We are sorry for any inconvenience caused. HTTP Error 404.0 - Not Found The resource you are looking for has been removed, had its name changed, or is temporarily unavailable. The directory or file specified does not exist on the Web server. The URL contains a typographical error. A custom filter or module, such as URLScan, restricts access to the file. Things you can try: Create the content on the Web server. Review the browser URL. Create a tracing rule to track failed requests for this HTTP status code and see which module is calling SetStatus. For more information about creating a tracing rule for failed requests, click here. Links and More Information This error means that the file or directory does not exist on the server. Create the file or directory and try the request again. View more information »Vitamin A and D capsules (vitamin A 4000units & vitamin D 400 units) Deficiency of B vitamins is rare (except B12) and usually treated using a compound preparation.
Pyridoxine is used to protect against isoniazid neuropathy. Concerns over toxicity from high dose pyridoxine are not yet resolved. Pyridoxine tablets 10mg, 50mg Thiamine tablets 50mg, 100mg The BNF advises that oral vitamin B complex preparations are less suitable for prescribing, and should not be considered drugs of first choice. Intravenous/Intramuscular Vitamins B & C (High potency) CSM advice – Since potentially serious allergic adverse reactions may occur during, or shortly after, parenteral administration, the CSM advises; Use to be restricted to patients in whom parenteral administration is essential Intravenous injections should be administered slowly (over 10mins) Facilities for treating anaphylaxis should be available when administered AMBER Vitamins B & C High potency IM injection 7ml (in 2 amps) RED Vitamins B & C High potency IV injection 10ml (in 2 amps) Vitamin B12 - see hydroxocobalamin Section 9.1.2 Divided doses are necessary due to the low renal threshold of ascorbic acid.
Ascorbic acid tablets 100mg, 200mg, 500mg Simple vitamin D deficiency can be prevented using 10 micrograms (400 units) daily of ergocalciferol (calciferol, vitamin D2) or colecalciferol (vitamin D3). Vitamin D deficiency is not uncommon in Asians consuming unleavened bread and in the elderly living alone, and can be prevented by giving an oral supplement of 20micrograms (800units) of colecalciferol (or ergocalciferol) daily. Patients are encouraged to buy their own supplements for vitamin D insufficiency, but where a clinician identifies a clinical need guidelines have been developed to assist in treatment decisions. For East Lancashire Health Economy Guideline Diagnosis and Management of Vitamin D Deficiency for Non-Specialists click here The patient information leaflet is available to print off for use click here If it is necessary for the clinician to precribe on an FP10, it is recommended that only the following brand is used: GREEN HuxD3® (Colecalciferol) capsules 20,000iu 1st line choice Osteocaps (Colecalciferol ) capsules 20,000iu GREEN SunVitD3 (Colecalciferol) tablets 20,000iu GREEN Aciferol® D3 (Colecalciferol) liquid 2,000units/mL
, 3,000units/mL Please note: LIQUID "SPECIALS" MUST NOT BE PRESCRIBED Preparations containing calcium and colecalciferol are available for the management of combined calcium and vitamin D deficiency (see below under prevention & treatment of osteoporosis). Pharmacological strengths of ergocalciferol AMBER Ergocalciferol tablets 250microgram (10,000units) & 1.25mg (50,000units) AMBER Ergocalciferol injection 7.5mg (300,000 units)/ml - 1ml & 2ml ampoules Prevention & treatment of osteoporosis Those with, or at risk of, osteoporosis should maintain an adequate intake of calcium and vitamin D. If deficiency is suspected, this should be corrected by increasing dietary intake or taking supplements. Calcium and vitamin D supplementation alone may reduce the risk of fracture but it is less effective than other agents. The best evidence supports its use in institutionalized or housebound elderly women. Adcal D3® and Calcichew D3 Forte® should be given twice daily.
Calfovit D3® sachets should be given daily. For moderate to severe renal disease colicalciferol may not be metabolised to the active metabolite of vitamin D. In these circumstances a suitable alternative would be alfacalcidol. Calcium carbonate tablets chewable 1.5g (15mmol Ca) & colicalciferol 10micrograms (Vitamin D 400units) (Adcal D3®) (Give 2 tablets daily) OR Calcium carbonate caplets 750mg (7.5mmol Ca) & colicalciferol 5micrograms (Vitamin D 200units) (Adcal D3®) (Give 4 caplets daily) Calcium phosphate 1.2g (30mmol Ca) & colecalciferol 20microgram sachets (Vitamin D 800units) (Calfovit D3®) (Give 1 sachet daily) - for swallowing difficulties Calcium carbonate tablets chewable 1.25g (12.6mmol Ca) & colicalciferol 10micrograms (Vitamin D 400 units) (Calcichew D3 Forte®) (Give 2 tablets daily) - if patient dislikes taste
of chewable Adcal D3® Patients with severe renal impairment requiring vitamin D therapy should be prescribed alfacalcidol. It is essential that healthcare professionals check that plasma calcium monitoring is undertaken. Do NOT abbreviate nanograms or micrograms. Note that One-Alpha® capsules contain sesame. capsules 250 nanograms, 1 microgram oral drops 2 microgram/ml Alpha Tocopheryl acetate suspension 500mg/5ml Essential for the production of blood clotting factors, antagonises effects of oral anticoagulants. Menadiol used when there are malabsorption syndromes, and in obstructive liver disease. Malabsorption syndromes (water-soluble preparation required) Menadiol sodium phosphate tablets 10mg Fat soluble formula (not malabsorption) AMBER Phytomenadione (vitamin K1) 2mg in 0.2ml amp (Konakion MM Paediatric®) * RED Phytomenadione 10mg in 1ml amp (Konakion MM®) ** *Note – Konakion MM Paediatric may be administered by mouth or by intramuscular injection or by intravenous injection.