SMA Gold Prem® 2
A nutritionally complete post discharge formula for the dietary management of preterm low birthweight infants who are not solely fed breast milk.
NEW LOOK, NEW RECIPE
The same TRUSTED low birthweight formula
SMA Gold Prem® 2 will have a new look and a new improved recipe from February 2026.
800 g powder and 200 ml liquid from February 2026 and 90 ml liquid from March 2026.
Details on the new recipe are shown below
Food For Special Medical Purposes
This product must be used under medical supervision.
Data cards
Download the powder format data card
Download the liquid format data card
Download the NEW powder format data card
Download the NEW liquid format data card
Product details
SMA Gold Prem® 2 Liquid Formula
90 ml bottle
Available for hospital use only
NHS Catalogue code (UK only): ABT85012
Nestlé supplier code (Ireland only): 12523803
SMA Gold Prem® 2 Liquid Formula
200 ml bottle
Ready to use liquid milk available in 200 ml bottle
Available for post hospital discharge use. On prescription in UK only (also available over the counter in the UK and Ireland)
PIP code (UK only): 371-0530
Supplier code (Ireland only): 12523797
SMA Gold Prem® 2 Powder Formula
800 g tin
The scoop is provided under the lid. It can be stored in suspension inside the can.
Available for post hospital discharge use.
On prescription in UK only (also available over the counter in the UK and Ireland)
NHS Catalogue code (UK only): ABT85003
PIP code (UK only): 416-2418
Nestlé supplier code (Ireland only): 12517692
Feeding guide – Powder
| Approx. weight of baby | Preparation for single feeds | Approx. feeds in 24 hours | |||
| Level scoops | Cooled, freshly boiled water | ||||
| kg | lb | ml | fl. oz. (approx.) | ||
| 1.8 – 2.5 | 4 – 5½ | 1 | 30 | 1 | 8 – 9 |
| 2.5 – 3 | 5½ – 7 | 2 | 60 | 2 | 5 – 6 |
| 3 – 4 | 7 – 9 | 3 | 90 | 3 | 6 |
| 4 – 5 | 9 – 11 | 4 | 120 | 4 | 6 |
| 5 – 7 | 11 – 15 | 5 | 150 | 5 | 5 |
This table is a guide only; all babies are different. A baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more information is needed. Nutritional requirements of preterm low birthweight infants vary according to the age, weight and clinical conditions of each infant. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water. Note: 3 scoops of powder added to 90 ml (approx. 3 fl. oz.) water makes 100 ml (approx. 3.5 fl. oz.) feed. Approx. 166 scoops per can. 1 scoop = 4.8 g.
Feeding guide – Liquid
| Approx. weight of baby | Size of feed | Approx. feeds in 24 hours | ||
| kg | lb | ml | fl. oz. (approx.) | |
| 1.8 – 2.5 | 4 – 5½ | 35 | 1 | 8 – 9 |
| 2.5 – 3 | 5½ – 7 | 70 | 2⅓ | 5 – 6 |
| 3 – 4 | 7 – 9 | 100 | 3⅓ | 6 |
| 4 – 5 | 9 – 11 | 135 | 4½ | 6 |
| 5 – 7 | 11 – 15 | 170 | 6 | 5 |
This table is a guide only; all babies are different. A baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more information is needed.
SMA Gold Prem® 2 – 90 ml bottle
- Nutritional requirements of low birthweight infants vary according to the age, size and clinical condition of each infant.
- Strictly follow hospital procedures.
- Check 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.
- Do not alter or add to formulae 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 Gold Prem® 2 – 200 ml bottle
- Check best before date.
- After opening use immediately. If storage is necessary, store only in the fridge (5 °C or below) for no longer than 24 hours.
- Discard unfinished feed as soon as possible and always within 1 hour.
- For enteral use only.
- Do not alter or add to formulae unless medically directed.
- Do not microwave. Hot spots may occur and cause scalding.
- Do not freeze.
SMA Gold Prem® 2 – 800 g can (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.
- We recommend preparing each feed in individual bottles when required.
- For hygienic reasons, discard unfinished feed in the bottle as soon as possible.
- For older babies, made-up formulae can be added to food.
- For enteral use only.
- Do not alter or add to formulae unless medically directed.
- Do not microwave, hot spots may occur and cause scalding.
- Remember, cows' milk should not be used as a drink during the first year.
Preparation
How to prepare the baby's feed (90 ml bottle liquid)
Failure to follow instructions on preparation and storage may make the baby ill.
Reject bottle if the foil under cap is missing or damaged prior to opening.
1
Wash hands well.
2
SMA Gold Prem® 2 can be fed at room temperature. If required to heat, stand the bottle in warm water.
3
Shake bottle well and remove cap and aluminum foil. Unwrap 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.
How to prepare the baby's feed (200 ml bottle liquid)
Failure to follow instructions on preparation and storage may make the baby ill.
Reject bottle if the foil under cap is missing or damaged prior to opening.
1
Wash hands well. Wash and sterilise all utensils according to manufacturers' instructions.
2
Shake bottle well. Pour required amount into sterilised baby's bottle.
3
SMA Gold Prem® 2 can be fed at room temperature or warmed if desired. Check temperature of feed and feed immediately.
How to prepare the baby's feed (800 g tin powder)
Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make the baby ill.
