Nepro HP

Nepro HP (High* Protein) 1.8 kcal/mL is high in energy and protein. It provides complete renal nutrition to help improve nutrition status and replace protein lost during dialysis.1,2 With a low glycaemic index (GI) of 35, Nepro HP helps manage blood glucose levels making it suitable for people who have both chronic kidney disease (CKD) and diabetes.3 It is presented in a 220 mL Ready-to-Drink bottle which comes in Vanilla and Strawberry, and is also available as a 1 L Ready-to-Hang bottle in Vanilla flavour only.

Not for use in galactosaemia.

Not for parenteral use.

*Compared to Nepro LP.4

Uses

Nepro HP is suitable as a sole or supplemental source of nutrition to be used under medical supervision. It is suitable for patients with chronic kidney disease who are receiving dialysis.

Features

Solute concentration:

  • Renal solute load: 543 mOsm/L
  • Osmolarity: 538 mOsm/L
  • Osmolality: 735 mOsm/kg H2O
  • Water: 73.3 mL/100 mL

Vanilla

Suitable for 
Kosher diet
Suitable for
Halal diet
Suitable for
vegetarians
Low Lactose
Gluten free^


Strawberry

Suitable for 
Kosher diet
Suitable for
Halal diet
Suitable for
vegetarians
Low Lactose
Gluten free^
X

Low lactose refers to the product containing no more than 2 g of lactose per 100 g.5
^Gluten free refers to the product containing no detectable gluten over a limit of quantification of 5 ppm.5

Nutrition

Nutritional information
Average per 100 mL
Vanilla
Strawberry
Energy (kJ) 761761
Energy (kcal)182182
Protein (g)8.18.1
Fat, total (g)9.89.8

Saturated fatty acids (g)

0.730.73
Carbohydrate (g)14.714.7

Sugars (g)

3.23.2
Dietary fibre, total (g)1.261.26

FOS (g)

0.840.84
Taurine (mg)1616
L-Carnitine (mg)26.526.5

Vitamins

Vitamins
Average per 100 mL
Vanilla
Strawberry
Vitamin A (mcg RE)9595
Vitamin D3 (mcg)1.21.2
Vitamin E (mg α-TE)3.43.4
Vitamin K1 (mcg)9.09.0

Vitamin C (mg)

10.510.5
Folic acid (mcg)6060

Vitamin B1 (mg)

0.420.42
Vitamin B2 (mg)0.50.5
Vitamin B6 (mg)0.50.5

Vitamin B12 (mcg)

0.850.85
Niacin (mg NE)3.43.4
Pantothenic acid (mg)1.61.6
Biotin (mcg)9.09.0
Choline (mg)63.563.5

Minerals

Minerals
Average per 100 mL
Vanilla
Strawberry
Sodium (mg)7070
Potassium (mg)106106
Chloride (mg)8484
Calcium (mg)106106

Phosphorus (mg)

7272
Magnesium (mg)2121

Iron (mg)

1.91.9
Zinc (mg)1.91.9
Manganese (mg)0.210.21

Copper (mcg)

210210
Iodine (mcg)1616
Selenium (mcg)7.47.4
Chromium (mcg)4.54.5
Molybdenum (mcg)88

Ingredients

For Vanilla flavour:

Water, maltodextrin, VEGETABLE OILS (high oleic sunflower oil, canola oil), CASEINATES (calcium caseinate, magnesium caseinate, sodium caseinate), milk protein isolate, sucrose, glycerine, fructo-oligosaccharides (FOS), MINERALS (potassium citrate, sodium citrate, sodium chloride, calcium citrate, magnesium sulphate, ferrous sulphate, zinc sulphate, cupric sulphate, manganese sulphate, potassium iodide, chromium chloride, sodium molybdate, sodium selenate), emulsifier (322), flavouring, choline chloride, stabiliser (460), L-carnitine, VITAMINS (ascorbic acid, niacinamide, calcium pantothenate, pyridoxine hydrochloride, thiamin hydrochloride, riboflavin, Vitamin E, Vitamin A palmitate, folic acid, biotin, phylloquinone, Vitamin D3, cyanocobalamin), taurine, stabiliser (466).

May contain: magnesium phosphate dibasic.

Contains soy and milk ingredients.

For Strawberry flavour:

Water, maltodextrin, VEGETABLE OILS (high oleic sunflower oil, canola oil), CASEINATES (calcium caseinate, magnesium caseinate, sodium caseinate), milk protein isolate, sucrose, glycerine, fructo-oligosaccharides (FOS), MINERALS (potassium citrate, sodium citrate, sodium chloride, calcium citrate, magnesium sulphate, ferrous sulphate, zinc sulphate, cupric sulphate, manganese sulphate, potassium iodide, chromium chloride, sodium molybdate, sodium selenate), emulsifier (soy lecithin), flavouring, choline chloride, stabiliser (cellulose), L-carnitine, VITAMINS (ascorbic acid, niacinamide, calcium pantothenate, pyridoxine hydrochloride, thiamin hydrochloride, riboflavin, Vitamin E, Vitamin A palmitate, folic acid, biotin, phylloquinone, Vitamin D3, cyanocobalamin), taurine, stabiliser (sodium carboxymethyl cellulose), colour (cochineal).

May contain: magnesium phosphate dibasic.

Contains soy and milk ingredients.

Preparation

Nepro HP is ready to use. Shake well. Open immediately prior to use. Once opened, cover and place in refrigerator, discard unused feed after 24 hours.1

Oral feeding: May be fed at room temperature or chilled.1

Tube feeding: Connect feeding set immediately prior to use. During tube feeding, the flow rate and volume are dependent on patients’ condition and tolerance. Pump feed at room temperature with an 8 Fr or larger tube. Additional fluid requirements can be met by giving water.1

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Food for Special Medical Purposes. Use under medical supervision.
Abbreviations
α-TE: alpha-tocopherol equivalent; CKD: chronic kidney disease; FOS: fructo-oligosaccharides; GI: glycaemic index; HP: higher protein; LP: lower protein; NE: niacin equivalent; RE: retinol equivalent; RTD: Ready-to-Drink; RTH: Ready-to-Hang.

References:
1. Nepro® HP RTD Product Label.
2. Nepro HP RTH Product Label.
3. The University of Sydney, 2013. Glycaemic Index Research Report #1308 (Nepro® HP and Nepro® LP powder and liquid Glycaemic Index Research Service).
4. Nepro® LP RTD Product Label.
5. Australia and New Zealand Food Standards Code. Standard 2.9.5 – Food for special medical purposes.

ANZ.2024.48429.ALL.1 (v1.0) | May 2024.