North East and North Cumbria
ICS Formulary
 
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9 Nutrition and blood
09-06-04 Vitamin D

COVID-19 rapid guideline: vitamin D

This guideline covers vitamin D use in the context of COVID‑19. It is for adults, young people and children in hospitals and community settings. Vitamin D is important for bone and muscle health. Supplementation should not be offered solely to prevent COVID-19

NICE NG187


Alfacalcidol
Formulary
  • 250 nanogram & 1 microgram capsules
  • 2 microgram/ml sugar-free oral drops – one drop containing approx. 100 nanograms of alfacalcidol 
  • 1 microgram in 0.5ml & 2 micrograms in 1ml injections

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Calcitriol
Formulary

Capsules: 0.25 micrograms, 0.5 micrograms


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Colecalciferol
Formulary
  • 20 microgram (800 units) capsules or tablets
    • For first line use in the long term maintenance treatment of patients with documented vitamin D deficiency following high strength therapy and also for use in patients with symptoms and insufficient levels. 
  • 80 microgram (3,200 units) capsules
    • For use in patients with malabsorption such as patients who have had bariatric surgery and require higher maintenance doses 
  • 500 microgram (20,000 units) capsules.
    • For use in patients requiring high strength therapy for vitamin D deficiency. 
  • 2740iu/ml oral solution (Fultium®-D3 Drops) 
  • 1000iu and 3000iu buccal spray (DLux®) unlicensedunlicensed Red Traffic Light
    • Approved for use in paediatric parenteral nutrition patients with short bowel syndrome and adults with metabolic bone disease who have vitamin D deficiency despite previous treatment.

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Colecalciferol 25,000 unit liquid Invita D3®
Formulary

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Ergocalciferol
Formulary
  • 250 microg. (10,000 units) & 1.25mg (50,000 units) tablets.
    • A 3000 units in 1ml suspension (unlicensedunlicensed) may be supplied if colecalciferol oral solution is not available.

  • 7.5mg (300,000 units) in 1ml injection.

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Calcium Carbonate and Colecalciferol
Formulary
  • Accrete®
    • Film coated tablet containing calcium carbonate 1.5g and colecalciferol 10 micrograms (400 units)
  • Adcal D3®
    • Chewable tablet containing calcium carbonate 1.5g and colecalciferol 400 units (contains soya and sucrose)
    • Effervescent tablet containing calcium carbonate 1.5g and colecalciferol 400 units
  • Cacit D3®
    • Effervescent granule sachet containing calcium carbonate 1.25g and colecalciferol 440 units
  • Calcichew D3 Forte®
    • Chewable table containing calcium carbonate 1.25g and colecalciferol 400 units
  • Evacal®
    • Chewable tablet containing calcium carbonate 1.5g and colecalciferol 400 units
      • approved as chewable option and also to be used in patients with peanut and soya allergy 

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Calcium and Ergocalciferol Tablets
Formulary
  • Calcium lactate 300mg, calcium phosphate 150mg (Ca 97mg, 2.4 mmol) & ergocalciferol 10 micrograms (400 units).

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