0-6 months

SMA® Anti-Reflux

Food for special medical purposes. For the dietary management of reflux and regurgitation. Suitable from birth. This formula should be used under medical supervision.



SMA® Anti-Reflux is a nutritionally complete formula for the dietary management of formula-fed babies with significant reflux (regurgitation/spitting up). It can be used as the sole source of nutrition from birth in place of your usual formula feed, and can be mixed with foods once weaning has begun. Reflux often occurs because a baby’s digestive system is immature.

SMA® Anti-Reflux contains a unique combination of starch and 100% whey, partially hydrolysed protein for the dietary management of reflux and regurgitation. You may notice a change in baby’s stool when changing to SMA® Anti-Reflux. This is due to the different ingredients and is normal.


Easier preparation.
Thickened formula may require a fast flow-teat


We have recently updated our specials formulas in line with the UK and EU legislation (EU Regulation 2016/128). This means the nutritional composition requirements for formulas will change, and all manufacturers will have to update their formulas. But we know any change big or small even when for the better, can cause concern when it comes to your little human. Baby milks is one of the most heavily regulated and tested food products in the world, and we can assure you that the reformulated milks are safe for babies. We have worked hard to ensure that your baby should not notice any difference between the old and new milks. For more information please visit our FAQs or contact the SMA Careline® who will be happy to chat about the updated formulas.

Leading baby nutrition research for over 100 years

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Our expert team at SMA® Nutrition is dedicated to understanding the unique nutritional needs of babies with different feeding issues and to applying these learnings to our own products. We have been leading research in baby nutrition for over 100 years and have produced SMA® Anti-Reflux, a nutritionally complete formula specifically designed for the dietary management of babies with reflux and regurgitation.

Available in

800 g Powder

800 g cans of powder

Why SMA® Anti-Reflux?

Silver molecules
Easily digestible starch

*Contains fish oil as a source of omega 3

Silver molecules
100% whey, partially hydrolysed protein
Silver molecules
Easier preparation. Thickened formula, may require a fast flow teat



    SMA® Anti-Reflux

    800 g powder

    This formula should be used under medical supervision.

Preparing your 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 your baby ill.
  • pro-prep-1
    Step 1

    Pull the safety seal and open the lid. The scoop is provided under the lid. Lift the tab, pull on the foil seal, carefully and safely remove the seal and dispose of it.

  • pro-prep-2
    Step 2

    Wash hands well. Wash and sterilise all utensils according to manufacturer's instructions.

  • pro-prep-3
    Step 3

    Boil 1 litre of tap water. Allow 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.

  • pro-prep-liquid-10
    Step 4

    Place the sterilised teat and cap on the bottle. Cool bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the teat.

  • pro-prep-4
    Step 5

    Using only the scoop provided, add the correct number of scoops of 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 lid.

  • pro-prep-6
    Step 6

    Shake bottle well until powder has fully dissolved. Test temperature by shaking a few drops on the inside of your wrist - milk should be lukewarm.

    Thicker formula, may require a fast flow teat.

Feeding guide

Birth - 12 months
Approx. age of baby Approx. weight of baby Preparation for single feeds Cooled, freshly boiled water 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 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; your baby may need more or less than the volumes stated. If you require more advice, consult your healthcare professional. Remember to feed your baby on demand. Mix 1 scoop of powder to 30 ml (approx. 1 fl. oz.) of water.
Approx. 182 scoops per can. 1 scoop = 4.4g.

Important feeding information

  • Do not add extra powder or water to make 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 use with other feed thickeners or antacids.

  • Do not alter or add to product 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.

