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Nutramigen® A+®

Hypoallergenic, extensively hydrolyzed, iron fortified infant formula for the dietary management of infants with cow’s milk protein allergy, including colicky infants*.

* due to cow’s milk protein allergy

Indication

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

Not Kosher

Product Forms

ProductFormatUnit SizeApproximate Product Yield at Normal DilutionShelf LifeItem Number
Nutramigen® A+®Powder454 g3300 mL (14 bottles x 8 fl oz)18 Months1239201
Nursette® Bottle Only available in hospitals59 mL59 mL (2 fl oz)6 Months3229972

Preparation Of Feedings

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.

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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).

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2. Boil fresh water at a rolling boil for 2 minutes. Cool to room temperature prior to mixing.

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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 MakeBoiled WaterPowder
60 mL bottle60 mL (1/4 cup)1 packed level scoop
120 mL bottle120 mL (1/2 cup)2 packed level scoops
180 mL bottle180 mL (3/4 cup)3 packed level scoops
240 mL bottle240 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.

Powder Storage: Store cans at room temperature. After opening can, 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.

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1. Wash hands thoroughly with soap and water before preparing bottle for feeding.

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2. SHAKE BOTTLE WELL and remove cap.

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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.

Failure to follow these instructions could result in severe harm. Opened 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 if it is unrefrigerated for more than a total of 2 hours. Do not freeze.

 

After feeding begins, use within one hour or discard.

WARNING: Do not use a microwave oven to warm formula. Serious burns may result.

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

Nutrients

AnalysisNursette g/100mL normal dilutionPWD per 100 mL normal dilutionPWD per 100 g
Energy (kcal/kJ)68/28068/280500/2080
Protein (g)1.891.8913.9
% of total energy111111
Source: Casein hydrolyzed, amino acid premix
Carbohydrate (g)7751
% of total energy414141
Source (Powder): Corn syrup solids, modified corn starch. Source (Nursette® Bottle): Corn syrup solids, modified starch.
Fat (g)3.63.626
% of total energy484848
PWD 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)0.530.584.3
Linolenic Acid (g)0.0490.0540.4
ARA (mg)16.923169
DHA (mg)11.511.585
Minerals
Calcium (mg)6464470
Calcium (mMol - Nursette® Bottle)1.591.59-
Phosphorus (mg)3535260
Phosphorus (mMol - Nursette® Bottle)1.131.13-
Magnesium (mg)5.45.440
Magnesium (mMol - Nursette® Bottle)0.220.22-
Iron (mg)1.221.229
Zinc (mg)0.680.685
Manganese (mg)0.01690.01690.124
Copper (mg)0.0510.0510.37
Iodine (mg)0.01010.01010.075
Selenium (mg)0.001890.001890.0139
Sodium (mg)3232230
Sodium (mMol - Nursette® Bottle)1.381.38-
Potassium (mg)7474550
Potassium (mMol - Nursette® Bottle)1.91.9-
Chloride (mg)5858430
Chloride (mMol - Nursette® Bottle)1.641.64-
Vitamins
Vitamin A (IU)2002001490
Vitamin D (IU)3034250
Vitamin E (IU)1.351.359.9
Vitamin K (mg)0.00610.00610.045
Vitamin C (mg)8.18.160
Thiamine (mg)0.0540.0540.4
Riboflavin (mg)0.0610.0610.45
Niacin (mg)0.680.685
Pantothenic Acid (mg)0.340.342.5
Vitamin B6 (mg)0.0410.0410.3
Folic Acid (mg)0.01080.01080.08
Vitamin B12 (mg)0.00020.00020.00149
Biotin (mg)0.0020.0020.0149
Choline (mg)16.216.2119
Inositol (mg)16.211.585
Carnitine (mg)1.351.359.9
Taurine (mg)4.14.130
Other Characteristics
Renal Solute Load (mOsm/100 mL)116.9
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.

Ingredients

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 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, 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 DHA