SMA® PRO High Energy

SMA{®} PRO High Energy

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

NOTE: NEW SMA® PRO High Energy will be replacing SMA High Energy® as of April 2017

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

The first 1000 days are of particular importance for infants with faltering growth. Providing these infants with additional nutrition, including adequate protein and energy, vitamins and minerals, is essential to help them to achieve catch-up growth and to avoid the long-term consequences of inadequate nutrition.1,2

SMA® PRO High Energy 200 ml ready-to-use cartons are available to purchase over the counter at pharmacies, or on prescription
PIP code (UK only): 253-3693

SMA® PRO High Energy 90 ml bottles are available for hospital use only
NHS Catalogue code (UK only): ABA073 

Supplier code (Ireland only):
12317878
(200 ml carton), 12317882 (90 ml bottle x 32)
References
  1. Emond A et al. Pediatrics 2007 Oct; 120(4): e1051 -1058.
  2. WHO/FAO/UNU Report of a Joint Expert Consultation. Protein and Amino Acid.
    Requirements in Human Nutrition. Technical Report Series No. 935. World Health Organisation 2007; 185 -193.
  3. SMA® Nutrition. SMA PRO High Energy data card. Available here. Accessed August 2017.
  4. Abbott. Similac High Energy datacard. Available here. Accessed August 2017.
  5. Nutricia. Infatrini data card. Available here. Accessed August 2017.
  6. Billeaud et al. Eur J Clin Nutr 1990; 44: 577 -583.
  7. Kennedy K et al. Am J Clin Nutr 1999;70:920 -7.
  8. Lama More RA et al. Poster presentation at LASPGHAN 26-29 March 2014.

LCPs, Long Chain Polyunsaturates

SMA® PRO High Energy
Data card

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

High Energy Data Card

Download data card

SMA® PRO High Energy
Formats

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

High Energy 250ml Tetra Pak

High Energy 100ml Bottle

200 ml carton

90 ml bottle

Available to purchase over the counter at pharmacies, or on prescription

PIP code (UK only): 253-3693

Supplier code (Ireland only): 12317882

Available for hospital use only

NHS Catalogue code (UK only): ABA073

Supplier code (Ireland only): 12317882 (32 x 90 ml bottles)
SMA® PRO High Energy
Preparation

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

Information for you to give to parents


Preparing your baby's feed - 200 ml carton

Failure to follow instructions on preparation and storage may make your baby ill.

1. Wash hands well. Sterilise all utensils according to manufacturer’s instructions.

2. Check best before date. Ensure top of carton and scissors are clean. Shake carton well, snip open and pour into sterilised bottle. Add sterilised teat and cap.

3. SMA® PRO High Energy can be fed at room temperature. If required to heat, stand filled bottle in warm water. Do not immerse the teat.

4. Before feeding shake the bottle well. If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist – milk should be lukewarm.

   

Preparing your baby's feed - 90 ml bottle

Failure to follow instructions on preparation and storage may make your baby ill.

1. Wash hands well.

2. SMA® PRO High Energy can be fed at room temperature. If required to heat, stand the bottle in warm water.

3. Shake bottle well and remove cap and aluminium foil. Unwrap SMA® NUK® orthodontic pre-sterilised teat and holding the teat ring, screw directly onto the bottle.

4. If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist – milk should be lukewarm.

   
SMA® PRO High Energy
Important feeding information

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

Information for you to give to parents


SMA® PRO High Energy - 200 ml carton

 

Check the best before date.

 

Once open, store in the fridge (5°c or below) for up to 24 hours in the carton, corners turned down.

 

Discard unfinished feed as soon as possible and always within 1 hour.

 

For older babies, ready to use SMA® PRO High Energy can be added to food.

 

For enteral use only.

 

If tube feeding the use of a pump is recommended when a constant flow is necessary.

 

Do not alter or add to product unless medically directed.

 

Do not warm feeds in a microwave, hot spots may occur and cause scalding.

 

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

 

Do not freeze.


SMA® PRO High Energy - 90 ml bottle

 

Strictly follow hospital procedures.

 

Check the best before date.

 

Feed immediately after opening. For hygienic reasons, discard unfinished feed as soon as possible, and always within 1 hour.

 

After use, discard bottle, teat and remaining contents. Bottles and teats are for single use only.

 

For enteral use only.

 

For tube feeding order to maintain a constant flow, the use of a pump is recommended.

