Polycal Powder dissolves readily in hot and cold drinks. It has a neutral taste and can therefore be added to both sweet and savoury foods or drinks without significantly altering flavour or texture. It is also suitable for use in cooking. Cannot be prescribed on FP10 for Glucose Tolerance Test as this indication is not listed in ACBS criteria. Rapilose OGTT ® is an alternative that may be prescribed. bottle of POLYCAL [manufactured by Nutricia Clinical Care] - 113 mL of Polycal is equivalent to 75g of anhydrous glucose. Collect a further blood sample 2 hours after the Polycal drink was started. Label tube with full patient identification detail, "2 hour sample" and actual time of sample.

Sugar content reduced by 50% from 1st April 2017 so no longer recommended for glucose tolerance tests - consider Polycal®. The majority of Nutricia's ONS are suitable for vegetarians as defined by The Vegetarian Society. Carminic Acid, a colouring derived from cochineal, may not be acceptable to some patients and is used in the following ONS: Product nameMedicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Take blood into a grey top fluoride-oxalate tube and label with specimen time and as "FASTING" as well as the usual patient identification requirements. Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Polycal Powder is fat and protein free and low in minerals so is suitable for patents with such dietary restrictions. It is also free from sucrose, lactose, fructose and galactose, so is suitable for patients with such carbohydrate intolerances. Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.

Polycal Powder is also suitable for those with the following conditions: Alzheimer's Disease, Cancer / Oncology, Cerebral Palsy, Cow's Milk Allergy, Critical Care: Burns etc, Crohn's Disease / IBD, Cystic Fibrosis, Dementia / Alzheimers, Gastrointestinal problems, Leg Ulcers / Wound care, Malabsorption / Maldigestion, Malnutrition / Undernutrition, Neurological: Multiple Sclerosis etc., Parkinson's Disease, Poor appetite / Anorexia, Respiratory Disease / COPD, Stroke / CVA, Swallowing Problems / Dysphagia, Weight Loss in Older Adults. Once opened, use contents within 1 month. Replace lid firmly after use. Prepare the food per serving and use within 2 hours. Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.mL of Polycal is required for each kilogram body weight up to a maximum volume of 113 mL of Polycal 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. The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC.