Bariatric surgery: The surgery provider will supply 4 weeks supply of vitamins and minerals post op. Vitamin and mineral supplementation is not offered on the NHS in primary care for bariatric surgery patients. However, B12 injections should be supplied and administered by the GP practice alongside associated blood tests and correction of any deficiencies found subsequently.
For information regarding prescribing in patients who had their procedure at St Richards before 01/10/2017 please contact: sxicb.mot-admin@nhs.net.
Vitamins and minerals for life after bariatric surgery
Vitamin D:
Maintenance - only to be prescribed in exceptional circumstances when patient is exempt from NHS self-care criteria
Contraindicated in patients who are allergic to peanuts or soya.
Pack |
---|
25 ml |
50 ml |
One-Alpha is the preferred option for prescribing
Pack |
---|
30 capsule |
Pack |
---|
30 capsule |
100 capsule |
Pack |
---|
10 ml |
Tablets:
GREEN - in Coastal West Sussex and Crawley, Horsham & Mid-Sussex.
PURPLE - in Brighton & Hove and East Sussex.
RED - in Crawley, Horsham & Mid-Sussex when used as an adjunct to desferrioxamine and metabolic disorders.
Effervescent Tablets:
GREEN - in Crawley, Horsham and Mid Sussex ONLY.
PURPLE - in East Sussex ONLY.
NOT COMMISSIONED - in the rest of Sussex.
Pack |
---|
28 tablet |
100 tablet |
500 tablet |
Pack |
---|
28 tablet |
100 tablet |
Pack |
---|
28 tablet |
30 tablet |
100 tablet |
Pack |
---|
1 tablet |
1000 tablet |
Pack |
---|
28 tablet |
90 tablet |
100 tablet |
Pack |
---|
20 tablet |
Pack |
---|
20 tablet |
Pack |
---|
20 tablet |
Pack |
---|
20 capsule |
30 capsule |
100 capsule |
Pack |
---|
30 capsule |
100 capsule |
Maintenance - only to be prescribed in exceptional circumstances when patient is exempt from NHS self-care criteria
Patient Information Leaflet for Vitamin D
SPS Safety considerations when using Vitamin D
Bariatric Surgery guidance. From the 1st of October 2017 - Vitamin and mineral supplementation is not offered on the NHS in primary care for bariatric surgery patients. The surgery provider will supply 4 weeks supply of vitamins and minerals post op. |
Desunin is the preferred option for prescribing
Pack |
---|
28 tablet |
30 tablet |
90 tablet |
180 tablet |
Fultium is the preferred option for prescribing
Pack |
---|
28 capsule |
30 capsule |
80 capsule |
90 capsule |
120 capsule |
Pack |
---|
90 tablet |
180 tablet |
120 tablet |
60 tablet |
1 tablet |
30 tablet |
28 tablet |
1000 tablet |
Fultium is the preferred option for prescribing
Pack |
---|
15 ml |
25 ml |
Fultium is the preferred option for prescribing
Pack |
---|
28 capsule |
30 capsule |
90 capsule |
Desunin is the preferred option for prescribing
Pack |
---|
28 tablet |
70 tablet |
180 tablet |
Stexerol-D3 is the preferred option for prescribing
Pack |
---|
10 tablet |
12 tablet |
Thorens is the preferred option for prescribing
Pack |
---|
1 ml |
10 ml |
Thorens is the preferred option for prescribing
Pack |
---|
3 ml |
10 ml |
Invita D3 is the preferred option for prescribing
Pack |
---|
1 capsule |
3 capsule |
10 capsule |
100 capsule |
Invita D3 is the preferred option for prescribing
Pack |
---|
3 ampoule |
Pack |
---|
1 ampoule |
10 ampoule |
Accrete D3 tablets is the preferred option for prescribing as tablets
Adcal D3 caplets is the preferred option for prescribing as caplets
(NB that both Accrete D3 and Adcal D3 are contraindicated in patients who are allergic to peanuts or soya)
Pack |
---|
60 tablet |
Evacal D3 and Adcal D3 are the preferred options for prescribing (NB that Adcal D3 is contraindicated in patients who are allergic to peanuts or soya)
Pack |
---|
56 tablet |
60 tablet |
100 tablet |
112 tablet |
Pack |
---|
56 tablet |
112 tablet |
Adcal D3 is the preferred option for prescribing
Pack |
---|
56 tablet |
Pack |
---|
1 ampoule |
10 ampoule |
Capsules:
PURPLE - in Coastal West Sussex ONLY On Dietician recommendation. For the treatment of vitamin and mineral deficiency and as adjunct in synthetic diets in patients with swallowing difficulties.
