When a child cannot tolerate cow's milk, the choice of formula should be informed by the condition that precludes the child from consuming cow's milk or breast milk. Here are 4 specialty formula types.
When a child cannot tolerate cow's milk, the choice of formula should be informed by the condition that precludes the child from consuming cow's milk or breast milk. Here are 4 specialty formula types.For more information on formula guidelines, please check outÂ How to choose an infant formula.
Cow’s milk proteins that are extensively or partially subjected to hydrolysis to reduce the allergenicity of the milk proteins. Formulas available include partially hydrolyzed whey and extensively hydrolyzed casein.
Partially hydrolyzed 100% whey:
· Infants at high risk of allergy who are not exclusively breastfed. When given in the first 6 months, may reduce the risk of atopic dermatitis.
Extensively hydrolyzed casein:
· Infants who are not exclusively breastfed. Reduces the risk of developing atopic dermatitis.
· Use of hydrolyzed formulas only, to the exclusion of breastfeeding.
Supports normal growth and development in the term infant.
· Infants with galactosemia.
· Infants with hereditary lactase deficiency.
· Parental preference (vegetarian).
Should not be given:
· Infants with colic.
· Infants with cow milk-protein allergy (cross-reactivity).
· Milk protein-induced enterocolitis, intestinal blood loss.
Hypoallergenic infant formula made from the simplest forms of individual amino acids.
· Infants with cow’s milk-protein allergy and multiple food intolerances who cannot tolerate hydrolyzed-protein formulas (only about 5% of infants).