Hypoallergenic Formulas From Birth to two years

Extensively Hydrolysed Formulas

These formulas contain proteins that have been broken down into smaller segments so they
are all less likely to cause an allergic reaction.
An extensively hydrolyzed formula is:
Effective in managing cow's milk protein allergy for most babies
Made with very small protein parts that minimize the chances of the baby having an
allergic reaction
Designed to get allergic babies back on track
Nutritionally complete
When an extensively hydrolyzed formula successfully manages a cow's milk protein allergy,
babies generally remain on this type of formula, which still provides the complete nutrition
they need to reach developmental milestones. Milk protein allergies are often outgrown by
the time children reach school age and most go on to be able to digest dairy products without
a problem.
An extensively hydrolyzed formula like Nutramigen can manage the colic due to cow's
milk allergy fast often within 48 hours. This tailored formula has been helping babies feel
better for over 70 years and has numerous clinical trials behind it. Recent innovations such
as Nutramigen with Enflora LGG can help babies acquire tolerance fast often by the
age of one year.

Examples Include:
1) Extensively hydrolysed formulas based on casein (a protein in cows milk)
(NUTRAMIGEN 1 and NUTRAMIGEN 2 (suitable from 6 months of age)- made by
Mead Johnson
2) Extensively hydrolysed formulas based on whey (a protein in cows milk). Some of
these may contain prebiotics that promote the growth of good bacteria in the gut and
lactose, which improves that taste but may not be suitable for all babies. It important
to discuss the best option with your healthcare professional. (PEPTI-made by Milupa
Aptamil, PEPTI 2-made by Milupa Aptamil (suitable over 6 months old), PEPTI-
JUNIOR-made by cow and gate (NUTRICIA)
3) Alfare (NESTLE)
Susu Formula Ekstensif Hidrolisa
Alternatif pengganti pada alergi susu sapi adalah susu formula yang
mengandung protein susu sapi hidrolisa (melalui pemrosesan khusus).
Susu formula ini rasanya memang tidak begitu enak dan relatif lebih
mahal.. Protein Whey sering lebih mudah di denaturasi (dirusak) oleh
panas dibandingkan protein kasein yang lebih tahan terhadap
panas. Sehingga proses denaturasi whey dapat diterima oleh penderita
alergi susu sapi, seperti susu sapi evaporasi.
European Society of Paediatric Allergy dan Clinical Immunology (ESPACI)
mendefinisikan formula ekstensif hidrolisa adalah formula dengan bahan
dasar protein hidrolisa dengan fragmen yang cukup kecil untuk
mencegah terjadinya alergi pada anak. Formula ekstensif hidrolisa akan
memenuhi criteria klinis bila secara klinis dapat diterima 90% oleh
penderita proven IgE-mediated alergi susu sapi (95% confidence
interval) seperti yang direkomendasikan American Academy of
 Paediatrics Nutritional Committee. Sejauh ini sekitar 10% penderita
alergi susu sapi dapat menimbulkan reaksi terhadap susu formula
ekstensif hidrolisa. Secara pasti penderita yang alergi terhadap formula
ekstensif hidrolisa belum diketahui, diperkirakan lebih dari 19%.
Pengalaman penggunaan hidrolisa kasein telah dilakukan hampir 50
tahun lebih, Beberapa penelitian menunjukkan sangat efektif untuk
penderita alergi susu sapi. Susu Hidrolisa kasein yang terdapat dipasaran
adalah Nutramigen (Mead Johnson) dan Pregestimil (Mead Johnson).
Sedangkan hidrolisa whey dalam waktu terakhir ini mulai dijadikan
alternatif, dan tampaknya toleransi secara klinik hampir sama dengan
hidrolisa kasein. Beberapa contoh susu hidrolisa whey adalah Aalfa-Re
(nestle) dan Pepti- Junior (Nutricia). Protein Whey lebih mudah
didenaturasi dengan suhu panas tetapi kasein sangat tahan panas..

Nutramigen LGG Hipo Alrgenik 400gr Tin. Susu formula ini dibuat untuk
keperluan medis khusus yang mengandung protein terhidrolisa ekstensif.
Mengandung DHA 17mg/100kkal & ARA 34mg/100kkal
Hypoallergenic, lactose-free, dan galactose-free
Mengandung semua kebutuhan nutrisi bayi
Khusus untuk bayi dengan Intoleransi laktosa (protein susu sapi)
 Komposisi Pepti Junior

Komposisi Per 100 mL Protein 1.7 g, fat 3.7 g, MCT oil 1.5 g, carbohydrate 7.5 g, moisture 3 g, linolenic
acid 459 mg, -linolenic acid 53 mg, arachidonic acid 7.1 mg, DHA 7.1 mg, lactose, vit A 55
mcg-RE, vit D3 1 mcg, vit E 1.1 mg -TE, vit K1 3.3 mcg, vit B1 44 mcg, vit B2 65 mcg, vit B3
0.5 mg, vit B5 0.3 mg, vit B6 38 mcg, vit B9 5.5 mcg, vit B12 0.2 mcg, vit C 8.2 mg, biotin 1.3
mcg, choline 6.8 mg, inositol 4.1 mg, L-carnitine 1.1 mg, taurine 4.4 mg, Ca 49 mg, P 27 mg,
Mg 4.9 mg, Fe 0.7 mg, Zn 0.5 mg, manganese 39 mcg, copper 41 mcg,selenium 1.1 mcg,
iodium 5.5 mcg, Na 27 mg, K 65 mg, Cl 44 mg. Energi: 26.6 kkal.

Pabrik Mead Johnson (Pregestimil)

Komposisi Per 100 g Protein 14 g, fat 28 g, carbohydrate 51 g, linoleic acid 5,600 mg, -linolenic acid 700 mg,
arachidonic acid 170 mg, docosahexanoic acid (DHA) 85 mg, medium-chain triglycerides (MCT) 15.2 g,
water 3 g, mineral (ash) 3.2 mg, vit A 570 mcg RE, vit D3 9.25 mcg, vit E 13.5 mcg -TE, vit K1 60 mcg, vit
B1 400 mcg, vit B2 450 mcg, vit B6 300 mcg, vit B12 1.5 mcg, vit B3 (niacin) 5,000 mcg, folic acid 80 mcg,
vit B5 (pantothenic acid) 2,500 mcg, biotin 15 mcg, vit C 95 mg, choline 120 mg, myo-inositol 85 mg, taurine
30 mg, L-carnitine 12.5 mg, Ca 580 mg, phosphorus 380 mg, iodine 105 mcg, Mg 55 mg, Fe 9 mg, Zn 5 mg,
manganese 300 mcg, copper 380 mcg, Na 220 mg, K 550 mg, Cl 430 mg, selenium 11 mcg, chromium 11
mcg, molybdenum 28 mcg. Energi: 500 kkal.
Indikasi/Kegunaan Susu formula utk bayi 0-12 bln dg alergi protein susu sapi &/atau malabsorpsi lemak.
Dosis/Cara Penggunaan Cara penggunaan: Larutkan 1 sendok takar (4.5 g) bubuk Pregestimil ke dalam 30 mL air matang.
Kelas MIMS Produk Nutrisi Bayi
Klasifikasi ATC V06DE - Amino acids/carbohydrates/minerals/vitamins, combinations ; Used as general nutrients.