Lancashire and South Cumbria
Formulary
 
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9 Nutrition and blood

This chapter of the formulary is under continual development, please let the team know if you have any comments about the contents: mlcsu.lscformulary@nhs.net

For more information about the formulary development process, please see: https://www.lancsmmg.nhs.uk/lancashire-and-south-cumbria-icb-formulary-development/

09-01-02 Drugs used in megaloblastic anaemias

Cyanocobalamin Orobalin®
Formulary

1mg Tablets

Green  for treatment of non-dietary vitamin B12 deficiency when hydroxocobalamin injection is inappropriate or cannot be administered, and in dietary related deficiency only until B12 levels are replete, at which point patients are encouraged to self-care with 50-150mcg tablets daily purchased over the counter. 

Do Not Prescribe  for maintenance therapy of dietary related insufficiency cyanocobalamin remains designated 'Do not prescribe' and patients are advised to self-care by purchase of 50mcg tablets over the counter. 

Link  LSCMMG: Over the Counter Items that Should not be Routinely Prescribed in Primary Care Policy
Link  NICE NG239: Vitamin B12 deficiency in over 16s: diagnosis and management

Green View adult BNF  View SPC online  View childrens BNF
Folic Acid
Formulary
Tablets 5mg, 400 microgram
Liquid 2.5mg/5mL
Link  UK Chief Medical Officers Chief Nursing Officers and Chief Midwifery Officers - Folic Acid

Green View adult BNF  View SPC online  View childrens BNF
Hydroxocobalamin
Formulary
Injection 1mg/1mL

Green View adult BNF  View SPC online  View childrens BNF