Food for Special Medical Purposes, for use under medical supervision. Suitable as a nutritional supplement or as a sole source of nutrition for patients who cannot or will not eat sufficient quantities of everyday food and drink to meet their nutritional requirements. Nutritionally complete for vitamins and minerals in 333 ml for children aged 1-3 years, 500 ml for children aged 4-6 years and 571 ml for children aged 7-10 years (excluding electrolytes, calculated using the UK Reference Nutrient Intake for these age bands).

Storage and Directions

• Store unopened at room temperature. • Ready for use. Open immediately prior to use. • Shake well before use. • Best served chilled unless bolus feeding is indicated, in which case the product should be administered at room temperature. • May also be served as warm drinks. Do not boil. • Once opened, unused product should be resealed and stored in a refrigerator. Unused contents should be discarded after 24 hours

Precautions

• Monitor fluid intake to ensure adequate hydration status. • In patients receiving some medications there may be a risk of drug nutrient interactions (e.g. warfarin and vitamin K). Careful prescribing and monitoring practices will serve to reduce the risk (please refer to pharmacist). • Patients should not make any additions to the feed without consulting their pharmacist or dietitian. • Many nutritional products contain sucrose and other sugars. It is important for patients who are taking supplements as sip feeds to observe good oral hygiene. It is suggested that patients consult with their dentist for further advice. • When feeding to patients with dysphagia, please thicken the product as appropriate.

Contraindications

• FOR ENTERAL USE ONLY. • Do not use in children under 1 year of age. • Not for use in galactosaemia. • Suitable for people with diabetes provided that routine glucose checks are performed.

Ingredients

Water, hydrolysed corn starch, vegetable oils (high oleic sunflower, soy, MCT from palm kernel oil), milk proteins, minerals (sodium citrate, potassium chloride, magnesium phosphate dibasic , potassium phosphate dibasic, calcium citrate, potassium citrate, magnesium carbonate, ferrous sulphate, zinc sulphate, cupric sulphate, manganese sulphate, sodium fluoride, potassium iodide, sodium molybdate, chromium chloride, sodium selenite), fructooligosaccharides, sucrose, flavouring, emulsifier: soy lecithin, soy polysaccharide, choline bitartrate, vitamins (C, niacinamide, E, calcium pantothenate, B1, B2, vitamin A palmitate, B6, folic acid, biotin, K1, D3, B12), myo-inositol, taurine, L-carnitine. Note: all information based on vanilla flavour. Some minor differences exist between flavours

GENERAL INFORMATION Energy density 2.4 kcal/ml Energy distribution: Protein Carbohydrate Fat Fibre 11.2% 43.5% 44.7% 0.6% Renal solute load 585 mOsm/L Osmolarity 643 mOsm/L Osmolality 994 mOsm/kg H2O Gluten free? ✓ Clinically lactose free?  Milk free?  Suitable for vegetarians? ✓ 1