Perative 1.3 Tube Feed (500ml)

Nutrition Facts - Perative 500ml RTH

Available in 500ml Ready to Hang (RTH) containers (655 kcal)

Macronutrients

Vitamins

Minerals

Other Nutrients

Renal Solute Load: 512 mOsm/L
Osmolality: 385 mOsm/kg H₂O
Non-protein calorie:N ratio: 90:1
P/S ratio: 0.50
n6:n3 ratio: 4.9:1

Ingredients

Water, maltodextrin, hydrolysed milk proteins, vegetable oils (MCT from palm kernel oil, canola, corn), minerals (potassium citrate, calcium phosphate tribasic, magnesium chloride, potassium chloride, potassium phosphate dibasic, sodium citrate, ferrous sulphate, zinc sulphate, manganese sulphate, cupric sulphate, chromium chloride, sodium molybdate, potassium iodide, sodium selenite), L-arginine, stabilisers (E460, E466, E418), emulsifier: soy lecithin, choline chloride, vitamins (C, E, nicotinamide, calcium pantothenate, beta carotene, B₆, B₁, B₂, vitamin A palmitate, folic acid, K₁, biotin, D₃, B₁₂), taurine, L-carnitine.

Product Description

Perative is a 1.3 kcal/ml complete, balanced, semi-elemental liquid enteral feed designed for the dietary management of patients with malabsorption. This specialized formula contains hydrolysed proteins for easier digestion and absorption, making it suitable for patients who cannot or will not eat sufficient quantities of everyday food and drink to meet their nutritional requirements.

The formula features high protein content (20.5% of energy) from hydrolysed milk proteins, providing a complete amino acid profile in an easily digestible form. It contains L-arginine, an important amino acid that may support wound healing and immune function. The fat blend includes 40% MCT (Medium Chain Triglycerides) from palm kernel oil, which are more easily absorbed than long-chain fatty acids.

Perative is nutritionally complete for vitamins and minerals in 1230ml (excluding electrolytes, calculated using the UK Reference Nutrient Intake for men aged 19-50 years). Available in 500ml Ready to Hang (RTH) containers in unflavoured presentation. The product has a low viscosity and will pass down a fine nasogastric tube, making it suitable for tube feeding administration.

Suitable for people with diabetes provided that routine glucose checks are performed. This product is designed for enteral use only and should be administered at room temperature for tube feeding.

Usage Instructions

⚠️ FOR ENTERAL USE ONLY - This product is designed for tube feeding and must not be taken orally.

Administration Method

Ready for use. Administer at room temperature for tube feeding. The volume/flow rate should be adjusted to meet the patient's nutritional needs and tolerance. This product has a low viscosity and will pass down a fine nasogastric tube.

For gravity feeding, use of a Flexiflo gravity gavage set is recommended. An Abbott enteral feeding pump may be used in conjunction with the Abbott enteral feeding system where a more accurately controlled delivery of feed is indicated. An ambulatory system is available.

A Flexitainer enteral nutrition container may be used if decanting is necessary.

Community Use - Prescriptions

Perative can be prescribed on FP10 (GP10 in Scotland) for patients with conditions resulting in malabsorption including:

• Disease-related malnutrition
• Total gastrectomy
• Short bowel syndrome
• Bowel fistulae
• Intractable malabsorption
• Pre-operative preparation of patients who are malnourished
• Proven inflammatory bowel disease
• Dysphagia

All prescriptions should be endorsed ACBS (Advisory Committee on Borderline Substances).

Available on the DPS (Drugs Payment Scheme) and GMS (General Medical Services) scheme in Ireland.

Storage

• Store unopened at room temperature
• Avoid prolonged exposure to light
• Once opened, unused product should be resealed and stored in a refrigerator
• Unused contents should be discarded after 24 hours

Precautions

• In patients receiving some medications there may be a risk of drug nutrient interactions (e.g. warfarin and vitamin K). Careful prescribing and monitoring practices will serve to reduce the risk
• Do not make any additions to the feed without consulting your pharmacist or dietitian
• Unless recommended by a qualified healthcare professional, not intended for use in children

Manufacturer Information