Aptamil Pepti 2 is an extensively hydrolysed formula in which the milk proteins present have been broken down to reduce the likely hood of them causing an allergic reaction. As milk will remain a primary part of your baby's diet, it's reassuring to know they can still get all the nutrients they need. It contains a unique blend of GOS/FOS prebiotics which makes Aptamil easier for babies to tolerate and consume whilst providing them with all the nutrition they need. Aptamil Pepti 2 from 6 Months is designed to provide fast and effective relief of cow's milk allergy. Aptamil Pepti 2 is an extensively hydrolysed formula in which the milk proteins present have been broken down (hydrolysed) to reduce the likelihood of them causing an allergic reaction. Aptamil Pepti 2 (From 6 months) 400g is suitable for babies over 6 months old for the dietary management of cow's milk protein allergy and has been specifically developed for bottle-fed babies to complement their weaning diet. It is a for special medical purposes and should be used under medical supervision. A. An extensively hydrolysed formula (EHF) is usually recommended for mild or moderate cases of CMA. This is because the proteins have been broken down to make them easier to tolerate and digest. Aptamil Pepti 2 is an extensively hydrolysed whey-based formula containing 80–85% short chain peptides and 15–20% free amino acids. Data on file, updated independent taste panel report, Campden BRI, October 2020. n=102 HCPs, Campden BRI blind home usage taste testing, n=102 Dietitians and General Practitioners, n=82 parents. Aptamil Pepti 1 & Pepti Syneo vs all UK EHFs suitable for infants from birth.

When you do make the change, you may notice that your baby has more wind, or that their stools are looser and greenish in colour. This is nothing to worry about and is usually just a sign that your baby’s digestive system is adapting to the new milk. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC. If your baby has been prescribed a special milk (sometimes referred to as a Food for Special Medical Purposes), it’s important that you ask your doctor for advice first before moving on to any other baby milk. Comfort milks It is only suitable for babies over 6 months as part of a mixed diet and as a principle source of nourishment with other foods for children.

Important feeding instructions

Because this is a special dietary food, the taste, smell and appearance will differ from a standard follow on formula. Moro G et al. Dosage-related bifidogenic effects of galacto- and fructooligosaccharides in formula-fed term infants. J Pediatr Gastroenterol Nutr 2002;34(3):291-5. Comfort’ milks, are specially designed for babies with colic or constipation. If your doctor has suggested this type of baby milk, try and switch to it as soon as possible, so that your baby can benefit from its special formulation immediately. Aptimal Peti 2 is suitable from 6 months to complement a cows' milk free weaning diet and can also be used to replace cows' milk in drinks and cooked dishes during and after weaning. A. An extensively hydrolysed formula (EHF) is usually recommended for mild or moderate cases of CMA 8. This is because the proteins have been broken down to make them easier to tolerate and digest. Aptamil Pepti 2 is an extensively hydrolysed whey-based formula containing 80–85% short chain peptides and 15–20% free amino acids.

Maltodextrin, Hydrolysed Whey Protein Concentrate (from Milk*), Vegetable Oils (Palm Oil, Rapeseed Oil, Coconut Oil, Sunflower Oil, Single Cell Oil), Galacto-Oligosacchardies (from Milk*), Calcium Phosphate, Emulsifier (Citric Acid Ester of Mono- and Di-Glycerides), Fructo-Oligosaccharides, Fish Oil, Potassium Chloride, Sodium Chloride, Magnesium Hydrogen Phosphate, Calcium Carbonate, Vitamin C, Choline Chloride, Sodium Citrate, Taurine, Ferrous Sulphate, Inositol, Vitamin E, Zinc Sulphate, Uridine 5'-Monophosphate Sodium Salt, Cytidine 5'-Monophosphate, L-Carnitine, Adenosine 5'-Monophosphate, Inosine 5-'Monophosphate Sodium Salt, Nicotinamide, Pantothenic Acid, Guanosine 5'-Monophosphate Sodium Salt, Biotin, Copper Sulphate, Folic Acid, Vitamin A, Riboflavin, Vitamin B12, Thiamin, Vitamin D3, Vitamin B6, Potassium Iodide, Manganese Sulphate, Vitamin B1, Sodium Selenite. A. All babies are different. If an infant is still experiencing symptoms by 6 months of age, Aptamil Pepti 2 can be used. Most babies grow out of their allergy between 1 and 3 years old, particularly if they have delayed symptoms after ingesting cows’ milk. Others may take a bit longer.Francavilla R et al. Effect of lactose on gut microbiota and metabolome of infants with cow's milk allergy. Pediatr Allergy Immunol 2012;23(5):420-7. This product is designed for the dietary management of cow's milk allergy, so the milk proteins present have been broken down (hydrolysed) to reduce the likelihood of them causing an allergic reaction.

