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.

Follow on baby milks are suitable from 6 months of age and are specially formulated to complement weaning. They provide your growing baby with all the nutrients they need in a smaller volume of milk, leaving room in their tummies for their first weaning foods. Aptamil Pepti 2 (From 6 months) 400g is part of a range for the management of CMPA and contains the same unique blend of GOS/FOS prebiotics as our Aptamil milks, plus added iron, calcium, and Vitamin D to support a dairy free weaning diet. Aptamil Pepti 2 is whey based for a more palatable taste and also contains antioxidants and nucleotides. Maltodextrin, Hydrolysed Whey Protein Concentrate (from Milk*), Vegetable Oils (Palm Oil, Rapeseed Oil, Coconut Oil, Sunflower Oil, Single Cell Oil), Galacto-Oligosacchardies (from Milk*), Calcium Phosphate, Emulsifier (Citric Acid Ester of Mono- and Di-Glycerides), Fructo-Oligosaccharides, Fish Oil, Potassium Chloride, Sodium Chloride, Magnesium Hydrogen Phosphate, Calcium Carbonate, Vitamin C, Choline Chloride, Sodium Citrate, Taurine, Ferrous Sulphate, Inositol, Vitamin E, Zinc Sulphate, Uridine 5'-Monophosphate Sodium Salt, Cytidine 5'-Monophosphate, L-Carnitine, Adenosine 5'-Monophosphate, Inosine 5-'Monophosphate Sodium Salt, Nicotinamide, Pantothenic Acid, Guanosine 5'-Monophosphate Sodium Salt, Biotin, Copper Sulphate, Folic Acid, Vitamin A, Riboflavin, Vitamin B12, Thiamin, Vitamin D3, Vitamin B6, Potassium Iodide, Manganese Sulphate, Vitamin B1, Sodium Selenite. 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.

Make up each feed as required. For hygiene reasons, do not store made up feeds, discard unfinished feeds as soon as possible, and always within one hour. 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…

Another important change at 6 months, is that the natural iron stores your baby was born with start to deplete so follow on milks, such as Aptamil Follow On Milk, contain more iron than Aptamil First Infant Milk and Aptamil Hungry Infant Milk. So many mums make the switch to help meet their babies’ changing needs. 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. Luyt D et al. BSACI guidelines for the diagnosis and management of cow's milk allergy. Clin Exp Allergy 2014;44:642-72. Liquid is expensive and may only be prescribed in exceptional circumstances following advice from neonatal dietitian or consultant neonatologist.

Onwards and upwards

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. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC. Classified as GREY non-formulary by the APC in July 2013 as they felt that there was not enough evidence to recommend this for prescribing. Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting. Aptamil Pepti 2 (From 6 months) 800g is part of a range for the management of CMPA and contains the same unique blend of GOS/FOS prebiotics as our Aptamil milks, plus added iron, calcium, and Vitamin D to support a dairy free weaning diet. Aptamil Pepti 2 is whey based for a more palatable taste and also contains LCPs, antioxidants and nucleotides.

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. A. All babies are different. If an infant is still experiencing symptoms by 6 months of age, Aptamil Pepti 2 can be used. Most babies grow out of their allergy between 1 and 3 years old, particularly if they have delayed symptoms after ingesting cows’ milk. Others may take a bit longer.Maltodextrin, Hydrolysed Whey Protein Concentrate (From Milk), Vegetable Oils (Palm Oil Coconut Oil, Rapeseed Oil, High Oleic Sunflower Oil, Sunflower Oil), Galacto-Oligosaccharides (GOS) (From Milk), Calcium Phosphate, Emulsifier (Citric Acid Ester Of Mono-&-Diglycerides 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. Høst A et al. Dietary products used in infants for treatment and prevention of food allergy. Arch Dis Child 1999;81(1):80-4. Aptamil Pepti 1 and 2 are the only hydrolysed formulas that contain GOS/FOS (9:1) - Aptamil's unique patented blend of Galacto- and Fructo- oligosaccharides. They also contain LCPs (Omega 3) to support normal visual development* and nutcleotides. Using the scoop provided, level off the powder with the built in leveller. Do not press/heap the powder. Treatments Find every kind of best treatment near you, We British Chemist UK online pharmacy retailer and registered pharmacy with the MHRA and GPhC.

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.

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From 6 months of age your baby will need about 1 pint (600ml) of Aptamil Pepti 2 per day. Aptamil Pepti 2 can be used as a drink or mixed with other foods. It is formulated to help meet the increased nutritional needs of infants from 6 months of age onwards.