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.


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.


  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.

Additional information

Weight 520 g


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