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SMA® ALTHÉRA®

ADVANCING THE DIETARY MANAGEMENT OF COW’S MILK ALLERGY​

INGREDIENTS, PRESENTATION AND PRECAUTIONS
HOW TO PREPARE ALTHÉRA
ADMINISTRATION AND DOSAGE
INDICATIONS
NUTRITIONAL TABLE

KEY FACTS ABOUT SMA® ALTHÉRA® THE DIFFERENCE IS IN THE DETAIL

Animation Footnotes

SMA ALTHÉRA: THE ONLY EHF TO HELP ADDRESS YOUR AMINO ACID FORMULA (AAF) PRESCRIBING IMBALANCE​
KEY FACTS ABOUT ALTHÉRA: THE DIFFERENCE IS IN THE DETAIL​
IN A STUDY SMA ALTHÉRA EFFECTIVELY RELIEVES SYMPTOMS AND SUPPORTS HEALTHY GROWTH​
SMA ALTHÉRA IS THE ONLY EHF TO BE HALAL CERTIFIED AND VEGETARIAN
SMA ALTHÉRA HAS A HIGH DEGREE OF HYDROLYSIS & LOW RESIDUAL ALLERGEN CONTENT​
SMA ALTHÉRA: BATCH TO BATCH CONSISTENCY​
SMA ALTHÉRA: IS THE MOST COST-EFFECTIVE EHF TIN FROM BIRTH
WHY HAVE LACTOSE IN YOUR SPECIALIST FORMULA?​

SMA® ALTHÉRA®: NOT ALL EHFs ARE CREATED THE SAME​


SMA Althera is not recommended where an Amino Acid Formula is recommended

Frequently asked questions

WHAT TIN SIZE IS SMA ALTHERA AVAILABLE IN?
HOW CAN I CONTACT YOUR CARELINE OR A PRODUCT REPRESENTATIVE?
LACTOSE INTOLERANCE SHOULD NOT BE CONFUSED WITH COWS' MILK ALLERGY
WHERE CAN I LEARN MORE ABOUT COWS’ MILK ALLERGY?
WHY WAS THE PROTEIN IN SMA ALTHÉRA REDUCED?​
ORDERING INFORMATION
SUPPORT TOOLS

OTHER PRODUCTS IN OUR RANGE OF SPECIALIST FORMULAS FOR COW’S MILK ALLERGY​

References:

  1. Niggemann B et al. Pediatr Allergy Immunol 2008; 194(4): 348–354.
  2. Vandenplas Y et al. Acta Paediatr 2013; 102(8): 990–998.​
  3. Meyer R et al. EMJ Allergy and Immunol 2017; 2(1): 41–51.​
  4. Madrazo-de la Garza J et al. EMJ Allergy and Immunol. 2018; 31(1): 56–58.​
  5. Information from product data cards; Nutramigen with LGG, Alimentum, Aptamil Pepti, Aptamil Syneo. July 2021​
  6. Data on File. Althéra® versus casein-based formulas. Independent competitive benchmarking test.​
  7. Rapp M et al. Poster presentation: Food Allergy and Anaphylaxis Meeting (FAAM 2013) Nice, France. 7-9 February 2013.​
  8. Maslin K. et al. Pediatr Allergy Immunol 2018; 29(8): 857–862.​
  9. Greater Manchester Joint Commissioning Team. Prescribing infant formula for cow’s milk protein allergy in primary care. Version 3. April 2020. Available from: http://gmmmg.nhs.uk/docs/guidance/GMMMG-CMPA-final-3-0.pdf
  10. Midlands and Lancashire CSU. Prescribing Guidelines for Specialist Infant Formula Feeds. December 2017. Available from: https://www.lancsmmg.nhs.uk/media/1430/prescribing-guidelines-for-specialist-infant-formula-feeds-v31-final-for-website.pdf
  11. Nowak-Wegrzyn A, et al. Allergy. 2019; 74:1582-4​
  12. Guidance for Health Professionals on safe preparation storage and handling of powdered infant formula. 2007. Food Standards Agency. Department of Health. UK. Available from http://www.foof.gov.uk.
  13. Data on File. EHF used for calculation is SMA Althera (vs. Aptamil Pepti, Nutramigen with LGG & Similac Alimentum) & AAF used for calculation is SMA Alfamino (vs. Neocate LCP, Neocate Syneo, Neocate Junior, Elecare and Puramino). MAT to June 2020.​
  14. MIMS, accessed July 2021
  15. Vanderplas Y et al. Abstract. Pediatric Allergy and Asthma Meeting 2019, Florence, Italy.​
  16. Lambers, TT. Et al. Food Sci Nutr. 2015;3:81-90​
  17. Nutten, S. et al. Allergy. 2020. Jun; 75(6):1446-1449​
  18. Francavilla, R. et al. Pediatr allergy Immunol. 2012; 23:420-427
  19. O’Mahony, L. et al. EMJ Allergy and Immunol. 2018; 31(1):56-58.
  20. Waddell, L. Clinical Nutrition 2016;15(6):23-28
  21. Luyt, D. et al. Clin Exp Allergy, 2014; 44:642-672.
  22. Rapp, M. et al. Clin Transl Allergy, 2013; 3(3):132
  23. Abram, S. et al. Am J Clin Nutr. 2002; 76(2):442-446
  24. Ziegler, E & Fomon, J. J Pediatr Gastroenterol Nutr, 1983; 288-294.
  25. CODEX ALIMENTUS: Standard for infant formula and formulas for special medical purposes intended for infants. 2007. (accessed January 2020; www.fao.org)
  26. Koletzko, S. et al. J Pediatr Gastroenterology Nut, 2012; 55: 221-229.
  27. Paoli G. Harthett E. Overview of a risk assessment model for Enterobacter sakazahii in Powdered Infant Formula.2007. Joint FAO/WHO Expert Meetings on Microbiological Risk Assessment (JEMRA). Available from: www.who.int/foodstaftey/micro.jemra.
  28. Heyman MB et al. Committee on Nutrition. Lactose intolerance in infants, children, and adolescents. Pediatrics. 2006;118(3):1279–86.
  29. Martin C et al. Review of Infant Feeding: Key Features of Breast Milk and Infant Formula. Nutrients 2016, 8, 279​
  30. NIH. Lactose intolerance. Available at: https://ghr.nlm.nih.gov/condition/lactose-intolerance#statistics (accessed April 2021).
  31. Venter, C., Pereira, B., Voigt, K. et al. (2008) Prevalence and cumulative incidence of food hypersensitivity in the first 3 years of life. Allergy 63(3), 354-359
  32. Koletzko B et al, Am J Clin Nutr, 2009. 89: p. 1836-1845.
  33. Koletzko B et al, Am J Clin Nutr, 2009. 85: p. 1502S-1508S.

FOOTNOTES & ABBREVIATIONS​

AAF, amino acid formula​
CMA, cows’ milk allergy​
eHF, extensively hydrolysed formula​
FAQs, frequently asked questions​
MFPA, multiple food protein allergies​
WHO, World Health Organisation
DOH, Department of Health

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.​
® Reg. Trademark of Société des Produits Nestlé S.A. Terms and conditions apply.​

IMPORTANT NOTICE: Mothers should be encouraged to continue breastfeeding even when their babies 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 follow the instructions on the label. Unboiled water, unboiled bottles or incorrect dilution can make babies ill. Incorrect storage, handling, preparation and feeding can eventually lead to adverse effects on the health of babies. Formula for special medical purposes intended for infants must be used under medical supervision.​

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