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Posted 20 hours ago

Maxijul Super Soluble 200g x1 by Nutricia

£2.14£4.28Clearance
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Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.

Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient. The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.

Red - Drugs for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. Super Soluble Maxijul can easily be incorporated into a wide variety of drinks and foods. Super Soluble Maxijul is also useful as an energy enhancer in tube and sip feeds. Recipe ideas are available upon request. To make a solution of Super Soluble Maxijul put the required amount of powder into water and stir briskly with a fork, leave to stand until clear. Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data. Super Soluble Maxijul in solution has an osmolality one fifth of an equivalent solution of glucose allowing administration at higher concentrations. This is because the lower osmotic load improves patient tolerance. Calogen Extra bottles once opened should be stored in a refrigerator (<5°C) and used within 48 hours. Calogen Extra "SPC"

These products are not nutritionally complete and should not be used as sole source of nutrition. Recommended maximum dosage: 40mls QDS unless otherwise specified by a Dietitian. No new patients to receive prescriptions in primary care. Patients already receiving Red Medicines in primary care should be handled on a case by case basis with the support of the Medicines Optimisation team. Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.

Adult Malnutrition Management and Oral Nutritional Supplement (ONS) Prescribing Guidance in Primary Care 2021

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The quantity of Super Soluble Maxijul should be determined by a clinician or dietitian and is dependent on the age, bodyweight and medical condition of the patient.

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