1
Wash hands well. Wash and sterilise all utensils according to manufacturers’ instructions.
2
Boil 1 litre of fresh tap water. Allow boiled water to cool for no more than 30 minutes so the water can reach the recommended temperature of 70°C. Measure the required amount of water (see feeding guide) into a sterilised bottle, carefully - the water is hot. Do not use artificially softened or repeatedly boiled water.
3
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.
4
Place the sterilised teat and cap on the bottle and shake well until powder is fully dissolved. Cool bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the teat.
5
Test temperature by shaking a few drops onto the inside of your wrist.
SMA Gold Prem® 2 Post Discharge Formula Feed & Gaviscon Infant
Gaviscon Infant should only be used under medical supervision
For preterm babies prescribed both SMA Gold Prem® 2 formula and Gaviscon Infant, we advise parents to make up the Gaviscon Infant separately and give it to baby part way through each prepared feed of SMA Gold Prem® 2. To avoid mixing issues, do not mix Gaviscon Infant directly with SMA Gold Prem® 2.
Please see recommended instructions provided below.
If you wish to use Gaviscon Infant with SMA Gold Prem® 2, we recommend that Gaviscon Infant be used and prepared in the same manner as if being used with breast feeding. These instructions are provided below, but we also suggest you check directly on the Gaviscon website in case these instructions change in any way.
- Mix each Gaviscon Infant sachet with 5 ml (1 teaspoon) of cooled boiled water until a smooth paste is formed.
- Add another 10 ml (2 teaspoons) of cooled boiled water and mix.
- Give Gaviscon Infant part way through each feed using a spoon or feeding bottle.
Once the preterm baby has reached the appropriate size (as agreed with their health care professional) they can move from SMA Gold Prem® 2 to a standard infant formula. If they are still experiencing regurgitation issues, we recommend moving to SMA® Anti-Reflux, a starch-thickened formula which has shown efficacy in reducing the number of daily regurgitation episodes.
Parent leaflet
This leaflet is for parents and carers of babies born prematurely, who have been discharged from hospital with SMA Gold Prem® 2 – a formula designed specifically for formula fed preterm babies when they go home.
Specialist formulas for preterm babies are available on prescription from their parents’ GP. 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 the SMA Gold Prem® 2 parent leaflet
- Zemrani B, et al. Abstract presentation. 12th International Conference on Nutrition & Growth. 2025.
- Senterre T and Rigo J. Hydrolyzed Proteins in Preterm Infants. Nestle Nutr Inst Workshop Ser. 2016; 86: 39-49.
- Mihatsch WA, et al. Hydrolysed protein accelerates the gastrointestinal transport of formula in preterm infants. Acta Paediatr. 2001; 90: 196-198.
- Mihatsch WA, et al. Hydrolyzed protein accelerates feeding advancement in very low birth weight infants. 2002; 110(6): 1199–1203.
- Lucas A, et al. Randomized trial of nutrient-enriched formula versus standard formula for post discharge preterm infants. 2001; 108(3): 703-711.
- Teller IC, et al. Post-discharge formula feeding in preterm infants: A systematic review mapping evidence about the role of macronutrient enrichment. Clinical nutrition. 2016; 35(4): 791–801.
- Koletzko B, et al. Defining Nutritional Needs of Preterm Infants. World review of nutrition and Dietetics. 2021; 122: 5–11.
- Lucas A, et al. Randomised controlled trial of a synthetic triglyceride milk formula for preterm infants. Archives of Disease in Childhood. 1997; 77: F178–F184.
- Carnielli VP, et al. Feeding premature newborn infants palmitic acid in amounts and stereoisomeric position similar to that of human milk: effects on fat and mineral balance. American Journal of Clinical Nutrition. 1995; 61: 1037–1042.
- SMA Gold Prem® 2 data card. Available at https://www.smahcp.co.uk/formula-milk/gold-prem-2 (accessed Jan 2026)
- Aptamil Nutriprem 2 data card. Available at https://www.nutricia.co.uk/hcp/pim-products/cow-gate-nutriprem-2-post-discharge-powder.html (accessed Jan 2026)
- Hascoet J-M et al. Use of a Liquid Supplement Containing 2 Human Milk Oligosaccharides: The First Double-Blind, Randomized, Controlled Trial in Pre-term Infants. Front Pediatr. 2022; 10:858380. doi:10.3389/fped.2022.858380
- Haiden N et al. Assessment of growth status and nutritional management of prematurely born infants after hospital discharge: A position paper of the ESPGHAN Nutrition Committee. Gastroenterology Nutr. 2025;81(2):421-441
IMPORTANT NOTICE:
We believe that breastfeeding is the ideal nutritional start for babies as breast milk provides a balanced diet and protection against illness for a baby. We fully support the World Health Organization’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with sustained breastfeeding up to two years of age. We also recognise that breastfeeding may not be an option due to certain medical conditions. Parents should only feed Infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use must be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health. This product must be used under medical supervision. SMA Gold Prem® 2 is a special catch-up formula intended for the dietary management of preterm low birthweight babies who are not solely fed breast milk. It is a nutritionally complete formula for use on discharge from hospital or when a low birthweight formula is no longer appropriate. It is suitable for use as the sole source of nutrition up to 6 months corrected age. SMA Gold Prem® 2 is not intended for use with newborn preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA Gold Prem® 1 is more appropriate.