HiPP German Anti-Reflux HiPP Anti-Reflux, 600 g box
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The answer
HiPP German Anti-Reflux is a food for special medical purposes, from birth, which the box says is for the dietary management of frequent spitting up and regurgitation. It keeps intact cow's milk protein and lactose as its only carbohydrate, and is thickened with locust bean gum, so each bottle stands for seven minutes before the feed. It adds the culture L. fermentum and is not organic. The box says to use it only after talking to the pediatrician, and the NHS advises anti-reflux formula only on a health professional's advice.
Key takeaways
- A food for special medical purposes, from birth, to be used only after talking to the pediatrician.
- Thickened with locust bean gum: let each bottle stand for seven minutes, shake it again and check the temperature.
- Intact cow's milk protein, lactose as the only carbohydrate, the culture L. fermentum and no galacto-oligosaccharides.
- Not for a baby who has, or is suspected of having, a cow's milk protein allergy, the box says.
What is in HiPP German Anti-Reflux?
The base is skimmed milk and a whey product, intact cow's milk protein, and lactose is the only carbohydrate. The feed is thickened with locust bean gum, which the box counts as fibre and calls especially thick and creamy.2
Fish oil adds DHA at 13.2 mg per 100 ml, and HiPP adds the lactic culture Limosilactobacillus fermentum CECT5716, without the galacto-oligosaccharides of its other formulas. It is not organic.2
Nutrition per 100 ml, prepared
| Nutrient | Per 100 ml | Per 100 kcal |
|---|---|---|
| Energy, fat, carbohydrate and protein | ||
| Energy | 66 kcal | 100 kcal |
| Fat | 3.6 g | 5.5 g |
| of which saturates | 1.3 g | 2 g |
| of which monounsaturates | 1.8 g | 2.7 g |
| of which polyunsaturates | 0.5 g | 0.76 g |
| Linoleic acid | 0.41 g | 0.62 g |
| Alpha-linolenic acid | 0.05 g | 0.076 g |
| ARA | 13.2 mg | 20 mg |
| DHA | 13.2 mg | 20 mg |
| Carbohydrate | 6.9 g | 10.5 g |
| of which sugars | 6.9 g | 10 g |
| of which lactose | 6.9 g | 10.5 g |
| Fibre | 0.4 g | 0.61 g |
| Protein | 1.25 g | 1.9 g |
| L-carnitine | 1.7 mg | 2.6 mg |
| Minerals | ||
| Salt | 0.05 g | 0.076 g |
| Sodium | 20 mg | 30 mg |
| Potassium | 80 mg | 121 mg |
| Chloride | 51 mg | 77 mg |
| Calcium | 54 mg | 82 mg |
| Phosphorus | 29 mg | 44 mg |
| Magnesium | 4.7 mg | 7.1 mg |
| Iron | 0.70 mg | 1.1 mg |
| Zinc | 0.60 mg | 0.91 mg |
| Copper | 0.057 mg | 0.086 mg |
| Manganese | 0.0050 mg | 0.0076 mg |
| Fluoride | < 0.0050 mg | < 0.0076 mg |
| Selenium | 3.0 µg | 4.5 µg |
| Chromium | < 0.60 µg | < 0.91 µg |
| Molybdenum | 0.58 µg | 0.88 µg |
| Iodine | 15 µg | 23 µg |
| Vitamins | ||
| Vitamin A | 54 µg | 82 µg |
| Vitamin D | 1.5 µg | 2.3 µg |
| Vitamin E | 0.70 mg | 1.1 mg |
| Vitamin K | 5.1 µg | 7.7 µg |
| Vitamin C | 8.9 mg | 13 mg |
| Vitamin B1 | 0.050 mg | 0.076 mg |
| Vitamin B2 | 0.17 mg | 0.26 mg |
| Niacin | 0.34 mg | 0.52 mg |
| Vitamin B6 | 0.029 mg | 0.044 mg |
| Folic acid | 10.0 µg | 15 µg |
| Vitamin B12 | 0.14 µg | 0.21 µg |
| Biotin | 1.5 µg | 2.3 µg |
| Pantothenic acid | 0.34 mg | 0.52 mg |
| Other nutrients | ||
| Choline | 25 mg | 38 mg |
| Inositol | 3.9 mg | 5.9 mg |
Values from HiPP's label for Germany, checked 15 October 2026. As a food for special medical purposes it is made to Regulation (EU) 2016/128, which lets its recipe depart from the ranges for infant formula where its medical use requires. The label prints values per 100 ml only, so the per 100 kcal column is calculated from them.
