This product must be taken in large amounts to be effective and have no vitamin, mineral or protein content - should be used under dietetic supervision. This will signify that a product is not recommended for prescribing in both primary and secondary care. All new Vegetable oils (canola oil, sunflower oil), demineralised water, sucrose, emulsifier (E472(c)), flavour (strawberry), colour (E120).

Not for intravenous use. Not suitable for children under 3 years of age. Not suitable as a sole source of nutrition. Only to be used as a supplement to the normal diet. Not suitable for patients with galactosaemia. Calogen can not be taken as a sole source of nutrition but is used in combination with food and drink to gain and/or maintain a healthy weight. The Calogen range includes 3 flavours, Neutral, Banana, Strawberry which are enriched in vitamins and minerals , introducing 900 calories per a Calogen 200ml drink to provide maximum healthy weight gain. Calogen has 450 calories per 100ml. Calogen is a Food for Special Medical Purposes for use under medical supervision. Calogen is a high energy, long chain triglyceride fat emulsion which can be used for patients requiring electrolyte restrictions, can be used to replace milk in protein restricted diets, and can be used as an energy enhancer in tube and sip feeds. Calogen is available in 200ml and 500ml plastic bottles Store in a cool, dry place (5-25°C) and away from direct sunlight. Once opened, close the bottle and store in a refrigerator for a maximum of 14 days. Calogen is not suitable for freezing. Always replace lid after use. Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient. only and should not be routinely prescribed in primary care. RED drugs may be used within ULHT or LPFT subject to approval for useThis product must be taken in large amounts to be effective and have no vitamin, mineral or protein Not suitable as a sole source of nutrition. Not suitable for children under 3 years of age. Not suitable for patients with galactosaemia. Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred.

Water, vegetable oils, milk protein, sucrose, tri potassium citrate, whey protein hydrolysate (from milk), tri calcium phosphate, flavour (soy masking), magnesium hydrogen phosphate, magnesium carbonate, acidity regulator (citric acid), stabilisers (microcrystalline cellulose and sodium carboxymethylcellulose), choline chloride, potassium chloride, sodium L-ascorbate, maltodextrin, artificial sweetener (sucralose), ferrous lactate, inositol, zinc sulphate, nicotinamide, sodium selenite, retinyl acetate, copper gluconate, manganese sulphate, D-biotin, calcium D-pantothenate, cholecalciferol, pteroylmonoglutamic acid, chromium chloride, cyanocobalamin, pyridoxine hydrochloride, thiamin hydrochloride, phytomenadione, potassium iodide, riboflavin, sodium molybdate.

Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products.

Amber Share Care - Drugs suitable for generalist use, in accordance with position summary, normally following 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. Important notice and declarationBreast milk is best for babies. Professional advice should be followed before using an infant formula. Introducing partial bottle feeding could negatively affect breast feeding. Good maternal nutrition is important for breast feeding and reversing a decision not to breast feed may be difficult. Infant formula should always be used as directed. Proper use of an infant formula is important to the health of the infant. Social and financial implications should be considered when selecting a method of feeding. For enteral use only. GMS listed. ACBS approved for the following indications: disease related malnutrition; malabsorption states; other conditions requiring fortification with a high fat supplement with or without fluid restriction. Red - Drugs for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. Shake well before opening. Dosage determined by a clinician or dietitian and is dependent on the age, bodyweight, and medical condition of the patient. The recommended dose is 3 x 30ml per day, unless specified by a clinician or dietitian. Can be taken undiluted

This will signify a product that is approved for initiation in either primary or secondary care within licensed indications. Adult Malnutrition Management and Oral Nutritional Supplement (ONS) Prescribing Guidance in Primary Care 2021

within each trust. ULHT and LPFT reserve the right to determine whether or not RED drugs will be used within their trusts. RED classification Useful if the patient needs additional calories with or without protein. For those who do not tolerate sip feeds, they can be added to food or drink. These products do not contain vitamins or minerals and should only be used under the supervision of a dietitian. These are not nutritionally complete and should not be used as a sole source of nutrition. It is only indicated for disease related malnutrition, malabsorption states and other conditions requiring fortification with a high fat supplement. Concern has been expressed that this product is increasingly being prescribed in county due to a misplaced conception that it is a convenient alternative to 1.5kcal/ml and 2.0kcal/ml ONS. These should only be prescribed under dietetic supervision. Do not switch between products without specialist advice as contents differ and they are not considered equivalent Calogen can be stored at ambient temperature (18 - 25°C). Once opened, Calogen should be stored in a refrigerator (<5°C) and used within 14 days. Calogen is not suitable for freezing. Always replace container cap after use. For enteral use only. ACBS approved, prescribable on Form FP10 (GP10 in Scotland) for the following indications: disease related malnutrition; malabsorption states or other conditions requiring fortification with a high fat supplement with or without fluid restriction.Peterborough and Stamford Hospitals NHS Foundation Trust or the Northern Lincolnshire and Goole NHS Foundation Trust Colagen High Energy:@@: Calogen is a Food for Special Medical Purposes for use under medical supervision. Calogen is a high energy (4.66kcal/ml), long chain triglyceride (LCT) fat emulsion. Calogen can be used to supplement or fortify the diet of patients who are unable to meet their energy requirements from regular dietary intake. Calogen is suitable for patients requiring electrolyte restrictions, can be used to replace milk in protein restricted diets and can be used as an energy enhancer in tube feeds and oral nutritional supplements. Calogen is a 4.5kcal/ml, ready-to-drink, milkshake style oral nutritional supplement / weight gain drink. There are 900 calories per bottle of 200ml. Shake well before opening. Dosage determined by a clinician or dietitian and is dependent on the age, bodyweight, and medical condition of the patient. Recommended dose is 4 x 30ml per day, unless specified by a clinician or dietitian. Can be taken undiluted or diluted with milk, water or mixed into foods. May require dilution for children under 5 years of age.