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ENTERAL NUTRITION FORMULAS (Systemic)

Some commonly used brand names are:

In the U.S.—

Accupep HPF ⁹
Advera ²
Alitraq ⁹
Amin-Aid ²
Attain ¹⁰
Carnation Instant Breakfast ⁷
Carnation Instant Breakfast No Sugar Added ⁷
Casec ⁸
CitriSource ¹⁰
Compleat Modified ¹
Compleat Regular ¹
Comply ¹⁰
Criticare HN ⁹
Crucial ²
Deliver 2.0 ¹⁰
DiabetiSource ²
Elementra ⁸
Ensure ¹⁰
Ensure with Fiber ⁶
Ensure High Protein ¹⁰
Ensure HN ¹⁰
Ensure Plus ¹⁰
Ensure Plus HN ¹⁰
Entrition Half-Strength ¹⁰
Entrition HN ¹⁰
Fiberlan ⁶
Fibersource ⁶
Fibersource HN ⁶
Glucerna ²
Glytrol ³
Great Shake ⁷
Great Shake Jr ⁷
Hepatic-Aid II ²
Immun-Aid ²
Impact ²
Impact with Fiber ³
Introlan ¹⁰
Introlite ¹⁰
Isocal ¹⁰
Isocal HN ¹⁰
Isolan ¹⁰
Isosource ¹⁰
Isosource HN ¹⁰
IsoSource VHN ⁶
Isotein HN ¹⁰
Jevity ⁶
Kindercal ⁶
Lipisorb ²
Magnacal ⁵
MCT Oil ⁸
Menu Magic Instant Breakfast ⁷
Menu Magic Milk Shake ⁷
Meritene ⁷
Microlipid ⁸
Moducal ⁸
Nepro ²
NuBasics ¹⁰
NuBasics with Fiber ⁶
NuBasics Plus ¹⁰
NuBasics VHP ¹⁰
Nutren 1.0 ¹⁰
Nutren 1.5 ¹⁰
Nutren 2.0 ⁵
Nutren 1.0 with Fiber ⁸
NutriHep ²
Nutrilan ¹⁰
NutriVent ²
Osmolite ¹⁰
Osmolite HN ¹⁰
Pediasure ¹⁰
Pediasure with Fiber ⁶
Peptamen ⁴
Peptamen Junior ⁴
Peptamen VHP ⁴
Perative ²
Polycose ⁸
Pre-Attain ¹⁰
ProBalance ⁶
Profiber ⁶
ProMod ⁸
Promote ¹⁰
Promote with Fiber ⁶
Propac Plus ⁸
Protain XL ²
Pulmocare ²
Reabilan ⁹
Reabilan HN ⁹
Replete ¹⁰
Replete with Fiber ⁶
Resource ¹⁰
Resource Plus ¹⁰
Respalor ²
SandoSource Peptide ⁹
206 Shake ⁷
Sumacal ⁸
Suplena ²
Sustacal ¹⁰
Sustacal Basic ¹⁰
Sustacal with Fiber ⁶
Sustacal Plus ¹⁰
Sustagen ⁷
Tasty Shake ⁷
Tolerex ⁹
TraumaCal ²
Traum-Aid HBC ²
Travasorb HN ⁹
Travasorb Renal Diet ²
Travasorb STD ⁹
TwoCal HN ¹⁰
Ultracal ⁶
Ultralan ¹⁰
Vital High Nitrogen ⁹
Vitaneed ¹
Vivonex Pediatric ⁹
Vivonex Plus ⁹
Vivonex T.E.N. ⁹

In Canada—

CitriSource ¹⁰
Citrotein ²
Compleat Modified ¹
Enercal ¹⁰
Ensure ¹⁰
Ensure with Fiber ⁶
Ensure High Protein ¹⁰
Ensure Plus ¹⁰
Glucerna ²
Great Shake Jr ⁷
Impact ²
Isosource ¹⁰
Isosource HN ¹⁰
Jevity ⁶
MCT Oil ⁸
Meritene ⁷
Nepro ²
NutriSource ⁶
NutriSource HN ⁶
Osmolite HN ¹⁰
Pediasure ¹⁰
Polycose ⁸
ProMod ⁸
Pulmocare ²
Resource ¹⁰
Resource Plus ¹⁰
SandoSource Peptide ⁹
Suplena ²
Sustagen ⁷
Tolerex ⁹
Vital High Nitrogen ⁹
Vivonex Pediatric ⁹
Vivonex Plus ⁹
Vivonex T.E.N. ⁹

Note:

For quick reference, the following enteral nutrition formulas are numbered to match the corresponding brand names.

This information applies to the following enteral nutrition formulas:
1.	Enteral nutrition formulas, blenderized
2.	Enteral nutrition formulas, disease-specific
3.	Enteral nutrition formulas, disease-specific and fiber-containing
4.	Enteral nutrition formulas, disease-specific and monomeric (elemental)
5.	Enteral nutrition formulas, disease-specific and polymeric
6.	Enteral nutrition formulas, fiber-containing
7.	Enteral nutrition formulas, milk-based
8.	Enteral nutrition formulas, modular
9.	Enteral nutrition formulas, monomeric (elemental)
10.	Enteral nutrition formulas, polymeric

Description

Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet. These formulas are taken by mouth or through a feeding tube and are used by the body for energy and to form substances needed for normal body functions.

