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The Department of Health and Social Care (DH) has extended a medicine supply notification for sterculia (Normacol) 62% w/w granules, Sterculia and Frangula Bark (Normacol Plus) 62%/8% w/w granules.

Normacol and Normacol Plus granules are expected to back in stock by the end of October.

Unlicensed imports of Sterculia 62% w/w granules and Sterculia 62% w/w with Frangula Bark 8% w/w can be sourced and UKMI have provided clinical advice on switching to alternative preparations.

The following specialist importers have confirmed they can source unlicensed sterculia granules and sterculia granules/frangula bark granules.

Importer Product Container
Alium Medical Normacol Sachets
Durbin PLC Sterculia granules (Normafibre brand) Lined box
Sterculia granules (Normafibre brand) Sachet
Sterculia granules/Frangula bark (Generic) Lined box
Target Healthcare Normacol Plus Lined box


There is currently no listing on dm+d for the imported product for prescribers to select using their prescribing systems so an EPS prescription for unlicensed Sterculia granules cannot be issued.

If a prescriber wishes to prescribe an unlicensed import, an FP10 paper prescription should be issued as Normacol/ Normacol Plus/ Normafibre or Sterculia granules/Frangula Bark (Special Order) and endorsed by the pharmacy as a non-Part VIIIB special.

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