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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

Category

• Nutritional replacement—Enteral Nutrition Formulas

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:

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:

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

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