netFormulary NHS
NHS Bath and North East Somerset, Swindon and Wiltshire CCG
Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
 Search
 Formulary Chapter 9: Nutrition and blood - Full Chapter
Notes:

Nutrition/Blood related Prescribing Guidance

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

Nutrition/Blood related Shared Care Agreements

Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.

 

Self-care

Many of the products in this chapter are available for purchase over-the-counter, and patients are encouraged to self-care, with the support of their community pharmacist, in the first instance.

For further information on self-care & the NHS, please refer to https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/

 Details...
09.04.02  Expand sub section  Enteral nutrition
 note 

BSW Oral Nutrition Supplements Formulary

Foodlink Complete 
(Powdered MILKSHAKE style ONS)
View adult BNF View SPC online
First Choice
Green
  • First line powdered MILKSHAKE style ONS and also suitable as the first line option where high protein is required. 
  • To be mixed with 200ml full fat milk. Consider whether patient has access to milk and ability to make up the drink with milk. Consider cost to patient. Not suitable for those with lactose intolerance.
  • Flavours: Banana, chocolate, natural, strawberry, vanilla
  • 57g sachets
  • 383 kcal, 19g protein, 200 ml fluid
  • Contains Lactose
  • IDDSI level  0
 
Aymes Shake  (Powdered MILKSHAKE style ONS)
View adult BNF View SPC online
Formulary
Green
  • Powdered MILKSHAKE style ONS (to be mixed with 200ml full fat milk) Consider whether patient has access to milk and ability to make up the drink with milk. Consider cost to patient. Not suitable for those with lactose intolerance.
  • Flavours: Banana, chocolate, neutral, strawberry, vanilla
  • 57g sachets
  • 384 kcal, 16g protein 
  • Contains lactose
  • IDDSI level  1
 
   
Fortisip 
(Ready to drink MILKSHAKE style ONS)
View adult BNF View SPC online
Formulary
Green
  • First Line Ready to drink MILKSHAKE style ONS. 
  • For those unable to use powdered milkshakes but can tolerate larger volumes.
  • Prescribe patient's preferred flavours
  • Flavours: Neutral, vanilla, chocolate, caramel, banana, orange, strawberry, tropical
  • 200ml bottle
  • 300 kcals 11.8g protein,200 ml fluid
  • Lactose free
  • IDDSI level  0
 
   
Ensure Plus 
(Ready to drink MILKSHAKE style ONS)
View adult BNF View SPC online
Formulary
Green
  • For those unable to use powdered milkshakes but can tolerate larger volumes. (220ml bottles)
  • Flavours: Banana, chocolate, coffee, fruits of the forest, neutral, orange, peach, raspberry, strawberry, vanilla, blackcurrant, caramel 
  • 330 kcals 13.8g protein 220 ml fluid
  • Lactose free
  • IDDSI level  0
 
   
Fortisip Compact 
(Ready to drink COMPACT style ONS.)
View adult BNF View SPC online
Formulary
Green
  • First Line Ready to drink COMPACT style ONS.
  • For those who require smaller volumes or with fluid restrictions
  • Flavours: Chocolate, vanilla, banana, strawberry, apricot, forest fruits, mocha 
  • 300 kcals 12g protein, 125 ml fluid
  • Contains lactose
  • 125ml bottle
  • IDDSI level  1
 
   
Altraplen Compact 
(Ready to drink COMPACT MILKSHAKE style ONS)
View adult BNF View SPC online
Formulary
Green
  • Ready to drink COMPACT MILKSHAKE style ONS.
  • For those who require smaller volumes or with fluid restrictions
  • 125ml bottle
  • Flavours: Hazel-chocolate, strawberry, vanilla, banana
  • 300 kcals 12 g protein 125ml fluid
  • Contains lactose 
  • IDDSI level  2
 
   
Aymes ActaSolve Smoothie
(Juice style ONS)
View adult BNF View SPC online
Formulary
Green
  • First Line Juice style ONS. 
  • Not suitable for people with diabetes, COPD and wounds - due to carbohydrate:protein ratio
  • Flavours: Pineapple, mango, peach, strawberry, cranberry 
  • 66g sachet
  • 297 kcals 10.7g protein 150 ml fluid
  • Residual lactose
  • IDDSI level  2
 
