GUIDELINES FOR INDICATIONS FOR USING SPECIALISED INFANT FORMULA FOR INFANTS AGED 0-6 MONTHS formula Extensively Nutramigen 1 with LGG First Line Choice 10.99 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 13.06 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 - 9.87 900g - 21.46 Milupa Established cow s milk protein Althera 10.68 SMA Nutriton or multiple food allergies. December 2017 1
formula formula Alfamino 23.00 SMA Nutrition Severe cow s milk protein allergies Being trialled at Poole Hospital to compare tolerance and effect with other AA formulae Neocate LCP 28.70 SHS If EHF not tolerated elemental diet Nutramigen PURAMINO 27.09 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 2017 2
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 10.31 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 10.99 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 10.68 SMA Nutriton allergies. Similac Alimentum 9.10 Abbott Clinically lactose free Cow s milk allergy and conditions requiring an EHF Aptamil Pepti 2 800g - 9.41 800g - 18.82 Cow & Gate allergy Established cow s milk protein Not suitable for children under 6 months of age December 2017 3
Extensively Manufacturer Type of formula Clinical Indication for use Aptamil Pepti- Junior 450g 13.06 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 23.00 SMA Nutrition Severe cow s milk protein allergies Being trialled at Poole Hospital to compare tolerance and effect with other AA formulae Neocate LCP 28.70 SHS If EHF not tolerated elemental diet Nutramigen PURAMINO 27.09 Mead Johnson Gluten and lactose free. Conditions requiring an amino acid based diet December 2017 4
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 2017 5