HCP Disclaimer

If you are a parent or carer please visit www.nutramigen.co.uk/parent

This website is intended for healthcare professionals and contains information about Mead Johnson Nutrition special infant formulas.

Important Notice: Breast feeding provides the best nutrition for babies. Mead Johnson special formulas are intended for bottle-fed infants and are Food for Special Medical Purposes (FSMPs) and must be used under medical supervision.

This website relies on the use of cookies to function correctly. This includes a cookie to recognise that you have agreed to accept cookies, analytic cookies that help us analyse use of the website for improving the content, and social sharing cookies that allow users to share content on the web more easily. By clicking “accept” below you agree to allow us to place cookies into your computer. For more information about how we use cookies, please read our privacy policy.

By proceeding you confirm you are a healthcare professional.

Not a HCP?

Enfamil A.R.

The first-choice formula for infant reflux and regurgitation

Regurgitation is a commonly occurring problem which affects 50% of babies.1 It is mostly uncomplicated, usually resolving between 6 and 12 months of age, when the baby is sitting up and taking solids.1

Enfamil A.R. (‘anti-reflux’) is a prethickened formula designed for infants with frequent regurgitation, reflux, spitting up or posseting. It is nutritionally complete and suitable for babies from birth.

Clinically proven to reduce regurgitation

  • Significant symptom improvement within 1 week, compared with routine formula2
  • 40% reduction in the number of feeds followed by regurgitation
  • Reduced total regurgitation volume
  • Reduced proportion of feeds with choking and gagging

Easy to use, easy to digest

  • Stays fluid in the bottle and flows through a standard teat
  • Thickens on contact with gastric acid (HCI)
  • Well tolerated – thickened with rice starch for easy digestion3,4


Excellent nutritional profile

  • Nutritionally complete
  • Contains cow’s milk and has a similar taste to routine formula, so well accepted
  • Enriched with LIPIL to support brain and eye development5–7 Learn more

Preparing Enfamil A.R.

Unlike other formulas, Enfamil A.R. should be made using boiled water that has been left to cool to room temperature or chilled in the refrigerator before adding the powder.

After adding the powder, the bottle should be rolled between the hands, then shaken up and down. The rolling action helps the powder to dissolve more easily.

Our Mead Johnson Nutrition range of infant formulas are nutritionally tailored for each age group and indication. Review the ingredient information below.

Enfamil A.R.

Skimmed milk, vegetable oils (palm olein, coconut, soya, high oleic sunflower), rice starch, lactose (from milk), glucose syrup, calcium carbonate, emulsifier (soya lecithin), single cell oils (ARA from Mortierella alpina and DHA from Crypthecodinium cohnii), sodium L-ascorbate, choline chloride, L-cystine, potassium chloride, taurine, ferrous sulphate, inositol, zinc sulphate, L-carnitine, DL-alpha tocopheryl acetate, cytidine 5’-monophosphate, ascorbyl palmitate, niacinamide, ascorbic acid, adenosine 5’-monophosphate, calcium pantothenate, uridine 5’-monophosphate, guanosine 5’-monophosphate, retinyl palmitate, cupric sulphate, riboflavin, thiamine hydrochloride, cholecalciferol, pyridoxine hydrochloride, folic acid, manganese sulphate, phytomenadione, sodium iodide, sodium selenite, D-biotin, cyanocobalamin.

FAQs - Click on question to show the answer

How does Enfamil A.R. work?

Enfamil A.R. contains a special rice starch thickener – special because the formula remains fluid in the bottle and only thickens once inside the baby’s stomach, on contact with gastric acid. This makes Enfamil A.R. easy to use, as it flows through a standard teat.

Rice is a recommended first weaning food for infants and is a natural choice for managing infant reflux. Enfamil A.R. has been clinically proven to be easily digested and well tolerated by young infants.3,4

Why do you need to use chilled water to prepare the feed?

Due to the special formulation of Enfamil A.R., it is not possible to make up the formula with water at 70°C. The Department of Health has been notified of the special preparation instructions for this formula.

Can I add a separate feed thickener, such as Gaviscon® Infant?

Separate feed thickeners should not be used with Enfamil A.R.

Show references
  1. Vandenplas Y, Lifshitz JZ, Orenstein S et al. Nutritional management of regurgitation in infants. J Am Coll Nutr 1998;17:308-16.

  2. Vanderhoof JA, Moran JR, Harris CL et al. Efficacy of a pre-thickened infant formula: a multicenter, double-blind, randomized, placebo-controlled parallel group trial in 104 infants with symptomatic gastroesophageal reflux. Clin Pediatr (Phila) 2003;42:483-95.

  3. Lifschitz CH, Torun B, Chew F et al. Absorption of carbon 13-labeled rice in milk by infants during acute gastroenteritis. J Pediatr 1991;118:526-30.

  4. De Vizia B., Ciccimarra F, De Cicco N., Auricchio S. Digestibility of starches in infants and children. J Pediatr 1975;86:50-5.

  5. Birch EE, Carlson SE, Hoffman DR et al. The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid. Am J Clin Nutr 2010;91:848-59.

  6. Drover J, Hoffman DR, Castaneda YS et al. Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds. Child Dev 2009;80:1376-84.

  7. Morale SE, Hoffman DR, Castaneda YS et al. Duration of long-chain polyunsaturated fatty acids availability in the diet and visual acuity. Early Hum Dev 2005;81:197-203.