Home > Aptamil Pepti 2 (from 6 months)

Aptamil Pepti 2 (from 6 months)

Aptamil Pepti 2 is a whey-based extensively hydrolysed formula for the dietary management of cow’s milk allergy from 6 months to complement a cow’s milk free weaning diet and can also be used to replace cow’s milk in drinks and cooked dishes and after weaning.

Aptamil Pepti 2:

  • The only extensively hydrolysed formula for infants to contain galacto- and fructo-oligosaccharides (GOS/FOS), which encourage the growth of friendly bacteria in the gut¹⁻² and have also been shown to reduce allergic manifestations over 5 years³.
  • Whey-based and contains lactose for superior palatability, compared with a casein hydrolysate⁴⁻⁵
  • Formulated with extra calcium, vitamin D and iron as infants and children on elimination diets for cows’ milk allergy may have significantly reduced intakes of some micronutrients⁶⁻⁷
Updated formulation product datacard Previous product datacard

Maltodextrin, Hydrolysed whey protein (from milk*), Vegetable oils (Palm oil, Coconut oil, Rapeseed oil, High oleic sunflower oil, Sunflower oil), Galacto-oligosaccharides (GOS) (from milk*), Calcium phosphate, Emulsifiers (citric acid esters of mono- and di-glycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Magnesium hydrogen phosphate, Oil from Mortierella alpina, Sodium chloride, Choline chloride,Vitamin C, L-Tyrosine, Inositol, Taurine, Ferrous sulphate, Zinc sulphate, L-Carnitine, Sodium citrate, Vitamin E, Uridine 5′-monophosphate sodium salt, Cytidine 5′-monophosphate, Pantothenic acid, Adenosine 5′-monophosphate, Inosine 5′-monophosphate sodium salt, Nicotinamide, Guanosine 5′- monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Manganese sulphate, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12.

Allergy Advice: For allergens, see ingredients in bold.

*This product is designed for the dietary management of cow’s milk allergy so the milk proteins present have been broken down (hydrolysed) to reduce the likelihood of them causing an allergic reaction.

It is important to provide parents with advice on how to make up specialist milk, as they may not be aware that it can differ from standard formula. Here is some general guidance, but please see preparation instructions on the product packaging for further information.

STEP 1. Wash hands and sterilise all utensils according to the manufacturer’s instructions.

STEP 2. Boil 1 litre of fresh water. Leave kettle to cool for 30 minutes and no longer. Measure the required amount of water (refer to feeding guide) into a sterilised bottle. Be careful of scalding. Do not use artificially softened or repeatedly boiled water.

STEP 3. Using the scoop provided, level off the powder with the back of a clean dry knife. Do not press/heap the powder.

STEP 4. Add the correct measure of powder to the water. Adding too many or too few scoops can be harmful.

STEP 5. Cap the bottle and shake vertically and vigorously for 25 seconds to dissolve the powder. Remove cap and replace with a sterilised teat.

STEP 6. Cool under running tap. Check temperature of feed. Feed immediately.

  • Not suitable for intravenous use.
  • Not suitable for vegetarians.
  • Due to the special formulation of the feed, there may be some
    separation of prepared feeds on standing. Shake well before use.

Q. How does Aptamil Pepti 2 help manage the symptoms of CMA?

A. An extensively hydrolysed formula (EHF) is usually recommended for mild or moderate cases of CMA. This is because the proteins have been broken down to make them easier to tolerate and digest. Aptamil Pepti 2 is an extensively hydrolysed whey-based formula containing 80–85% short chain peptides and 15–20% free amino acids.

Q. Why is Aptamil Pepti made with whey?

A. Aptamil Pepti is 100% whey-based to give it a more palatable taste.

Q. What age is Aptamil Pepti 2 suitable for?

A. Aptamil Pepti 2 is suitable from 6 months of age to complement a cows’ milk free weaning diet.

Q. How long should a baby stay on Aptamil Pepti 2?

A. All babies are different. If an infant is still experiencing symptoms by 6 months of age, Aptamil Pepti 2 can be used. Most babies grow out of their allergy between 1 and 3 years old, particularly if they have delayed symptoms after ingesting cows’ milk. Others may take a bit longer.

Q. Is Aptamil Pepti 2 suitable for babies with other dietary requirements?

A. This product is not suitable for vegetarians as it contains LCPs sourced from fish.

Q. Is there anything unusual about the preparation of the formula?

A. Due to the specialist formulation, there may be some separation of prepared feeds on standing. It should be shaken well before use.

Q. How does Aptamil Pepti 2 differ from Aptamil Pepti 1?

A. Clinically, the products are the same. They have the same hydrolysate and all the evidence to support the clinical efficacy of Pepti 1 is applicable to Pepti 2. However, nutritionally, Pepti 2 has been specially formulated to provide the increased levels of key micronutrients, such as calcium and iron, required from 6 months. Increased levels of calcium are particularly relevant to infants who are on a dairy-free diet due to CMA, as the majority of an infant’s calcium intake usually comes from dairy. In addition, iron stores start to deplete between 4 and 6 months in infants, so a dietary source of iron is important.

 

 

Available on prescription or on request from pharmacists

For use under medical supervision

Scoop size: 4.8g

Available on prescription or on request from pharmacists

For use under medical supervision

Scoop size: 4.8g

Important notice

Breastfeeding is best for babies. Aptamil Pepti 2 is a food for special medical purposes for the dietary management of cows’ milk allergy. It should only be used under medical supervision, after full consideration of the feeding options available including breastfeeding. It is only suitable for babies from 6 months as part of a mixed diet and as a principal source of nourishment with other foods for children.

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Read more
  1. Moro G et al. J Pediatr Gastroenterol Nutr 2002;34(3):291-5.
  2. Gibson GR, Roberfroid MB. J Nutr 1995;125(6):1401-1.
  3. Arslanoglu S., Moro G.E., Boehm G. Wienz F., Stahl B., Bertino E. Early Neutral Prebiotic Oligosaccharide Supplementation Reduces the Incidence of Some Allergic Manifestations in the First 5 Years of Life. J. Biol. Regul. Homeost. Agents. 2012;26(Suppl.3):49-59.
  4. Venter C. Cow’s milk protein allergy and other food hypersensitivities in infants [Online]. Available at: https://www.jfhc.co.uk/Cows_milk_protein_allergy_and_other_food_ hypersensitivities in_ infants_20679.aspx
  5. Maslin K et al. Palatability of hypoallergenic formulas for cow’s milk allergy and healthcare professional recommendation. Pediatr. Allergy Immunol. 2018; 29(8): 857-862. *A home usage test assessment was carried out between 16/11/16 and 9/12/16 on the 4 products indicated for cows’ milk allergy from birth and included 100 UK healthcare professionals.
  6. David TJ et al. Arch Dis Child 1984;59:323-5.
  7. Tiainen JM et al. Eur J Clin Nutr 1995;49(8):605-12.

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Our team of professional experts are here to answer your product and infant feeding queries between the hours of 8am to 8pm, Monday to Friday. You can also talk to them about general enquiries, to request a visit, to order a product sample or for details on how to contact your local Nutricia Early Life Nutrition Solutions Manager.

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