Nutrition information
per 100g powder | 100ml prepared feed
Nutrition information
Typical values
Energy 2150 kj 514 kcal 280 kj 67 kcal
Fat 26 g 3.4 g
of which, saturates 6.6 g 0.9 g
of which, unsaturates 18 g 2.3 g
Carbohydrate 60 g 7.8 g
of which, sugars 38 g 4.9 g
of which, starch 21 g 2.7 g
Protein 9.8 g 1.3 g
Salt* (=Sodium x 2.5) 0.5 g 0.06 g
*Salt is calculated as sodium x 2.5. Sodium is present for nutritional purposes.
Nutrition information
per 100g powder | 100ml prepared feed
Typical values
Vitamin A 500 µg 65 µg
Vitamin D 13 µg 1.7 µg
Vitamin E 11 mg 1.4 mg
Vitamin K 33 µg 4.3 µg
Vitamin C 75 mg 9.8 mg
Thiamin 0.4 mg 0.06 mg
Riboflavin 0.5 mg 0.06 mg
Niacin 3.5 mg 0.46 mg
Vitamin B6 0.25 mg 0.03 mg
Folate 170 µg 22.2 µg
Vitamin B12 1.2 µg 0.16 µg
Biotin 11.3 µg 1.5 µg
Pantothenic Acid 2.5 mg 0.3 mg
Nutrition information
per 100g powder | 100ml prepared feed
Typical values
Sodium 195 mg 25 mg
  8.5 mmol 1.1 mmol
Potassium 555 mg 72 mg
  14.2 mmol 1.8 mmol
Chloride 384 mg 50 mg
  10.8 mmol 1.4 mmol
Calcium 350 mg 46 mg
  8.8 mmol 1.2 mmol
Phosphorus 205 mg 27 mg
Phosphate 6.6 mmol 0.9 mmol
Magnesium 51 mg 6.7 mg
  2.1 mmol 0.3 mmol
Iron 5.3 mg 0.7 mg
Zinc 5 mg 0.7 mg
Copper 0.4 mg 0.05 mg
Manganese 0.12 mg 0.02 mg
Fluoride ≤0.2 mg ≤0.03 mg
Selenium 30 µg 3.9 µg
Chromium ≤10 µg ≤1.3 µg
Molybdenum ≤14 µg ≤1.8 µg
Iodine 110 µg 14 µg
Nutrition information
per 100g powder | 100ml prepared feed
Typical values
Taurine 32 mg 4.2 mg
Choline 180 mg 23 mg
Inositol 36 mg 4.7 mg
L-Carnitine 15 mg 2 mg
Nucleotides 15 mg 2 mg
Omega 3:
α-linolenic acid (ALA) 350 mg 46 mg
Docosahexaenoic Acid (DHA) 130 mg 17 mg
Omega 6:
Linoleic Acid (LA) 4050 mg 528 mg
Long Chain Polyunsaturate (LCP)
Osmolality 262 mOsm/kg H2O. Osmolarity 234 mOsm/L


Lactose (milk), vegetable oils (sunflower, coconut, rapeseed), potato starch, partially hydrolysed whey protein (milk), calcium phosphate, potassium citrate, fish oil (DHA), magnesium chloride, choline bitartrate, calcium chloride, L-arginine, sodium chloride, vitamin C, L-histidine, L-tyrosine, taurine, inositol, ferrous sulphate, nucleotides (cytidine-, disodium uridine-, adenosine- disodium guanosine-5’- monophosphate), L-carnitine, zinc sulphate, antioxidants (tocopherol-rich extract, ascorbyl palmitate), vitamin E, niacin, pantothenic acid, copper sulphate, vitamin A, thiamin, riboflavin, vitamin B6, manganese sulphate, potassium iodide, folic acid, sodium selenate, vitamin K, vitamin D, biotin, vitamin B12.

Browse all SMA® Nutrition products

Further reading

Have a look at our expert articles to see how you can give you baby the right nutrition for every stage of their development, from birth to toddlerhood.

Important notice

Breast milk is best for babies and breastfeeding should continue for as long as possible. 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. SMA® Anti-Reflux is not suitable for those who are allergic to cows’ milk protein, lactose intolerant, or who suffer from galactosaemia or require a galactose free diet. When bottle-feeding, do not allow prolonged or frequent contact of milk feeds with teeth as this increases the risk of tooth decay. Ask your healthcare professional or dentist for advice. Always hold your baby while feeding. Do not leave baby unattended as they might choke.

Important advice to mothers

The World Health Organisation (WHO) recommends exclusive breastfeeding for the first 6 months of life. SMA® Nutrition fully supports this and continued breastfeeding, along with the introduction of complementary foods as advised by your healthcare professional.



The best way to feed a baby is to breastfeed, as breast milk provides the ideal balanced diet and protection against illness for your baby and also many non-nutritional benefits for both baby and mother. We recommend that you speak to your healthcare professional when deciding on your choice of feeding your baby. Professional guidance should also be sought on the preparation for and maintenance of breastfeeding. If you do choose to breastfeed, it's important to eat a healthy, balanced diet.
Infant formula is intended to replace breast milk when mothers choose not to breastfeed or if for some reason they are unable to do so. A decision not to breastfeed, or to introduce partial bottle-feeding, will reduce the supply of breast milk.
If for any reason you choose not to breastfeed, do remember that such a decision can be difficult to reverse. Using infant formula also has social and financial implications which must be considered. Infant formula should always be prepared, used and stored as instructed on the label, in order to avoid risks to a baby's health, as advised by your healthcare professional.
When introducing weaning foods, remember that they need to be suitable and safe, and fed appropriately to minimise any risk to your baby's health. The pages ahead and other subsequent communications we may have with you provide you with information on infant feeding and SMA® Nutrition products, including infant formula.

If you continue you will be accepting that SMA® Nutrition is supplying this information at your individual request and for educational purposes only.