Overview of Infant Formulas
What is an Infant Formula?
Infant formulas are liquids or reconstituted powders fed to infants and young children.
They serve as substitutes for human milk. Infant formulas have a special role to play in
the diets of infants because they are often the only source of nutrients for infants. For
this reason, the composition of commercial formulas is carefully controlled and FDA
requires that these products meet very strict standards.
How does FDA regulate Infant Formulas?
The safety and nutritional quality of infant formulas are ensured by requiring that
manufacturers follow specific procedures in manufacturing infant formulas. In fact, there
is a law -- known as the Infant Formula Act -- which gives FDA special authority to create
and enforce standards for commercial infant formulas. Manufactures must analyze each batch
of formula to check nutrient levels and make safety checks. They must then test samples to
make sure the product remains in good condition while it is on the market shelf. Infant
formulas must also have codes on their containers to identify each batch and manufacturers
must keep very detailed records of production and analysis.
How do I report a problem or illness caused by an infant formula?
If a consumer has a general complaint or concern about a food product including an
infant formula, FDA is the appropriate agency to contact. These problems, complaints, or
injuries can be reported in writing or by telephone.
If you think your infant has suffered a serious harmful effect or illness from an
infant formula, your health care provider can report this by calling FDA's MedWatch
hotline at 1-800-FDA-1088 or by using the website www.fda.gov/medwatch/report/hcp.htm.
The MedWatch program
allows health care providers to report problems possibly caused by FDA-regulated products
such as drugs, medical devices, medical foods and dietary supplements. The identity of the
patient is kept confidential.
Consumers may also report an adverse event or illness they believe to be related to the
use of an infant formula by calling FDA at 1-800-FDA-1088 or using the website www.fda.gov/medwatch/report/consumer/consumer.htm.
FDA would like to know when a product causes a problem even if you are unsure the product
caused the problem or even if you and the baby do not visit a doctor or clinic.
Are there approved recipes for homemade infant formulas?
FDA regulates commercially available infant formulas, which are in liquid and powder
forms, but does not regulate recipes for homemade formulas. Great care must be given to
the decision to make infant formulas at home, and safety should be of prime concern. The
potential problems associated with errors in selecting and combining the ingredients for
the formula are very serious and range from severe nutritional imbalances to unsafe
products that can harm infants. Because of these potentially very serious health concerns,
FDA does not recommend that consumers make infant formulas at home.
Product that comsumers have inquired about: Recipe for Homemade Formula Developed by a
Naturopath
Recently FDA has become aware of a homemade infant formula recipe which is attributed to
a naturopath at a company that makes nutritional supplements. It has been distributed to
at least one Down's Syndrome support group. The recipe includes the ingredients flaxseed
oil, maple syrup, and beta-carotene. A review of the recipe suggests that a formula made
using the recipe would have several deficiencies including too few calories and a nutrient
content that would be insufficient, or in some cases too high. In addition, the
instructions for use are imprecise and susceptible to error.
I have seen bottled water marked for use in preparing infant formula. What does this
mean?
The manufacturers of infant formula provide directions for mixing their products with
water and usually do not specify the source of water other than to indicate that the water
should be safe to drink. In most situations, it is safe to mix formula using ordinary cold
tap water that is brought to a boil and boiled for one minute or as directed on the label
of the infant formula. Some water companies wish to make available bottled waters which
are marketed for infants and for use in mixing with infant formula. When manufacturers
label their water as intended for infants, the water must meet the same standards
established for tap water by the Environmental Protection Agency. The label must also
indicate that the bottled water is not sterile. As with tap water, consumers should boil
bottled water one minute before mixing with infant formula. Water that is sterilized by
the manufacturer and intended for use with infants must meet certain strict FDA standards.