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SMA® Anti-Reflux Product FAQ's

How should SMA® Anti-Reflux be prepared?

SMA® Anti-Reflux formula is a Special formula that is designed for the dietary management of frequent reflux and regurgitation. This specialist formula contains added starch to thicken the feed. This helps the feed to stay in baby's tummy, to help reduce the amount and frequency of regurgitations. The preparation of SMA® Anti-Reflux formula is different to other formulas. Please refer to and follow carefully, the preparation instructions on the tin. We do not recommend using Perfect Prep machines when preparing SMA® Anti-Reflux formula.

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What water temperature should I use to prepare SMA® Anti-Reflux?

SMA® Anti-Reflux formula is a special formula for the dietary management of frequent reflux and regurgitation. The preparation instructions differ to other formulas; hence we strongly recommend to read and follow the preparation instructions written on the back of the pack carefully. To prepare SMA® Anti-Reflux please wash your hands well and sterilise all utensils according to the manufacturer’s instruction. Boil 1L of tap water, allow it to cool for no more than 30 minutes. Measure the required amount of water into a sterilised bottle, carefully - the water is hot. Place the sterilised teat and cap on the bottle and cool the bottle under cold running water or in a bowl or a jug of cold water until lukewarm. Then, using only the scoop provided, add the correct number of scoops of SMA® Anti-Reflux powder (see feeding guide), levelling off the scoop with the back of a clean dry knife. Shake bottle well until the powder has fully dissolved. Test temperature by shaking a few drops on the inside of your wrist – milk should be lukewarm. SMA® Anti-Reflux can then be fed immediately – no need to leave to thicken.

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Do I need to leave SMA® Anti-Reflux to stand and thicken before feeding the baby?

No, you can feed SMA® Anti-Reflux immediately after preparation. Always check the temperature of the feed by shaking a few drops on the inside of your wrist – milk should be lukewarm.

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Can I use my Perfect Prep machine to prepare SMA® Anti-Reflux feeds?

We do not recommend using a Perfect Prep machine to prepare SMA® Anti-Reflux formula.

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What teat size is recommended to use with SMA® Anti-Reflux formula?

SMA® Anti-Reflux is a thicker formula, we recommend using a fast flow or a variflow teat.

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Why do you recommend using lukewarm water when preparing SMA® Anti-Reflux feeds?

SMA® Anti-Reflux contains a thickener which requires preparation of the feed at lower temperatures to help ensure the correct mixing and consistency of the final product. The NHS suggests to always follow the preparation instructions written on the back or side of the pack.

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Can SMA® Anti-Reflux feeds be made in advance?

We do not recommend making baby feeds in advance.

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Does SMA® Anti-Reflux come in Ready to Feed format?

SMA® Anti-Reflux is currently only available in powder format.

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Can I feed my baby SMA® Anti-Reflux while also giving Gaviscon?

Please always consult your healthcare professional for further advice and guidance.

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I couldn’t find the answer to my question. What should I do?

Please contact your healthcare professional or you may also call our dedicated Careline team – available to help you 24/7. Call 0800 0 81 81 80 (UK), 1800 931 832 (Ireland). You can also contact our Careline team via email or via live chat.

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Important notice
We believe that breastfeeding is the ideal nutritional start for babies as breast milk provides a balanced diet and protection against illness for your baby. We fully support the World Health Organization’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with sustained breastfeeding up to two years of age. We also recognise that breastfeeding may not be an option due to certain medical conditions. You should only feed Infant formula for special medical purposes under supervision of a healthcare professional after full consideration of all feeding options, including breastfeeding. Continued use must be assessed by the healthcare professional in relation to the baby's progress bearing in mind any social and financial implications for the family. Infant formula should always be prepared, used and stored as instructed on the label in order to avoid risks to a baby’s health. This product must be used under medical supervision. SMA® Anti-Reflux is a special formula intended for the dietary management of bottle-fed babies when significant reflux (regurgitation) is a problem. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 12 months of age. If the baby’s reflux does not improve within 2 weeks of starting SMA® Anti-Reflux, or if the baby fails to thrive, the family doctor should be consulted.