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

Nutrison® MCT

(Nutricia Ltd)

Liquid (tube feed)

per 100 mL

420 kJ

(100 kcal)

5 g

cows’ milk

12.6 g

(sugars 1 g)

3.3 g

(MCT 61%)

Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Nutrison MCT liquid: 1000 ml =

£10.96

Nutrison® Protein

Plus

(Nutricia Ltd)

Liquid (tube feed)

per 100 mL

525 kJ

(125 kcal)

6.3 g

cows’ milk

14.2 g

(sugars 1.1 g)

4.9 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557

Nutrison Protein Plus liquid: 1 litre =

£11.25

Nutrison® Protein

Plus Multi Fibre

(Nutricia Ltd)

Liquid (tube feed)

per 100 mL

535 kJ

(128 kcal)

6.3 g

cow’s milk

14.1 g

(sugars 1.0 g)

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

Osmolite® Plus

(Abbott Laboratories

Ltd)

Liquid (tube feed)

per 100 mL

508 kJ

(121 kcal)

5.55 g

caseinates

15.8 g

(sugars 0.73 g)

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

= £15.97

Peptamen® HN

(Nestle Health

Science)

Liquid (tube feed)

per 100 mL

556 kJ

(133 kcal)

6.6 g

whey protein

hydrolysates

15.6 g

(sugars 1.4 g)

4.9 g

(MCT 70%)

Nil Gluten-free

Residual lactose

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

Perative®

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

552 kJ

(131 kcal)

6.7 g

caseinate

whey protein

hydrolysates

17.7 g

(sugars 0.66 g)

3.7 g

(MCT 42%)

Nil Gluten-free

Residual lactose

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

Ensure® Twocal

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

838 kJ

(200 kcal)

8.4 g

cows’ milk

21 g

(sugars 4.5 g)

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 =

£2.22

TwoCal®

(Abbott Laboratories

Ltd)

Liquid (tube feed)

per 100 mL

837 kJ

(200 kcal)

8.4 g

cows’ milk

caseinates

21 g

(sugars 4.5 g)

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

Ensure®

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

423 kJ

(100 kcal)

4 g

caseinates

soy isolate

13.6 g

(sugars 3.93 g)

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

Ensure® Plus Juce

(Abbott Laboratories

Ltd)

Liquid (sip feed)

per 100 mL

638 kJ

(150 kcal)

4.8 g

whey protein

isolate

32.7 g

(sugars 9.4 g)

Nil Nil Gluten-free

Residual lactose

Non-milk taste

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

Fortijuce®

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

640 kJ

(150 kcal)

4.0 g

cows’ milk

33.5 g

(sugars 13.1 g)

Nil Nil Gluten-free

Residual lactose

Non-milk taste

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

= £2.02

Fresubin® Jucy Drink

(Fresenius Kabi Ltd)

Liquid (sip feed)

per 100 mL

630 kJ

(150 kcal)

4 g

whey protein

33.5 g

(sugars 8 g)

Nil Nil Gluten-free

Residual lactose

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

Altraplen® Protein

(Nualtra Ltd)

Liquid (sip feed)

per 100 mL

632 kJ

(150 kcal)

10 g

cows’ milk

soya protein

15 g

(sugars 4.6 g)

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 =

£6.59

Ensure® Plus Advance

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

631 kJ

(150 kcal)

9.1 g

cows’ milk

soya protein

isolate

whey protein

concentrate

16.8 g

(sugars 6.8 g)

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

200 ml = £2.08

Ensure® Plus

Commence

(Abbott Laboratories

Ltd)

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

Ensure® Plus Fibre

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

652 kJ

(155 kcal)

6.25 g

cows’ milk

soya protein

isolate

20.2 g

(sugars 5.5 g)

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

Ensure® Plus

Milkshake style

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

632 kJ

(150 kcal)

6.25 g

cows’ milk

soya protein

isolate

20.2 g

(sugars 6.89 g)

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

Ensure® Plus Savoury

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

632 kJ

(150 kcal)

6.25 g

cows’ milk

soy protein

isolate

20.2 g

(sugars 1.13 g)

4.92 g Nil Gluten-free

Residual lactose

Borderline substances standard

ACBS indications p. 1557; also CAPD,

haemodialysis.

