6 X Valupak Vitamin D 1000Iu

Product Information

Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. For routine dosing schedules see Nottinghamshire guidelines below. Higher doses may be used when a loading dose of Vitamin D is required prior to IV bisphosphonates (see zoledronic acid SPC).

Dosing doesn’t fit with local Vitamin D guidelines. Formulary options for Vitamin D products will be reviewed alongside the guideline update. 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. Anti-convulsants e.g. phenytoin, phenobarbital, primidone may diminish the effect of Colecalciferol due to hepatic enzyme induction. This food supplement should not be used as a substitute for a balanced and varied diet and a healthy lifestyle. If you have difficulty swallowing tablets, speak to a pharmacist about alternative preparations of vitamin D. You can get vitamin D as chewable tablets, liquid and oral sprays.If Colecalciferol is combined with metabolites or analogues of vitamin D careful monitoring of serum calcium levels is recommended. 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. The cytotoxic agent actinomycin and imidazole antifungal agents interfere with vitamin D activity by inhibiting the conversion of 25-hydroxyvitamin D to 1,25-dihydroxyvitamin D by the kidney enzyme, 25-hydroxyvitamin D-1-hydroxylase.

These tablets could also be beneficial to those working indoors during the day or people who are housebound and unable to get into their garden. You mayy have also been advised by your GP to take low dose vitamin D long term if you have previously suffered with low vitamin D. The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC. Liquid : Fultium-D3 ® Drops 2740 units/ml. 25ml bottle. 12 drops contain 800 units. Pro D3 ® 2000 units/ ml drops may be supplied as an alternative to Fultium D3 ® drops during supply problems Use of certain concomitant medications (e.g. anticonvulsant medications glucocorticoids, anti-retrovirals)Multivitamins may be prescribed in the NHS to prevent or treat deficiency but not as dietary supplements Colecalciferol and its metabolites are excreted in breast milk. Overdose in infants induced by nursing mothers has not been observed but allowance for any maternal dose should be made when prescribing vitamin D products to a breast-fed child. The active ingredient colecalciferol is identical to the Colecalciferol that is found in the human body. It is found in the diet and is also produced in the skin after exposure to the sun.

Primary care prescribers encouraged to prescribe by brand name to avoid unlicensed specials being dispensed. Restricted for the dietary management of patients with cystic fibrosis on the specific recommendation of a specialist in cystic fibrosis. Never share your medicine or health supplements with anybody else, even if they are experiencing the same symptoms as you or have diagnosed with the same condition as you.Ocular supplements are onthe Items which should not be routinely prescribed in primary care(in Lutein and antioxidants section) due to insufficient evidence to support effectiveness at reducing progression of AMD. Many brands containing lutein include: ICaps®, Macushield®, MaculEH Light®, Ocuvite®, PreserVision®, Vitalux Plus®, Viteyes®. For use in alcohol dependence see Notts APC Alcohol Dependence Guidelines. Note that use in alcohol dependence is not well supported by evidence, see RMOC info here and NHS England info here. Colecalciferol is metabolised by microsomal hydroxylase to form 25-hydroxycolecalciferol (25(OH)D 3, calcidiol), the primary storage form of vitamin D 3. 25(OH)D 3 undergoes a secondary hydroxylation within the kidney to form the predominant active metabolite 1,25-hydroxycolecalciferol (1,25(OH) 2D 3, calcitriol). The metabolites circulate in the blood bound to a specific α-globin.