Nutritional source (calcium, protein, vitamin D)
Dairy products
Brand names: various oral nutritional supplements
Adult dose
Dose: Per dietary needs / specific supplement product
Route: Oral
Frequency: Variable
Clinical pearls
- NICE NG121: dietary calcium component of osteoporosis prevention; ROS recommendations
- Common medication-interaction trap — counsel patients re separation timing
- First Steps Nutrition / paediatric formula guidance for CMPA management
Contraindications
- Lactose intolerance (use lactose-free)
- Cow's milk protein allergy
- Galactosaemia
- Hypersensitivity
Side effects
- GI symptoms in lactose intolerance
- Allergic reactions
Interactions
- Tetracyclines, fluoroquinolones, levothyroxine, bisphosphonates (chelation — separate by 2 hours)
- Mercaptopurine (caution xanthine content)
Monitoring
- Calcium / vitamin D status if on supplement
Reference: BNF; NICE NG121; NICE CKS Calcium and Vitamin D; https://bnf.nice.org.uk/drugs/dairy-products/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- DOAC Score for Selecting Direct Oral Anticoagulant in Non-Valvular AF · Anticoagulation
- Fontan Circulation Risk Assessment · Congenital Heart Disease
- Hyperkalaemia Management Algorithm · Electrolyte Disorders
- Nutritional Risk Index (NRI) · Nutrition
- Mini Nutritional Assessment (MNA) · Nutritional Assessment
- NRS-2002 — Nutritional Risk Screening · Nutrition
Pathways
- Sepsis Screening and Sepsis Six · UK Sepsis Trust; NICE NG51; Surviving Sepsis Campaign 2021
- Unintentional Weight Loss Workup · NICE NG12; BSG
- Chronic Fatigue Workup · NICE NG206; BMJ Best Practice
- Lymphadenopathy Workup · NICE NG12; BMJ Best Practice
- Pre-op Medical Clearance · NICE NG45; ESC 2022
- Secondary Hypertension Workup · NICE NG136; ESH 2023