Ensure Plus savoury liquid: 200 ml =

£1.11

Ensure® Plus Yoghurt

style

(Abbott Laboratories

Ltd)

Liquid (sip feed)

per 100 mL

632 kJ

(150 kcal)

6.25 g

cows’ milk

20.2 g

(sugars 11.7 g)

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

200 ml = £1.11

Fortisip® Bottle

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

630 kJ

(150 kcal)

6 g

cows’ milk

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

Fortisip® Yoghurt

Style

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

630 kJ

(150 kcal)

6 g

cows’ milk

18.7 g

(sugars 10.8 g)

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 =

£2.22

Fresubin® Protein

Energy Drink

(Fresenius Kabi Ltd)

Liquid (sip feed)

per 100 mL

630 kJ

(150 kcal)

10 g

cows’ milk

12.4 g

(sugars 6.4 g)

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

200 ml = £2.15

Fresubin® Thickened

(Fresenius Kabi Ltd)

Liquid (sip feed)

per 100 mL

630 kJ

(150 kcal)

10 g

cows’ milk

12 g

(sugars 7.3 g)

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

800 ml = £9.40

Fresubin® YOcrème

(Fresenius Kabi Ltd)

Semi-solid

per 100 g

630 kJ

(150 kcal)

7.5 g

whey protein

19.5 g

(sugars 16.8 g)

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

Ensure® Plus Crème

(Abbott Laboratories

Ltd)

Semi-solid

per 100 g

574 kJ

(137 kcal)

5.68 g

cow’s milk

soy protein

isolates

18.4 g

(sugars 12.4 g)

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

Level 4

(Nutricia Ltd)

Semi-Solid

per 100 g

560 kJ

(133 kcal)

7 g

whey isolate

16.7 g

(sugars 11.3 g)

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

A2

Oral Impact®

(Nestle Health

Science)

Standard dilution of

powder (74 g in

250 mL water) (sip

feed)

per 100 mL

425 kJ

(101 kcal)

5.6 g

cows’ milk

13.4 g

(sugars 7.4 g)

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.

Renapro Shot®

(Stanningley Pharma

Ltd)

Liquid (sip feed)

per 100ml

583 kJ

(137 kcal)

33 g 2.0 g

(fructose 2.0 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

Altraplen® Compact

(Nualtra Ltd)

Liquid (sip feed)

per 100 mL

1008 kJ

(240 kcal)

9.6 g

cows’ milk

soya protein

28.8 g

(sugars 11.3 g)

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

500 ml = £5.32'

Complan® Shake

(Nutricia Ltd)

Powder

per 57 g

1065.9 kJ

(253.7 kcal)

8.8 g

cows’ milk

35.6 g

(sugars 18.8 g)

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).

Ensure® Compact

(Abbott Laboratories

Ltd)

Liquid (sip or tube

feed)

per 100 mL

1008 kJ

(240 kcal)

10.2 g

Cows’ milk

28.8 g

(sugars 6.2 g)

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 =

£5.32

Ensure® Shake

(Abbott Laboratories

Ltd)

Powder

per 100 g

1852 kJ

(443 kcal)

17.8 g

cows’ milk

whey protein

concentrate

59 g

(sugars 33.7 g)

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)

Foodlink® Complete

(Nualtra Ltd)

Powder

per 100 g

1869 kJ

(444 kcal)

21 g

cows’ milk

soya protein

56 g

(sugars 43 g)

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

Foodlink® Complete

with Fibre

(Nualtra Ltd)

Powder

per 100 g

1779 kJ

(423 kcal)

19 g

cows’ milk

soya protein

52 g

(sugars 40 g)

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).

Forticreme® Complete

(Nutricia Ltd)

Semi-solid

per 100 g

675 kJ

(160 kcal)

9.5 g

cows’ milk

19.2 g

(sugars 10.6 g)

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

Fortisip® Compact

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

1010 kJ

(240 kcal)

9.6 g

cows’ milk

29.7 g

(sugars 15 g)

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 =

£5.32

Fortisip® Compact

Fibre

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

1000 kJ

(240 kcal)

9.4 g

cows’ milk

25.2 g

(sugars 13.9 g)

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

Fortisip® Compact

Protein

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

1010 kJ

(240 kcal)

14.4 g

cows’ milk

24.4 g

(sugars 13.3 g)

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

Fortisip® Extra

(Nutricia Ltd)

Liquid (sip feed)

per 100 mL

675 kJ

(160 kcal)

10 g

cows’ milk

18.1 g

(sugars 9 g)