9.6.7 Multivitamin preparations

Vitamins
  • Capsules (ascorbic acid 15mg, nicotinamide 7.5mg, riboflavin 500 micrograms, thiamine hydrochloride 1mg, vitamin A 2500 units, vitamin D 300 units) (£0.43 = one daily)
Healthy Start
  • Children's vitamin drops: Available free of charge to children under 4 years in families on the Healthy Start Scheme.
  • Vitamins for women: (containing ascorbic acid, vitamin D, and folic acid) are also available free of charge to women on the Healthy Start Scheme during pregnancy and until their baby is one year old.Further information for healthcare professionals can be accessed at www.healthystart.nhs.uk. Deficiency of vitamin A is rare in Britain. Cod liver oil capsules have not been included because there is no good evidence base to support their use.
Vitamin A and D
  • Capsules vitamin A 4000 iu and vitamin D 400 iu (£8.42 = 84 capsules)
Abidec®
  • Drops, vitamins A, B group, C, and D (£3.68 = 25ml)

Notes

  • Includes arachis (peanut) oil
Dalivit®
  • Drops, vitamins A, B group, C, and D (£6.50 = 25ml)

Vitamin and mineral supplements and adjuncts to synthetic diets

Forceval®
  • Capsules (£28.77 = 90 capsules)
  • Soluble tablets (£10.89 = 30 tablets)
  • Junior soluble tablets (£9.80 = 30 tablets)

Indications

Notes

  1. Forceval® is for use only if there is concern about the adequacy of micronutrient intake. To be considered by healthcare professionals with the relevant skills and training in nutrition support who are able to determine the nutritional adequacy of a patient's dietary intake
  2. Forceval® capsules contain vitamin A in the beta carotene form and may be taken preconception and during pregnancy.
  3. Forceval® soluble tablets contain vitamin A in the retinol form and should not be taken preconception and during pregnancy
Ketovite®
  • Tablets (£9.21 = 100 tablets)
  • Liquid (£19.10 = 150ml)

Indications

  • Prevention of vitamin deficiency in disorders of carbohydrate or amino-acid metabolism and adjunct in restricted, specialised, or synthetic diets

Notes

  1. Use Ketovite® tablets (taken three times a day) and liquid (5mL daily) together for complete vitamin supplementation.

Multivitamins in chronic kidney disease (CKD)

Vitamin deficiencies are common in patients with renal disease due to dietary restrictions, changes to metabolism and vitamin loss during dialysis.

Renavit®
  • Tablets containing vitamin B1, B2, B3, B5, B6, B8, B9, B12 and vitamin C (£3.50 = one tablet daily)

Indications

  • Prevention of water soluble vitamin deficiency in patients undergoing haemodialysis

Dose

  • Take one daily

Notes

  1. Vitamin deficiencies are common in patients with renal disease due to dietary restrictions, changes to metabolism and vitamin loss during dialysis
  2. Renavit® should only be initiated by a renal dietician, on-going prescribing in primary care is acceptable
  3. The commissioning of Renavit® is accepted in Devon for the dietary management of water soluble vitamin deficiency in renal failure patients receiving haemodialysis (see Commissioning Policy for more details)

Multivitamins in cystic fibrosis (CF)

DEKAs Plus®
  • Liquid (£33.24 = 60ml)
  • Chewable tablets (£42.58 = 60 tablets)
  • Softgels (£42.58 = 60 tablets)

Indications

  • Dietary management of CF patients on the recommendation of a specialist

Notes

  1. DEKAs Plus formulations contain vitamins and minerals, including fat soluble vitamins A, D, E, and K.
  2. DEKAs Plus liquid is recommended for use in patients aged 0-3 years
  3. DEKAs Plus chewable tablets are recommended for use in patients aged 4 years and above
  4. DEKAs Plus softgels are recommended for use in patients aged over 10 years
DEKAs Essential®
  • Capsules (£36.51 = 60 capsules)

Indications

  • Dietary management of CF patients on the recommendation of a specialist

Notes

  1. DEKAs Essential capsules contain the fat soluble vitamins A, D, E, and K
  2. DEKAs Essential capsules are recommended for use in patients aged 4 years and above
Paravit-CF®
  • Liquid (£32.00 = 7ml)

Indications

  • Dietary management of CF patients on the recommendation of a specialist

Notes

  1. Paravit-CF liquid contains the fat soluble vitamins A, D, E, and K
  2. Paravit-CF liquid should be reserved for use in babies (as it is taste free/odour free) and patients with swallowing difficulties

 

Home > Formulary > Chapters > 9. Blood and nutrition > 9.6 Vitamins > 9.6.7 Multivitamin preparations

 

  • First line
  • Second line
  • Specialist
  • Hospital