Follow on baby milks are suitable from 6 months of age and are specially formulated to complement weaning. They provide your growing baby with all the nutrients they need in a smaller volume of milk, leaving room in their tummies for their first weaning foods. Add one scoop to every 30ml (1 fl oz) of boiled cooled water. Add the correct number of scoops to the water. Adding too many or too few scoops can be harmful.Anti Malaria Malaria is a serious tropical disease spread by mosquitoes. If it isn’t diagnosed and treated promptly, it can be fatal. A single mosquito bite is all it takes for someone to become infected. Symptoms of malaria It’s important to be aware of the symptoms of malaria if you’re travelling to areas where there’s a high risk of the disease. Symptoms include: 1. A high temperature of 38C or above 2. Feeling hot and shivery 3. Headaches 4. Vomiting 5. Muscle pains 6. Diarrhoea Symptoms usually appear between 7 and 18 days after becoming infected, but in some cases the symptoms may not appear for up to a year, or occasionally even longer. When to seek medical attention Seek medical help immediately if you develop symptoms of malaria during or after a visit to an area where the disease is found. You should still seek medical help even if it’s several weeks, months or a year after you return from travelling. If there’s a possibility you have malaria, a blood test will be carried out to confirm whether or not you’re infected. You should receive the results of your blood test on the same day. If you have malaria, treatment will… Maltodextrin, Hydrolysed whey protein (from milk), Vegetable oils (Palm oil, Coconut oil, Rapeseed oil, High oleic sunflower oil, Sunflower oil), Galacto-oligosaccharides (GOS) (from milk), Calcium phosphate, Emulsifiers (citric acid esters of mono- and di-glycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Magnesium hydrogen phosphate, Oil from Mortierella alpina, Sodium chloride, Choline chloride, Vitamin C, L-Tyrosine, Inositol, Taurine, Ferrous sulphate, Zinc sulphate, L-Carnitine, Sodium citrate, Vitamin E, Uridine 5'-monophosphate sodium salt, Cytidine 5'-monophosphate, Pantothenic acid, Adenosine 5'-monophosphate, Inosine 5'-monophosphate sodium salt, Nicotinamide, Guanosine 5'- monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Manganese sulphate, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12. Maltodextrin, Hydrolysed whey protein (from milk), Vegetable oils (Palm oil, Coconut oil, Rapeseed oil, High oleic sunflower oil, Sunflower oil), Galacto-oligosaccharides (GOS) (from milk), Calcium phosphate, Emulsifiers (citric acid esters of mono- and di-glycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Magnesium hydrogen phosphate, Oil from Mortierella alpina, Sodium chloride, Choline chloride, Vitamin C, L-Tyrosine, Inositol, Taurine, Ferrous sulphate, Zinc sulphate, L-Carnitine, Sodium citrate, Vitamin E, Uridine 5'-monophosphate sodium salt, Cytidine 5'-monophosphate, Pantothenic acid, Adenosine 5'-monophosphate, Inosine 5'-monophosphate sodium salt, Nicotinamide, Guanosine 5'- monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Manganese sulphate, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12. Contains: Milk, Fish. When it comes to changing formula milk, many mums feel unsure about which milk they should be using and how to move their baby on to the next formula. Unless there is an issue, moving onto the next baby milk shouldn’t be done suddenly. Your baby will need about a week to adjust to a new formula, so introduce it gradually. You may notice some differences in their nappies – their stools may change in frequency, consistency and colour - this is because the nutritional content of the new milk and ingredients might be different to their previous milk and their digestive system may need a little while to adjust. Which baby milk? Special milks

Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Smoking Cessation Local stop smoking services are free, friendly and can massively boost your chances of quitting for good. These services staffed by expert advisers provide a range of proven methods to help you quit. They’ll give you accurate information and advice, as well as professional support, during the first few months you stop smoking. They also make it easy and affordable for you to get stop smoking treatments, such as: * Varenicline (Champix) * Bupropion (Zyban) * nicotine replacement therapy, such as patches and gum One-to-one and group stop smoking sessions You’ll normally be offered a one-to-one appointment with an adviser, but many areas also offer group and drop-in services as well. Depending on where you live, the venue could be a local GP surgery, pharmacy, high-street shop, or even a mobile bus clinic. Jennifer Percival, who trains stop smoking advisers, says that using both treatment and specialist support is proven to give you the best chance of stopping smoking. “The majority of people who see an adviser will get through the first month after quitting without smoking a cigarette. “Overall, you’re up to 4 times more likely to stop smoking for good if you use a combination of stop smoking… Koletzko S et al. Diagnostic approach and management of cow's milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr 2012;55:221-9. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.

Høst A et al. Dietary products used in infants for treatment and prevention of food allergy. Arch Dis Child 1999;81(1):80-4. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC. Hydrolysed whey protein (from milk), Maltodextrin, Vegetable oils (Palm oil, Coconut oil, Rapeseed oil, High oleic sunflower oil, Sunflower oil), Galacto-oligosaccharides (GOS) (from milk), Calcium phosphate, Emulsifiers (citric acid esters of mono and diglycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Oil from Mortierella alpina, Choline chloride, Potassium citrate, Sodium chloride, Magnesium chloride, Vitamin C, L-Tyrosine, Inositol, Magnesium hydrogen phosphate, Taurine, Zinc sulphate, L-Carnitine, Ferrous sulphate, Vitamin E, Uridine 5'-monophosphate sodium salt, Cytidine 5'-monophoshate, Pantothenic acid, Adenonsine 5'-monophosphate, Inosine 5'-monophosphate sodium salt, Nicotinamide, Guanosine 5'-monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Manganese sulphate, Potassium iodide, Folic acid, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12.