Aptamil Anti Reflux

[NewMum0221]

My DS has just been prescrived Aptamil Anti Reflux and I'm looking for advice from any other parents on here who may have experience of this. The pack instructions clearly state to boil the kettle and leave it sitting for 45 minutes (longer than the NHS recommended 30 minutes) and apparently this is so the water reaches 40C before being mixed with the formula in order for the formula to work effectively. However when I leave it for the 45 mins (and no longer, as the pack states) the water is still at around 60C. Not sure if I should leave it longer but 45 minutes is already a long time to wait when I have a hungry baby waiting for a feed! I do start preparing feeds for when I think DS will want one but the longer I need to wait for the water to cool the harder this gets! Does anyone have experience of this formula? How did you prepare it and do you have a method for preparing feeds in advance? Anxious first time mum here, finding feeding particularly tough :(

It was a couple of years ago for me but I have a feeling I kept some cool sterile water in the fridge to bring the temperature down a bit🤔

This is from First Steps Nutrition (evidence based unbiased non-sponsored early years nutrition website):
“Currently, manufacturers suggest that these milks are made up with cold or hand-hot water, rather than with water boiled and cooled to 70oC. This is because anti-reflux milk made up with water at 70oC is likely to become lumpy. However, if the milk is made up with cold or hand-hot water, there is an increased risk of bacteria being present in the milk. We do not recommend that any milks are made up using water at a temperature of less than 70oC unless the risks have been assessed by a medical practitioner.”

That’s a tricky one to call, if you aren’t happy to take the risk of making the feed up with water below 70 degrees you’d need to ask the gp to prescribe an alginate (usually infant gaviscon) that you can add to regular formula instead. However, be aware these are linked to constipation so that’s something else to look out for. If you are happy with making the feed with water that’s 40 degrees you can add boiled water to sterilised bottles (maybe make up 3 at a time), leave them to cool and reheat to 40 when you need to use it. Not ideal, and goes against the guidance of how to make feeds safely. Reflux can be a minefield. Good luck & it does get easier