New SMA® PRO Anti-Reflux

New SMA{®} PRO Anti-Reflux

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

The first 1000 days of a baby’s life have a life-long impact on many aspects of future health.

Gastro-oesophageal reflux (GOR) is a completely normal physiological process that affects approximately 40% of infants and usually resolves before they are 1 year old.1

In their 2015 guideline, NICE recommend the following measures for the management of formula-fed infants with frequent regurgitation associated with marked distress:1

  • Offer parental reassurance, review feeding history, suggest smaller more frequent feeds (while maintaining appropriate daily milk volume intakes)
  • Trial of a thickened formula
  • If the above stepped-care approach does not work, stop the thickened formula and offer alginate therapy for a trial period of 1-2 weeks
SMA PRO Anti-Reflux contains a unique combination of easily digestible starch and 100% whey, partially hydrolysed protein for the dietary management of reflux and regurgitation.
For details on the new preparation instructions, please click onto the preparation tab or see information on the tin label.

SMA PRO Anti-Reflux is nutritionally complete and suitable from birth.

 

Availability:

New SMA PRO Anti-Reflux will be available in retail from June. For babies currently using SMA Staydown®, this product can be used in its place. SMA Staydown will remain available on prescription for a further few months (UK only), and to be ordered via pharmacies.

PIP code (UK only):286-7588
Supplier code (Ireland): 12328880
References
  1. Gastro-oesophageal reflux disease: recognition, diagnosis and management in children and young people. NICE guideline. Jan 2015.
  2. Fonkalsrud EW. Curr Probl Surg 1996;33(1):1-70
  3. Billeaud C et al. Eur J Clin Nutr 1990; 44: 577–583.
  4. NHS Choices. Types of formula milk (2016). Available at http://www.nhs.uk/Conditions/pregnancy-and-baby/Pages/types-of-infantformula.aspx. Accessed January 2017.
  5. New SMA® PRO Anti-Reflux datacard. Currently available from SMA Nutrition UK & Ireland.
  6. Aptamil Anti-Reflux and Cow & Gate Anti-Reflux datacards. Available at www.eln.nutricia.co.uk/our-products. Accessed March 2017.
  7. Hipp Organic anti-reflux datacard. Available at http://www.hipp4hcps.co.uk. Accessed March 2017.
  8. Enfamil AR datacard. Available at http://www.nutramigen.co.uk/files/6614/6304/6719/Filofax_Insert_UK_June_2015_8.pdf. Accessed March 2017.
  9. Alexander et al., 2016. Growth of infants consuming whey-predominant term infant formulas with a protein content of 1.8 g/100 kcal: a multicenter pooled analysis of individual participant data. Am J Clin Nutr doi: 10.3945/ajcn.116.130633
  10. Singhal A & Lucas A. Lancet 2004; 363: 1642–1645
  11. Indrio F et al. J Pediatr and Neonatal Individualized Med 2015; 4 (2)
  12. Toporovski M.S., Neufeld C.B., Cuflat C., Magni A.M., Aleixo D., Okana R.T. A comparative study among two different AR formulas and a standard formula in infants with gastroesophageal reflux (GER). (Abstract presented at the 46th Annual meeting of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition: London, May 8-11, 2013). JPGN 2013; Vol 56, Suppl 2:330.

* in UK and Ireland

® Registered Trademark

New SMA® PRO Anti-Reflux
Data card

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

Staydown Data Card

Download data card

New SMA® PRO Anti-Reflux
Formats

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

 

Staydown Formula

800 g powder

New SMA PRO Anti-Reflux will be available in retail as of mid June, replacing the current SMA Staydown®.

SMA Staydown® will remain available on prescription for a few more months (UK only), and to be ordered via pharmacies, for babies that have started on this formula.

