This page contains a Flash digital edition of a book.
FOR HEALTHCARE PROFESSIONALS ONLY


This occurs when reflux leads to complications and/or troublesome symptoms such as discomfort and pain, breathing problems and poor growth.13


SMA® Staydown Anti-reflux is


designed for the dietary management of babies with reflux. It helps to minimise regurgitation by thickening on contact with stomach acid.13-16


The key features of SMA® Staydown


Anti-reflux formula are: • It is clinically proven to reduce reflux in infants with GOR 14-16


• It contains easily digestible cornstarch, which thickens in the stomach not the bottle, so there is no need to use a fast flow teat 14-16


• It is Halal approved and suitable for vegetarians


• It contains omega-3 and 6 LCPs.


IMPORTANT NOTICE: Breast milk is best for babies and breastfeeding should continue for as long as possible. You should always seek the advice of a doctor, midwife, health visitor, public health nurse, dietitian or pharmacist on the need for and proper method of use of infant formulae and on all matters of infant feeding.


SMA®WYSOY® milk-free formula is


intended to meet the nutritional needs of babies and children who are intolerant to cows’ milk protein, lactose or sucrose. Soya infant formulae are not recommended for preterm babies or those with kidney problems, where medical guidance should always be sought.


THE FOLLOWING PRODUCTS MUST ONLY BE USED UNDER MEDICAL SUPERVISION. SMA®


special formula for the dietary management of reflux and


REFERENCES 1. Iacono G et al. Gastrointestinal symptoms in infancy: A population-based prospective study. Dig Liver Dis 2005; 37: 432-8 2. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010;20: 206–9. 3. Infante D et al. Dietary treatment of colic caused by excess gas in infants: Biochemical evidence. World J Gastroenterol 2011; 17: 2104-8. 4. Vandenplas Y et al., Practical algorithms for managing common gastrointestinal symptoms in infants Nutrition 29, 2013: 184-194. 5. Billeaud C et al. Gastric emptying in infants with or without gastro-oesophageal reflux according to the type of milk. Eur J Clin Nutr 1990; 44: 577-583 6. Mihatsch WA et al. Hydrolysed protein accelerates the gastrointestinal transport of formula in preterm infants. Acta Paediatra 2001; 90: 196-198 7. Heubi et al. Randomized multicentre trial documenting the efficacy and safety of a lactose


regurgitation in bottle-fed babies. 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® Staydown Anti-reflux, or if the baby fails to thrive, the family doctor should be consulted.


SMA LF® is a lactose-free milk based


formula for the dietary management of babies and young children who are intolerant to lactose or sucrose, or who are suffering from symptoms such as diarrhoea, tummy ache or wind caused by temporary lactose intolerance. 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 LF®


is not suitable for Staydown Anti-reflux is a


those who are allergic to cows’ milk protein, or who suffer from galactosaemia or require a galactose free diet. n


free and lactose-containing formula for term infants.J Am Diet Assoc 2000; 100 (2): 212- 217. 8. Litmanovitz I et al. The effects of infant formula betapalmitate structural position on bone speed of sound, anthropometrics and infantile colic: a double blind, randomized control trial. ESPGHAN 2011 9. NICE Guidance 2011: Food allergy in children and young people 10. Paediatric Group Position Statement Use of Infant Formulas based on Soy Protein for Infants. The British Dietetic Association, October 2010. 11. Heyman MB et al., Lactose Intolerance in Infants, Children, and Adolescents. Pediatrics 2006; 118: 1279–86. 11. Moya M et al., A metabolic balance study in term infants fed lactose-containing or lactose- free formula. Acta Paediatr 1999; 88 1211-5. 12. Saneian H et al., Lactose-Free Compared with Lactose- Containing Formula in Dietary Management of Acute Childhood Diarrhea. Iran J Pediatr 2012; 22 82-6.


13. NICE Guideline January 2105: Gastro- oesophageal reflux disease: recognition, diagnosis and management in children and young people. 14. Moukarzel et al., Effects of a Prethickened Formula on Esophageal pH and Gastric Emptying of Infants With GER. J Clin Gastroenterol 2007;41:823–829 15. Xinias et al., An Antiregurgitation Milk Formula in the Management of Infants with Mild to Moderate Gastroesophageal Reflux. Curr Ther Res Clin Exp. 2003; 64:270– 278 16. Ramirez-Mayans et al., Nutritional Management of Children with Gastroesophageal Reflux: A Comparison of Two Different Formulas. International Pediatrics.Vol. 18; No. 2; 2003.


®Registered Trademark ZTC1375 04/2016 This card is supported by an educational grant from SMA Nutrition® (UK) and has been developed in partnership with Pharmacy Magazine, Communications International Group (CIG). © CIG All Rights Reserved.


pharmacyinfocus.co.uk 45


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64