What is Nutrison Energy Multi Fibre Liquid?
Nutrison Energy Multi Fibre liquid, developed by Nutricia, is a specialized medical nutrition product used for enteral tube feeding. Classified as a "Food for Special Medical Purposes," its use necessitates medical professional supervision. This high-energy, fibre-enriched formula is nutritionally complete and designed for adults with disease-related malnutrition and high energy needs who cannot meet their nutritional requirements through oral intake.
Key Components and Functionality
Nutrison Energy Multi Fibre contains 1.5 kcal/ml, providing concentrated energy. It features a high-quality, non-coagulating protein blend to support muscle and immune function and aid gastrointestinal tolerance. The formula also includes beneficial fish oils containing DHA and EPA, as well as carotenoids for antioxidant properties. A key component is the patented MF6 fibre blend, a mix of six soluble and insoluble fibres designed to help maintain normal bowel function in tube-fed patients. This blend includes soy polysaccharide, cellulose, resistant starch, gum arabic, oligofructose, and inulin, intended to mimic a healthy dietary fibre intake.
Indications for Use
Under medical supervision, Nutrison Energy Multi Fibre is indicated for managing various conditions, including:
- Disease-related malnutrition
- High energy and protein requirements
- Intractable malabsorption or short bowel syndrome
- Pre-operative preparation for undernourished patients
- Inflammatory bowel disease
- Bowel fistulae or dysphagia
How to Administer Nutrison Energy Multi Fibre
As a ready-to-use liquid, Nutrison Energy Multi Fibre is administered via tube feeding, typically at room temperature. Ready-to-hang packs in closed systems have a maximum hanging time of 24 hours, while plastic bottles in open systems have an 8-hour limit. It's essential to shake the product before opening and avoid dilution or adding medications directly to the formula. Unopened product should be stored in a cool, dry place, and any unused portion must be refrigerated and discarded after 24 hours.
Nutrison Energy vs. Standard Nutrison
Comparing Nutrison Energy Multi Fibre to standard Nutrison helps highlight its specific application. Both offer complete, fibre-enriched nutrition, but the energy density differs.
| Feature | Nutrison Energy Multi Fibre | Standard Nutrison Multi Fibre |
|---|---|---|
| Energy Density | High (1.5 kcal/ml) | Standard (1.0 kcal/ml) |
| Intended Use | Patients with high energy needs and malnutrition | General disease-related malnutrition |
| Fibre Blend | Contains the MF6 fibre blend | Contains a fibre blend (MF6) |
| Protein | P4 protein blend (high-quality) | P4 protein blend (high-quality) |
| Micronutrients | Nutritionally complete with vitamins and minerals | Nutritionally complete with vitamins and minerals |
| Key Ingredients | Fish oils (EPA/DHA), carotenoids | Fish oils (EPA/DHA), carotenoids |
The 'Energy' version is formulated for situations requiring higher caloric intake to address greater energy deficits.
Potential Precautions and Contraindications
Use of Nutrison Energy Multi Fibre requires careful consideration by healthcare professionals. Key precautions and contraindications include:
- For enteral use only.
- Not suitable for patients with galactosaemia.
- Not suitable for children under 3 years; caution needed for those aged 3-6 years.
- Contraindicated for patients requiring a fibre-free diet.
- Requires medical supervision.
Allergens
The liquid contains cow's milk protein, soy, and fish oil. It is gluten-free and low in lactose.
The Importance of Medical Guidance
Nutrison Energy Multi Fibre is a medical food, and self-prescribing is discouraged. A dietitian or physician will determine its suitability and the appropriate feeding regimen. Regular monitoring is vital to track progress and adjust the plan. Consulting authoritative sources for safe enteral nutrition practices is recommended.
Conclusion
Nutrison Energy Multi Fibre liquid is a high-energy, ready-to-use, fibre-enriched enteral feed for managing disease-related malnutrition in adults with high energy requirements, under medical supervision. It provides complete nutrition for those unable to eat normally, but requires medical assessment due to contraindications.
