netFormulary NHS Crawley and NHS Horsham and Mid Sussex CCG NHS
Formulary  
 Search
 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.06.04  Expand sub section  Vitamin D
 note 

The CCG recommends the use of Vitamin D in line with two locally developed treatment pathways

-Vitamin D for patients WITHOUT bone disease Vitamin D deficiency WITHOUT bone disease - Feb 2017
-Vitamin D for patients WITH bone disease.Vitamin D deficiency WITH bone disease - Policy Statement 244-2017 - February 2017

Please refer to

Vitamin D Deficiency and Insufficiency in Adults - Surrey guidelines - Feb 2017

Vitamin D Deficiency and Insufficiency in Adults - BSUH guidelines - July 2018

Licensed colecalciferol products should always be prescribed in line with local guidelines-do not prescribe unlicensed food supplements

In cases of insufficiency without bone disease, patients should be recommended to purchase OTC vitamin D supplements.

Vitamin D in childhood information

Licensed Products for Treatment of Vitamin D Deficiency in Children

 

Colecalciferol  (Desunin)
(Vit D3)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Tablets

  • Containing 800 IU colecalciferol (equivalent to 20 microgram of vitamin D3)
  • Containing 4,000 IU colecalciferol (equivalent to 20 microgram of vitamin D3)
  • Can be swallowed whole or crushed. Gelatine free, does NOT contain peanut oil
 
Link  BDA Vitamin D Food FactSheet
Link  PCN 240-2017 Vitamin D deficiency in adults treatment and prevention (without bone disease)
Link  PCN 244-2017 Vitamin D deficiency in adults treatment and prevention (with bone disease)
   
Colecalciferol (Fultium D3)
(Vit D3)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

For the treatment of deficiency
Capsules 20micrograms (800IU), 80micrograms (3200IU)

  • In June 2014 manufacturer commenced the formulation of maize oil in place of peanut (arachis) oil in Fultium-D3 800 IU and 3,200 IU capsules. The commercial supply of maize oil 800 IU and 3200 IU capsules commenced in Q4 2014.
  • However, please be advised that the peanut (arachis) oil version of Fultium capsules will continue to be available at wholesalers for some time, so we do recommend that you ask Pharmacist to check the pack before dispensing to patients with a known peanut or soya allergy.

    High strength capsules 500micrograms (20,000IU)
  • The 20,000 IU capsules have always been formulated using maize oil.
 
Link  PCN 240-2017 Vitamin D deficiency in adults treatment and prevention (without bone disease)
Link  PCN 244-2017 Vitamin D deficiency in adults treatment and prevention (with bone disease)
   
Colecalciferol (Plenachol)
(Vit D3)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Capsules

  • 40,000IU (equivalent to 1mg vitamin D3) One capsule a week
  • 20,000IU (equivalent to 0.5 mg vitamin D3) for paediatric use
  • Does not contain arachis oil
 
Link  PCN 240-2017 Vitamin D deficiency in adults treatment and prevention (without bone disease)
Link  PCN 244-2017 Vitamin D deficiency in adults treatment and prevention (with bone disease)
   
Colecalciferol (Stexerol-D3)
(Vit D3)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Tablets 1,000IU, 25,000IU
  • For the treatment of Vitamin D deficiency
  •  
    Link  PCN 240-2017 Vitamin D deficiency in adults treatment and prevention (without bone disease)
    Link  PCN 244-2017 Vitamin D deficiency in adults treatment and prevention (with bone disease)
       
    Colecalciferol (Aviticol)
    (Vit D3)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green

    Capsules 500micrograms (20,000IU)

    • The capsule shell is made of gelatin; therefore it is not suitable for vegetarians. It does not contain any peanut or soybean oil. Ref. SPC
       
     
    Link  PCN 240-2017 Vitamin D deficiency in adults treatment and prevention (without bone disease)
    Link  PCN 244-2017 Vitamin D deficiency in adults treatment and prevention (with bone disease)
       
    Colecalciferol (Vit D3)
    (Liquid preparations)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    • Thorens 10,000iu/ml Oral drops 10ml
    • Thorens 25,000iu/2.5ml Oral soln 2.5ml
    • InVita D3 25,000iu/ml Oral soln Sugar Free 3x1ml
    • InVita D3 50,000iu/ml Oral Soln Sugar Free 3x1ml
    • InVita D3 2,400iu/ml Oral drops 10ml
    • Fultium D3 2,740iu/ml Oral drops 25ml

