Infant Formula for Cows Milk Protein Allergy (CMPA)
Extensively Hydrolysed Formulae (eHF)
Content Per 100ml
Calories Protein Iron
(Kcal)
(g)
(mg)
First Line
Second Line
(if not tolerating
taste and child
able to tolerate
lactose)
For initiation
by specialist
(in cases of
malabsorption)
Calcium Vit D
(mg)
(mcg)
Nutramigen Lipil 1
Nutramigen Lipil 2
(from 6 months)
68
1.9
1.22
77
1 Casein based
68
1.7
1.2
94
1.1 Casein based
Similac Alimentum
68
1.9
1.22
71
Aptamil Pepti 1
Aptamil Pepti 2
(from 6 months)
67
1.6
0.53
47
68
1.6
1
63
Althera
67
1.7
0.73
41
Pepti-junior
66
1.8
0.77
50
Pregestimil Lipil
68
1.89
1.22
78
Protein
(g)
Iron
(mg)
Calcium
(mg)
1.01 Casein based
Whey based.
1.3 Contains Lactose
Whey based.
1.4 Contains Lactose
Whey based.
1 Contains Lactose
Whey based.
1.3 50% of fat as MCT
Casein based.
1.25 54% of fat as MCT
Amino Acid Formulae (AAF)
Calories
(kcal)
Per 100ml
Reserved for
Severe CMA
or symptoms
not settling
with eHF
(See MAP
algorithm)
Initiation by
Dietician or
Secondary
Care
Vit D
(mcg)
Nutramigen AA
68
1.89
1.22
64
0.85
Neocate LCP
67
1.8
1
66
1.2
Alfamino
69
1.8
0.69
56.6
1
Neocate Advance
(from 1 year)
100
2.5
0.62
50
0.81
Neocate Active
(from 1 year)
100
2.76
1.3
95
0.83
General Requirements
Age
Calcium
per day
Milk/Formula
Volume per day
Birth to
6months
6 months
to 1 year
525mg
150ml/kg
Reducing to
600ml
1 year +
350mg
300-600ml
Approx. Tins
for 28 days
13 x 400g
6 x 900g
7-13 x 400g
3-6 x 900g
7 x 400g
3 x 900g
Developed by Surrey Downs CCG Medicines Management Team and CSH Surrey Dietetics Department, December 2014