SMA® Anti-Reflux
A nutritionally complete formula specifically designed for the dietary management of frequent reflux and regurgitation. Suitable from birth to 12 months.
Food for Special Medical Purposes. This product must be used under medical supervision.
Comparison chart
SMA® Anti-Reflux contains easily digestible starch and 100% whey, partially hydrolysed protein.
| Anti-Reflux Formulae | SMA® Anti-Reflux6 | Aptamil Anti-Reflux7 | Cow & Gate Anti-Reflux8 | Hipp Anti-Reflux9 |
|---|---|---|---|---|
| Easy to digest protein^3 | ||||
| Digestible starch thickener4 | ||||
| No palm oil | ||||
| No fish oil | ||||
| ACBS approved for prescription | ||||
| Can be fed immediately after preparation | Leave to thicken for 5 mins. | Leave to thicken for 7 mins. | Leave to stand for 7 mins. |
^100% whey, partially hydrolysed protein.
For information on suitability for use in Halal diets please contact the Careline on 0800 081 81 80 (UK) or 1800 931 832 (Ireland).
Data card
Download the data card
Product details
SMA® Anti-Reflux Formula Powder
800g Powder
Easy open lid. Scoop can be stored in suspension inside the can. Use product within 4 weeks of opening. Approximately 183 scoops per can.
Birth - 12 months
| Approx. age of baby | Approx. weight of baby | Preparation for single feeds | Cooled, freshly boiled water | Approx. Feeds in 24 hrs |
|---|---|---|---|---|
| ||||
| kg | Level scoops | ml | ||
| Birth – 2 weeks | 3.4 | 3 | 90 | 6 |
| 2 – 4 weeks | 3.7 | 4 | 120 | 6 |
| 4 – 8 weeks | 4.2 | 4 | 120 | 6 |
| 2 months | 5.3 | 5 | 150 | 5 |
| 3 months | 6.1 | 6 | 180 | 5 |
| 4 months | 6.7 | 6 | 180 | 5 |
| 6 months | 7.6 | 8 | 240 | 4 |
| 7 – 12 months | - | 7 | 210 | 3 |
| Approx. age of baby | Approx. weight of baby | Preparation for single feeds | Cooled, freshly boiled water | Approx. Feeds in 24 hrs |
|---|---|---|---|---|
| ||||
| lb | Level scoops | fl. oz. | ||
| Birth – 2 weeks | 7 ½ | 3 | 3 | 6 |
| 2 – 4 weeks | 8 | 4 | 4 | 6 |
| 4 – 8 weeks | 9 ¼ | 4 | 4 | 6 |
| 2 months | 11 ¾ | 5 | 5 | 5 |
| 3 months | 13 ½ | 6 | 6 | 5 |
| 4 months | 14 ¾ | 6 | 6 | 5 |
| 6 months | 16 ¾ | 8 | 8 | 4 |
| 7 – 12 months | - | 7 | 7 | 3 |
This table is a guide only; All babies are different. A baby may need more or less than the volumes stated. Caregivers should consult their healthcare professional if more advice is needed. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water. 1 scoop = 4.4 g. Approx. 183 scoops per can.
- Do not add extra powder or water to make the feeds stronger or weaker and do not press powder into scoop. Using too much or too little powder can make your baby ill.
- We recommend preparing each feed in individual bottles when required.
- For hygienic reasons, discard unfinished feed in the bottle as soon as possible.
- For older babies, made-up formulae can be added to food but not heated.
- For enteral use only
- Do not alter or add to formulae unless medically directed.
- Do not warm feeds in a microwave as it will cause milk to thicken and hot spots may occur and cause scalding.
- Remember, cows' milk should not be used as a drink during the first year.
- Do not use with other feed thickeners or antacids.
Preparation
Information for you to give to parents
How to prepare the baby's feed
Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make the baby ill.
Thicker formula requires a fast flow teat.
1
Wash hands well. Wash and sterilise all utensils according to manufacturers’ instructions.
2
Boil 1 litre of fresh tap water. Allow boiled water to cool for no more than 30 minutes. Measure the required amount of water (see feeding guide) into a sterilised bottle, carefully – the water is hot. Do not use artificially softened or repeatedly boiled water.
3
Place the sterilised fast flow teat and cap on the bottle. Cool bottle under cold running water until lukewarm.
4
Using only the scoop provided, add the correct number of scoops of the powder (see feeding guide) levelling off each scoop with the back of a clean, dry knife. Store the scoop in suspension inside the can and replace the lid.
5
Place the sterilised fast flow teat and cap on the bottle and shake vigorously. Shake 5 seconds forward/backwards and then 10 seconds up and down until powder has fully dissolved. Test temperature by shaking a few drops on to the inside of your wrist – formula should be lukewarm. Can be fed immediately after preparation.
- Indrio, F. et al. Effect of a Partially Hydrolysed Whey Infant Formula Supplemented with Starch and Lactobacillus reuteriDSM 17938 on Regurgitation and Gastric Motility. Nutrients 2017, 9, 1181.
- Kwok T.C. et al. Feed thickeners in gastro-oesophageal reflux in infants. BMJ Paediatrics Open 2018;0:e000262.
- Billeaud C et al. Gastric emptying in infants with or without gastro-oesophageal reflux according to the type of milk. Eur J Clin Nutr 1990;44:577-583.
- Christian M. et al. Starch digestion in infancy. JPGN 29: 116-124.
- NICE (2015). Gastro-oesophageal reflux disease in children and young people. Available at https://www.nice.org.uk/guidance/ng1. Accessed: May 2026.
- SMA® Anti-Reflux data card. Available at https://www.smahcp.co.uk/formula-milk/anti-reflux-formula Accessed May 2026.
- Aptamil® Anti-Reflux data card. Available at https://www.nutricia.co.uk/hcp/pim-products/aptamil-anti-reflux.html May 2026.
- Cow & Gate Anti-Reflux data card. Available at https://www.nutricia.co.uk/hcp/pim-products/cow-gate-anti-reflux.html Accessed May 2026.
- Hipp Anti-Reflux Milk powder data card. Available at https://www.hipp.co.uk/about-us/healthcare-professionals Accessed May 2026.
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 a 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. Parents 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.