   
Fortijuice 
(JUICE style ONS)
View adult BNF View SPC online
Formulary
Amber
  • JUICE style ONS -ready to drink bottle
  • Not suitable for people with diabetes, COPD and wounds due to carbohydrate:protein ratio
  • Flavours: Apple, blackcurrant, forest fruits, lemon, orange, strawberry, tropical
  • 300 kcals, 9.6g protein, 65.4g carbohydrate, 200 ml fluid
  • Residual lactose
  • 200ml bottle
  •  IDDSI level  0
 
   
Altrajuce  
(JUICE style ONS )
View adult BNF View SPC online
Formulary
Amber
  • Flavours: Apple, blackcurrant, orange, strawberry
  • 300 kcals 7.8g protein 67g carbohydrate
  • 200ml bottle
  • Lactose free
  • IDDSI level  0
 
   
Foodlink Complete Powder with Fibre

(Milkshake style PLUS Fibre ONS)
View adult BNF View SPC online
Formulary
Green
  • First Line Milkshake style PLUS Fibre ONS. 
  • Contains fibre, consider for those with constipation
  • Flavours: Banana, chocolate, natural, strawberry, vanilla 
  • 63g sachet
  • 413- 421 kcals, 18.5 - 19.7g protein, 4.5 - 4.7g fibre 200 ml fluid
  • Contains lactose 
  • IDDSI level  0
 
   
Ensure Plus Fibre 
(MILKSHAKE style PLUS FIBRE ONS)
View adult BNF View SPC online
Formulary
Green
  • Contains fibre, consider for those with constipation
  • Flavours: Banana, strawberry, chocolate, raspberry, vanilla
  • 200ml bottle
  • 310 kcals 12.5g protein, 5g fibre, 200 ml fluid
  • Lactose free
  • IDDSI level  1
 
   
Aymes ActaGain 2.4 Maxi

(Ready to drink MILKSHAKE style HIGH Protein ONS)
View adult BNF View SPC online
Formulary
Amber
  • Most cost effective Ready to drink MILKSHAKE style HIGH Protein ONS
  • 200ml bottle
  • Flavours: Vanilla, strawberry
  • 480 kcals 19.2g protein 
  • Contains lactose
  • IDDSI level  3
 
   
Fresubin 3.2 kcal 
(Ready to drink MILKSHAKE style HIGH Protein ONS)
View adult BNF View SPC online
Formulary
Amber
  • Ready to drink MILKSHAKE style HIGH Protein ONS
  • 125ml bottle
  • Flavours: Hazel, mango, vanilla caramel
  • 400 kcals 20g protein, 125ml fluid
  • Residual lactose
  • IDDSI level  3
 
   
Fortisip Compact Protein

(Ready to drink MILKSHAKE style HIGH Protein ONS)
View adult BNF View SPC online
Formulary
Amber
  • Ready to drink MILKSHAKE style HIGH Protein ONS
  • 125ml bottle
  • Flavours: vanilla, strawberry, banana, mocha, peach/mango, berries, neutral, and hot tropical ginger.
  • 300 kcals 18g protein, 125 ml fluid
  • Residual lactose
  • IDDSI level  2
 
   
Nutricrem 
(For Dysphagia Level 4 ONS)
View adult BNF View SPC online
Formulary
Green
  • FIRST LINE for Dysphagia Level 4 ONS
  • Flavours: Chocolate-orange, strawberry, vanilla, mint-chocolate
  • 125g pot (3/day) 
  • 225 kcals 12.5g protein
  • Lactose free
  • IDDSI level  4
 
   
Nutilis Fruit Dessert Level 4

(For Dysphagia Level 4 ONS)
View adult BNF View SPC online
Formulary
Green
  • For Dysphagia Level 4 ONS
  • Flavours: Apple and Strawberry
  • 150g pot (3/day) 
  • 206 kcals 10.5g protein
  • Lactose free
  • IDDSI level  4
 
   
 ....
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 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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Red

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Amber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Self

Suitable for patient to be directed to buy themselves  

Grey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Black

Not currently used. We intend to include this TLS in future to highlight where a decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.  

Red Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

netFormulary