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 Formulary Chapter 28: Specialised infant formulas - Full Chapter
28.01  Expand sub section  Extensively Hydrolysed Formulae
 note 

Breastfeeding mums should use the Amino-Acid Formulae as Extensively Hydrolysed formulae is not suitable

(Abbott ) Similac Alimentum (Abbott Nutrition)
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First Choice
Green

First line choice for cows milk protein allergy

Birth to 12 months

Lactose and gluten free

 
Nutramigen 1 with LGG
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First Choice
Green

May be a more appropriate first-line feed for children birth to six months

Lactose and Gluten free

(previously called Nutramigen Lipil 1®)

 
Nutramigen 2 with LGG
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First Choice
Green

May be a more appropriate first-line feed for children aged 6 months to 2 years

Lactose and Gluten free

(Previously called Nutramigen Lipil 2®)

 
Althera  (SMA Nestle)
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Second Choice
Green

From birth to 12 months

Contains Lactose

May be tried if the infant/child is not tolerating first-line products because of taste

 
   
Pepti 1 (Milupa Aptamil)
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Second Choice
Green

Birth to 6 months

Contains Lactose

May be tried if the infant/child is not tolerating first-line products because of taste

 
   
Pepti 2 (Milupa Aptamil)
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Second Choice
Green

6 months to 2 years.  Not needed if tolerating suitable milk free OTC products and weaned to appropriate diet as recommended by paediatric dietician.

Contains Lactose

 
   
Pepti-Junior (Cow&Gate)
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Formulary
Amber

MUST BE RECOMMENDED BY DIETICIAN

Extensively Hydrolysed Formulae with Medium Chain Triglycerides. 

Prescribe in primary care only as recommended by Paediatric Dietician or Paediatrician.

Birth to 2 years.  Not needed if tolerating suitable milk free OTC products and weaned to appropriate diet as recommended by paediatric dietician.

Used where Cows milk protein allergy is accompanied by malabsorption

 
   
Pregestimil Lipil (Mead Johnson)
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Formulary
Amber

MUST BE RECOMMENDED BY DIETICIAN

Extensively hydrolysed formulae with medium chain triglycerides.

Prescribe in primary care only as recommended by Paediatric Dietician or Paediatrician

Birth to 2 years.  Not needed if tolerating suitable milk free OTC products and weaned to appropriate diet as recommended by paediatric dietician.

Used where Cows milk protein allergy is accompanied by malabsorption.

 
   
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

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