Make up each feed as required. For hygiene reasons, do not store made up feeds and always discard unfinished feeds as soon as possible, and always within 2 hours. Suitable as a sole source of nutrition from birth or as part of of a weaning diet from 6 months. Not suitable for infants with galactosaemia, galactokinase deficiency or anaphylaxis. Authority to prescribe an Authority medicine is granted for specific indications and/or for certain patient circumstances. Authority may be obtained by telephone to Medicare Australia (known as "phone approval") or in writing from an authorised delegate of the Minister for Health. Some PBS medications are restricted and require prior approval from Medicare before a doctor is able to prescribe them on the PBS. This prior approval to prescribe grants the doctor the Authority to prescribe the desired medicine and have it funded under the PBS.

If breast milk is not available, infant formula is the most suitable alternative. Consult your healthcare professional before you start formula to ensure you have the right one for the age and needs of your baby. It is important to read the instructions on the tin and carefully prepare the formula exactly as the label recommends, any change in preparation could lead to health hazards. Corticosteroids and/or anti-inflammatory agents, such as mesalamine. Immunosuppressants, e.g. Azathioprine and Infliximab. Some drugs may have Authority Required (Streamlined) status which does not require an explicit approval from Medicare, instead the doctor can use the Authority code found in the published Schedule for a given drug/indication. Aptamil Pepti-Junior – formerly Cow & Gate Pepti-Junior* – is designed to be easy to digest and absorb for cases of malabsorption in infants. It supports growth and maturation of the gut and immune system6, with added long-chain polyunsaturated fatty acids and nucleotides for brain, eye and nervous system development .

Medium-chain triglycerides (MCT)-based feeds and oil may be used in patients experiencing poor weight gain as a consequence of fat malabsorption. MCTs are more easily absorbed and don’t require the body’s usual process for fat metabolism, e.g. micelle formation is not required for absorption and they are transported via the portal route rather than via the lymphatic system. Elemental feeds or liquid diets may be used to promote bowel rest and remission, administered orally or via enteral feeds. Add the correct measure of powder to the water. Adding too many or too few scoops can be harmful. Place the sterilised teat and cap on the bottle and shake immediately, vertically and vigorously for at least 10 seconds, until the powder is dissolved.

If you can breastfeed, exclusive breastfeeding is recommended for the first six months. Breast milk helps improve a child’s immunity and supports a healthy weight for mum. Eating a healthy, nutritionally balanced diet during pregnancy and breastfeeding is also important for mums. Aptamil Pepti-Junior should only be used on the advice of a doctor, midwife, or other medical professional responsible for maternal and child care. Use as directed by the medical professional. If advised to use as standard, follow the feeding guide on the tin. Lactose exclusion diet with appropriate dairy replacements, e.g. lactose-free baby formulas in infants, suitable dairy alternatives and weaning advice for young babies. Glucose syrup, Hydrolysed whey protein (from milk), Medium chain triglycerides (Coconut oil, Palm Oil), Vegetable oils (Rapeseed oil, Sunflower oil, Palm oil, High oleic sunflower oil), Maltodextrin, Calcium phosphate, Potassium citrate, Emulsifier (Citric acid esters of mono and diglycerides of fatty acids), Fish oil, Calcium chloride, Potassium dihydrogen phosphate, Oil from Mortierella alpina, Choline chloride, Magnesium hydrogen phosphate, Vitamin C, Inositol, Taurine, Sodium chloride, Potassium chloride, L-Carnitine, Ferrous sulphate, Zinc sulphate, Vitamin E, Uridine 5’-monophosphate sodium salt, Cytidine 5’-monophosphate, Antioxidant (Ascorbyl palmitate), Pantothenic acid, , Adenosine 5’-monophosphate, Inosine 5’-monophosphate sodium salt, Nicotinamide, Guanosine 5’-monophosphate sodium salt, Copper sulphate, Riboflavin, Vitamin A, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Sodium selenite, Manganese sulphate, Vitamin K1, Biotin, Vitamin D3, Vitamin B12. Glucose syrup, Hydrolysed whey protein (from milk), Medium chain triglycerides (Coconut oil, Palm Oil), Vegetable oils (Rapeseed oil, Sunflower oil, Palm oil, High oleic sunflower oil), Maltodextrin, Calcium phosphate, Potassium citrate, Emulsifier (Citric acid esters of mono and diglycerides of fatty acids), Fish oil, Calcium chloride, Potassium dihydrogen phosphate, Oil from Mortierella alpina, Choline chloride, Magnesium hydrogen phosphate, Vitamin C, Inositol, Taurine, Sodium chloride, Potassium chloride, L-Carnitine, Ferrous sulphate, Zinc sulphate, Vitamin E, Uridine 5’-monophosphate sodium salt, Cytidine 5’-monophosphate, Antioxidant (Ascorbyl palmitate), Pantothenic acid, , Adenosine 5’-monophosphate, Inosine 5’-monophosphate sodium salt, Nicotinamide, Guanosine 5’-monophosphate sodium salt, Copper sulphate, Riboflavin, Vitamin A, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Sodium selenite, Manganese sulphate, Vitamin K1, Biotin, Vitamin D3, Vitamin B12.Breast milk is best for babies. Professional advice should be followed before using an infant formula. Introducing partial bottle feeding could negatively affect breast feeding. Good maternal nutrition is important for breast feeding and reversing a decision not to breast feed may be difficult. Infant formula should always be used as directed. Proper use of an infant formula is important to the health of the infant. Social and financial implications should be considered when selecting a method of feeding. British Society of Gastroenterology [Online}. Available at: https://www.bsg.org.uk/pdf_word_docs/malabsorpton.pdf [Accessed: November 2017]

It is a nutritionally complete formula, suitable from birth, and can also be used to replace cow's milk in drinks and cooked dishes during and after weaning. Made with Aptamil's unique blend of ingredients inducing LCPs and Nucleotides. Other complications can include night blindness (vitamin A) and seizures (biotin). Loss of sensations such as vibration and position may be due to B12 (cobalamin) deficiency. B12 deficiency also causes breathlessness and fatigue. Aptamil Pepti-Junior (From Birth) 450g is a formulated for special medical purposes for the dietary management of malabsorption related conditions which includes short bowel syndrome, following gastrointestinal surgery, liver disease, chronic diarrhoea and feed intolerance. Aptamil Pepti-Junior nutritionally complete extensively hydrolysed whey based formula with MCT oil (medium chain triglycerides).STEP 4. Add the correct measure of powder to the water. Adding too many or too few scoops can be harmful. Cap the bottle and shake vigorously for 25 seconds to dissolve the powder. Remove cap and replace with a sterilised teat. Clinical evidence shows that Aptamil Pepti-Junior is well tolerated by infants with complex gastrointestinal tract intolerances with no major complications observed in long-term usage8. Whey hydrolysates present in Aptamil Pepti-Junior help infants with enteropathy to thrive 9. It is suitable as a sole source of nutrition for infants and is specially formulated to: