Summary of COVID-19 medicines guidance: Nutritional and inherited metabolic disorders

This page summarises and signposts to medicine related guidance we’re aware of from professional and government bodies relating to coronavirus and nutritional and inherited metabolic disorders

This page has been put together rapidly in relation to the COVID-19 pandemic.

Whilst we have tried to ensure that the information on this page is complete, please report a concern if you feel anything is omitted or inaccurate.

To see our professional guidance summaries for other clinical areas, click here

Advice in this area includes:

NICE: COVID-19 rapid evidence summary: vitamin D for COVID-19

Last updated 29 June 2020

  • NICE assessed evidence for 5 observational studies published in peer reviewed journals but concluded that there is no direct evidence to support taking vitamin D supplements to specifically prevent or treat COVID-19.
  • They therefore advise that all people should continue to follow UK Government advice on daily vitamin D supplementation to maintain bone and muscle health during the COVID-19 pandemic (i.e. everyone should consider taking 10 micrograms vitamin D per day since they may not be getting sufficient from sunlight if indoors most of the day). They also note that, following appropriate testing and clinical management, people with vitamin D deficiency may also be prescribed higher therapeutic doses.

British Association for Parenteral and Enteral Nutrition: COVID-19 Resources

Last updated 5 May 2020

  • Includes advice and guidance for management of nutritional support during COVID-19, a statement on home parenteral nutrition (HPN) and requirement for shielding, pyrexia protocols for HPN patients, and a remote rapid discharge protocol and discharge checklist to allow remote discharge of PN-dependent patients from their referring hospital

British Dietetic Association: COVID-19/Coronavirus – Advice for the General Public

Last updated 11 May 2020

  • A selection on FAQs on supplements, general advice on nutrition, treatment and support for people with or at risk of malnutrition and links to advice or further information on nutrition for people with specific health conditions (e.g. diabetes, coeliac disease, Crohn’s disease or ulcerative colitis) or who have food allergies or are pregnant.

British Inherited Metabolic Diseases Group: Patient information

Last updated 18 March 2020

  • Downloadable guide for patients with inherited metabolic disorders advising on precautions and practical steps to take for individuals requiring an ’emergency regimen’ – medications and supplements kept at home for use in the event of illness or metabolic decompensation.
  • Advice includes checking medications/supplements are in date and sufficient supplies, following ‘sick day rules’ for replacement steroids, keeping written record of emergency guidelines and ensuring contact details of metabolic team are handy.

British Inherited Metabolic Diseases Group: Emergency Guides

  • Links to guidelines for emergency management of adults or children providing details of emergency regimen drinks and making IV fluids for metabolic patients

British Inherited Metabolic Diseases Group: Considerations in the assessment of IMD Critically Unwell Covid-19 patients

Last updated April 2020

  • This guidance from the Adult Dietitians BIMDG Subgroup includes advice on medications including propofol, prokinetics and IV ammonia scavenging medicines

Royal Osteoporosis Society: Vitamin D for bones

  • Guidance for patients on vitamin D, including advice on taking supplements during the coronavirus pandemic