SIMILAC NEOSURE

Similac Neosure

Product Description

Similac NeoSure has been enriched with increased proteins and energy to help meet preterm infants nutrient requirements*

Similac Neosure provides Enriched Nutrition and supports Immune System Maturation for catch up growth1-5

Total Potentially Available Nucleotide (TPAN) and docosahexaenoic acid (DHA) present supports the immune system maturation6,7 of the preterm and low birth weight new-borns.

TPAN helps in T-cell maturation and increases antibody response6,8

DHA supports survival and helps reducing risk of Bronchopulmonary dysplasia and Necrotizing enterocolitis.

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Nutrients

INGREDIENTS: Whole milk powder, lactose, corn syrup solids, edible vegetable oils (13.56%) (soy oil, high oleic sunflower oil), whey protein concentrate, butter oil, medium chain triglyceride (MCT) oil, MINERALS*, VITAMINS**, AA from M. alpina oil, m-inositol, DHA titom C. cohnii oil, emulsifier (soy lecithin), nucleotides (0.0665%) (cytidine 5-monophosphate, disodium guanosine 5'-monophosphate, disodium uridine 5-monophosphate, adenosine 5'-monophosphate), taurine (0.0529%), L-carnitine, antioxidant (mixed tocopherols). 17.760 Contains Milk and Soy

Approximate CompositionPowder (per 100g)
Energy517 kcal
2163 kJ
Protein13.0 g
Fat (total fat)28.2 g
   Milk fat 12.0 g
   Saturated fatty acids17.76 g
   Monounsaturated fatty acids19.12 g
   Polyunsaturated fatty acids 5.44 g
Linoleic acid 3000 mg 
Alpha-Linoleic acid 320 mg 
Trans fatty acids 0.80 g
Cholesterol ≤80 mg 
Added Sugars15.00 g
AA 107 mg 
DHA 67 mg 
Carbohydrate 53.4 g
Total sugars 27.9 g
Added Sugars 22.9 g
Taurine34.4 mg 
Carnitine16.0 mg 
Inositol253 mg 
Total nucleotides 46.5 mg 
VITAMINS 
Vitamin A3000 IU 
901 mcg RE 
Vitamin D2600 IU 
15 mcg 
Vitamin E18.5 IU 
12.4 mg alpha-TE
Vitamin K61.6 mcg 
Vitamin C189.8 mg 
Folic Acid190 mcg 
Vitamin B1 (thiamin)905 mcg 
Vitamin B2 (riboflavin)975 mcg 
Vitamin B6 (pyridoxine)520 mcg 
Vitamin B122.05 mcg 
Niacin15.39 mg 
Pantothenic acid3.59 mg 
Biotin43.61 mcg 
Choline82.0 mg 
MINERALS 
Sodium221 mg 
Potassium616 mg 
Chloride384 mg 
Calcium667 mg
Phosphorus 333 mg 
Magnesium61.6 mg 
Iron9.2 mg 
Zinc3.4 mg 
Manganese51 mcg 
Copper616 mcg 
Iodine77 mcg 
Selenium20 mcg 

 

Preparation

Standard reconstitution is one level scoop (approximately 5.1 g) of powder for each 30 ml of water or 155 g of powder diluted to 1 L, which supplies approximately 24 kilocalories per 30 ml.

  1. Thoroughly wash feeding bottle or bowl, nipple, cap and all utensils to be used in preparing the feeding.
  2. After rinsing soap from the utensils, boil them for 5 minutes
  3. In a separate pan, boil water to a rolling boil for 5 minutes and allow it to cool to a lukewarm temperature.
  4. Pour the correct amount of lukewarm, previously boiled water into the sterilized feeding bottle or bowl.
  5. Fill enclosed scoop, then scrape level with the straight edge of the knife.
  6. Add one level enclosed scoop (approximately 5.1 g) of Similac® Neosure® powder to each 30 ml of water in the bottle or bowl.
  7. Mix until completely dissolved. 
  8. Test temperature and feed. After feeding, discard any unused formula within 1 hour.

Product Details

400gm Tin Pack (From birth up to 12 months)

Direction for Use and Suggested Feeding Schedule

To be taken under medical advice.

Consult your baby’s physician about how much your baby should be consuming.

These are suggested feeding intakes, every baby is different.

If more then one feed is prepared then it must be refrierated at 350 to 400 F and use within 24 hours. Once feed begins use within one hours or discard

 To Prepare One Feeding
Weight of Infant (grams)No. of level scoop(s)Warm (previously boiled) water, ml  No. of feeds per Day
1000-12001305-6
1200-14001306-7
1400-16001307-8 
1600-20002604-5
2000-24002605-6

 

 Suggested Feeding Schedule 
Approximate Body Weights, kg No. of level scoop(s)Warm (previously boiled) water, ml  No. of feeds per Day
2.5-3.52658-10
3.6-5.041306-7
5.1-8.061955-6

Storage Condition

Store unopened tin under normal room temperature conditions. Once this tin is opened, contents should be used within two weeks or within expiry date. Whichever is earlier. Cover opened tin and store in cool, dry place (not in refrigerator)

Important Notice

MOTHER’S MILK IS BEST FOR THE BABY

Breastfeeding provides the best nutrition and protection from illnesses of infants. For infants, breast milk is all that is needed for the first 6 months. Breastmilk is the best and most economical food for baby. Warning / Caution: Infant milk substitute is not the sole source of nourishment of an infant. Careful and hygienic preparation of infant milk substitute is most essential for health. Lactose- free infant milk substitute should only be used in case of diarrhea due to Lactose intolerance. Lactose- free infant formula should be withdrawn, if there is no improvement in symptoms of intolerance.

