Arslanoglu S et al. Early dietary intervention with a mixture of prebiotic oligosaccharides reduces the incidence of allergic manifestations and infections during the first two years of life. J Nutr 2008;138:1091-5. Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.

Francavilla R et al. Effect of lactose on gut microbiota and metabolome of infants with cow's milk allergy. Pediatr Allergy Immunol 2012;23(5):420-7.

Aptamil Pepti Weaning Recipes

Aptamil Pepti 2 is a food for special medical purposes. It should only be used under medical supervision, after full consideration of the feeding options available including breastfeeding. Christie L et al. Food allergies in children affect nutrient intake and growth. J Am Diet Assoc 2002;102(11):1648-51. A. Clinically, the products are the same. They have the same hydrolysate and all the evidence to support the clinical efficacy of Pepti 1 is applicable to Pepti 2. However, nutritionally, Pepti 2 has been specially formulated to provide the increased levels of key micronutrients, such as calcium and iron, required from 6 months. Increased levels of calcium are particularly relevant to infants who are on a dairy-free diet due to CMA, as the majority of an infant’s calcium intake usually comes from dairy. In addition, iron stores start to deplete between 4 and 6 months in infants, so a dietary source of iron is important. The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.

Anti Malaria Malaria is a serious tropical disease spread by mosquitoes. If it isn’t diagnosed and treated promptly, it can be fatal. A single mosquito bite is all it takes for someone to become infected. Symptoms of malaria It’s important to be aware of the symptoms of malaria if you’re travelling to areas where there’s a high risk of the disease. Symptoms include: 1. A high temperature of 38C or above 2. Feeling hot and shivery 3. Headaches 4. Vomiting 5. Muscle pains 6. Diarrhoea Symptoms usually appear between 7 and 18 days after becoming infected, but in some cases the symptoms may not appear for up to a year, or occasionally even longer. When to seek medical attention Seek medical help immediately if you develop symptoms of malaria during or after a visit to an area where the disease is found. You should still seek medical help even if it’s several weeks, months or a year after you return from travelling. If there’s a possibility you have malaria, a blood test will be carried out to confirm whether or not you’re infected. You should receive the results of your blood test on the same day. If you have malaria, treatment will… Using the scoop provided, level off the powder with the built in leveller. Do not press/heap the powder. Aptimal Peti 2 is suitable from 6 months to complement a cows' milk free weaning diet and can also be used to replace cows' milk in drinks and cooked dishes during and after weaning.A. An extensively hydrolysed formula (EHF) is usually recommended for mild or moderate cases of CMA. This is because the proteins have been broken down to make them easier to tolerate and digest. Aptamil Pepti 2 is an extensively hydrolysed whey-based formula containing 80–85% short chain peptides and 15–20% free amino acids. Luyt D et al. BSACI guidelines for the diagnosis and management of cow's milk allergy. Clin Exp Allergy 2014;44:642-72. Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.

Maslin K et al. Palatability of hypoallergenic formulas for Cow’s Milk Allergy and healthcare professional recommendation. Pediatr. Allergy Immunol. 2018; 29(8): 857-862. *A home usage test assessment was carried out between 16/11/16 and 9/12/16 on the 4 products indicated for Cows’ Milk Allergy from birth and included 100 UK healthcare professionals. Data on file, updated independent taste panel report, Campden BRI, October 2020. n=102 HCPs, Campden BRI blind home usage taste testing, n=102 Dietitians and General Practitioners, n=82 parents. Aptamil Pepti 1 & Pepti Syneo vs all UK EHFs suitable for infants from birth. Reaching 1 year is a real milestone. Your baby is now a toddler and needs nutrients to fuel their increasing activity and growth. As they develop their own personalities, they may become more stubborn about their likes and dislikes, so it can sometimes be a challenge to provide them with all the goodness they need from their food. This is when milks like Aptamil Growing Up Milk 1-2 yearsand Aptamil Growing Up Milk 2-3 yearscan help; they’re specially developed to help support your toddler’s diet. No new patients to receive prescriptions in primary care. Patients already receiving Red Medicines in primary care should be handled on a case by case basis with the support of the Medicines Optimisation team. Maltodextrin, Hydrolysed whey protein (from milk), Vegetable oils (Palm oil, Coconut oil, Rapeseed oil, High oleic sunflower oil, Sunflower oil), Galacto-oligosaccharides (GOS) (from milk), Calcium phosphate, Emulsifiers (citric acid esters of mono- and di-glycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Magnesium hydrogen phosphate, Oil from Mortierella alpina, Sodium chloride, Choline chloride, Vitamin C, L-Tyrosine, Inositol, Taurine, Ferrous sulphate, Zinc sulphate, L-Carnitine, Sodium citrate, Vitamin E, Uridine 5'-monophosphate sodium salt, Cytidine 5'-monophosphate, Pantothenic acid, Adenosine 5'-monophosphate, Inosine 5'-monophosphate sodium salt, Nicotinamide, Guanosine 5'- monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Manganese sulphate, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12.A. Due to the specialist formulation, there may be some separation of prepared feeds on standing. It should be shaken well before use. During the first few weeks, all babies, whether they are being breast or bottlefed, tend to need feeding very frequently – hourly feeds are not uncommon. This is because newborns have very tiny tummies, which are easily filled up in one go. Some mums can mistake this frequent demand for feeding as their baby being unusually hungry and may consider moving them on to Aptamil Hungry Infant Milkwhich contains 80% casein, compared to 40% in Aptamil First Infant Milk; it’s this higher casein content that helps your baby feel fuller for longer as it is slower to digest than whey. Treatments Find every kind of best treatment near you, We British Chemist UK online pharmacy retailer and registered pharmacy with the MHRA and GPhC.