BNF for Children (BNFC) 2018-2019

Specialised formulas for specific clinical conditions

Product Formulation Energy Protein Carbohydrate Fat Fibre Special Characteristics ACBS Indications Presentation & Flavour

Alicalm®
(Nutricia Ltd)

Standard dilution

( 30 %) of powder

per 100 mL

567 kJ

( 135 kcal)

4. 5 g

caseinate

whey

17. 4 g

(sugars 3. 2 g)

5. 3 g Nil Residual lactose Crohn’s disease

Not suitable for child under 1 year;

use as nutritional supplement only in

children 1 – 6 years.

Alicalm oral powder: 400 gram =

£ 22. 53

Powder provides: protein 15 g, carbohydrate 58 g, fat 17. 5 g, energy 1889 kJ ( 450 kcal)/ 100 g.

Forticare®
(Nutricia Ltd)

Liquid (sip feed)

per 100 mL.

675 kJ

( 160 kcal)

9 g

cows’milk

19. 1 g

(sugars 13. 6 g)

5. 3 g 2. 1 g Gluten-free

Residual lactose

Contains fish oil

Nutritional supplement in patients

with lung cancer undergoing

chemotherapy, or with pancreatic

cancer

Not suitable in child under 3 years

Forticare liquid: cappuccino, orange

& lemon, peach & ginger 500 ml =

£ 9. 40

Heparon®Junior
(Nutricia Ltd)

Standard dilution

( 18 %) of powder

per 100 mL

363 kJ

( 86 kcal)

2 g

cows’milk

11. 6 g

(sugars 2. 9 g)

3. 6 g Nil Contains lactose

Electrolytes/ 100 mL:

Na+ 0. 56 mmol

K+ 1. 9 mmol

Ca^2 + 2. 3 mmol

P+ 1. 6 mmol

Enteral feed or nutritional

supplement for children with acute

or chronic liver failure

Heparon Junior powder: 400 gram =

£ 22. 70

Powder provides: protein 11. 1 g, carbohydrate 64. 2 g, fat 19. 9 g, energy 2016 kJ ( 480 kcal)/ 100 g.

KetoCal®
(Nutricia Ltd)

Standard dilution

( 20 %) of powder

per 100 mL

602 kJ

( 146 kcal)

3. 1 g

cows’milk

with

additional

amino acids

600 mg

(sugars 120 mg)

14. 6 g

(LCT 100 %)

Nil Electrolytes/ 100 mL:

Na+ 4. 3 mmol

K+ 4. 1 mmol

Ca^2 + 2. 15 mmol

P+ 2. 77 mmol

Enteral feed or nutritional

supplement as part of ketogenic diet

in management of epilepsy resistant

to drug therapy, in children over

1 year, only on the advice of

secondary care physician with

experience of ketogenic diet.

KetoCal 4 : 1 powder: unflavoured,

vanilla 300 gram = £ 31. 96

Powder provides: protein 15. 25 g, carbohydrate 3 g, fat 73 g, energy 3011 kJ ( 730 kcal)/ 100 g.

KetoCal® 3 : 1
(Nutricia Ltd)

Standard dilution

( 9. 5 %) of powder

per 100 mL

276 kJ

( 66 kcal)

1. 5 g 680 mg

(sugars 570 mg)

6. 4 g Nil Electrolytes/ 100 mL:

Na+ 1. 3 mmol

K+ 2. 4 mmol

Ca^2 + 2 mmol

P+ 1. 7 mmol

Enteral feed or nutritional

supplement as part of ketogenic diet

in management of drug resistant

epilepsy or other conditions for which

a ketogenic diet is indicated in

children from birth to 6 years; as a

nutritional supplement in children

over 6 years.

KetoCal 3 : 1 powder: 300 gram =

£ 30. 93

Powder provides: protein 15. 3 g, carbohydrate 7. 2 g, fat 67. 7 g, energy 2927 kJ ( 699 kcal)/ 100 g.

KetoCal® 4 : 1 LQ
(Nutricia Ltd)

Liquid (sip or tube

feed)

per 100 mL

620 kJ

( 150 kcal)

3. 09 g

casein and

whey with

additional

amino acids

610 mg

(sugars 230 mg)

14. 8 g

(LCT 100 %)

1. 12 g Residual lactose

Electrolytes/ 100 mL:

Na+ 4. 9 mmol

K+ 4. 7 mmol

Ca^2 + 2. 4 mmol

P+ 3. 1 mmol

Enteral feed or nutritional

supplement as part of ketogenic diet

in management of drug resistant

epilepsy or other conditions for which

a ketogenic diet is indicated in

children 1 – 10 years; as a nutritional

supplement in children over 10 years.

KetoCal 4 : 1 LQ liquid: unflavoured,

vanilla 200 ml = £ 4. 56

1032

Specialised formulas

BNFC

2018

– 2019

Borderline substances|Appendix 2

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