Continued use of infant milk substitute should not be recommended to avoid any difficulties in reverting to breastfeeding of infants after a period of feeding by infant milk substitute. In the event of recommending infant milk substitute in addition to breastmilk or its replacement during the first 6 months, keep the costs in mind. Un-boiled water, un-boiled bottles or incorrect dilution can make a baby ill. Always advise to follow instructions exactly. Unnecessary introduction of partial bottle-feeding or other foods and drinks will have negative effect on breastfeeding.

Characteristics of breastmilk: Immediately after delivery, breastmilk is yellowish and sticky. This milk is called Colostrum, which is secreted during the first-week of delivery. Colostrum is more nutritious than mature milk because it contains more protein, more anti-infective properties, which are of great importance for the infant’s defence against dangerous neo-natal infections. It also contains higher levels of Vitamin “A”.

Advantages of breastfeeding: 

(A) Breastmilk is a complete and balanced food and provides all the nutrients needed by the infant; (for the first six months of life)

(B) Breastmilk has anti-infective properties that protect the infants from infection in the early months;

(C) Breastfeeding is much cheaper than feeding infant milk substitutes as the cost of extra food needed by the mother is negligible as compared to the cost of feeding infant milk substitutes;

(D) Breastmilk is always available;

(E) Breastmilk needs no utensils or water (which might carry germs) or fuel for it’s preparation;

(F) Mothers who breastfeed usually have longer periods of infertility after child birth than non-lactators.

Management of breastfeeding, as under:

i. Breastfeeding

a.) Immediately after delivery enables the contraction of the womb and helps the mother to regain her figure quickly.

b.) Is successful when the infant suckles frequently and the mother wanting to breastfeed is confident in her ability to do so.

ii. In order to promote and support breastfeeding the mother's natural desire to breastfeed should always be encouraged by giving, where needed, practical advice and making sure that she has the support of her relatives.

iii. Adequate care for the breast and nipples should be taken during pregnancy.

iv. It is also necessary to put the infant to the breast as soon as possible after delivery.

v. Let the mother and the infant stay together after the delivery, the mother and her infant should be allowed to stay together (in hospital, this is called "rooming- in").

vi. Give the infant Colostrum as it is rich in many nutrients and its anti-infective factors protect the infants from infections during the few days of its birth.

vii. The practice of discarding Colostrum and giving sugar water, honey water, butter or other concoctions instead of Colostrum should be very strongly discouraged.

viii. Let the infants suckle on demand.

ix. Every effort should be made to breastfeed the infants whenever they cry.

x. Mother should keep her body and clothes and that of the infant always neat and clean.

Abbott Healthcare Pvt Ltd,

Floor 17th, Godrej BKC, Plot C-68, G-Block, Bandra Kurla Complex, Near MCA Club, Bandra (East), Mumbai 400051. India

This information is for healthcare professionals only.

References

1. Gladstone M, Oliver C, Van den Broek N. Survival, morbidity, growth and developmental delay for babies born preterm in low and middle income countries - a systematic review of outcomes measured. PLoS One. 2015;10(3):e0120566.

2. Martin CR, Brown YF, Ehrenkranz RA, et al. Nutritional practices and growth velocity in the first month of life in extremely premature infants. Pediatrics. 2009;124(2):649-57.

3. Lucas A, Fewtrell MS, Morley R, et al. Randomized trial of nutrient-enriched formula versus standard formula for postdischarge preterm infants. Pediatrics. 2001;108(3):703-11.

4. Tissières P, Ochoda A, Dunn-Siegrist I, et al. Innate immune deficiency of extremely premature neonates can be reversed by interferon-γ. PLoS One. 2012;7(3):e32863. 

5. Dewey KG, Mayers DR. Early child growth: how do nutrition and infection interact?. Maternal & child nutrition. 2011 Oct;7:129-42.

6. Buck RH, Thomas DL, Winship TR, et al. Effect of dietary ribonucleotides on infant immune status. Part 2: Immune cell development. Pediatr Res. 2004;56(6):891-900.

7. Fink NH, Collins CT, Gibson RA, et al. Targeting inflammation in the preterm infant: The role of the omega-3 fatty acid docosahexaenoic acid. Journal of Nutrition & Intermediary Metabolism. 2016; (5):55-60.

8. Pickering LK, Granoff DM, Erickson JR, et al. Modulation of the immune system by human milk and infant formula containing nucleotides. Pediatrics. 1998;101(2):242-9.

* Similac Neosure Core Claim Document 

 

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