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Enteral feeds: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL (product list continued)

Not suitable for use in child under 1 year; not recommended for child 1–6 years unless otherwise stated

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

Borderline substances standard

ACBS indications p. 1557

Nutrison MCT liquid: 1000 ml =

4.9 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Nutrison Protein Plus liquid: 1 litre =

4.9 g 1.5 g Gluten-free

Residual lactose

For use as dietary management of

disease related malnutrition.

Nutrison Protein Plus Multifibre

liquid: 1 litre = £12.54

3.93 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Not suitable for child under 10 years

Osmolite Plus liquid: 500 ml =

£5.87; 1000 ml = £10.67; 1500 ml

Hydrolysed with pork trypsin

Short bowel syndrome, intractable

malabsorption, proven inflammatory

bowel disease, bowel fistula

Not suitable for child under 3 years

Peptamen HN liquid: 500 ml = £7.89

Borderline substances standard

ACBS indications p. 1557

Not suitable for child under 5 years

Perative liquid: 500 ml = £8.30;

1000 ml = £15.32

Enteral feeds: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL

Not suitable for use in child under 1 year unless otherwise stated; not recommended for child 1–6 years

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

8.9 g 1 g Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also

haemodialysis and CAPD

Ensure TwoCal liquid: banana,

neutral, strawberry, vanilla 200 ml =

8.9 g 1 g Gluten-free

Residual lactose

Adults with or at risk of diseaserelated malnutrition, catabolic or

fluid-restricted patients, and other

patients requiring a 2 kcal/mL feed

TwoCal liquid: 1 litre = £17.20;

200 ml = £3.19

Table 2 Nutritional supplements (non-disease speci

fic)

Nutritional supplements: less than 5 g protein/100 mL

Nutritional supplements: 1 kcal/mL and less than 5 g protein/100 mL

Not suitable for use in child under 1 year unless otherwise stated; use with caution in child 1–5 years

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

3.36 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Ensure liquid: chocolate, coffee,

vanilla 250 ml = £2.39

1562 Nutritional supplements (non-disease specific) BNF 78

Borderline substances | Appendix 2

A2

Nutritional supplements: More than 1 kcal/mL and less than 5 g protein/100 mL

Not suitable for use in child under 1 year unless otherwise stated; use with caution in child 1–5 years unless otherwise stated

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

Borderline substances standard

ACBS indications p. 1557

Ensure Plus Juce liquid: assorted

880 ml = no price available; apple,

fruit punch, lemon & lime, orange,

peach, strawberry 220 ml = £1.97

Borderline substances standard

ACBS indications p. 1557

Not suitable for child under 3 years

Fortijuce Starter Pack liquid: 800 ml

= £8.08; Fortijuce liquid: 'assorted

800 ml = no price available; apple,

blackcurrant, forest fruits, lemon,

orange, strawberry, tropical 200 ml

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis

Fresubin Jucy drink: apple,

blackcurrant, cherry, orange,

pineapple 800 ml = £8.04

Nutritional supplements: 5 g (or more) protein/100 mL

Nutritional supplements: 1.5 kcal/mL and 5 g (or more) protein/100 mL

Not suitable for child under 1 years; use with caution in child under 6 years

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

5.6 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Altraplen Protein Starter Pack liquid:

400 ml = £3.18; Altraplen Protein

liquid: strawberry, vanilla 800 ml =

4.8 g 0.75 g Gluten-free

Residual lactose

Frail elderly people (this is defined

as older than 65 years with BMI less

than or equal to 23 kg/m2 where

clinical assessment and nutritional

screening show the individual to be

at risk of undernutrition).

Not suitable as the sole source of

nutrition.

Ensure Plus Advance liquid: banana,

chocolate, coffee, strawberry, vanilla

Starter pack (5–10 day’s supply), contains Ensure® Plus Commence (various flavours), 1 pack (10 6 200ml) = £11.10

4.92 g 2.5 g Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis.

