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 Formulary Chapter 24: Leeds Children's Hospital Formulary - Full Chapter
Notes:

The Leeds Children's Hospital Formulary is laid out in BNF chapter order. There are custom indexes for the following specialist areas:

Paediatric Intensive Care Unit (PICU)
Neonatal Intensive Care Unit (NICU)
Paediatric Cardiology

Chapter Links...
 Details...
24.09  Expand sub section  Nutrition and blood (paediatric)
Abidec
(paediatrics)
View SPC online View SMC online View childrens BNF
Formulary  
Link  BNFc oral dosing information (Abidec)
Link  Nutritional supplementation in the newborn (guideline)
   
Arginine
(paediatrics)
View adult BNF View SPC online View childrens BNF
Formulary

June 2017: Caution: change in strength (now 10%) - see new monograph

 
Link  PICU prescribing and administration guide (arginine)
   
Calcium
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  Paediatric IV calcium monograph (acute replacement - not for use on PICU)
Link  Paediatric IV calcium monograph (maintenance - not for use on PICU)
Link  PICU electrolytes guidance (calcium gluconate)
Link  Paediatric calcium oral administration monograph
   
Calcium resonium
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  BNFC dosing (calcium resonium)
   
Carnitine
(paediatrics)
View SPC online View childrens BNF
Formulary
Amber 2
 
Link  Amber Drug Guidance (carnitine)
   
Colecalciferol
(paediatrics)
View adult BNF View SPC online View childrens BNF
Formulary  
Link  Amber Drug Guidance: Colecalciferol 300,000 units IM Injection for the Treatment of Vitamin D Deficiency or Insufficiency in Children
Link  Leeds Paediatric Vitamin D Guideline ( under 18 years ) for Primary and Secondary Care
   
Copper Sulphate (injection )
(paediatrics)
View adult BNF View SPC online View childrens BNF
Formulary
  • unlicensed product
  • for use as an additional component for parenteral nutrition 
  •    
    Cosmofer (iron dextran)
    (paediatrics)
    View SPC online View childrens BNF
    Formulary
  • See link below to paediatric dose calculator 
  • Link  National Paediatric IV Administration Guide (Medusa) - iron dextran
    Link  Paediatric IV iron calculator (LTHT access only)
       
    Dalavit
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  Nutritional Supplementation in the newborn infant (NHS access only)
       
    Fluids
    (paediatrics)
    View SPC online View childrens BNF
    Formulary
  • See guidance below for appropriate ways to increase glucose concentrations in standard infusion fluids 
  • Link  LTHT: Intravenous Fluid Therapy in Term Neonates, Children and Young People in Hospital
    Link  Guidance on adding glucose 50% to infusion fluids
    Link  LTHT Paediatrics: Sodium Choride 2.7% (see below) - For the management of Severe Symptomatic Hyponatraemia ONLY
       
    Fruti-Vits
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green
  • nutritional supplement for children 3-10 years on restrictive therapeutic diets (replaces Phlexyvits which have been discontinued) 
  •    
    Glycerol phenylbutyrate (Ravicti oral liquid)
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary Commissioned by NHSE (July 2018) for metabolic disorders 
       
    Human albumin solution
    (paediatrics)
    View SPC online View childrens BNF
    Formulary
    • Non-pharmacy product - supplied from blood bank
     
    Link  National Paediatric IV Administration Guide (Medusa) - human albumin solution
       
    Human Albumin Solution (HAS)
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary  
    Link  PICU Prescribing and Administration guide (human albumin solution)
       
    Ketogenic Dietary Products
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 1

    For epilepsy

    • Beta Quik
    • Carb Zero
    • Fruitivits
    • Ketocal
    • Ketoclassic
    • Keyo
    • Liquigen
    • MCT oil and MCT procal
     
    Link  Ketogenic Diet Prescribable Products
       
    Magnesium
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  PICU electrolytes guidance (magnesium)
    Link  Paediatric Magnesium IV monograph
    Link  Paediatric Magnesium ORAL monograph
       
