Manufacturer Type of formula Clinical Indication for use. Extensively hydrolysed casein formula (EHF) Lactose free

Transcription

1 GUIDELINES FOR INDICATIONS FOR USING SPECIALISED INFANT FORMULA FOR INFANTS AGED 0-6 MONTHS formula Extensively Nutramigen 1 with LGG First Line Choice Mead Johnson Lactose and / or whole protein where additional MCT not needed Extensively used at Poole Hospital with good tolerance and effect Similac Alimentum 9.10 Abbott Cow s milk allergy and conditions requiring an EHF Aptamil Pepti-Junior 450g Cow & Gate 50% MCT fat Malabsorption conditions including fat and disaccharide Lactose / whole protein or where amino acid peptides are indicated in conjunction with MCT Aptamil Pepti 1 or 900g g Milupa Established cow s milk protein Althera SMA Nutriton or multiple food allergies. December

2 formula formula Alfamino SMA Nutrition Severe cow s milk protein allergies Being trialled at Poole Hospital to compare tolerance and effect with other AA formulae Neocate LCP SHS If EHF not tolerated elemental diet Nutramigen PURAMINO Mead Johnson Gluten and lactose free amino acid based diet Colour Code Guide Green products = can be prescribed by hospital doctor, GP or other person with extended prescribing Amber Products = Started by Dietitian or hospital specialist and continued by Primary Care with request from a Paediatrician or Dietitian for GP to prescribe. NB Please remember to write ACBS on prescription. This product list is not exhaustive see BNF for further information. Red products = Acute Trusts only Further information inform parents that these formulae have an unusual smell and do taste different, but most infants accept them. It is also quite common for babies to develop green stools. Encourage perseverance if they are initially refused. In extreme cases of refusal, ring the Paediatric Dietitian for advice (see Pathway for contact details). December

3 GUIDELINES FOR INDICATIONS FOR USING SPECIALISED INFANT FORMULA FOR INFANTS OVER 6 MONTHS OF AGE Soya formula (available to buy over the counter). It is suitable for new presentations of cow s milk allergy in infants over 6 months Formula Wysoy 860g SMA Nutrition Soya based (whole protein) Simple cow s milk protein Simple cow s milk protein Not to be prescribed, available over the Counter formula Extensively Manufacturer Type of formula Clinical Indication for use Nutramigen 2 with LGG First line choice Mead Johnson allergy, with or without secondary lactose Established lactose and / or whole protein (where MCT not indicated) Not suitable for children under 6 months of age Althera SMA Nutriton allergies. Similac Alimentum 9.10 Abbott Clinically lactose free Cow s milk allergy and conditions requiring an EHF Aptamil Pepti 2 800g g Cow & Gate allergy Established cow s milk protein Not suitable for children under 6 months of age December

4 Extensively Manufacturer Type of formula Clinical Indication for use Aptamil Pepti- Junior 450g Cow & Gate 50% MCT fat Malabsorption conditions including fat and disaccharide Lactose / whole protein or where amino acid peptides are indicated in conjunction with MCT formula formula (Jan 2017) Alfamino SMA Nutrition Severe cow s milk protein allergies Being trialled at Poole Hospital to compare tolerance and effect with other AA formulae Neocate LCP SHS If EHF not tolerated elemental diet Nutramigen PURAMINO Mead Johnson Gluten and lactose free. Conditions requiring an amino acid based diet December

5 Colour Code Guide Green products = can be prescribed by hospital doctor, GP or other person with extended prescribing Amber Products = Started by Dietitian or hospital specialist and continued by Primary Care with request from a Paediatrician or Dietitian for GP to prescribe. NB Please remember to write ACBS on prescription. This product list is not exhaustive see BNF for further information Red products = Acute Trusts only Further information inform parents that these formulae have an unusual smell and do taste different, but most infants accept them. It is also quite common for babies to develop green stools. Encourage perseverance if they are initially refused. In extreme cases of refusal, ring the Paediatric Dietitian for advice (see Pathway for contact details). December