Patients with the following conditions may be more likely to need enteral feedings:

Acquired immunodeficiency syndrome (AIDS)
Burns
Cancer
Infections, prolonged
Kidney problems
Liver problems
Lung problems
Pancreas problems
Stomach problems
Surgery
Trauma
Vomiting, prolonged

Enteral nutrition formulas are available without a prescription. However, they should only be used under medical supervision.

The benefits of enteral formulas in healthy people have not been proven.

Enteral nutrition formulas are available in the following dosage forms:

Oral
Blenderized Enteral Nutrition
- Oral solution (U.S. and Canada)
Disease-specific Enteral Nutrition
- Oral solution (U.S. and Canada)
- Powder for solution (U.S. and Canada)
Fiber-containing Enteral Nutrition
- Oral solution (U.S. and Canada)
Milk-based Enteral Nutrition
- Oral solution (U.S. and Canada)
- Powder for solution (U.S. and Canada)
Modular Enteral Nutrition
- Oral solution (U.S. and Canada)
- Oral powder (U.S. and Canada)
Monomeric Enteral Nutrition
- Oral solution (U.S. and Canada)
- Powder for solution (U.S.)
Polymeric Enteral Nutrition
- Oral solution (U.S. and Canada)
- Powder for solution (U.S.)

Before Using This Enteral Nutrition Formula

If you are taking any of these enteral nutrition formulas without a prescription, carefully read and follow any precautions on the label. For enteral nutrition formulas, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to any of the ingredients listed for your enteral nutrition formula. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Studies on effects in pregnancy have not been done in either humans or animals.

Breast-feeding—This enteral nutrition formula has not been reported to cause problems in nursing babies.

Children—Caution should be used when giving enteral feedings to children less than one year of age. Very young children may not be able to eliminate the feeding from the body. Although there is no specific information about the use of enteral feedings in older children, it is not expected to cause different side effects or problems in these children than it does in adults.

Older adults—Older adults may be at risk of developing problems related to the use of a nasogastric tube (tube going through the nose into the stomach), such as aspiration (sucking fluid into the lungs) or removing the nasogastric tube. The enteral feeding itself has not been shown to cause different side effects or problems in older people than it does in younger adults.

Medicines—Although certain medications and enteral nutrition formulas should not be used together at all, in other cases they may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicine.

Other medical problems—The presence of other medical problems may affect the use of enteral feedings. Make sure you tell your doctor if you have any other medical problems, especially:

Breathing problems or
Dehydration or
Type 2 diabetes mellitus or
Diarrhea or
Heart problems or
Hyperglycemia (high levels of sugar in the blood) or
Hyperlipidemia or
Lactose intolerance or
Liver problems or
Pancreas problems—Enteral feedings may make these conditions worse; your doctor may recommend a special formula for your condition

Intestine problems or
Stomach problems—These problems may prevent enteral formulas from being absorbed properly

Kidney problems—Higher blood levels of certain ingredients of the enteral feeding may result, and a smaller amount of enteral feeding may be needed.

Malnutrition, severe—Heart and nerve problems have been reported when feeding a patient who is severely malnourished; enteral formula may need to be used in smaller amounts

Proper Use of This Enteral Nutrition Formula

Your enteral feeding may be given by mouth or by a feeding tube. Use the amount recommended by your doctor.

For patients taking the oral liquid form of enteral nutrition:

This preparation is in ready-to-use form. No dilution is needed unless directed by your physician.
Shake the preparation well before opening. Refrigerate after opening, out of the reach of children. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.

For patients using the powder form of this preparation:

For mixing or other use, follow carefully the instructions on the package.
Any unused solution should be kept in the refrigerator, out of the reach of children. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.

Storage—To store the unopened container:

Keep out of the reach of children.
Store away from heat and direct light.
Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the enteral nutrition formula to break down.
Keep the enteral nutrition formula from freezing. Do not refrigerate, unless the product has been opened or mixed.
Do not keep outdated enteral nutrition formulas or those no longer needed. Be sure that any discarded enteral nutrition formula is out of the reach of children.

Precautions While Using This Enteral Nutrition Formula

Enteral feedings must be handled properly to protect them from bacteria. Enteral feedings should be used for no more than 12 hours at room temperature and then should be discarded.

If you are taking your enteral feeding through a tube, enteral formulas that are too thick may clog the feeding tube. If this happens, check with your doctor, nurse, dietitian, or pharmacist.

Side Effects of This Enteral Nutrition Formula

Some problems may result from improper use of an enteral formula or use of the incorrect formula in your condition. Check with your doctor if any of the following problems occur:

More common

Confusion; convulsions (seizures); decrease in urine volume; dryness of mouth; frequent urination; increased thirst; irregular heartbeat; mood or mental changes; muscle cramps or pain; numbness or tingling in hands, feet, or lips; respiratory distress, shortness of breath or difficulty breathing; unexplained nervousness; unusual tiredness or weakness; weakness or heaviness of legs; weak pulse

Other problems may occur that usually do not need medical attention. They may go away during treatment as your body adjusts to the enteral nutrition formula. However, check with your doctor if any of the following side effects continue or are bothersome:

More common

Constipation; diarrhea; nausea or vomiting

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Revised: 03/15/2006

The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

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