    Paravit CF (ULM) (capsules, oral liquid )
    (Vitamins A, D, E, K)
    View adult BNF View SPC online
    Formulary
    Amber 1
    • Liquid: for children with Cystic Fibrosis or cholestatic liver disease
    • Capsules: for patients with Cystic Fibrosis, cholestatic liver disease, malabsorption following bariatric surgery (e.g. duodenal switch)
     
    Link  Paravit CF capsules - patient leaflet
       
    Phosphate
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  PICU electrolytes guidance (phosphate)
    Link  BNFc information (oral phosphate)
    Link  Paediatric Phosphate IV monograph
    Link  Paediatric Phosphate ORAL monograph
       
    Controlled Drug Potassium chloride
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary
  • All additions of potassium to intravenous fluids must be made by a pharmacy aseptic unit
  • For oral potassium chloride use Kay-Cee-L syrup 7.5% (1mL of Kay-Cee-L syrup contains 1mmol potassium chloride - see BNFc link below)
  • High strength potassium (1mmol/mL) available from pharmacy aseptics. Managed as a controlled drug 
  • Link  PICU electrolytes guidance (potassium)
    Link  BNFc information (oral potassium)
       
    Sodium benzoate
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  PICU Prescribing and Administration Guide (sodium benzoate)
       
    Sodium bicarbonate
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary  
    Link  Paediatric IV prescribing and administration guide - sodium bicarbonate
       
    Sodium Chloride Intravenous (2.7% for severe symptomatic hyponatraemia ONLY)
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary
  • treated as a controlled drug at LTHT 
  • Link  Paediatric Formulary: For the management of Severe Symptomatic Hyponatraemia ONLY
       
    Sodium Chloride oral solution 1mmol/L
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 1
  • Amber1 - supplementation in cystic fibrosis in children 
  •    
    Sodium phenylbutyrate
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  PICU Prescribing and Administration Guide (sodium phenylbutyrate)
       
    Sytron
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  https://www.medicinesforchildren.org.uk/search-for-a-leaflet/sytron-sodium-feredetate-for-prevention-of-anaemia
    Link  Nutritional Supplementation in the newborn infant (NHS access only)
       
    Thickeners (Resource Thicken Up Clear, Thick and Easy, Carobel)
    (neonatal)
    View SPC online View childrens BNF
    Formulary
    • Resource Thicken Up Clear for children 3 years and above
    • Carobel for younger children
     
    Link  Neonatal guideline - management of suspected GORD
       
     ....
    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
    SMC
    Scottish Medicines Consortium
    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

    Green

    Medicines which are appropriate for initiation and ongoing prescribing in both primary and secondary care.  

    Amber 1

    Amber Level 1- Specialist Recommendation
    These medicines are considered suitable for GP prescribing following specialist recommendation.

    There is no requirement for full Amber Drug Guidance. Generic Amber Level 1 Drug Guidance detailing responsibilities and information sources is available here
      

    Amber 2

    Amber Level 2- Specialist Initiation but no monitoring requirements
    These medicines are considered suitable for GP prescribing following specialist initiation, including titration of dose and assessment of efficacy.
    Some Amber Level 2 products will have an associated Amber Level 2 Drug Guidance document, available by clicking on the traffic light symbol to the right of the drug name. If this is not available, generic Amber Level 2 Drug Guidance is available here  

    Amber 3

    Amber Level 3- Specialist Initiation with ongoing monitoring requirements (Full Amber Drug Guidance required)
    Medicines that should be initiated by a specialist, and which require significant monitoring on an ongoing basis. Full agreement to share the care of each specific patient must be reached under the amber drug agreement, and Amber Drug Guidance must be provided to the GP (available by clicking on the traffic light symbol to the right of the drug name).   

    Red

    Guidance on the responsibilities for Red Drugs can be found here. Red Drugs would usually by prescribed by the hospital for the duration of the course. Primary care prescriber initiation or continuation of treatment not recommended except by Specialist GP and community paediatric prescribing.   

    Grey

    Grey Drugs are locally-agreed medicines which are only recommended for restricted use within the Leeds Health Economy.   

    Black

    These drugs are not recommended for use within the Leeds Health Economy  

    Multiple

    Products shown as blue have different Traffic Light List classifications dependent on indication. See the accompanying text next to the product for further information the indications for which it has a Traffic Light List classification.  

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