Infants with cow milk allergy cannot tolerate proteins found in regular infant formula because the proteins are too large. In an extensively hydrolyzed formula, these proteins are extensively broken-down, making them hypoallergenic and less likely to cause an allergic reaction.
Differentiating between cow milk allergy and lactose intolerance can sometimes be confusing, since both might share similar symptoms. It is important not to confuse the two.
Two types of cow milk proteins can trigger an allergic reaction in babies allergic to cow milk. These are whey and casein and babies may be allergic to one or both. These proteins trigger the body’s immune system causing it to overreact. When the immune system is affected, it can lead to a wide range of symptoms that can occur in different parts of the body.
Lactose intolerance does not involve the immune system. It is the body’s inability to properly digest lactose, a natural sugar found in cow milk and other mammalian milks. Lactose intolerance occurs when the small intestine fails to produce enough of the enzyme lactase which is needed to digest lactose.
For babies who are diagnosed with cow milk allergy and are breastfeeding (or receiving breast milk), speak to your healthcare provider about the need to do a maternal elimination diet. This is where dairy is removed from your diet, always under guidance from a doctor or dietitian. Supplementing your diet may be required to help ensure adequate intake of nutrients (notably, calcium) found in dairy products. In some cases where breastfeeding is not possible or there is not enough breast milk, a hypoallergenic infant formula may be required.
Hydrolyzed infant formula is made with proteins that have been extensively broken down (or hydrolyzed) into smaller chains or peptides. This makes the formula easier for infants with cow milk allergy to digest1. Whey and casein are the two most common proteins used in hydrolyzed formula. Also, hydrolyzed formula can be either partially or extensively hydrolyzed depending on the degree of hydrolysis.
pHF is made with cow milk proteins that have been partially broken down into short and long peptides. This type of formula is not hypoallergenic and may still trigger an allergic reaction in babies with cow milk allergy. For this reason, pHF is not recommended for the dietary management of cow milk allergy.
Unlike pHF infant formula, the proteins in extensively hydrolyzed infant formula (eHF) are extensively broken to reduce the risk of causing an allergic reaction. When the protein in infant formula gets broken down into small enough chains, the baby’s immune system no longer recognizes the cow milk protein, and most times there’s no allergic reaction in babies with mild-to-moderate cow milk allergy. This is why eHF is considered hypoallergenic and can be used for the dietary management of cow milk allergy.
Amino acid-based infant formula is made entirely of free amino acids. This type of formula is the most hypoallergenic type of infant formula and is unlikely to cause an allergic reaction even if your baby has a severe cow milk allergy. Hypoallergenic amino acid-based infant formula is designed to help with the dietary management of cow milk allergy and other food related allergies.
If your child has been diagnosed with a cow milk allergy, your healthcare professional will prescribe a specialized hypoallergenic infant formula. The type of infant formula your baby will need depends on the severity of their allergy. In severe cases of cow milk allergy, an amino acid-based infant formula may be required.
Soy-based infant formula is made with soy protein and is an alternative to cow milk-based infant formula. However, up to 35% of babies with a cow milk allergy may also react to soy and for this reason, soy-based infant formula may not be suitable to manage cow milk allergy.
Studies done in Europe and the US have shown that CMA may persist in as many as 50% of children at 1 year of age, with < 25% remaining allergic at 3 years and some persisting into early teenage years.
A cow milk allergy (CMA) is an immune system response to one or more proteins found in cow milk and products containing milk. These proteins trigger the body’s immune system and cause an allergic reaction.
The causes of cow milk allergy (CMA) are unknown. However, certain factors like a family history of allergies can increase the risk of developing a CMA. CMA is often diagnosed within the first 2 months of life.
Symptoms of CMA might include diarrhea, constipation, colic, inadequate growth, eczema, hives, and wheezing. Symptoms may vary and are often broad, making it harder to diagnose.
Once an infant or a child is diagnosed with CMA, it is important for him to follow a cow milk-free diet. If your baby is breastfed (or receives breast milk), your healthcare professional might recommend you follow a cow milk-free diet. If your baby is formula fed, a hypoallergenic, extensively hydrolyzed formula for the dietary management of CMA may be needed.
New from Nutricia, the makers of Neocate, Aptamil® Pepti 1 and Aptamil® ProExpert Pepti are specialized infant formulas for the dietary management of cow milk allergy in infants 0 to 12 months.
