For healthcare professionals only.

This formulary decision guide was developed from content provided by Abbott in a format developed by Guidelines in Practice.

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Key points

  • EleCare® is a 100% amino acid-based infant formula (AAF) indicated for the dietary management of infants with severe cow’s milk allergy (CMA), multiple food allergies, and other conditions in which an amino acid-based formula is indicated1,2
  • EleCare is the only AAF containing 2’-FL[A] which has proven benefits for the gut and systemic immune responses3–5
  • EleCare is the best value AAF in the UK (price per 100ml).6

Download a PDF of this formulary decision guide

Product name

EleCare®

Indications

  • For the dietary management of infants with severe cow’s milk allergy (CMA), multiple food allergies, and other conditions in which an amino acid-based formula is clinically indicated1,2
  • EleCare is nutritionally complete and is suitable as a sole or supplemental source of nutrition for infants from birth and young children (no need to switch formula after 6 months).

Preparation and storage

  • EleCare can be safely prepared in accordance with NHS and WHO recommendations to mix in >70°C water8,9
  • Refer to product data sheet or EleCare tin label for full details about preparation
  • Sterilise all utensils according to manufacturers’ instructions or boil for 10 minutes
  • Store unopened tins at room temperature
  • Once opened, tins should be resealed using the lid provided and stored in a cool, dry place
  • Use within 3 weeks of opening
  • Prepared bottles should be kept in a refrigerator (2–4°C) and used within 24 hours.

Precautions

  • While they are made under hygienic conditions, powdered infant formulas are not sterile—failure to follow the preparation instructions could make the baby ill
  • Never use a microwave to prepare or warm formula.

Contraindications

  • For enteral use only.

Formulation

  • EleCare is a nutritionally complete, amino acid-based hypoallergenic infant formula1,2
  • Approved from birth onwards (no need to switch formula at 6 months)
  • It is the only formula containing 2’-FL[A], which has proven benefits for the gut and systemic immune responses3–5
  • EleCare is certified for halal and kosher diets
  • 33% of fat blend is medium-chain triglycerides
  • EleCare is the AAF with the lowest osmolality in the UK (300 mOsm/Kg H2 O)
  • EleCare has supported healthy growth of infants and children for over 20 years.1

Savings to the NHS

  • EleCare is the best value amino acid-based formula in the UK (price per 100 ml),6 with the added benefit of 2’-FL[A].
 EleCareNeocateLCPNeocate SyneoNutramigen PuraminoSMA Alfamino

Cost per tin

£22.98

£22.98

£24.82

£22.98

£22.98

Cost per

100 ml[B]

£0.74

£0.78

£0.89

£0.76

£0.76

Cost per infant

(1 year)[C]

£2,029

£2,123

£2,446

£2,076

£2,076

Excess cost vs EleCare per 100 infants per year[B]

£0

£9,436

£41,742

£4,718

£4,718

Prescribing guidance

AgeSuggested intake per dayEleCare (400g tins per month)

0–2 months

420-735 ml

7

2–6 months

525-1080 ml

10

7–9 months

600 ml

5

10–24 months

400 ml

4

  • This guide is to support healthcare professionals to appropriately prescribe EleCare
  • The suggested volume guidance has been calculated using standard weights, normal fluid requirements,12  and complementary feeding 
  • Please note, all babies should be fed according to their individual growth and satiety needs.13

Evidence for use

  • Where breastfeeding is not possible, international guidelines recommend AAFs for formula-fed infants with severe CMA, multiple food allergies, or when an EHF is ineffective as initial treatment for mild-to-moderate CMA10,11
  • EleCare has been studied in several clinical trials and its safety and efficacy has been demonstrated: 
    • EleCare is clinically shown to be hypoallergenic and support healthy growth in infants with severe and/or multiple food allergies[E]1,2
    • gastrointestial symptoms: EleCare is clinically shown to improve symptoms of gastrointestinal disorders like malabsorption and short bowel syndrome [E]7
  • 2’-FL added to infant formula has been shown to be:[D]
    • safe and well tolerated1,2
    • eczema and respiratory symptoms: infants fed formula with 2’-FL have been observed to have lower levels of inflammatory cytokines and significantly lower incidence of parent-reported eczema and respiratory infections5
    • 66% fewer parent reports of respiratory infections3
    • significantly lower levels of multiple inflammatory cytokines (p≤0.05), which were comparable to level of breastfed infants4
    • significantly fewer (0% vs 5%) parent reports of eczema (p<0.05).5

Order information

UK pharmacy PIP order codeDescriptionNHS price

413-9390

6 x 400g tin (unflavoured)

£22.98 per tin

  • For more information on EleCare, visit https://www.similac.abbott/uk/hcp/ or call Abbott’s Freephone Nutrition Helpline on 0800 252 882.

References

  1. Sicherer S et al. J Pediatr 2001; 138: 688–693.
  2. Borschel M et al. Clin Pediatr (Phila) 2013; 52 (10): 910–917.
  3. Reverri E et al. Nutrients 2018; 10 (10): 1346.
  4. Goehring K et al.   J Nutr 2016; 146 (12): 2559–2566.
  5. Marriage B et al. J Pediatr Gastroenterol Nutr 2015;61 (6): 649–658.
  6. MIMS online. www.mims.co.uk (accessed March 2021).
  7. Borschel M et al. BMC Pediatr 2014; 14: 136.
  8. World Health Organisation. How to prepare formula for bottle-feeding at home. Available at: www.who.int/foodsafety/publications/micro/PIF_Bottle_en.pdf
  9. NHS. How to make up baby formula – Your pregnancy and baby guide. September 2019. Available at: www.nhs.uk/conditions/pregnancy-and-baby/making-up-infant-formula/
  10. Fox A et al. Clin Transl Allergy 2019; 9 (1): 1–7.
  11. Luyt D et al. Clin Exp Allergy 2014; 44 (5): 642–672.
  12. GOSH. Nutritional Requirements for Children in Health and Disease, 5th edn.
  13. Royal College of Nursing. Formula feeds: guidance for nurses caring for infants and mother. Available at: www.rcn.org.uk/professional-development/publications/pub-005694

IMPORTANT NOTICE: Breastfeeding is best for infants and is recommended for as long as possible during infancy. EleCare is an infant formula for special medical purposes and should only be used under the recommendation or guidance of a healthcare professional.

[A] The 2’-FL (2’-fucosyllactose) used in this formula is biosynthesised and structurally identical to the human milk oligosaccharide (HMO) 2’-FL, found in most mothers’ breast milk

[B] Approximate values based on individual manufacturer scoop sizes, assuming 3 scoops mixed with 90 ml makes up 100 ml

[C] Assumes an infant consumes 750 ml each day

[D] Studies conducted in healthy-term infants fed standard Similac formula with 2’-FL, compared with control formula without 2’-FL

[E] Studies conducted in infants who were fed standard EleCare formula without 2’-FL

2’-FL=2’-fucosyllactose; AAF=amino acid-based infant formula; CMA=cow’s milk allergy; eHF=extensively hydrolysed formula; HMO=human milk oligosaccharide. 

EleCare

UK—2100014

Date of preparation: June 2021