Modulen® IBD
Description
Modulen® IBD is a whole protein powdered
formulation for use as a sole source of
nutrition during the active phase of
Crohn’s disease and for nutritional support
during the remission phase. It is 100%
casein based and provides 25% of the fat
as MCT. Modulen® IBD is a nutritionally
complete Food for Special Medical
Purposes for use under medical supervision.
Presentation
400g resealable tin (with a 8.3g scoop); 12 x 400g tins per case.
Indications
ACBS approved, prescribable on FP10 (GP10 in Scotland).
Indicated for use as a sole source of nutrition during the active
phase of Crohn’s disease or during the remission phase in
malnourished patients.
Ingredients
Glucose Syrup, Casein, Sucrose, Milk Fat, Medium Chain
Triglycerides, Corn Oil, Emulsifier: Soya Lecithin, Potassium
Citrate, Calcium Phosphate, Sodium Citrate, Calcium Carbonate,
Magnesium Chloride, Acidity Regulator: Potassium Hydroxide,
Potassium Chloride, Vitamins: C, E, Niacin, Pantothenic Acid,
B6, Thiamin (B1), A, Riboflavin (B2), D, Folic Acid, K, Biotin, B12;
Choline Bitartrate, Ferrous Sulphate, Zinc Sulphate, Magnesium
Oxide, Manganese Sulphate, Copper Sulphate, Sodium Molybdate,
Potassium Iodide, Chromium Chloride, Sodium Selenate. Clinically
nil lactose. Gluten free.
Administration and dosage
For oral and enteral feeding only. Suitable as a sole source
of nutrition. One 400g Modulen® IBD can provides 2000 kcal.
The dosage of Modulen® IBD is dependent on the age, weight
and clinical condition of the patient. The recommended feed
concentration is 20% (1 kcal/ml). As a guide, Modulen® IBD
can also be concentrated to provide 1.25 kcal/ml (25%
concentration) or 1.5 kcal/ml (30% concentration) but
additional fluid should be advised.
54
Preparation instructions
For standard concentration (1 kcal/ml)
1.
2.
3.
4.
5.
6.
7.
8.
9.
Wash hands thoroughly.
Ensure all equipment is clean.
Consult the mixing guidelines in table 1 for quantities of
powder and water for desired concentration.
Measure out cooled boiled water and pour into a sterilised
bowl or shaker cup.
Add desired quantity of Nestlé Nutrition Flavour Mix and
mix well.
Add the Modulen® IBD to the water using the scoop provided
in the tin.
Stir or shake until well mixed.
Use immediately or cover and refrigerate (use within
24 hours).
Best served chilled. Always mix well before serving.
Table 1: Mixing Guidelines for 1.0 kcal/ml
Volume of water
(ml)
No. of scoops of
powder
Total volume
achieved (ml)
210
6 scoops (= 50g)
250
420
12 scoops (= 100g)
500
850
24 scoops (= 200g)
1000
1740
1 can (= 400g)
2000
For concentrating Modulen® IBD
1.
2.
3.
4.
5.
6.
7.
8.
Wash hands thoroughly.
Ensure all equipment is clean.
Measure the desired amount of powder to a clean
measuring jug or shaker cup (see table 2 and 3 overleaf).
Add desired quantity of Nestlé Nutrition Flavour Mix.
Add water to the required volume of Modulen® IBD.
Stir or shake until well mixed.
Use immediately or cover and refrigerate (use within
24 hours).
Best served chilled. Always mix well before serving.
Modulen IBD® product information continued overleaf.
Nutrition. The factor that can make a difference. 55
Modulen® IBD (cont.)
Table 2. Mixing Guidelines for 1.25 kcal/ml (25% concentration)
No. of scoops of powder
Measure water up to (ml)
8 scoops (= 66g)
250
16 scoops (= 133g)
500
32 scoops (= 266g)
1000
64 scoops (= 531g)
2000
Table 3, Mixing Guidelines for 1.5 kcal/ml (30% concentration)
No. of scoops of powder
Measure water up to (ml)
9 scoops (= 75g)
250
18 scoops (= 150g)
500
36 scoops (= 300g)
1000
72 scoops (= 598g)
2000
Shelf life and storage
Shelf life of 24 months from date of manufacture when stored at
room temperature. Once opened, keep closed in a dry place and
use within 4 weeks.
Contraindications
For oral or enteral use only
Precautions
Use under medical supervision. Suitable for use in children over
5 years.
56
Nutrition information
Typical values
General
Energy kJ/kcal
Protein (15% kcal) g
Carbohydrates (43% kcal) g
of which sugars g
of which lactose mg
Fat (42% kcal) g
of which saturates g
of which
monounsaturates g
of which
polyunsaturates g
of which MCT g
Vitamins
A µg RE
D µg
E mg α-TE
K µg
C mg
B1 (Thiamin) mg
B2 (Riboflavin) mg
Pantothenic acid mg
B6 mg
B12 µg
Niacin mg
Folic acid µg
Biotin µg
Minerals
Sodium mg/mmol
Potassium mg/mmol
Calcium mg/mmol
Phosphorus mg/mmol
Magnesium mg/mmol
Chloride mg/mmol
Iron mg
Zinc mg
Copper mg
Manganese mg
Fluoride µg
Chromium µg
Molybdenum µg
Selenium µg
Iodine µg
Other Nutrients
Choline mg
Water g
Osmolarity mOsm/l
Osmolality mOsm/kg
Per
100g
Per
100ml
at 1.0
kcal/ml
Per
100ml
at 1.25
kcal/ml
Per
100ml
at 1.5
kcal/ml
2070/500
18
54
15
90
23
13
420/100
3.6
11
3.0
18
4.7
2.70
525/125
4.5
13.8
3.8
23
5.87
3.38
630/150
5.4
16.5
4.5
27
7.05
4.05
0.8
3.9
4.88
5.85
0.49
2.4
3
3.6
6.0
1.2
1.5
1.8
420
4.9
6.5
27
47
0.59
0.64
2.4
0.83
1.6
5.8
120
16
84
1.0
1.3
5.5
9.7
0.12
0.13
0.50
0.17
0.32
1.2
24
3.2
105
1.2
1.6
6.9
12.1
0.15
0.16
0.62
0.21
0.40
1.5
30
4.0
126
1.5
1.9
8.3
14.5
0.18
0.19
0.75
0.25
0.48
1.8
36
4.8
170/7.3
600/15.4
450/11.3
300/9.6
100/4.1
370/10.4
5.4
4.7
0.49
0.98
<10
25
37
17
49
35/1.5
120/3.1
91/2.3
61/2.0
20/0.83
75/2.1
1.1
0.96
0.10
0.20
<2.0
5.1
7.5
3.5
10
44/1.9
150/3.8
114/2.8
76/2.5
25/1.04
93.7/2.6
1.4
1.20
0.12
0.25
<2.5
6.3
9.3
4.4
12
53/2.3
180/4.6
136/3.4
92/3.0
30/1.25
111/3.1
1.6
1.44
0.15
0.30
<3.0
7.6
11.3
5.3
15
35
7.2
3
290
340
9.0
10.8
426
539
Nutrition. The factor that can make a difference. 57