Ensure Plus Fibre liquid: banana,

chocolate, raspberry, strawberry,

vanilla 200 ml = £2.14

4.92 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis

Ensure Plus milkshake style liquid:

banana, chocolate, coffee, fruits of

the forest , neutral, peach,

raspberry, strawberry, vanilla,

200 ml = £1.11

BNF 78 Nutritional supplements (non-disease specific) 1563

Borderline substances | Appendix 2

A2

Nutritional supplements: 1.5 kcal/mL and 5 g (or more) protein/100 mL (product list continued)

Not suitable for child under 1 years; use with caution in child under 6 years

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

4.92 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis.

Ensure Plus savoury liquid: 200 ml =

4.92 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis

Ensure Plus yoghurt style liquid:

orchard peach, strawberry swirl

18.4 g 5.8 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Not suitable for child under 3 years;

use with caution in child 3–5 years.

Fortisip Bottle: banana, caramel,

chocolate, neutral, orange,

strawberry, tropical fruit, vanilla

200 ml = £1.12'

Fortisip® Range

(Nutricia Ltd)

Starter pack contains 4 6 Fortisip® Bottle, 4 6 Fortijuice®, 2 6 Fortisip® Yoghurt Style, 1 pack (10 6 200ml) = £20.20

5.8 g 0.2 g Gluten-free

Contains lactose

Borderline substances standard

ACBS indications p. 1557

Not suitable for child under 3 years

Fortisip Yogurt Style liquid:

raspberry, vanilla & lemon 200 ml =

6.7 g Nil Gluten-free

Residual lactose

Contains fish gelatin

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis.

Fresubin Protein Energy drink:

cappuccino, chocolate, tropical

fruits, vanilla, wild strawberry

6.7 g 0.83 g Gluten-free

Residual lactose

Dysphagia or disease-related

malnutrition.

Fresubin Thickened Stage 1 syrup:

vanilla, wild strawberry 800 ml =

£9.40; Fresubin Thickened Stage 2

custard: vanilla, wild strawberry

4.7 g Nil Gluten-free

Contains lactose

Dysphagia, or presence or risk of

malnutrition

Not suitable for child under 3 years

Fresubin YOcreme dessert: apricotpeach, biscuit, lemon, raspberry

500 gram = £8.44

Nutritional supplements: Less than 1.5 kcal/mL and 5 g (or more) protein/100 mL

Not suitable for use in child under 1 year unless otherwise stated; use with caution in child 1-5 years unless otherwise stated

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

4.47 g Nil Gluten-free

Residual lactose

Contains soya

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis.

Not suitable for child under 3 years;

use with caution in child 3–5 years.

Ensure Plus Creme: 'banana,

chocolate, neutral, vanilla 500 gram

= £8.00

Nutilis® Fruit Dessert

4 g 2.6 g Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557 except bowel

fistula; also CAPD, haemodialysis.

Not suitable for child under 3 years;

use with caution in child 3–5 years.

Nutilis Fruit Dessert Level 4:

strawberry, apple 450 gram = £7.35

1564 Nutritional supplements (non-disease specific) BNF 78

Borderline substances | Appendix 2

2.8 g 1 g Residual lactose

Contains fish oil

Pre-operative nutritional supplement

for malnourished patients or patients

at risk of malnourishment

Not suitable for child under 3 years;

use with caution in child 3–5 years.

Oral Impact oral powder 74g

sachets: citrus, tropical 5 sachet =

£18.20

Powder provides: protein 16.8 g, carbohydrate 40.2 g, fat 8.3 g, fibre 3 g, energy 1276 kJ (303 kcal)/74 g.

0.1 g Nil Gluten-free For the dietary management of

dialysis patients with biochemically

proven hypoproteinaemia on the

recommendation of a specialist

dietician.

