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PURAMINO A+®

Hypoallergenic, 100% free amino acid-based, iron fortified infant formula for the dietary management of infants and toddlers with severe cow’s milk protein and multiple food allergies or other conditions requiring an amino acid-based formulation.

ⓊD IFANCA®

Indication

Hypoallergenic, 100% free amino acid-based, iron fortified infant formula for the dietary management of infants and toddlers with severe cow’s milk protein and multiple food allergies or other conditions requring an amino acid-based formulation. Contains DHA (a type of Omega-3 fat) and MCT Oil.

Product Forms

Product FormatUnit SizeApproximate Product Yield at Normal DilutionShelf LifeItem Number
PURAMINO A+®Powder400 g2900 mL (12 bottles x 8 fl oz)15 Months1233351

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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Preparation Description: 

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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Preparation Description: 

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

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Preparation Description: 

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
65 mL bottle60 mL (1/4 cup)2 unpacked level scoops
130 mL bottle120 mL (1/2 cup)4 unpacked level scoops
195 mL bottle180 mL (3/4 cup)6 unpacked level scoops
260 mL bottle240 mL (1 cup)8 unpacked level scoops

1 unpacked level scoop of powder weighs 4.5 g. Each scoop adds about 3 mL to the amount of prepared formula.

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 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.

Nutrients

Analysisper 100 mL normal dilutionper 100 g
Energy (kcal/kJ)68/280500/2090
Protein equivalent (g)1.8913.9
% of total energy1111
Source: Amino acid premix
Carbohydrate (g)7.253
% of total energy4242
Source: Corn syrup solids, modified tapioca starch
Fat (g)3.626
% of total energy4747
Source: High oleic sunflower oil (34.5%), MCT oil (33%), soy oil (30%), ARA & DHA single cell oil blend (2.5%)
Linoleic Acid (g)0.584.3
Linolenic Acid (g)0.0540.4
ARA (mg)23169
DHA (mg)11.585
Minerals
Calcium (mg)64470
Phosphorus (mg)35260
Magnesium (mg)7.455
Iron (mg)1.229
Zinc (mg)0.685
Manganese (mg)0.01690.124
Copper (mg)0.0510.37
Iodine (mg)0.01010.075
Selenium (mg)0.001890.0139
Sodium (mg)32230
Potassium (mg)74550
Chloride (mg)58430
Vitamins
Vitamin A (IU)2001490
Vitamin D (IU)34250
Vitamin E (IU)1.359.9
Vitamin K (mg)0.00610.045
Vitamin C (mg)8.160
Thiamine (mg)0.0540.4
Riboflavin (mg)0.0610.45
Niacin (mg)0.685
Pantothenic Acid (mg)0.342.5
Vitamin B6 (mg)0.0410.3
Folic Acid (mg)0.01080.08
Vitamin B12 (mg)0.00020.00149
Biotin (mg)0.0020.0149
Choline (mg)16.2119
Inositol (mg)11.585
Carnitine (mg)1.359.9
Taurine (mg)4.130
Other Characteristics
Renal Solute Load (mOsm/100 mL)116.9
Osmolality (mOsm/kg H2O)350
Osmolarity (mOsm/L)320
Water (g/100 mL)90

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

Corn Syrup Solids, Amino Acids (L-Aspartic Acid, L-Leucine, L-Lysine Hydrochloride, L-Proline, L-Alanine, L-Valine, Monosodium Glutamate, L-Isoleucine, L- Serine, L-Threonine, L-Tyrosine, L-Arginine, L-Phenylalanine, Glycine, L-Cystine, L-Histidine, L-Tryptophan, L-Methionine), High Oleic Sunflower Oil, Medium Chain Triglycerides (Fractionated Coconut Oil), Soy Oil, Modified Tapioca Starch, Mortierella Alpina Oil, Crypthecodinium Cohnii Oil§, Taurine, L-Carnitine, Ascorbyl Palmitate, Mixed Tocopherols, Minerals (Calcium Citrate, Calcium Hydroxide, Calcium Phosphate, Cupric Sulfate, Ferrous Sulfate, Magnesium Phosphate, 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).

§ Source of DHA