Nutramigen® A+®
Hypoallergenic, extensively hydrolyzed infant formula designed for dietary management of infants with cow’s milk protein allergy, particularly babies with colic*
* Attributable to an allergy to cow's milk proteins.
Hypoallergenic, extensively hydrolyzed, iron fortified infant formula for the dietary management of infants with cow’s milk protein allergy, including colicky infants*. Contains DHA (a type of Omega-3 fat).
*due to cow’s milk protein allergy
| Product | Format | Unit Size | Approximate Product Yield at Normal Dilution | Shelf Life | Item Number | Availability |
|---|---|---|---|---|---|---|
| Nutramigen® A+® | Powder | 454 g | 3300 mL (14 bottles x 8 fl oz) | 18 Months | 1239201 | Hospital, Retail |
| Nursette® Bottle | 59 mL | 59 mL (2 fl oz) | 6 Months | 3229972 | Hospital Only |
| Item Number | Product Name | Halal Status | Kosher Status |
|---|---|---|---|
| 1239201 | Nutramigen® A+® Powder | Not Halal Certified | Not Kosher |
| 3229972 | Nutramigen® A+® Nursette® Bottle | Not Halal Certified | Not Kosher |
Ingredients (Powder): Corn syrup solids, Hydrolyzed casein§ (from milk), Palm olein oil, Modified corn starch, Soy oil, Coconut oil, High oleic sunflower oil, Mortierella alpina oil*, L- cystine, Crypthecodinium cohnii oil#, L-tyrosine, L-tryptophan, Taurine, L-carnitine, Ascorbyl palmitate, Mixed tocopherols, (may contain potassium hydroxide).
Minerals (calcium citrate, calcium hydroxide, calcium phosphate, cupric sulfate, ferrous sulfate, magnesium oxide, manganese sulfate, potassium chloride, potassium citrate, sodium citrate, sodium iodide, sodium selenite and zinc sulfate.
Vitamins (ascorbic acid, biotin, calcium d-pantothenate, choline chloride, Dl-α-tocopheryl acetate, folic acid, inositol, niacinamide, pyridoxine hydrochloride, riboflavin, thiamine hydrochloride, vitamin a palmitate, vitamin B12, vitamin D3 and vitamin K1).
§ Modified to be better tolerated in milk allergic babies
*Source of ARA
#Source of DHA
Ingredients (Nursette® Bottle): Water, Corn syrup solids, Extensively hydrolyzed casein* (from milk), Modified corn starch, Palm olein oil, Soy oil, Coconut oil, High oleic sunflower oil, Carrageenan, Citric acid, Mortierella alpina oil#, Schizochytrium sp. oil‡, L-cystine, L-tyrosine, L-tryptophan, Taurine, L-carnitine, Mixed tocopherols, Ascorbyl palmitate, (may contain potassium hydroxide).
Minerals (calcium carbonate, calcium phosphate, cupric sulfate, ferrous sulfate, magnesium oxide, manganese sulfate, potassium chloride, potassium citrate, potassium iodide, sodium citrate, sodium selenite and zinc sulfate).
Vitamins (ascorbic acid, biotin, calcium D-pantothenate, choline chloride, Dl-α-tocopheryl acetate, folic acid, inositol, niacinamide, pyridoxine hydrochloride, riboflavin, thiamine hydrochloride, vitamin A palmitate, vitamin B12, vitamin D3 and vitamin K1).
* Modified to be better tolerated in milk allergic babies.
# A source of ARA.
‡ A source of DHA.
| Analysis | Nursette Bottle g/100 mL normal dilution | Powder per 100 mL normal dilution | Powder per 100 g |
|---|---|---|---|
| Energy (kcal/kJ) | 68/280 | 68/280 | 500/2080 |
| Protein (g) | 1.9 | 1.89 | 13.9 |
| % of total energy | 11 | 11 | 11 |
| Source: Casein hydrolyzed, amino acid premix | |||
| Carbohydrate (g) | 7 | 7 | 51 |
| % of total energy | 41 | 41 | 41 |
| Source (Powder): Corn syrup solids, modified corn starch. Source (Nursette® Bottle): Corn syrup solids, modified corn starch. | |||
| Fat (g) | 3.6 | 3.6 | 26 |
| % of total energy | 48 | 48 | 48 |
| Powder Source: Palm olein oil (44%), soy oil (19.5%), coconut oil (19.5%), high oleic sunflower oil (14.5%), ARA & DHA single cell oil blend (2.5%) Nursette Source: Palm olein oil (44%), soy oil (19.5%), coconut oil (19.5%), high oleic sunflower oil (14.5%), ARA & DHA single cell oil blend (2.5%) | |||
| Linoleic Acid (g) | 0.5 | 0.58 | 4.3 |
| Linolenic Acid (g) | 0.05 | 0.054 | 0.4 |
| ARA (mg) | 17 | 23 | 169 |
| DHA (mg) | 11.6 | 11.5 | 85 |
| Minerals | |||
| Ash (g) | 0.49 | ||
| Calcium (mg) | 64 | 64 | 470 |
| Calcium (mMol - Nursette® Bottle) | 1.59 | 1.59 | 11.7 |
| Phosphorus (mg) | 35 | 35 | 260 |
| Phosphorus (mMol - Nursette® Bottle) | 1.13 | 1.13 | 8.3 |
| Magnesium (mg) | 5.4 | 5.4 | 40 |
| Magnesium (mMol - Nursette® Bottle) | 0.22 | 0.22 | 1.64 |
| Iron (mg) | 1.22 | 1.22 | 9 |
| Zinc (mg) | 0.68 | 0.68 | 5 |
| Manganese (mg) | 0.017 | 0.0169 | 0.124 |
| Copper (mg) | 0.051 | 0.051 | 0.37 |
| Iodine (mg) | 0.0102 | 0.0101 | 0.075 |
| Selenium (mg) | 0.0019 | 0.00189 | 0.0139 |
| Sodium (mg) | 32 | 32 | 230 |
| Sodium (mMol - Nursette® Bottle) | 1.38 | 1.38 | 10.2 |
| Potassium (mg) | 75 | 74 | 550 |
| Potassium (mMol - Nursette® Bottle) | 1.9 | 1.9 | 14 |
