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Need help with prescribing a specialist infant formula?
North and East Devon: Click here for guidance on diagnoses and management of CMPA
First line choice for CMPA. Usual maximum length of treatment birth to 2 years.
Used if extensively hydrolysed formulas not effective after a suitable trial or for severe CMPA symptoms. Usual maximum length of treatment birth to 2 years.
Be aware, there is a large range of hydrolysed and amino acid formulas available on the market with subtle differences. Dietitians and paediatricians may recommend other brands with clinical reasoning.
Not for under 6 months of age due to phytoestrogens. Not recommended for CMPA treatment due to cross-reactivity. Usual maximum length of treatment is from 6 months old to 2 years. These products can be purchased at a similar cost to standard formula.
North and East Devon: Click here for guidance on
An option for management of mild reflux symptoms, for a maximum of 6 months treatment. These products can be purchased at a similar cost to standard formula.
For treatment of transient lactose intolerance after gastroenteritis. There is no evidence for use in colic. The usual length of treatment 6-8 weeks maximum. These products can be purchased at a similar cost to standard formula.
This will be initiated on Neonatal Unit, maximum length of treatment until 6 months corrected age. If a premature baby is breast feeding but stops then one of these products should be used.
Infants with faltering growth need paediatric review, usual maximum length of treatment birth to 18 months
Infants with faltering growth and malabsorption need paediatric review, usual maximum length of treatment birth to 18 months.
There is an extensive range of other very specialist infant formulas available for rare conditions including inherited metabolic disorders. These formulas should only be initiated by a paediatric dietitian or paediatrician in secondary care.
Ask how many 400g tins /900g tubs of formula they use weekly - prescribe a similar volume
If unsure/moving on from breastfeeding:
0.3 months of age
4-6 months of age
7-9 months of age
10-12 months of age
1-2 years of age
Some infants may drink more – increase at parental request