Forceval Soluble, Effervescent Multivitamin Tablets, 24 Vitamins and Minerals including Vitamin C, B Vitamins, Iron and Zinc. Suitable for Vegetarians. Pack of 30

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Forceval ® soluble is reserved for patients with swallowing difficulties or if given via enteral tube. Iodine Involved in functioning of the thyroid gland which regulates many of the metabolic processes in the body Paediatric drugs are frequently used outside of the SPC since many manufacturers fail to conduct the relevant trials needed to secure licensed use in paediatrics. Prescribers take full responsibility for prescribing products outside the license. However all prescribing should be carried out in the best interest of the child irrespective of license status. Please refer to local protocols for management of alcohol withdrawal. Thiamine (oral) (TLS Green) Pyridoxine (oral) (TLS Green) Vitamin B compound strong (oral) (TLS Green) Vitamins B & C high potency (intravenous) (Pabrinex ®) (TLS Red)

Licensed for the treatment and prevention of magnesium deficiency, where clinically indicated in adults, adolescents and children aged 2 years and older. Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation. Calcium Calcium is necessary for the formation of bones and teeth and plays a vital role in cell function, muscle contraction and in the nervous systemAlso licensed for adult patients with hypomagnesaemia due to the concomitant administration of loop and thiazide diuretics or other drugs which cause hypomagnesaemia. Prescribing of vitamins should be limited to patients with clinical deficiencies or malabsorption syndromes. Vitamin E is absorbed from the gastro-intestinal tract. Most appears in the lymph and is then widely distributed to all tissues. Most of a dose is slowly excreted in the bile and the remainder is eliminated in the urine as glucuronides of tocopheronic acid or other metabolites. All bariatric surgical procedures compromise nutrition to varying extent, and have the potential to cause clinically significant micronutrient deficiencies. The British Obesity and Metabolic Surgery Society (BOMSS) has issued guidelines on biochemical monitoring and micronutrient replacement following bariatric surgery (see here). Ferrous sulphate 200mg, or ferrous fumarate 210mg, or ferrous gluconate 300mg, take one tablet daily (see 9.1.1. Iron-deficiency anaemias)

Managing the risks of using effervescent tablets in children https://www.sps.nhs.uk/articles/managing-the-risks-of-using-effervescent-tablets-in-children/ Many products contain bovine gelatine, which may or not be certified Halal or Kosher. Consult product literature as necessary Although it has been established that chromium is essential to human life, little information is available on its function and metabolism. Intramuscular injection of 1mg hydroxocobalamin (vitamin B12) every three months (see 9.1.2. Drugs used in megaloblastic anaemias)NICE CG32: Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition

Vitamin D 2 Vitamin D 2 helps the body absorb calcium, potassium and phosphorous, all of which are vital for healthy bones and teeth Nicotinamide ........................ Nicotinamide (also known as vitamin B3) is essential for a healthy

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Total parenteral nutrition (TPN) should only be prescribed by appropriately trained, healthcare professionals, in line with Trust policy. Potassium salts are absorbed from the gastro-intestinal tract. Potassium is excreted in the urine, the faeces and in perspiration. Urinary excretion of potassium continues even when intake is low. Please note that parcels weighing over 2kg may be sent via courier due to Royal Mail weight restrictions. Healthy Start products are available free of charge to eligible women and children under the 'Healthy Start' scheme. See link below for full details.