New SMA® PRO Anti-Reflux


New SMA® PRO 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.
Babies' digestive systems mature at different rates and many healthy babies experience reflux due to their digestive system being immature. Many babies bring back some of their feeds, however, if your baby is bringing back milk more frequently, or in larger volumes, it may be best to speak to your GP. You’ll be happy to hear most babies grow out of this condition by 12 months of age, but in the meantime SMA® PRO Anti-Reflux may be recommended by your healthcare professional.

New SMA® PRO Anti-Reflux benefits from over 90 years of experience in advancing baby nutrition and has been specifically developed for the dietary management of babies with reflux and regurgitation, when they are not being breastfed.

New SMA® PRO Anti-Reflux contains a unique combination of easily digestible starch and 100% whey, partially hydrolysed protein.

SMA® PRO Anti-Reflux is a nutritionally complete formula for the dietary management of babies with significant reflux/regurgitation when they are not being breastfed. 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.

New easier preparation.
Thicker formula, may require a fast flow teat.

All babies are different and symptoms may subside around the time of weaning; you may want to switch to SMA® PRO Follow-on Milk which is suitable for babies 6 months + and is designed to complement the weaning diet. If the reflux persists, SMA® PRO Anti-Reflux can be used up to 12 months in conjunction with solid foods.

If you are currently using SMA Staydown®, this product can be used in its place.

Available in


800 g cans of powder

SMA Staydown® will remain available on prescription/ to be ordered through your local pharmacy for a further few months.

Why SMA® PRO Anti-reflux?

Easily digestible starch

SMA® PRO Anti-Reflux contains starch as a thickener which helps the feed settle more easily in baby’s tummy.

100% whey, partially hydrolysed protein

100% whey, partially hydrolysed protein makes the feed easy to digest.

New easier preparation

Thickened formula, may require a fast flow teat.


    New SMA® PRO Anti-Reflux 800 g powder

    New SMA® PRO Anti-Reflux

    800 g powder

    This formula should be used under medical supervision.

    Where to buy

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.



    New SMA® PRO Anti-Reflux can be made up with cooled, previously boiled water.

  • 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.

  • Step 2

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

  • Step 3

    Boil 1 litre of tap water. Allow to cool for no more than 30 minutes before measuring the required amount of water (see feeding guide) into a sterilised bottle, carefully - the water is hot. 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. Do not use artificially softened or repeatedly boiled water.

  • Step 4

    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.

  • Step 5

    Shake bottle well until powder has fully dissolved. Test temperature by shaking a few drops on to 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
Metric units
  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
Imperial units
  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

  • For hygienic reasons, discard unfinished feed in the bottle as soon as possible.

  • For older babies, made-up formula can be added to food but not heated.

  • We recommend preparing each feed in individual bottles when required.

  • For enteral use only.
  • 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.

  • 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.

Practical and hygienic
Scoop can be stored in suspension inside the can

Nutritional information
per 100g powder | 100ml prepared feed
Nutritional information
Typical values
Energy 2146 kj 513 kcal 280 kj 67 kcal
Fat 26 g 3.4 g
of which, saturates 7.4 g 1 g
of which, unsaturates 18.6 g 2.4 g
Carbohydrate 60 g 7.8 g
of which, sugars 39 g 5.1 g
of which, starch 20.7 g 2.7 g
Protein 9.8 g 1.3 g
Salt* (=Sodium x 2.5) 0.5 g 0.07 g
*Salt is calculated as sodium x 2.5. Sodium is present for nutritional purposes.
Nutritional information
per 100g powder | 100ml prepared feed
Typical values
Vitamin A 522 µg 68 µg
Vitamin D 6.6 µg 0.9 µg
Vitamin E 9.1 mg 1.2 mg
Vitamin K 39 µg 5.1 µg
Vitamin C 69 mg 9 mg
Thiamin 0.5 mg 0.07 mg
Riboflavin 1.2 mg 0.15 mg
Niacin 5.4 mg 0.7 mg
Vitamin B6 0.36 mg 0.05 mg
Folic Acid 81 µg 10.6 µg
Vitamin B12 1.1 µg 0.14 µg
Biotin 11.2 µg 1.5 µg
Pantothenic Acid 4.8 mg 0.6 mg
Nutritional information
per 100g powder | 100ml prepared feed
Typical values
Sodium 200 mg 26 mg
  8.7 mmol 1.1 mmol
Potassium 550 mg 72 mg
  14.1 mmol 1.8 mmol
Chloride 381 mg 50 mg
  10.7 mmol 1.4 mmol
Calcium 353 mg 46 mg
  8.8 mmol 1.2 mmol
Phosphorus 196 mg 26 mg
Phosphate 6.3 mmol 0.8 mmol
Magnesium 52 mg 6.8 mg
  2.2 mmol 0.3 mmol
Iron 5.3 mg 0.7 mg
Zinc 5 mg 0.7 mg
Copper 0.44 mg 0.06 mg
Manganese 0.11 mg 0.01 mg
Fluoride ≤0.06 mg ≤0.01 mg
Selenium 18 µg 2.4 µg
Chromium ≤20 µg ≤2.6 µg
Molybdenum ≤20 µg ≤2.6 µg
Iodine 77 µg 10 µg
Nutritional information
per 100g powder | 100ml prepared feed
Typical values
Taurine 32 mg 4.2 mg
Choline 56 mg 7.3 mg
Inositol 40 mg 5.2 mg
L-Carnitine 16 mg 2.1 mg
Nucleotides 15 g 2 g
Omega 3:
α-linolenic acid (ALA) 500 mg 65 mg
Omega 6:
Linoleic Acid (LA) 4100 mg 536 mg
Osmolality 240 mOsm/kg H2O. 217 Osmolarity mOsm/L
SMA® PRO Anti-Reflux contains Taurine and Nucleotides.


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


Customer reviews

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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® PRO 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® PRO Anti-Reflux, or if the baby fails to thrive, the family doctor should be consulted. SMA® PRO Anti-Reflux is not suitable for Halal or vegetarians or 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 there is a risk 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.

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