We believe breast milk is the best food for infants. When in consultation with their healthcare professional, mothers and families find that optimal breastfeeding is not possible due to their infant’s medical condition, formulas for special medical purposes play a vital role in providing essential nutrients to infants. We have a global commitment to market breast-milk substitutes responsibly.

This website is about the management of cows’ milk protein allergy and nutritional solutions intended for infants. By continuing on this website, you accept that Nestlé Health Science supplies the information at your own request.

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Alfamino® | Amino Acid Formula for CMA

What is Alfamino?

SMA Alfamino® is an amino acid, non-allergenic, specialist infant formula for the dietary management of severe symptoms of cows’ milk protein allergy (CMA) and/or multiple food protein allergies.1-3 Alfamino® can also be used in the dietary management of those infants who experience no symptom improvement on extensively hydrolysed infant formulas.1,2,4 Alfamino® is nutritionally complete* and is designed to support growth, tolerance and absorption in the most challenging allergy conditions.1-3


For more information on SMA Alfamino® or cows' milk allergy:

  • Visit our CMA information page
  • Contact your local representative
  • Contact our Careline on 0800 0 81 81 80

For healthcare professionals only.


Nestlé Health Science proudly offer a product Sample Service, delivering direct to your patients. To request your sample of Alfamino®, simply click on the button below and follow the short sign up process. This will allow you to request your Alfamino® sample as well as other Nestlé Health Science product samples available via the service.


Alfamino® has been shown to help manage symptoms in infants with severe CMA and multiple allergies1,2
Alfamino® has a low osmolarity and is the only AAF formulated with both MCTs and structured lipids to help support digestion and malabsorption5-7

Alfamino® has a preferred taste over competitor AAF formulas which may help aid feeding acceptance and tolerance8


Alfamino® met the AAP hypoallergenicity criteria in a randomised, controlled trial and can be recommended for the dietary management of CMA:1


Alfamino® contains added medium-chain triglycerides for easily absorbed energy6
Alfamino® is the only amino acid formula to contain structured lipids, which may support softer stools and both calcium and fat absorption5,7
Alfamino® has the lowest osmolarity of any amino acid formula in the UK which may help to manage diarrhoea7


Indications: *ACBS approved. Alfamino® is for complete nutritional support from birth or supplementary feeding from 6 months and up to 3 years of age for the dietary management of cows’ milk allergy and/or multiple food allergies.

Use under strict medical supervision after full considerations of all the feeding options available, including breastfeeding. For oral or enteral use only.


Glucose Syrup, Vegetable Oils (Sunflower, Rapeseed, Esterified Palm), Amino Acids (L-Arginine-L-Aspartate, L-Lysine Acetate, L-Leucine, L-Proline, L-Glutamine, L-Valine, Glycine, L-Isoleucine, L-Threonine, L-Serine, L-Phenylalanine, L-Tyrosine, L-Histidine, L-Alanine, L-Cystine, L-Tryptophan, Magnesium L-Aspartate, L-Methionine), Medium Chain Triglycerides, Potato Starch, Minerals (Calcium Glycerophosphate, Potassium Chloride, Calcium Citrate, Sodium Citrate, Potassium Citrate, Sodium Phosphate, Magnesium Oxide, Ferrous Sulphate, Zinc Sulphate, Copper Sulphate, Potassium Iodide, Manganese Sulphate, Sodium Selenate), Emulsifier (E472c), Crypthecodinium Cohii Oil (DHA), Mortierella Alpina Oil (ARA), Vitamins (C, E, Niacin, Pantothenic Acid, B2, A, B1, B6, K, Folic Acid, D, B12, Biotin), Choline Bitartrate, Acidity Regulator (E330), Taurine, Myo Inositol, Carnitine.



Product Product Format PIP Code Nestlé Line Code Case Size
Alfamino 1*400g Tin 385-6416 12236954 6


The Althéra® and Alfamino® weaning guide can be downloaded here.
The SmilesBack mobile app allows parents to keep track of their baby’s symptoms and feeds to support healthcare professionals diagnose or manage CMA. Learn more here.
The CoMiSSTM awareness tool can be used by healthcare professionals to quantify CMA symptoms. Learn more here.


What tin size is Alfamino® available in?

  • A 400g re-sealable tin.

Does Alfamino® contain cows' milk, soy or coconut?

  • No, Alfamino® is free from cows' milk, soy and coconut.

What are structured lipids?

  • Studies have shown that infants fed a formula containing structured lipids† vs. those on a standard infant formula have had improved bone mineral density and calcium absorption, softer stool consistency and reduced crying time.4 Structured lipids unique structure is designed to mimic the composition of breastmilk and is rare in standard vegetable oils. They are less likely to form insoluble soaps which are more likely to be malabsorbed, reducing calcium and fat absorption and producing uncomfortable, harder stools.5

How can I contact your careline or a product representative?

  • You can contact us on 0800 0 81 81 80

Where can I learn more about cows’ milk allergy?

  • You can learn more about cows milk allergy on our condition pages, here.


Important Notice:

Mothers should be encouraged to continue breastfeeding even when their infants have cows’ milk protein allergy. This usually requires qualified dietary counselling to completely exclude all sources of cows’ milk protein from the mothers’ diet. If a decision to use a special formula intended for infants is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness. Formula for special medical purposes intended for infants must be used under medical supervision. For healthcare professionals only.


  1. Nowak-Wegrzyn, A. et al, Clin Pediatr. 2015; 54(3): 264–272.
  2. NHSc, Clinical Audits & Service Reviews: Leeds General Infirmary & Manchester Children’s hospital. Data on file.
  3. Corkins, M. et al. Medicine Insights: Pediatrics 2016; 10: 3–9.
  4. Luyt, D. et al. Clin Exp Allergy 2014; 44: 642–672.
  5. Bar-Yoseph F. et al. Plefa. 2013; 89(4): 139–143.
  6. Marten, B. et al. International Dairy Journal 2006; 16: 1374–1382.
  7. Nutritional Information from product datacards: Puramino®, Neocate LCP® and Neocate Syneo®. June 2018.
  8. Data on File. Alfamino® versus competitor amino acid formulas (Neocate LCP® & Puramino®). Independent competitive benchmarking test.
  9. Høst, A. et al. Endocr Metab Immune Disord Drug Targets 2014; 14(1): 2–8.
†  Where the palmitic acid is primarily located at the mid position (sn-2) of the triglyceride.

Learn more

Nestlé Health Science produces a range of foods for special medical purposes (FSMP) for use under medical supervision. A sample product should only be requested for a patient if deemed suitable following a professional evaluation from an appropriate healthcare professional. Althera® and Alfamino® are infant FSMPs and should only be used after the full consideration of the feeding options available, including breastfeeding.
The Nestlé Health Science Sample Service is available to healthcare professionals only, who require sample products for professional evaluation when they have no sample product or if a patient has insufficient product to cover their needs. This service is not intended as a long term solution for a patient.
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