PURPLE - for Refeeding syndrome - Use as per 10-day refeeding protocol (see Refeeding syndrome | Items agreed for prescribing to prevent or manage refeeding syndrome) as per NICE CG32.
RED - for all other indications.
Soluble Tablets:
PURPLE - for Refeeding syndrome ONLY - Use as per 10-day refeeding protocol (see Refeeding syndrome | Items agreed for prescribing to prevent or manage refeeding syndrome) as per NICE CG32.
Forceval Junior Soluble Tablets:
PURPLE - in Coastal West Sussex ONLY On Dietician recommendation. For the treatment of vitamin and mineral deficiency and as adjunct in synthetic diets in patients with swallowing difficulties.
NOT COMMISSIONED - in the rest of Sussex.
Pack |
---|
15 capsule |
30 capsule |
45 capsule |
90 capsule |
Pack |
---|
10 tablet |
30 tablet |
GREEN in Coastal West Sussex ONLY - On Dietician recommendation. For the treatment of vitamin and mineral deficiency and as adjunct in synthetic diets in patients with swallowing difficulties.
NON-FORMULARY rest of Sussex
Pack |
---|
10 tablet |
30 tablet |
For Refeeding syndrome - Use as per 10-day refeeding protocol (see Refeeding syndrome | Items agreed for prescribing to prevent or manage refeeding syndrome) as per NICE CG32
Pack |
---|
10 ampoule |
Pack |
---|
10 ampoule |
6 ampoule |
Pack |
---|
10 ampoule |
6 ampoule |
Paediatric CF team recommendation only.
Patient should be reviewed once they have reached adult age.
Pack |
---|
60 capsule |
Pack |
---|
7 ml |
1mg Capsules:
GREEN - in Coastal West Sussex ONLY.
PURPLE - in the rest of Sussex.
10mg Tablets (For prevention of vitamin K deficiency in malabsorption syndromes only):
GREEN - in East Sussex ONLY.
PURPLE - in Brighton and Hove ONLY.
NOT COMMISSIONED - in the rest of Sussex.
Neokay is the preferred option for prescribing
Pack |
---|
1 capsule |
12 capsule |
30 capsule |
100 capsule |
Pack |
---|
1 tablet |
10 tablet |
28 tablet |
30 tablet |
50 tablet |
Konakion is the preferred option for prescribing
Pack |
---|
5 ampoule |
Konakion is the preferred option for prescribing
Pack |
---|
10 ampoule |
Tablets:
GREEN - in Coastal West Sussex only.
PURPLE - in the rest of Sussex.
Pack |
---|
28 tablet |
30 tablet |
50 tablet |
60 tablet |
90 tablet |
100 tablet |
120 tablet |
500 tablet |
Pack |
---|
28 tablet |
30 tablet |
500 tablet |
Pack |
---|
28 tablet |
30 tablet |
100 tablet |
500 tablet |
Pack |
---|
90 tablet |
Tablets:
PURPLE - for Refeeding syndrome - Use as per 10-day refeeding protocol (see Refeeding syndrome | Items agreed for prescribing to prevent or manage refeeding syndrome) as per NICE CG32.
GREEN - for all other indications.
Pack |
---|
28 tablet |
100 tablet |
Pack |
---|
28 tablet |
100 tablet |
Pack |
---|
10 ampoule |
Pack |
---|
5 ampoule |
Not prescribable on the NHS -
Drug Tarriff Part XVIIIA - Drugs, Medicines and Other Substances not to be ordered under a General Medical Services Contract
Pack |
---|
150 ml |
GREEN in Coastal West Sussex
PURPLE Rest of Sussex
Pack |
---|
28 capsule |
84 capsule |
500 capsule |
Vitamin B compound strong:
PURPLE - for Refeeding syndrome - Use as per 10-day refeeding protocol (see Refeeding syndrome | Items agreed for prescribing to prevent or manage refeeding syndrome) as per NICE CG32.
Restricted Item (GREEN) For all other indications
Vitamin B compound strong tablets may be prescribed on a short-term basis (10 days) for patients at risk of refeeding syndrome. This also applies to patients who are not harmful or dependent drinkers. In rare cases where there might be a justifiable reason for prescribing vitamin B complex e.g. medically diagnosed deficiency or chronic malabsorption, vitamin B compound strong and not vitamin B compound should be prescribed as it represents better value for money.
Pack |
---|
28 tablet |
100 tablet |
1000 tablet |