Renapro Shot 60ml bottles:

30 bottle = £76.80

Nutritional supplements: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL

Not suitable for use in child under 3 years unless otherwise stated; use with caution in children 3-6 years.

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

9.6 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Altraplen Compact Starter Pack

liquid: 500 ml = £5.80; Altraplen

Compact liquid: banana, hazel

chocolate, strawberry, vanilla

8.4 g Trace Gluten-free

Contains lactose

Borderline substances standard

ACBS indications p. 1557

Complan Shake Starter Pack

sachets: 5 sachet = £4.39; Complan

Shake oral powder 57 g sachets:

banana, chocolate, milk, strawberry,

vanilla 4 sachet = £2.80

Powder 57 g reconstituted with 200 mL whole milk provides: protein 15.5 g, carbohydrate 44.7 g, fat 15.5 g, energy 1595 kJ (380 kcal).

9.35 g Nil Gluten-free

Contains lactose

As a sole source of nutrition or as a

nutritional supplement for the dietary

management of patients with, or at

risk of developing, disease-related

malnutrition.

Ensure Compact liquid: banana, cafe

latte, strawberry, vanilla 500 ml =

15.1 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Ensure Shake oral powder 57 g

sachets: banana, chocolate,

strawberry, vanilla 7 sachet = £4.20

Powder 57 g reconstituted with 200 mL whole milk provides: protein 17 g, carbohydrate 43.2 g, fat 16.6 g, energy 1626 kJ (389 kcal)

15 g Nil Contains lactose

Gluten-free

Contains soya

Borderline substances standard

ACBS indications p. 1557

Not to be prescribed for any child

under one year; use with caution for

young children up to five years of age.

Foodlink Complete powder: banana,

chocolate, natural, strawberry,

vanilla 1596 gram = £15.40

Recommended serving = the contents of a 57-g sachet in 200 mL full cream milk provides: protein 19 g, carbohydrate 41 g, fat 16 g, energy 161 kJ (383kcal).

BNF 78 Nutritional supplements (non-disease speci

fic) 1565

Borderline substances | Appendix 2

A2

Nutritional supplements: More than 1.5 kcal/mL and 5 g (or more) protein/100 mL (product list continued)

Not suitable for use in child under 3 years unless otherwise stated; use with caution in children 3-6 years.

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

14 g 7.2 g Contains lactose

Gluten-free

Borderline substances standard

ACBS indications p. 1557

Not to be prescribed for any child

under one year; use with caution for

young children up to five years of age.

Foodlink Complete powder with fibre

63g sachets: banana, chocolate,

natural, strawberry, vanilla 7 sachet

= £4.97; Foodlink Complete

powder with fibre Starter

Pack: 5 sachet = £3.55

Recommended serving = the contents of a 63-g sachet in 200 mL full cream milk provides: protein 19 g, carbohydrate 42 g, fat 16 g, fibre 4.5 g, energy 1667 kJ (397 kcal).

5 g 0.1 g Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis.

Not suitable for child under 3 years;

use with caution in child 3–5 years.

Forticreme Complete dessert:

banana, chocolate, forest fruits,

vanilla 500 gram = £7.84

9.3 g Nil Residual lactose Borderline substances standard

ACBS indications p. 1557

Fortisip Compact liquid: apricot,

banana, chocolate, forest fruit,

mocha, strawberry, vanilla 500 ml =

10.4 g 3.6 g Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Not suitable for child under 3 years;

use with caution in child 3–5 years.

Fortisip Compact Fibre Starter Pack

liquid: 500 ml = £8.36; Fortisip

Compact Fibre liquid: mocha,

strawberry, vanilla 500 ml = £8.36

9.4 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Fortisip Compact Protein Starter

Pack liquid: 750 ml = £12.00;

Fortisip Compact Protein liquid:

banana, berries, ginger, hot tropical

mango, mocha, neutral, peach &

strawberry, vanilla 500 ml = £8.00

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