9.4.5.2-Dietitian Led Products

These products should only be prescribed under the recommendation of a dietitian, or a health care professional with expertise in this area. See Oral Nutritional Supplements to view standard first and second line choices

Products within the first line choices category are suitable for most people.

Products within the ‘dietitian led products’ categories should only be considered where first line products are not suitable and there is clinical justification for their use.

Other products not listed in this formulary may be requested by dietitians to meet the specific clinical needs of individual patients.

Fibre containing ONS

  • Fibre containing products are not first line options.
  • Use of a fibre containing product must meet the ACBS criteria and must not be prescribed when the criteria is not met
  • Use of fibre containing ONS should be part of a constipation management plan including assessment of dietary fibre and fluid intake.

Powdered ONS 1.5kcal/ml with Fibre (make up with 200ml whole milk)

Formulary choiceProduct namePresentation Nutritional content#Flavours
First choice

Foodlink complete with fibre®

63g sachet

Available as 1 box of 7 x 63g sachets of one flavour
397 kcal
19 g protein
5g fibre
Strawberry, Chocolate, Banana, Natural, Vanilla

 

Ready Made ONS 1.5Kcal/ml Milkshake Style with Fibre

Formulary ChoiceProduct namePresentation Nutritional content#Flavours
If powdered ONS is not suitableEnsure® Plus Fibre200ml bottle310 kcal
13g protein
5g fibre
Banana, Chocolate, Raspberry, Strawberry, Vanilla

 

Ready Made ONS 2.4kcal/ml Compact Milkshake Style with Fibre

Formulary choiceProduct namePresentation Nutritional content#Flavours
If powdered ONS not suitableFortisip® compact fibre125ml bottle300 kcal
12g protein
5g fibre
Mocha, Strawberry, Vanilla

 

High Protein ONS

Prescribing Notes

  • All first line powdered ONS products are high in protein and should be considered prior to choosing a specialist product

Ready Made ONS Milkshake Style High Protein

Formulary choiceProduct namePresentation Nutritional content#Flavours
First choices

Altraplen Protein®

200ml bottle300 kcal
20g protein
Strawberry, Vanilla
AYMES ActaGain 2.4 Complete Maxi®*

*cost effective choice
200ml bottle480 kcal
19g protein
Strawberry, Vanilla, Banana

 

Ready Made ONS Compact Milkshake Style High Protein

Formulary choiceProduct namePresentation Nutritional content#Flavours
Fortisip Compact Protein®125ml bottle300 kcal
18g protein
Vanilla, Banana, Mocha Strawberry, Berry, Neutral, Hot Tropical, Cool Red Fruits, Peach and Mango

 

Dessert Style ONS

Prescribing Notes

  • Dessert style products are not routinely recommended due to their lower calorie content per dose.
  • Suitable for those requiring low volume.

Powdered ONS Dessert Style (>200kcal and >10g protein per portion)

Formulary choiceProduct namePresentation Nutritional content#Flavours
First choiceAYMES Actasolve Delight®57g Sachet

Available as 1 box of 7x57g sachets of one flavour
300 kcal

11g protein
Butterscotch, mixed berries, Lemon

 

Ready Made ONS Dessert style (>200kcal and >10g protein per portion)

Formulary choiceProduct namePresentation Nutritional content#Flavours
If powdered ONS not suitable

Nutricrem®*

*cost effective choice

125g pot

Available as1 pack of 4x125g in one flavour
225 kcal
13g protein
Strawberry, Vanilla, Chocolate orange, Mint Chocolate
Fresubin® 2kcal creme125g pot

Available as 1 pack of 4x125g in one flavour
250kcal
13g protein
Vanilla, Chocolate, Praline, Wild strawberry, Cappuccino

 

Modular Supplements

Prescribing notes

Modular Products do not contain a balance of nutrients and should not be initiated in primary care and should only be prescribed on the request of a dietitian (or a health care professional with expertise in this area) with clinical justification.

#Nutritional content per unit (e.g. per ready-made bottle or per sachet made up as directed). Protein content rounded to the nearest whole number