PIP code (UK only): 286-7588

Supplier code (Ireland): 12328880

 

New SMA® PRO Anti-Reflux
Comparison charts

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

SMA PRO Anti-Reflux contains easily digestible starch and 100% whey, partially hydrolysed protein and is the lowest protein anti-reflux formula in the UK and Ireland.5-8

* Rowlands Pharmacy. Pharmacy Guide to Infant Feeding, 2016/2017. ed. Communications International Group Ltd, p59
NS: Not stated

5. New SMA® PRO Anti-Reflux datacard. Currently available from SMA Nutrition UK & Ireland
6. Aptamil Anti-Reflux and Cow & Gate Anti-Reflux datacards. Available at www.eln.nutricia.co.uk/our-products. Accessed March 2017.
7. Hipp Organic anti-reflux datacard. Available at http://www.hipp4hcps.co.ukAccessed March 2017.
8. Enfamil AR datacard. Available at http://www.nutramigen.co.uk/files/6614/6304/6719/Filofax_Insert_UK_June_2015_8.pdf. Accessed March 2017.

New SMA® PRO Anti-Reflux
Preparation

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

Please read these instructions carefully, as they have changed.

Information for you to give to mums

Preparing your baby’s feed

Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make your baby ill.

1. Pull the safety seal and open the tid. The scoop is provided under the lid. Lift the tab, pull on the foil seal, carefully and safely remove the seal and dispose of it.

2. Wash hands well. Wash and sterilise all utensils according to manufacturer's instructions.

3. Boil 1 litre of tap water. Allow to cool for no more than 30 minutes before measuring the required amount of water (see feeding guide) into a sterilised bottle, carefully - the water is hot. Place the sterilised teat and cap on the bottle. Cool bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the teat. Do not use artificially softened or repeatedly boiled water.

4. Using only the scoop provided, add the correct number of scoops of powder (see feeding guide), levelling off each scoop with the back of a clean, dry knife. Store the scoop in suspension inside the can and replace lid.

5. Shake bottle well until powder has fully dissolved. Test temperature by shaking a few drops on the inside of your wrist - milk should be lukewarm.

New SMA PRO Anti-Reflux is a thicker formula that may require the use of a fast flow teat.

practical & hygienic

Scoop can be stored in suspension inside the can.

New SMA® PRO Anti-Reflux
Feeding guide

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

Feeding guide birth - 12 months

Approx. age of baby

Approx. weight of baby

Preparation for single feeds

Feeds in 24 hours

 

Cooled, freshly boiled water

kg

lb

Level scoops

ml

fl. oz. (approx.)

Birth–2 weeks

3.4

3

90

3

6

2–4 weeks

3.7

8

4

120

4

6

4–8 weeks

4.2

4

120

4

6

2 months

5.3

11¾

5

150

5

5

3 months

6.1

13½

6

180

6

5

4 months

6.7

14¾

6

180

6

5

6 months

7.6

16¾

8

240

8

4

7–12 months

-

-

7

210

7

3

 

This table is a guide only; your baby may need more or less than the volumes stated. If you require more advice, consult your healthcare professional. Remember to feed your baby on demand. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water.

Approx. 182 scoops per can. 1 scoop = 4.4g.

New SMA® PRO Anti-Reflux
Important feeding information

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

Information for you to give to mums

SMA PRO Anti-Reflux powder

 

Do not add extra powder or water to make the feeds stronger or weaker and do not press powder into scoop. Using too much or too little powder can make your baby ill.

 

For hygienic reasons, discard unfinished feed in the bottle as soon as possible.

 

For older babies, made-up formula can be added to food but not heated.

 

We recommend preparing each feed in individual bottles when required.

 

For enteral use only.

 

Do not use with other feed thickeners or antacids

 

Do not alter or add to product unless medically directed.

 

Do not warm feeds in a microwave as it will cause milk to thicken, and hot spots may occur and cause scalding.

 

Remember, cows' milk should not be used as a drink during the first year.

New SMA® PRO Anti-Reflux
Product leaflet

For the dietary management of reflux and regurgitation. Suitable from birth. This product should be used under medical supervision.

Anti-reflux Product Leavepiece

Download product leaflet

IMPORTANT NOTICE: The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breastfeed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. This product must be used under medical supervision. SMA PRO Anti-Reflux is a special formula intended for the dietary management of bottle-fed babies when significant reflux (regurgitation) is a problem. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 12 months of age. If the baby’s reflux does not improve within 2 weeks of starting SMA PRO Anti-Reflux, or if the baby fails to thrive, the family doctor should be consulted.