| Chloride (mg) | 58 | 58 | 430 |
| Chloride (mMol - Nursette® Bottle) | 1.64 | 1.64 | 12 |
| Vitamines | |||
| Vitamin A (IU) | 200 | 200 | 1490 |
| Vitamin D (IU) | 31 | 34 | 250 |
| Vitamin E (IU) | 1.36 | 1.35 | 9.9 |
| Vitamin K (mg) | 0.0061 | 0.0061 | 0.045 |
| Vitamin C (mg) | 8.2 | 8.1 | 60 |
| Thiamine (mg) | 0.054 | 0.054 | 0.4 |
| Riboflavin (mg) | 0.061 | 0.061 | 0.45 |
| Niacin (mg) | 0.68 | 0.68 | 5 |
| Pantothenic Acid (mg) | 0.34 | 0.34 | 2.5 |
| Vitamin B6 (mg) | 0.041 | 0.041 | 0.3 |
| Folic Acid (mg) | 0.0109 | 0.0108 | 0.08 |
| Vitamin B12 (mg) | 0.0002 | 0.0002 | 0.00149 |
| Biotin (mg) | 0.002 | 0.002 | 0.0149 |
| Choline (mg) | 16.3 | 16.2 | 119 |
| Inositol (mg) | 16.3 | 11.5 | 85 |
| Carnitine (mg) | 1.36 | 1.35 | 9.9 |
| Taurine (mg) | 4.1 | 4.1 | 30 |
| Other Characteristics | |
|---|---|
| Renal Solute Load (mOsm/100 mL)1 | 16.9 |
| Osmolality (mOsm/kg H2O) | 300 (Powder) 320 (Nursette® Bottle) |
| Osmolarity (mOsm/L) | 270 (Powder) 280 (Nursette® Bottle) |
| Water (g/100 mL) | 90 (Powder) 89 (Nursette® Bottle) |
Powdered formulas are not sterile. “To minimize the risk of infection, powdered formulas are not recommended for use in premature or immunocompromised infants unless no appropriate nutritional alternative is available, and then only with strict medical supervision and careful preparation, storage and use.”2
1. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999; 134:11-14. 2. International Formula Council. Infant Feeding: Safety Issues for Health Care Professionals. Atlanta, GA: International Formula Council; 2004:4.
Nutrient values are subject to change. Consult actual product labels for most current information.
Powder
Your baby’s health depends on carefully following the instructions below. Proper hygiene, preparation, dilution, use, and storage are important when preparing infant formula. Powdered infant formulas are not sterile and should not be fed to premature infants or infants who might have immune problems unless directed and supervised by your baby’s doctor. Ask your baby’s doctor which formula is appropriate for your baby.
1
Wash hands thoroughly with soap and water before preparing formula. Boil clean bottles, nipples, caps and utensils in water (2 minutes at a rolling boil).
2
Boil fresh water at a rolling boil for 2 minutes. Cool to room temperature prior to mixing.
3
Pour desired amount of the cooled water into the bottle. Add powder. Cap bottle and SHAKE WELL.
Use the chart below for the correct amounts of cooled, boiled water and powder. Use scoop in can to measure powder. Store DRY scoop in this can.
| To Make | Boiled Water | Powder |
|---|---|---|
| 60 mL bottle | 60 mL (1/4 cup) | 1 packed level scoop |
| 120 mL bottle | 120 mL (1/2 cup) | 2 packed level scoops |
| 180 mL bottle | 180 mL (3/4 cup) | 3 packed level scoops |
| 240 mL bottle | 240 mL (1 cup) | 4 packed level scoops |
WARNING: Do not use a microwave oven to warm formula. Serious burns may result.
Failure to follow these instructions could result in severe harm. Once prepared, infant formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 2-4°C (35-40°F) for no longer than 24 hours. Do not use prepared formula if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, use formula within one hour or discard.
Storage/Handling: Store cans at room temperature. After opening and between uses, keep tightly covered, store in dry area and use contents within 1 month. Do not freeze powder and avoid excessive heat.
Nursette Bottles
Your baby’s health depends on carefully following the instructions below. Proper hygiene, preparation, use and storage are important when preparing infant formula. Use as directed by your baby’s doctor. Inspect each bottle for signs of damage.
1
Wash hands thoroughly with soap and water before preparing bottle for feeding.
2
SHAKE BOTTLE WELL and remove cap.
3
Attach DISPOSABLE NIPPLE UNIT (not included) or ask your baby’s doctor about the need to boil a clean nipple in water before use.
WARNING: Do not use a microwave oven to warm formula. Serious burns may result.
Failure to follow these instructions could result in severe harm. Opened bottles and prepared bottles can spoil quickly. Either feed immediately or replace cap and store in refrigerator at 2-4 ̊C (35-40 ̊F) for no longer than 24 hours. Do not use opened bottle or prepared bottle if it is unrefrigerated for more than a total of 2 hours. Do not freeze formula. After feeding begins, use formula within one hour or discard.
Storage: Store unopened bottles at room temperature. Avoid excessive heat and prolonged exposure to light. Do not freeze.
DO NOT USE IF CAP RING IS BROKEN OR MISSING
USE BY EXPIRATION DATE ON CARTON AND BOTTLE