per ml liquid

Non Formulary

Colecalciferol and Calcium Carbonate

Non Formulary

Colecalciferol and Calcium Carbonate (Cacit-D3^®)

Non Formulary

Effervescent granules in sachets.

Colecalciferol and Calcium Carbonate (Calcichew D3^®)

Non Formulary

Colecalciferol and Calcium Carbonate (Calcichew D3^® 500mg/400unit Caplets)

Non Formulary

Colecalciferol and Calcium Carbonate (Calcichew-D3 Once Daily)

Non Formulary

Colecalciferol with Calcium carbonate (Kalcipos-D^®)

Non Formulary

The amount of calcium is less than the usual recommended intake. More cost effective preparations available.

APCO September 2011.

Dihydrotachysterol (AT 10^®)

Non Formulary

Ergocalciferol
(Oral)

Non Formulary

Ergocalciferol (Calfovit D3^®)

Non Formulary

Paricalcitol (Zemplar^®)

Non Formulary

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