For enteral use only. ACBS approved, prescribable on form FP10 (GP10 in Scotland) for the following indications: Complete nutritional support or supplementary feeding for infants and children with chronic renal failure who are receiving peritoneal rapid overnight dialysis.

Use under medical supervision. For enteral use only. Due to the low content of potassium, chloride, calcium, phosphorus and vitamin A in this product which maybe required in chronic renal failure, levels should be monitored and individual nutrients supplemented if required.

The quantity of feed and dilution should be determined by a clinician or dietitian only and is dependent on the age, body weight and medical condition of the patient.

20% w/v (i.e. 20 g of this product made up to 100 ml with water) providing approximately 1 kcal/ml. Osmolality at this concentration is 280 mOsmol/kg H2O. A lower concentration may be required initially until tolerance is achieved.

Preparation per 100ml ready to feed:
84 ml water (approx. 3fl.oz) + 4 levelled scoops (4 x 5g) of powder to yield the recommended feed concentration (20% w/v).

For Bottle Feeding:
1. Wash hands thoroughly and clean the preparation area. Sterilise bottles and teats.
2. Boil fresh water for 5 minutes or until an electric kettle switches off. Cool for at least 30 minutes so that the water feels warm to the wrist. Pour the required amount of water into a sterilised feeding bottle.
3. Fill the scoop provided with powder and level off with a clean, dry knife. Do not press the powder into the scoop. Only use the scoop provided.
4. Add the prescribed number of scoops of Kindergen to the water. Replace the cap on the bottle and shake until the powder dissolves. Before feeding ensure that the formula is at the correct temperature by placing a few drops on the wrist.
5. Use immediately after reconstitution. Formula remaining in the bottle after one hour of feeding should be discarded. Formula must not be rewarmed during feeding.

For Tube or Sip Feeding:
1. Wash hands. Use clean equipment to prepare feed.
2. Use cooled boiled water and a sterile container.
3. Use the scoop provided or weigh out the prescribed amount of powder.
4. Add a small amount of the prescribed water to required amount of powder and stir with a fork until a smooth paste is obtained.
5. Continue stirring whilst adding the rest of the water until the prescribed dilution is achieved.
6. Administer at room temperature.

Glucose syrup, vegetable oil (sunflower oil, coconut oil (soy) rapeseed oil), whey protein (from cow's milk) galacto-oligosaccharides (from cow’s milk), maltodextrin, sodium citrate, fish oil, calcium phosphate, fructo-oligosaccharides, magnesium citrate, choline chloride, L-tyrosine, L-phenylalanine, oil from Mortierella alpina, inositol, L-leucine, potassium citrate, L-histidine, calcium carbonate, L-valine, emulsifier (sunflower lecithin), L-isoleucine, L-ascorbic acid, sodium L-ascorbate, taurine, ferrous sulphate, L-tryptophan, L-cystine, sodium chloride, zinc sulphate, L-carnitine, nicotinamide, calcium D-pantothenate, copper sulphate, sucrose, thiamin hydrochloride, riboflavin, pyridoxine hydrochloride, DL-α tocopherol, DL-α tocopheryl acetate, retinyl palmitate, manganese sulphate, pteroylmonoglutamic acid, potassium iodide, phytomenadione, sodium selenite, D-biotin, cholecalciferol, cyanocobalamin. Allergy Advice: For allergens, see ingredients in bold.

12months

Store in a cool dry place. Always replace the container lid after use. Once opened use within one month.

Halal, Kosher and Vegetarian

This is intended to show suitability of products for religious or dietary reasons. Some products may be suitable for kosher or halal diets but only products with Kosher approval or Halal certification have been identified here. Some individual flavours/variants may not be suitable and for more information please call our Resource Centre.

Nutrients	Unit	per 100ml
Energy	kcal	100
Energy	kJ	418
Protein (nitrogen)	g(g)	1.5 (0.24)
Carbohydrate	g	11.6
sugars	g	1.6
lactose	g	0.4
Fat	g	5.2
saturated fat	g	1.8
monounsaturates	g	2.5
polyunsaturates	g	0.85
Fibre	g	0.56

Nutrients	Unit	per 100ml
Vitamin A	µg	25.8
Vitamin D	µg	2.4
Vitamin E	mg (α-TE)	1.81 (1.84)
Vitamin K	µg	6.7
Thiamin	mg	0.15
Riboflavin	mg	0.2
Niacin	mg (mg NE)	0.91 (1.51)
Pantothenic Acid	mg	0.8
Vitamin B6	mg	0.11
Folic Acid	µg	16.8
Folate	µg	28
Vitamin B12	µg	0.2
Biotin	µg	3.8
Vitamin C	mg	13.3

Nutrients	Unit	per 100ml
Sodium	mg (mmol)	46.1 (2)
Potassium	mg (mmol)	23.9 (0.61)
Chloride	mg (mmol)	16.9 (0.48)
Calcium	mg (mmol)	46 (1.15)
Phosphorus	mg (mmol)	23 (0.74)
Magnesium	mg (mmol)	10.9 (0.45)
Iron	mg	1.5
Copper	mg	0.075
Zinc	mg	0.83
Manganese	mg	0.01
Iodine	µg	19
Molybdenum	µg	2.41
Selenium	µg	2.6
Chromium	µg	1.19

Nutrients	Unit	per 100ml
Choline	mg	31.3
Inositol	mg	25
l-carnitine	mg	2
taurine	mg	7
Osmolality	mOsmol/kg H20	280
Potential Renal Solute Load	mOsmol/l	124