Ketovite
Indication
Patients on haemodialysis
Amber level 0
Brand:
Ketovite®
Nice TA:
Commissioning responsibility:
CCG
PbR excluded:
No
BNF chapter:
Blood and Nutrition
Background
Patients with renal failure on haemodialysis are at risk of lower serum levels of water soluble vitamins. Various guidelines have recommended these should be prescribed. A standard multivitamin cannot be used as they contain fat soluble vitamins which are not eliminated renally; dangerously high levels could be reached if these were administered. There is no medication containing only water soluble vitamins which is licensed for use in dialysis patients. Ketovite® has been produced for this condition; though it is a food supplement rather than a medication, it is prescribable on the ACBS list.
Recommendation
LSCMMG Recommendation:
Amber level 0
Reason for decision:
Suitable for GP prescribing following recommendation/initiation by specialist
Supporting documents: