Cow’s Milk Allergy

Welcome to the healthcare professional pages of Cow’s Milk Allergy. Here you’ll be able to access a range of valuable articles and resources related to this topic, including clinical guidelines and detailed product information.

About medical nutrition

Cow’s milk allergy affects 2-5% of infants globally [1]

The role of nutrition

Allergy can place a significant burden on both the patient and their families, as well as on healthcare resources2,3. Allergies, including cow’s milk allergy (CMA), are caused by the body’s immune system overreacting to stimuli that are otherwise harmless.
Breastfeeding is the very best nutrition for all infants. When breastfeeding is not possible, there are tailored nutritional solutions – hypoallergenic formulas – specially designed for infants with cow’s milk allergy.

The mainstay of dietary management of CMA infants is the avoidance of all cow’s milk and cow’s milk protein-based infant formulas. Breastfeeding is the gold standard for infant nutrition; however, it may not always be possible for all CMA infants. Therefore, healthcare professionals may prescribe specialized infant formulas based on hydrolyzed protein or amino acids for dietary management.

Due to the recognition that there is gut microbiota dysbiosis in allergy4-6, there is a compelling rationale for the addition of both pre- and probiotics ingredients to formula for infants with CMA. An extensive clinical trial program has investigated the role of synbiotics (a blend of pre- and probiotics) in the dietary management of CMA7-10.

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Cow’s Milk Allergy portfolio

Our products play a key role during early life. From supporting healthy growth and development to providing the medical nutrition necessary when health is challenged including cow's milk allergy. The Nutricia products shown from this point onwards are foods for special medical purposes and intended for the nutritional management of diseases and related medical conditions. Medical nutrition is for use under medical supervision

Clinical guidelines

ESPGHAN GI Committee practical guidelines

Diagnosis and management of cow’s milk allergy (CMA) can be a complex process. ESPGHAN’s evidence-based guidelines can support the care clinicians offer to their CMA patients.

Milk Allergy in Primary Care (MAP/iMAP)

The GP Infant Feeding Network have collaborated with the MAP/iMAP team to update cow’s milk allergy diagnosis algorithms and create a parent leaflet to support the need to protect breastfeeding.

World Allergy Organization DRACMA Guidelines

The World Allergy Organization (WAO) expert panel have developed the evidence-based Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines.

Patient story

Lorena and Maria’s story

Like many mothers, Maria chose to breastfeed her daughter Lorena when she was born. But the joy of those first weeks and months was overshadowed by Lorena’s near-constant tears and irritability. Sleep was a thing of the past. After many appointments and tests, their pediatrician finally diagnosed cow’s milk allergy, which brought the family a sense of both relief and anxiety. A specialized formula was recommended and within 5 days Lorena was calmer and sleeping soundly, as were her parents.

Congresses and events

Webinar recording: “Supporting the appropriate diagnosis of Cow’s Milk Allergy”

Listen to Dr Nick Makwana, a leading Allergy Specialist from the UK, in conversation with a General Practitioner (GP) who has a keen interest in paediatric allergy and how that impacts the populations she looks after.

This session covers all key aspects of recognising and, first line management of Cow’s Milk Allergy (CMA) in the primary care/community setting. The session format is an informal Question and Answer discussion with summary points and key takeaways.

Key insights include:

  • The challenges of recognising and diagnosing CMA
  • The key guidelines
  • The importance of allergy focused history

  • The differences between IgE and non IgE allergy
  • Management options for infants with CMA
  • The unusual presentations of CMA

Feature articles

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From avoidance to active dietary management

Avoiding allergens has long been the established way of managing food allergy. Emerging evidence suggests that a more active, nutritional approach may be more effective.

  1. Fiocchi A, et al. World Allergy Organization Journal. 2010;3(4):57-161.
  2. Michaelis L, et al. Upskilling healthcare professionals to manage clinical allergy. Clin Exp Allergy. 2019;49:1534-1540.
  3. Meyer R, et al. The impact on quality of life on families of children on an elimination diet for Non-immunoglobulin E mediated gastrointestinal food allergies. World Allergy Organization Journal. 2017:10; 8
  4. Berni Canani R, et al. ISME J, 2016;3:42-50.2
  5. Ling Z, et al. Appl Environ Microbiol, 2014;80:2546-54.3
  6. Thompson-Chagoyan OC, et al. Pediatr Allergy Immunol, 2010;21:e394-400
  7. Burks A et al. Pediatr Allergy Immunol. 2015;26(4):316-22
  8. Candy D et al. Pediatr Res. 2018;83(3):677-86
  9. Fox AT et al. Clin Transl Allergy. 2019;9:5
  10.  Chatchatee P et al. JACI. 2021

Do you need support?

Contact our team for guidance on the use and composition of our product range, to get in touch with your local Nutricia representative.

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