Addition of a polyethylene glycol (PEG)-based laxative to a liquid that has been thickened with a starch-based thickener may counteract the thickening action, placing patients with dysphagia at a greater risk of aspiration. See MHRA drug safety update (April 2021)

Therapeutic areaFormulary ChoicesCost (per pack size stated)Rationale for decision / comments
First lineThick and Easy Clear®£6.50 (126g)For thickening of liquids or foods in dysphagia, and for the dietary management of conditions such as stroke, Parkinson’s disease, muscular dystrophy, motor neurone disease, multiple sclerosis, malignancies of the oral cavity and throat, neurological disorders caused by injury or disease. Not suitable for use in child under 3 years. Gluten-free and lactose-free.
Second line Nutilis Clear®£8.46 (175g)For thickening of liquids or foods in dysphagia. Not suitable for use in child under 3 years.
Gluten-free and lactose-free.
Resource ThickenUp Clear®£8.46 (127g)For thickening of liquids or foods in dysphagia. Not suitable for use in child under 3 years.
Gluten-free.