 

For tube feeding, once the product is prepared it should be used within 4 hours.

 

Ensure all feeding equipment is sterilised before use.

 

Do not alter or add to product unless medically directed.

 

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

 

Do not microwave, hot spots may occur and cause scalding.

 

Do not freeze.

SMA® PRO High Energy
Comparison chart

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

SMA® PRO High Energy is specifically designed to promote digestion and tolerance1-3 and is the only High Energy formula in UK and Ireland to contain a fat blend enriched with SN-2 palmitate4-6, shown to promote softer stools3

High Energy Formulas SMA PRO High Energy4 Similac High Energy5 Infatrini6
Protein: energy ratio 10.5% 10.4% 10.3%
Whey: Casein ratio 100:0 59:41 62:38
Protein Type Partially Hydrolysed Intact Intact
SN-2 palmitate enriched fat blend Yes No No
Omega 3 & 6 LCPs Yes Yes Yes
Renal Solute Load(mOsm/L) 219 211 223
Osmolality
(mOsm/kg H2O)
377 333-373 360

1. Billeaud et al. Eur J Clin Nutr 1990; 44: 577–583.
2. Lama More RA et al. Poster presentation at LASPGHAN 26–29 March 2014.
3. Kennedy K et al. Am J Clin Nutr 1999; 70: 920–927
4. SMA Nutrition. SMA PRO High Energy Data card. Available here. Accessed July 2017.
5. Abbott. Similac High Energy datacard. Available here. Accessed July 2017. 
6. Nutricia. Infatrini data card. Available here. Accessed July 2017.

SMA® PRO High Energy
Recipes

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

Banana and Raspberry Porridge Bars (12 months+)

150g Rolled Oats
135ml SMA PRO High Energy (ready to feed liquid)
75g Raspberries
75g Bananas

Makes approximately 15 bars

  1. Preheat the oven to 190°C.
  2. Soak the oats in the SMA PRO High Energy milk for a few minutes until soft.
  3. Mash banana and cut raspberries in half then mix with the soaked oats.
  4. Line an ovenproof dish with baking paper and put in the oven to cook for 15 mins.
  5. Wait until cool then cut into fingers. Check that it has cooled to room temperature before serving.

Always check the label for allergens.
Never leave your baby unattended during feeding as there is a risk they may choke.



Macaroni Cheese (7months+)

1tbsp Plain Flour
1tbsp Butter
180ml SMA PRO High Energy (ready to feed liquid)
50g Dried Macaroni
50g Cheddar cheese

Makes 2-3 portions.

  1. Cook the macaroni according to instructions on the pack.
  2. Meanwhile, melt butter in saucepan and add plain flour to make a paste.
  3. Add SMA PRO High Energy milk gradually, mixing as you go, to make a white sauce.
  4. Once the macaroni is cooked, drain, then mix into the white sauce with half the cheese.
  5. Put the macaroni mixture into a small ramekin and add remaining cheese on top, then place under the grill until golden on top.
  6. Check that it has cooled to room temperature before serving and mash or puree to desired consistency.
  7. The high energy white sauce can also be used in a variety of other recipes for your baby.

Always check the label for allergens.  
Never leave your baby unattended during feeding as there is a risk they may choke.

SMA® PRO High Energy
Patient leaflet

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

Specialist formulas for babies with faltering growth are available on prescription from their parents’ GP. This leaflet is for parents who have babies that have been discharged from hospital with SMA® PRO High Energy. This leaflet includes a tear-off card which parents can give to their GP when they visit, so the GP understands why their baby is receiving this formula.

Download patient leaflet

SMA® PRO High Energy
Product leaflet

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

 

SMA High Energy Product Leavepiece

Download product leaflet

SMA® PRO High Energy
Summary of the NICE Faltering Growth Guidelines

A nutrient dense formula for the dietary management of infants and young children aged 0-18 months with medically identified high energy needs. This formula should be used under medical supervision. For enteral use only.

Information sheet summarising the NICE Guidelines on the recognition and management of faltering growth in children that launched in September 2017. The full guidelines can be found here

Download Information Sheet

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 High Energy is a milk based formula for the dietary management of babies and young children with medically determined high energy requirements as identified by a healthcare professional. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 18 months of age. SMA® PRO High Energy is not intended for use with preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA® PRO Gold Prem 1 is more appropriate.