Guidelines for indications for using specialised infant formula for infants aged 0-6 months
Extensively hydrolysed formula
Feed
Manufacturer
Type of formula
Clinical Indication for use
Additional ACBS
Indications
Nutramigen Lipil 1
400g
First Line Choice
Mead Johnson
Extensively hydrolysed formula (EHF),
lactose free
Cow’s milk protein allergy
Galactosaemia
Lactose and / or whole protein
intolerance where additional MCT not
needed
Alimentum
400g
Abbott
Extensively hydrolysed formula (EHF),
Clinically lactose free
Cow’s milk allergy and conditions
requiring an EHF
Pepti Junior
450g
Cow & Gate
Extensively hydrolysed formula (EHF),
with 50% MCT fat, lactose free
Cow’s milk protein allergy.
Malabsorption conditions
including fat and disaccharide
intolerance
Lactose / whole protein intolerance or
where amino acid peptides are
indicated in conjunction with MCT
Aptamil Pepti 1
400g or 900g
Milupa
Extensively hydrolysed formula (EHF).
Residual lactose
Cow’s milk protein allergy
Established cow’s milk protein
intolerance
Amino acid based formula
Feed
Manufacturer
Type of formula
Clinical Indication for use
Additional ACBS
Indications
Neocate LCP 400g
On advice of Dietitian or
Hospital Specialist
SHS
Amino acid based
Cow’s milk protein allergy
Severe malabsorption
If EHF not tolerated
Cow’s milk protein allergy
Multiple food protein intolerance
Conditions requiring an elemental diet
Amino acid based
Cow’s milk protein allergy
Severe malabsorption
Cow’s milk protein allergy
Multiple food protein intolerance
Conditions requiring an elemental diet
Nutramigen AA 400g
Please check name carefully as
similar named products
Mead Johnson
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.
Red products =
Acute Trusts only
NB Please remember to write ACBS on prescription. This product list is not exhaustive – see BNF for further information.
March 2016. Taken from the full Medicines Code Chapter: Suspected Cow’s Milk Protein Allergy in Infants - Guidelines for Health Professionals in Primary Care
Guidelines for indications for using specialised infant formula for infants aged over 6 months
Soya formula (available to buy over the counter) could be considered for infants over 6 months who are presenting with symptoms.
Feed
Manufacturer
Type of formula
Clinical Indication for use
Infasoy
900g
Cow & Gate
Soya based (whole protein)
lactose free
Simple cow’s milk protein allergy.
Galactosaemia
Wysoy
430g or 860g
Wyeth
Soya based (whole protein)
Lactose free
Simple cow’s milk protein allergy.
Galactosaemia
Additional ACBS
Indications
Extensively hydrolysed formula
Manufacturer
Type of formula
Clinical Indication for use
Additional ACBS
Indications
Nutramigen Lipil 2
400g
First line choice
Mead Johnson
Extensively hydrolysed protein
Lactose free
Cow’s milk protein allergy, with or
without secondary lactose
intolerance
Galactosaemia
Established lactose and / or
whole protein intolerance
(where MCT not indicated)
Alimentum
400g
Abbott
Extensively hydrolysed formula
(EHF)
Clinically lactose free
Cow’s milk allergy and conditions
requiring an EHF
Aptamil Pepti 2
900g
Cow & Gate
Extensively hydrolysed
Residual lactose
Cow’s milk protein allergy
Established cow’s milk protein
intolerance
Cow & Gate
Extensively hydrolysed protein,
with 50% MCT fat
Lactose free
Cow’s milk protein allergy.
Malabsorption conditions including
fat and disaccharide intolerance
Lactose / whole protein
intolerance or where amino acid
peptides are indicated in
conjunction with MCT
Feed
Pepti Junior
450g
March 2016. Taken from the full Medicines Code Chapter: Suspected Cow’s Milk Protein Allergy in Infants - Guidelines for Health Professionals in Primary Care
Guidelines for indications for using specialised infant formula for infants aged over 6 months
Amino acid based formula
Feed
Manufacturer
Neocate LCP 400g
On advice of Dietitian or Hospital
Specialist
Nutramigen AA 400g
Please check name carefully as similar
named products
Colour Code Guide
SHS
Mead Johnson
Green products = can be prescribed
by hospital doctor, GP or other person
with extended prescribing
Type of formula
Clinical Indication for use
Additional ACBS
Indications
Amino acid based
Cow’s milk protein allergy
Severe malabsorption
If EHF not tolerated
Cow’s milk protein allergy
Multiple food protein intolerance
Conditions requiring an
elemental diet
Cow’s milk protein allergy
Severe malabsorption
Cow’s milk protein allergy
Multiple food protein intolerance
Conditions requiring an
elemental diet
Amino acid based
Amber Products = Started by Dietitian or hospital specialist
and continued by Primary Care with request from a
Paediatrician or Dietitian for GP to prescribe.
Red products =
Acute Trusts only
NB Please remember to write ACBS on prescription. This product list is not exhaustive - see BNF for further information
March 2016. Taken from the full Medicines Code Chapter: Suspected Cow’s Milk Protein Allergy in Infants - Guidelines for Health Professionals in Primary Care