View in browser INFORMATION FOR HEALTHCARE PROFESSIONAL USE ONLY
SMA® ANTI-REFLUX is the only thickened formula for the dietary management of frequent reflux and regurgitation that is ACBS approved for prescription
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In your everyday practice, when parents seek help in managing their babies reflux and regurgitation, here is some information to help your decision making:
Also Available to Purchase Over The Counter
SMA® ANTI REFLUX is a thickened formula and may require a fast flow teat
(Do not use it with other feed thickeners or antacids)
You can prescribe SMA Anti Reflux when required or recommend that parents buy it over the counter when they can.
HELPS FEEDS STAY DOWN
Starch-thickened formulas reduce daily regurgitation in infants with reflux.†3,4
NICE GUIDELINES RECOMMEND THICKENED FORMULAS
Trial a thickened formula before medication* in formula-fed infants with reflux.5
EASY TO DIGEST
A tailored combination of 100% whey, partially hydrolysed protein and starch thickener, to support digestion in formula-fed babies with frequent reflux.6.7
†p<0.0001, compared to a standard formula, *Alginate therapy **ACBS Price, ‡NHS sales data REFERENCES: 1. SMA® Anti-Reflux data card. Available at https://www.smahcp.co.uk/formula-milk/anti-reflux-formula Accessed May 2026. 2. Aptamil Anti-Reflux data card. Available at https://www.nutricia.co.uk/hcp/pimproducts/aptamil-anti-reflux.html Accessed May 2026. 3. Indrio, F et al. Nutrients 2017, 9, 1181.4. Kwok TC, Ojha S, Dorling J. Feed thickeners in gastro-oesophageal reflux in infants. BMJ Paediatrics Open 2018;0:e000262. doi:10.1136/bmjpo-2018-000262 5. NICE (2015). Gastro-oesophageal reflux disease in children and young people. Available at https://www.nice.org.uk/guidance/ng1. Accessed: July 2026.6. Billeaud C et al. Gastric emptying in infants with or without gastrooesophageal reflux according to the type of milk. Eur J Clin Nutr 1990;44:577-583. 7. Christian M, Edwards C, Weaver LT. Starch digestion in infancy. J Pediatr Gastroenterol Nutr. 1999. 29: 116-124. IMPORTANT NOTICE: We believe that breastfeeding is the ideal nutritional start for babies as breast milk provides a balanced diet and protection against illness for a baby. We fully support the World Health Organization’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with sustained breastfeeding up to two years of age. We also recognise that breastfeeding may not be an option due to certain medical conditions. Parents should only feed Infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use must be assessed by the healthcare professional in relation to the baby’s progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health. This product must be used under medical supervision. SMA® Anti-Reflux is a special formula intended for the dietary management of bottle-fed babies when significant reflux (regurgitation) is a problem. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 12 months of age. If the baby’s reflux does not improve within 2 weeks of starting SMA® Anti-Reflux, or if the baby fails to thrive, the family doctor should be consulted.
