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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 9 - Nutrition and blood 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
Links:
BLMK ICB: Oral nutritional supplements guidance Vitamin and Mineral Supplementation Post Bariatric Surgery Guideline
09.02.01.01 Oral potassium

Potassium Chloride (Kay-Cee-L® )
(Sugar-free syrup)

GREEN
Formulary

1mmol/mL each of potassium and chloride

21/10/24 National Patient Safety Alert:  Discontinuation of Kay-Cee-L ® (potassium chloride 375mg/5ml) (potassium chloride 5mmol/5ml) syrup

Will be discontinued from late November 2024

1. No new initiations.

2. Review current prescriptions

See alert and the joint statement from the MSO Network and NPPG below for details. 

Entry reviewed October 2024

BNF BNFc
Discontinuation of Kay-Cee-L (potassium chloride 375mg/5ml) (potassium chloride 5mmol/5ml) syrup NPPG updated the Calcium and Phosphate enteral supplementation position statement to now also include directions for the use of Sando K® effervescent tablets.

Potassium Chloride (Sando-K®)

GREEN
Formulary
Effervescent Tablets each containing 12mmol potassium and 8 mmol chloride
BNF BNFc

Potassium Chloride
(Oral solution)

RED
Restricted Drug Restricted

unlicensed unlicensed

1mmol/mL each of potassium and chloride

Restricted to use for neonatal and paediatric patients (0-17 years) on a dose 

Product of choice: Manufactured by Mandeville Medicines (other products, assessed as being suitable alternatives, if unavailable).

BNF BNFc SPC
Non formulary items

Potasium Chloride (Klofer®)

 
Non Formulary
BNF BNFc SPC

Potassium Chloride (Slow-K®)

 
Non Formulary
BNF BNFc
09.02.01.01 Potassium removal
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.