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Enteral Nutrition Formulas (Systemic)

Brand Names

Some commonly used brand names are:

In the U.S.-

In Canada-


Note:

For quick reference, the following enteral nutrition formulas are numbered to match the corresponding brand names.
This information applies to the following enteral nutrition formulas:
1.  Enteral nutrition formulas, blenderized
2.  Enteral nutrition formulas, disease-specific
3.  Enteral nutrition formulas, disease-specific and fiber-containing
4.  Enteral nutrition formulas, disease-specific and monomeric (elemental)
5.  Enteral nutrition formulas, disease-specific and polymeric
6.  Enteral nutrition formulas, fiber-containing
7.  Enteral nutrition formulas, milk-based
8.  Enteral nutrition formulas, modular
9.  Enteral nutrition formulas, monomeric (elemental)
10.  Enteral nutrition formulas, polymeric
**  Generic name product may be available in the U.S.
***  Generic name product may be available in Canada
*  Not commercially available in the U.S.
****�  Not commercially available in Canada

Category

  • Nutritional replacement  --Enteral Nutrition Formulas

Description

Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet. These formulas are taken by mouth or through a feeding tube and are used by the body for energy and to form substances needed for normal body functions.

Patients with the following conditions may be more likely to need enteral feedings:

  • Acquired immunodeficiency syndrome (AIDS)
  • Burns
  • Cancer
  • Infections, prolonged
  • Kidney problems
  • Liver problems
  • Lung problems
  • Pancreas problems
  • Stomach problems
  • Surgery
  • Trauma
  • Vomiting, prolonged

Enteral nutrition formulas are available without a prescription. However, they should only be used under medical supervision.

The benefits of enteral formulas in healthy people have not been proven.

Enteral nutrition formulas are available in the following dosage forms:

    Oral
  • Blenderized Enteral Nutrition
    • Oral solution (U.S. and Canada)
  • Disease-specific Enteral Nutrition
    • Oral solution (U.S. and Canada)
    • Powder for solution (U.S. and Canada)
  • Fiber-containing Enteral Nutrition
    • Oral solution (U.S. and Canada)
  • Milk-based Enteral Nutrition
    • Oral solution (U.S. and Canada)
    • Powder for solution (U.S. and Canada)
  • Modular Enteral Nutrition
    • Oral solution (U.S. and Canada)
    • Oral powder (U.S. and Canada)
  • Monomeric Enteral Nutrition
    • Oral solution (U.S. and Canada)
    • Powder for solution (U.S.)
  • Polymeric Enteral Nutrition
    • Oral solution (U.S. and Canada)
    • Powder for solution (U.S.)



Before Using This Medicine

If you are taking any of these enteral nutrition formulas without a prescription, carefully read and follow any precautions on the label. For enteral nutrition formulas, the following should be considered:

Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to any of the ingredients listed for your enteral nutrition formula. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy- Studies on effects in pregnancy have not been done in either humans or animals.

Breast-feeding- This enteral nutrition formula has not been reported to cause problems in nursing babies.

Children- Caution should be used when giving enteral feedings to children less than one year of age. Very young children may not be able to eliminate the feeding from the body. Although there is no specific information about the use of enteral feedings in older children, it is not expected to cause different side effects or problems in these children than it does in adults.

Older adults- Older adults may be at risk of developing problems related to the use of a nasogastric tube (tube going through the nose into the stomach), such as aspiration (sucking fluid into the lungs) or removing the nasogastric tube. The enteral feeding itself has not been shown to cause different side effects or problems in older people than it does in younger adults.

Other medicines- Medicines

Although certain medications and enteral nutrition formulas should not be used together at all, in other cases they may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your health care professional if you are taking any prescription or nonprescription (over-the-counter [OTC]) medicine.

Other medical problems- The presence of other medical problems may affect the use of enteral feedings. Make sure you tell your doctor if you have any other medical problems, especially:
  • Breathing problems or
  • Dehydration or
  • Diabetes mellitus (sugar diabetes) or
  • Diarrhea or
  • Heart problems or
  • Hyperglycemia (high levels of sugar in the blood) or
  • Hyperlipidemia or
  • Lactose intolerance or
  • Liver problems or
  • Pancreas problems-Enteral feedings may make these conditions worse; your doctor may recommend a special formula for your condition
  • Intestine problems or
  • Stomach problems-These problems may prevent enteral formulas from being absorbed properly
  • Kidney problems-Higher blood levels of certain ingredients of the enteral feeding may result, and a smaller amount of enteral feeding may be needed.
  • Malnutrition, severe-Heart and nerve problems have been reported when feeding a patient who is severely malnourished; enteral formula may need to be used in smaller amounts


Proper Use of This Medicine

Your enteral feeding may be given by mouth or by a feeding tube. Use the amount recommended by your doctor.

For patients taking the oral liquid form of enteral nutrition:

  • This preparation is in ready-to-use form. No dilution is needed unless directed by your physician.
  • Shake the preparation well before opening. Refrigerate after opening, out of the reach of children. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.

For patients using the powder form of this preparation:

  • For mixing or other use, follow carefully the instructions on the package.
  • Any unused solution should be kept in the refrigerator, out of the reach of children. Most formulas can be kept in the refrigerator for 1 to 2 days. Check the label of your product.

Storage-

To store the unopened container:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the enteral nutrition formula to break down.
  • Keep the enteral nutrition formula from freezing. Do not refrigerate, unless the product has been opened or mixed.
  • Do not keep outdated enteral nutrition formulas or those no longer needed. Be sure that any discarded enteral nutrition formula is out of the reach of children.


Precautions While Using This Medicine

Enteral feedings must be handled properly to protect them from bacteria. Enteral feedings should be used for no more than 12 hours at room temperature and then should be discarded.

If you are taking your enteral feeding through a tube, enteral formulas that are too thick may clog the feeding tube. If this happens, check with your doctor, nurse, dietitian, or pharmacist.


Side Effects of This Medicine

Side Effects of This Enteral Nutrition Formula

Some problems may result from improper use of an enteral formula or use of the incorrect formula in your condition. Check with your doctor if any of the following problems occur:

  • More common
    • Confusion;  convulsions (seizures);  decrease in urine volume;  dryness of mouth;  frequent urination;  increased thirst;  irregular heartbeat;  mood or mental changes;  muscle cramps or pain;  numbness or tingling in hands, feet, or lips;  respiratory distress, shortness of breath or difficulty breathing;  unexplained nervousness;  unusual tiredness or weakness;  weakness or heaviness of legs;  weak pulse 

Other problems may occur that usually do not need medical attention. They may go away during treatment as your body adjusts to the enteral nutrition formula. However, check with your doctor if any of the following side effects continue or are bothersome:

  • More common
    • Constipation;  diarrhea;  nausea or vomiting 

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.


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Last updated: Tue, 06 Jan 2009 00:20:03 GMT
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