Nicotinamide ........................ Nicotinamide (also known as vitamin B3) is essential for a healthy Micronutrient replacement during the immediate post-operative period falls under the remit of specialist follow-up. The formulary provides guidance for long-term vitamin and mineral requirements for adults following bariatric surgery. All patients should have been given a long-term management plan by the specialist centre, including guidance on vitamin, mineral and trace element supplementation. Patients will be required to stay on life-long nutritional supplements in addition to having a balanced diet and have life-long monitoring of their nutritional status. Folic acid is absorbed mainly from the proximal part of the small intestine. Folate polyglutamates are considered to be deconjugated to monoglutamates during absorption. Folic acid rapidly appears in the blood where it is extensively bound to plasma proteins. Some folic acid is distributed in body tissues, some is excreted as folate in the urine and some is stored in the liver as folate. Paravit CF capsules provide an alternative vitamin supplementation option for CF patients, which offers patients a decreased oral medication load Selenium is an essential trace element, deficiency of which has been reported in man. It is thought to be involved in the functioning of membranes and the synthesis of amino acids. Deficiency of selenium in the diet of experimental animals produces fatty liver followed by necrosis.

Hospital departments who identify groups of patients with low risk of malnutrition may opt out of screening these groups. Opt-out decisions should follow an explicit process via the local clinical governance structure involving experts in nutrition support. Potentially serious allergic adverse reactions may occur during or shortly after administration of Vitamins B & C high potency intravenous (Pabrinex ®)In children, THORENS can be mixed with a small amount of children's foods, yogurt, milk, cheese or other dairy products. The parents should be warned not to mix THORENS into a bottle of milk or container of soft foods in case the child does not consume the whole portion, and does not receive the full dose. In children who are not breast-fed, the prescribed dose should be administered with a meal. Effervescent tablets each containing P otassiumchloride 600mg / Potassiumbicarbonate 400mg (total potassium12mmol) per tablet Gastric lavage may be necessary to remove drug already released into the stomach. This should be undertaken using desferrioxamine solution (2 g/l). Desferrioxamine 5 g in 50 - 100 ml water should be introduced into the stomach following gastric emptying. Keep the patient under constant surveillance to detect possible aspiration of vomitus; maintain suction apparatus and standby emergency oxygen in case of need.

Where medicines are included in the BSWformulary (for any indication) and are in the BNF for Children (BNF-C) they can be prescribed for a licensed indication within the manufacturer's recommendations using any licensed formulation. Iron is absorbed chiefly in the duodenum and jejunum. Absorption is aided by the acid secretion of the stomach and if the iron is in the ferrous state as in ferrous fumarate. In conditions of iron deficiency, absorption is increased and, conversely, it is decreased in iron overload. Iron is stored as ferritin. Potassium ............................. Potassium is essential in muscle function and in the transmission of This medicine contains E123 (amaranth) and E124 (ponceau 4R red) which may cause allergic reactions. Although it has been established that selenium is essential to human life, very little information is available on its function and metabolism.Patients who were found to be vitamin D insufficient prior to surgery are likely to remain on supplements following surgery. Seek advice from specialist if there is uncertainty over the treatment required. Copper .................................. Is required for growth and forms part of enzymes involved in blood These women should take 400 micrograms of folic acid every day until the 12th week of pregnancy to reduce risks of neural tube defects in the developing foetus. 10 Forceval ® soluble is reserved for patients with swallowing difficulties or if given via enteral tube.