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Dietary Supplements (13.14)

Dietary Supplements (13.14) - Policies, Clinical, UWHC Clinical, Department Specific, Pharmacy, Drug Policy

13.14





Effective Date:

August 2002
⌧ Pharmacy Policy Manual
Chapter: Drug Policy
Operations Procedure Manual
Chapter:

Policy # 13.14

Original
⌧ Revision 4/12
Page 1
of 2
Title: Dietary Supplements



I. Purpose: To establish guidelines for addressing the use of Dietary Supplements by
inpatients of University of Wisconsin Hospitals and Clinics.

II. Policy: Dietary supplements will be evaluated for use according to evidence-based
principles and utilized in a manner that optimizes patient safety and efficacy.
A. Definition
1. A Dietary Supplement is a product, other than tobacco, labeled as such and that is
intended to supplement the diet. The supplement may contain one or more of the
following dietary ingredients: a vitamin, a mineral, an herb or other botanical, an
amino acid, a dietary substance for use by humans to supplement the diet by
increasing the total daily intake, or a concentrate, metabolite, constituent, extract,
or combinations of these ingredients as defined in the Dietary Supplement Health
and Education Act of 1994 (DSHEA). This policy does not address the use of
dietary supplements such as vitamins, minerals, amino acids and other substances
that are routinely ordered for patients as a component of enteral feedings, total
nutrient admixtures (TNA), or that have been admitted to the UWHC Formulary.
B. Medical History
1. Patients are increasingly utilizing Dietary Supplements as part of their care
regimens. It is important for all members of the health care team at UWHC to
routinely ask patients about their use of these supplements when taking
medication histories. This information should be documented in the patient’s
medication record along with the medical history.
C. Formulary Status
Dietary supplements will not be routinely reviewed for admission to the UWHC
formulary or obtained on a non-formulary basis because robust safety and efficacy data is
usually limited. Furthermore, the products are not subject to Good Manufacturing
Practices. However, as addressed in Pharmacy Policy 13.21 (Admitting a Drug to the
Formulary), there may be certain situations in which evaluation and addition of a dietary
supplement is warranted. In these cases (e.g., patients with inborn errors of metabolism),
standard therapy may include a dietary supplement and the P&T Committee will consider
the addition of such entities to the formulary. Assessment criteria for decision making in
these cases can be reviewed in Pharmacy Policy 13.21.





Effective Date:

August 2002
⌧ Pharmacy Policy Manual
Chapter: Drug Policy
Operations Procedure Manual
Chapter:

Policy # 13.14

Original
⌧ Revision 4/12
Page 2
of 2
Title: Dietary Supplements


D. Dietary Supplements brought to the Hospital
While the Department of Pharmacy does not supply these agents, a physician may choose
to have an inpatient use their personal supply of these agents with a written order as
described in UWHC Administrative Policy 8.17 Administration of Medications III.C.



Approved By: ____________________________
Director of Pharmacy Services

Date: ________________