Hypoallergenic extensively hydrolysed formula (eHF) for the effective dietary management of the majority (~90%) of infants with cows’ milk allergy (CMA) and/or multiple food protein allergies (MFPA)^1–4 in formula fed babies.

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Product Description

SMA® Althéra® is designed to provide first-line formula relief from the symptoms associated with mild–moderate CMA and/or MFPA.1,2 SMA® Althéra® is whey based and nutritionally complete from birth to 6 months and for supplementary feeding up to 3 years of age to support growth and development.1,2

With its very low allergenic profile and preferred taste,5 it is designed to support increased acceptability and tolerance in the majority of infants with CMA.1–4

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

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

Ingredients

Lactose (Milk) , Maltodextrin, Vegetable Oils (Palm, Rapeseed, Coconut, Sunflower), Enzymatically Hydrolysed Whey Protein (Milk) , Minerals (Calcium Glycerophosphate, Magnesium Chloride, Calcium Chloride, Potassium Phosphate, Sodium Phosphate, Calcium Phosphate, Potassium Chloride, Potassium Citrate, Ferrous Sulphate, Zinc Sulphate, Copper Sulphate, Potassium Iodide, Sodium Selenate, Sodium Chloride), Emulsifier (E472c), Vitamins (C, E, Niacin, Pantothenic Acid, B2, A, B1, B6, K1, Folic Acid, D3, B12, Biotin), Crypthecodinium Cohii Oil (DHA), Mortierella Alpina Oil (ARA), Choline Bitartrate, Taurine, L-Histidine, Myo Inositol, L-Carnitine.

Presentation

450g tin (with a 4.4g scoop)

Precautions

Use under strict medical supervision after full considerations of all the feeding options available, including breastfeeding. For oral or enteral use only.
†Althéra® is not recommended where only an amino acid formula is indicated.

Important Notice

Allergies

Contains Milk

Preparation Guideines

The standard dilution of 13.2% is made by adding 1 level scoop of Althéra® (approx 4.4g) to 30ml of water (approx 1 fluid oz). Incorrect storage, handling, preparation and feeding can eventually lead to adverse effects for the health of a baby.

Wash hands well.
Wash bottle, teat and cap
Sterilise equipment (by boiling for 5 minutes or with a cold water sterilising solution).
Boil drinking (tap) water. Allow to cool for no more than 30 minutes.
Pour exact amount of water (see feeding table), into the sterilised bottle, carefully to avoid scalds, the water is hot.
Add exact number of level scoops for age of baby
Place the sterilised teat and cap on the bottle and shake well until powder is fully dissolved. Cool bottle under cold running water until lukewarm. Test the temperature by shaking a few drops onto the inside of your wrist
Close tin tightly after each use and store in a cool dry place.

Administration and Dosage

Feeding Table	Quantity per meal
Age of Infant	Water (ml)	No. of scoops*	Meals Per Day
1-2 weeks	90	3	6
3-4 weeks	120	4	5
2nd month	150	5	5
3-4 months	180	6	5
5-6 months	210	7	5
From 5th (7th) month**	210	7	3-4

* Note: Use only the enclosed scoop.

** A healthcare professional should be consulted before introducing other food to a baby’s diet.

Product Storage and Shelf Life

Store in a cool dry place.
Shelf life of 24 months from date of manufacture.
Use within 3 weeks of opening.

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

EFFICACY

VERY LOW ALLERGENIC POTENTIAL

POSITIVE MODULATION OF THE GUT MICROBIOTA

ORDERING INFORMATION

SUPPORT TOOLS

INDICATIONS

COMPOSITION DATA CARD AND PREPARATION INSTRUCTIONS

NUTRITIONAL TABLE

	Per 100g as sold	Per 100ml (standard 13.2% dilution)
General
Energy kJ/ kcal	2118 /506	280 /67
Fat g (46% kcal) of which:	26	3.4
saturates g	10	1.3
monounsaturates g	9.6	1.3
polyunsaturates g	4.3	0.57
Carbohydrate g (44% kcal) of which:
55.5	7.3
sugars g	30	4
lactose g	29	3.8
Protein g (10% kcal)	12.5	1.7
Salt = Na (g) x 2.5 g	0.38	0.05
Vitamins
A µg	600	79
D µg	9	1.2
K µg	55	7.3
C mg	101	13
Thiamin mg	0.5	0.066
Riboflavin mg	1.4	0.18
B6 mg	0.4	0.053
Niacin mg/mg NE	6.5/11	0.86/1.5
Folic acid µg	76	10
B12 µg	1.5	0.2
Pantothenic acid mg	3.2	0.42
Biotin µg	12	1.6
E mg α-TE	11	1.5
Minerals
Sodium mg/mmol	150/6.5	20/0.86
Chloride mg/mmol	300/8.5	40/1.1
Potassium mg/mmol	530/13.5	70/1.8
Calcium mg/mmol	500/12	66/1.7
Phosphorus mg	320	42
Phosphate mmol	10	1.4
Magnesium mg/mmol	42/1.8	5.5/0.23
Iron mg	5.5	0.73
Zinc mg	5	0.66
Copper mg	0.42	0.055
Iodine µg	81	11
Selenium µg	15	2
Manganese mg	0.036	0.0048
Other
MCT g	3	0.4
α-Linolenic acid mg	400	53
Linoleic acid mg	3800	502
DHA mg	56	7.4
ARA mg	56	7.4
Taurine mg	40	5.3
L-Carnitine mg	8.1	1.1
Choline mg	50	6.6
Inositol mg	35	4.6
Osmolarity	252 mOsm/L
Potential Renal Solute Load	148.74 mOsm/L

NE - Niacin Equivalent
TE - Tocopherol Equivalent

Frequently asked questions

WHAT TIN SIZE IS SMA® ALTHERA® AVAILABLE IN?

DOES SMA® ALTHERA® CONTAIN SOY?

HOW CAN I CONTACT YOUR CARELINE OR A PRODUCT REPRESENTATIVE?

IS LACTOSE INTOLERANCE SIMILAR TO COWS’ MILK ALLERGY?

WHERE CAN I LEARN MORE ABOUT COWS’ MILK ALLERGY?

References:

Niggemann B et al. Pediatr Allergy Immunol 2008; 194(4): 348–354.
Vandenplas Y et al. Acta Paediatr 2013; 102(8): 990–998.
Meyer R et al. EMJ Allergy and Immunol 2017; 2(1): 46–51.
Madrazo-de la Garza J et al. EMJ Allergy and Immunol. 2018; 31(1): 56–58.
Data on File. Althéra® versus casein-based formulas. Independent competitive benchmarking test.
Francavilla R et al. Pediatr Allergy Immunol 2012; 23: 420–427.
Rapp M et al. Poster presentation: Food Allergy and Anaphylaxis Meeting (FAAM 2013) Nice, France. 7-9 February 2013.
Maslin K. et al. Pediatr Allergy Immunol 2018; 29(8): 857–862.

Footnotes and abbreviations:
† SMA® Althéra® is not recommended where only an amino acid formula is recommended
AAF, amino acid formula
CMA, cows’ milk allergy
eHF, extensively hydrolysed formula
FAQs, frequently asked questions
MFPA, multiple food protein allergies

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.