For enteral nutrition products, sip feeds etc see chapter 25
First line Calcium & Vitamin D product: 1000mg Calcium [2.5g calcium carbonate] & 1000 units colecalciferol per chewable tablet.
ONE tablet ONCE daily (at 6pm to avoid morning doses of bisphosphonate and other interacting medicines eg levothyroxine)
Vitamin D prescribing guidelines are available on WVT intranet and CCG internet. Maintenance doses of vitamin D are suitable for self care / patient purchase in primary care.
An additional option for administration via PEG tubes
1.25g calcium carbonate & 440units colecalciferol per sachet
200 units per drop
For those patients who have swallowing difficulties
Hospital use only for patients with high output stoma / severe malabsorption.
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