Aptamil® Pepti 1 is a specialized whey-based extensively hydrolyzed infant formula for the dietary management of cow milk allergy. Contains galacto- and fructo-oligosaccharides (GOS/FOS). Aptamil® Pepti 1 is a nutritionally complete hypoallergenic infant formula, suitable for babies 0 to 12 months.
Nutritionally Complete
Aptamil® Pepti 1 is nutritionally complete for infants up to 12 months
Suitable from Birth
Aptamil® Pepti 1 is a hypoallergenic infant formula suitable from 0 to 12 months.
Extensively Hydrolyzed Infant Formula
Made with cow milk proteins extensively broken down into smaller chains called peptides to make them easier for infants with cow milk allergy to digest.1
Hypoallergenic Infant Formula
Hypoallergenic whey-based extensively hydrolyzed infant formula suitable from birth.
Aptamil® Pepti 1 is an extensively hydrolyzed infant formula with galacto- and fructo-oligosaccharides (GOS/FOS) designed for infants 0-12 months. Aptamil® Pepti 1 is recommended for the dietary management of cow milk allergy. It is a nutritionally complete hypoallergenic formula suitable as sole source nutrition from birth and as part of a mixed diet in babies 6 to 12 months. This formula is for enteral use only.
Speak with your healthcare provider to determine if Aptamil® Pepti 1 is suitable for your child. Always consult your healthcare provider before making modifications to your child’s diet.
Aptamil® Pepti 1 provides the nutrition your baby needs for normal growth and development.
Ingredients : Hydrolyzed whey protein (from milk), Maltodextrin, 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 diglycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Oil from Mortierella alpina, Choline chloride, Potassium citrate, Sodium chloride, Magnesium chloride, Vitamin C, L-Tyrosine, Inositol, Magnesium hydrogen phosphate, Taurine, Zinc sulphate, L-Carnitine, Ferrous sulphate, Vitamin E, Uridine 5’-monophosphate sodium salt, Cytidine 5’-monophoshate, Pantothenic acid, Adenosine 5’-monophosphate, Inosine 5’-monophosphate sodium salt, Nicotinamide, Guanosine 5’-monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Manganese sulphate, Potassium iodide, Folic acid, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12.
For allergens, see ingredients in bold
| Product | Product Code | UPC Code |
|---|---|---|
| Aptamil Pepti 1 (Powder) 400 g Can | 146537 | 8712400300575 |
| Aptamil Pepti 1 (Powder) 400 g x 12 Case | 146537 | 08712400300575 |
Preparation and Storage
Important: Powdered infant formula is not sterile. Formula should always be prepared immediately before feeding. Do not boil formula, and do not use a microwave to prepare or warm formula. All Aptamil® products come with preparation instructions. Please see packaging for further information.
BECAUSE POWDERED INFANT FORMULAS ARE NOT STERILE, FAILURE TO FOLLOW INSTRUCTIONS PROVIDED MAY MAKE YOUR BABY ILL.
Recommended feed concentration: One level scoop (as provided in the can) provides approximately 4.5 g of powder. Add one level scoop of powder to every fluid ounce (30ml) of water to yield the recommended feed concentration.
Storage
Store unopened cans at room temperature. Avoid extreme temperatures. Cover opened can with lid provided and store in a cool, dry place. Once opened, formula must be used within four weeks.
DO NOT CONSUME THE PRODUCT IF THE METAL SEAL IS BROKEN
Talk to your healthcare provider to find out if Aptamil® is right for your baby. Click here to request a sample.
Click here to get a sample.Aptamil® Pepti 1 is indicated for the dietary management of cow milk allergy and are intended for use under medical supervision. Talk with your healthcare provider to determine if these products are suitable for your baby.
Learn moreYour Nutricia team is hard at work to establish reimbursement for eligible patients/clients in all provinces. Please express your need to your health care provider about access to Aptamil® Pepti 1.
Nutricia’s extensively hydrolyzed infant formulas are available at your local pharmacy. All you need to do is speak to your pharmacist. You can also write to us or call us at 1-877-636-2283, and we will deliver them directly to your home.
1, 2, 3 All infant formulas are easy to digest
Nutricia supports the use of breast milk wherever possible.
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