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Parenteral nutrition supplement

Vitamins with minerals and trace elements

Brand names: Cernevit, Decan, Additrace

Multivitamin preparations containing minerals and trace elements provide a combination of micronutrients to prevent or correct deficiency, including in parenteral nutrition.

Dosing — being independently re-sourced

ClinCalc Pro is rebuilding its dose data from primary open sources — the manufacturer SmPC (eMC), the WHO Model Formulary and other official references — under clinician review. This drug's structured dose is not yet published here. Confirm all doses against the product SmPC and your local formulary before prescribing.

Clinical monograph

How it works

The constituents act as cofactors and structural components across numerous metabolic, antioxidant and enzymatic pathways throughout the body.

Prescribing in practice

  • Avoid duplicate supplementation, as combining several products risks cumulative excess of fat-soluble vitamins or minerals.
  • Match the formulation to the clinical need, since requirements differ markedly between oral supplementation and parenteral nutrition.
  • Mineral content (such as iron, calcium or zinc) can interact with concurrent medicines and affect their absorption.

Monitoring

In patients receiving long-term or parenteral micronutrient support, periodic biochemical monitoring of relevant vitamins, minerals and trace elements is appropriate.

Counselling the patient

  • Take as directed and avoid taking additional supplements without advice.
  • Separate from certain medicines if advised, as minerals can reduce their absorption.

Evidence & guidelines

Combined micronutrient supplementation is an established component of nutritional support, particularly in parenteral nutrition, per UK guidance.

Reference: NICE NG32; BAPEN; Confirm identity and dosing against the manufacturer SPC (eMC) and NICE. Verify against your local formulary and current prescribing references before prescribing. Monograph status: clinician-reviewed (2026-07-04).

Related

Curated clinical cross-links plus same-class fallbacks.

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