HIGH ENERGY FORMULAS FOR FALTERING GROWTH

These are ready made formulas with additional energy, protein and
micronutrients. They are suitable for:
- sustaining growth in bottle fed infants with high requirements
- meeting energy needs of bottle fed infants on restricted fluids
- achieving catch up growth for bottle fed infants faltering across the
weight centiles
These formulas should only be used under the guidance of a paediatric
dietitian or paediatrician. They cannot be purchased OTC, and must be
prescribed.
Brand Name
SMA High
Energy
Similac High
Energy
Infatrini

Infatrini
Peptisorb*

Manufacture
r
SMA Nutrition
Abbott

SHS Nutricia

SHS Nutricia

Kcal/100
ml
91kcal
100kcal

100kcal

100kcal

Preparations

Cost

100ml
bottle
250ml
120ml
bottle
200ml
bottle
100ml
bottle
200ml
bottle
500ml

2.08 for
250ml

glass
carton
glass
plastic
glass
plastic
bag

200ml plastic
bottle

1.23 for
120ml
2.06 for
200ml
1.03 for
100ml
1.94 for
200ml
5.25 for
500ml
3.10 for
200ml

* Infatrini Peptisorb is a high energy extensively hydrolysed formula for treatment

of faltering growth in addition to cows milk protein allergy

In cases of worrying faltering growth - if initiating in primary care prior to

paediatric review:
- prescribe SMA High Energy 250ml cartons as a first line
- give two weeks supply 72 x 250ml cartons ( three trays) - 149.76
Reviewing formula use
These formulas can be used between birth and 12-18 months of age.
Usually children either swap over to full fat cows milk or a paediatric oral
nutritional supplement once they reach a year of age (or a weight of 8 kg
for more severely growth restricted children). This decision is usually
taken by the paediatric dietitian, and is dependent on growth and
continuing need for additional calories and protein.
Contact the childs paediatric dietitian if you have any concerns about
continued prescription
Paediatric Dietitians at the RD&E 01392 406063

Written by the Paediatric Dietitians at the Royal Devon & Exeter Hospital 01392
406063 December 2012