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INFANT FORMULAS (Systemic)

Some commonly used brand names are:

In the U.S.—

• Alimentum ¹
• Alsoy ³
• Carnation Follow-Up Formula ²
• Carnation Good Start ²
• Enfamil ²
• Enfamil Human Milk Fortifier ²
• Enfamil with Iron ²
• Enfamil Premature Formula ²
• Enfamil Premature Formula with Iron ²
• Gerber Baby Formula with Iron ²
• Gerber Soy Formula ³
• Isomil ³
• Isomil SF ³
• Lactofree ²
• Nursoy ³
• Nutramigen ¹
• Preemie SMA 20 ²
• Preemie SMA 24 ²
• Pregestimil ¹
• ProSobee ³
• RCF ³
• Similac 13 ²
• Similac 20 ²
• Similac 24 ²
• Similac 27 ²
• Similac with Iron 20 ²
• Similac with Iron 24 ²
• Similac Natural Care Human Milk Fortifier ²
• Similac PM 60/40 ²
• Similac Special Care 20 ²
• Similac Special Care 24 ²
• Similac Special Care with Iron 24 ²
• SMA 13 ²
• SMA 20 ²
• SMA 24 ²
• SMA 27 ²
• SMA Lo-Iron 13 ²
• SMA Lo-Iron 20 ²
• SMA Lo-Iron 24 ²
• Soyalac ³

In Canada—

• Alimentum ¹
• Isomil ³
• Nursoy ³
• Nutramigen ¹
• Preemie SMA 20 ²
• Preemie SMA 24 ²
• Pregestimil ¹
• ProSobee ³
• RCF ³
• Similac 13 ²
• Similac 20 ²
• Similac 24 ²
• Similac 27 ²
• Similac PM 60/40 ²
• Similac Special Care 20 ²
• Similac Special Care 24 ²
• SMA 13 ²
• SMA 20 ²
• SMA 24 ²
• SMA 27 ²
• SMA Lo-Iron 13 ²
• SMA Lo-Iron 20 ²
• SMA Lo-Iron 24 ²

Category

• Nutritional replacement—Infant Formulas, Hypoallergenic; Infant Formulas, Milk-based; Infant Formulas, Soy-based

Description

Infant formulas are used to supply all or part of the nutrients infants need for growth and development. These formulas are used by the body for energy and to form substances for normal body functions.

The amount and type of nutrients contained in infant formulas are regulated by the Food and Drug Administration (FDA). The FDA also regulates the manufacturing process, labeling, and recall procedure for infant formulas.

Infant formulas are available without a prescription. However, they should only be used under medical supervision. They are available in the following forms:

• Oral
• Infant Formulas, Hypoallergenic (for infants allergic to milk)
  • Oral concentrate (U.S.)
  • Oral solution (U.S. and Canada)
  • Powder for oral solution (U.S. and Canada)
• Infant Formulas, Milk-based (for infants not allergic to milk)
  • Oral concentrate (U.S.)
  • Oral powder (U.S.)
  • Oral solution (U.S. and Canada)
  • Powder for oral solution (U.S. and Canada)
• Infant Formulas, Soy-based (for infants allergic to milk but not to soy)
  • Oral concentrate (U.S. and Canada)
  • Oral solution (U.S. and Canada)
  • Powder for oral solution (U.S. and Canada)

Before Using This Infant Formula

If you are giving your infant this infant formula, carefully read and follow any precautions on the label. For infant formulas, the following should be considered:

Allergies—Tell your doctor if your infant has ever had any unusual or allergic reaction to infant formulas. Also tell your health care professional if your infant is allergic to any other substances, such as foods, preservatives, or dyes.

Children—Problems may occur if the infant formula is not mixed properly or is not used under medical care.

Medicines, dietary supplements, or infant formulas—Although certain medicines, dietary supplements, or infant 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 feeding schedule, or other precautions may be necessary. When you are giving your infant an infant formula, it is especially important that your health care professional know if you are giving your infant any dietary supplements or any prescription or nonprescription (over-the-counter [OTC]) medicine.

Other medical problems—The presence of other medical problems may affect the use of infant formulas. Make sure you tell your doctor if your infant has any 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
• Liver problems or
• Pancreas problems—Infant formulas may make these conditions worse

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

• Kidney problems—Higher blood levels of certain ingredients of the infant formula may result, and a smaller amount of infant formula may be needed

• Low birth weight or
• Premature infants—Powdered infant formulas that could cause infection in these infants in a hospital setting.

• Phenylketonuria—Infant formulas contain phenylalanine, which may make the condition worse

Proper Use of This Infant Formula

Infant formulas may be given by mouth or, in some cases, by a tube feeding. Use the amount of infant formula and the feeding schedule recommended by your doctor.

For infants receiving the concentrate or powder for oral solution 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. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.

For infants receiving the oral liquid form of this preparation:

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

For infants receiving Enfamil Human Milk Fortifier :

• This powder should be added to mother"s breast milk. For mixing or other use, follow carefully the instructions on the package.
• Any unused solution should be kept in the refrigerator for up to 1 day.

For infants receiving Similac Natural Care :

• This liquid should be added to the mother"s breast milk. It may also be fed alternating with breast milk to low-birth-weight infants as directed by the infant"s doctor. For mixing or other use, follow carefully the instructions on the package.
• Any unused solution should be kept in the refrigerator for up to 1 day.

Feeding—The amount of an infant formula to be given will be different for different infants. Follow your doctor"s orders .

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 infant formula to break down.
• Keep the infant formula from freezing. Do not refrigerate until after the product has been opened or mixed.
• Do not keep outdated infant formulas or those no longer needed. Be sure that any discarded infant formula is out of the reach of children.

Side Effects of This Infant Formula

Along with its needed effects, an infant formula may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

More common

Less common

Revised: 05/10/2002

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