      See link to Licensed Vitamin D preparations
     
    Link  Licensed oral Vitamin D preparations
    Link  PCN 240-2017 Vitamin D deficiency in adults treatment and prevention (without bone disease)
    Link  PCN 244-2017 Vitamin D deficiency treatment and prevention (with bone disease)
       
    Alfacalcidol (One-Alpha)
    (Renal patients only)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Blue

    Capsules 250nanograms & 1microgram, Oral Drops sugar free
    2micrograms in 1ml

    • Only in Renal patients. Cannot be used for treatment in vitamin D deficiency/insufficiency
     
       
    Calcitriol
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Blue

    Capsules 
       
    09.06.04  Expand sub section  Vitamin D with Calcium
    Adcal D3
    View adult BNF View SPC online View childrens BNF  Track Changes
    First Choice
    Green

    OTC Patients should be advised to purchase if appropriate.

    Chewable Tablets

    • Containing 600mg (15mmol) calcium and 400 units of vitamin D (as colecalciferol)

    Dissolve Effervescent Tablets)Lemon flavour

    • Containing 600mg (15mmol) calcium and 400 units of vitamin D (as colecalciferol)
     
    Accrete D3
    View adult BNF View SPC online View childrens BNF  Track Changes
    First Choice
    Green

    OTC Patients should be advised to purchase if appropriate.

    Tablets

    • Containing 600mg (15mmol) calcium and 400 units of vitamin D (as colecalciferol)
     
    Evacal D3
    View adult BNF View SPC online View childrens BNF  Track Changes
    First Choice
    Green

    OTC Patients should be advised to purchase if appropriate.

    Chewable Tablets

    • Containing 600mg (15mmol) calcium and 400 units of vitamin D (as colecalciferol)

    More cost effective than ADCAL D3

     
    Calfovit D3
    View adult BNF View SPC online View childrens BNF  Track Changes
    Second Choice
    Green

    OTC Patients should be advised to purchase if appropriate.

    Tablets

    • Containing 1.2g (30mmol) calcium and 800 units of vitamin D (as colecalciferol)
     
       
     ....
     Non Formulary Items
    Calcium and Ergocalciferol

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Calcium Carbonate with Colecalciferol  (Cacit D3)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Colecalciferol 1,000 units  (Sunvit D3)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Colecalciferol 20,000 units  (Pro D3, Dekristol)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Colecalciferol 3,000 units per ml liquid

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Colecalciferol and Calcium Carbonate  (Calcichew-D3)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Colecalciferol and Calcium Carbonate  (Calcichew-D3 Forte)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Dihydrotachysterol  (AT 10®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Ergocalciferol

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Ergocalciferol  (Calceos®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Paricalcitol  (Zemplar)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
      
    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
    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

    Black

    Comment : Not to be routinely commissioned (prescribed) in any care setting (primary or secondary care). This may be due to a lack of good clinical evidence, cost effectiveness, concerns over safety or due to the availability of more suitable alternatives. As such, drugs classified as Black should be considered as non-formulary.   

    Red

    Initiation : Specialist only
    Repeat Prescribing : Specialist
    Monitoring : Specialist
    Comment : Prescribing must be in line with any specific treatment criteria outlined. In exceptional circumstances a GP may be asked to prescribe the specialist must provide adequate information and support.   

    Amber

    Initiation : Specialist only
    Repeat Prescribing : Primary care OR specialist
    Monitoring : Primary care OR specialist
    Comment : Monitoring according to Effective Shared Care Agreement (ESCA) for stabilised patients only. GP agreement should be requested by specialist and confirmed/declined by GP on a patient-by-patient basis.   

    Blue

    Initiation/Recommendation : Specialist only
    Repeat Prescribing : Primary care
    Monitoring : Primary care
    Comment : Should be initiated or recommended by a specialist. Monitoring of either medicine or disease does not require specialist skills or equipment   

    Green

    Initiation : Primary care or specialist
    Repeat Prescribing : Primary care
    Monitoring : Primary care
    Comment : Suitable for non specialist initiation   

    OTC

    Patients should be advised to purchase if approriate.  

    netFormulary