Every value is the one HiPP prints for 100 ml of made-up feed, which is 12.9 g of powder in 90 ml of water. Older boxes print a little less calcium, 51 mg; HiPP's current artwork and the box photographed here give 54 mg.239
How do you prepare it?
Boil fresh drinking water and let it cool to 40 to 50 °C, pour it into the bottle and add one level scoop (4.3 g) for every 30 ml, then shake it hard.2
Let the bottle stand for seven minutes while the locust bean gum thickens the feed, shake it hard again, and check it is at drinking temperature before the feed.2
| Water | Scoops | Powder | Feed size | Water temp. |
|---|---|---|---|---|
| 30 ml · 1 fl oz | 1 | 4.3 g | 33 ml · 1.1 fl oz | 40 to 50 °C · 104 to 122 °F |
| 90 ml · 3 fl oz | 3 | 12.9 g | 100 ml · 3.4 fl oz | 40 to 50 °C · 104 to 122 °F |
| 120 ml · 4 fl oz | 4 | 17.2 g | 133 ml · 4.5 fl oz | 40 to 50 °C · 104 to 122 °F |
| 150 ml · 5 fl oz | 5 | 21.5 g | 167 ml · 5.6 fl oz | 40 to 50 °C · 104 to 122 °F |
| 180 ml · 6 fl oz | 6 | 25.8 g | 200 ml · 6.8 fl oz | 40 to 50 °C · 104 to 122 °F |
| 210 ml · 7 fl oz | 7 | 30.1 g | 233 ml · 7.9 fl oz | 40 to 50 °C · 104 to 122 °F |
One scoop is 4.3 g, level, not packed. The feed size column is the volume in the bottle after the powder dissolves.
- Frisches Trinkwasser abkochen und auf ca. 40 - 50 °C abkühlen*.
- Boil fresh drinking water and let it cool to about 40 to 50 °C.
- Gewünschte Menge abgekochtes Wasser (s. Tabelle) in ein Fläschchen geben.
- Pour the amount of boiled water you need (see the table) into a bottle.
- Empfohlene Pulvermenge (s. Tabelle) abmessen. Messlöffel locker füllen und abstreifen. Pulver zum Wasser geben.
- Measure the powder the table gives. Fill the scoop loosely and level it off. Add the powder to the water.
- Fläschchen verschließen und mehrmals kräftig schütteln.
- Close the bottle and shake it hard several times.
- HiPP AR Spezialnahrung nach der Zubereitung 7 Minuten quellen lassen. Danach erneut kräftig schütteln und auf Trinktemperatur (ca. 37 °C) prüfen.
- After making it up, leave HiPP AR to thicken for 7 minutes. Then shake it hard again and check it is at drinking temperature, about 37 °C.
How much should a baby drink?
| Age | Feeds a day | Water per feed | Scoops | Made-up bottle | Water a day |
|---|---|---|---|---|---|
| Weeks 1 to 2 | 7 to 8 | 60 ml | 2 | 70 ml | 420 to 480 ml |
| Weeks 3 to 4 | 5 to 7 | 90 ml | 3 | 100 ml | 450 to 630 ml |
| Weeks 5 to 8 | 5 to 6 | 120 ml | 4 | 135 ml | 600 to 720 ml |
| Months 3 to 4 | 5 | 150 ml | 5 | 170 ml | 750 ml |
| Month 5 | 4 to 5 | 180 ml | 6 | 200 ml | 720 to 900 ml |
| From month 6 | 4 | 210 ml | 7 | 235 ml | 840 ml |
HiPP's own chart from the pack; water a day is feeds times water per feed. Babies vary, and a hungry or sleepy baby is a better guide than the table.
The chart runs from the first week, and the box calls its amounts guidelines.2
Who is it for, and who is it not for?
The box says it is for the dietary management of frequent spitting up and regurgitation, under medical supervision, from birth as the only food and after six months as part of a mixed diet, and in bold to use it only after talking to the pediatrician and only as long as the symptoms need.2
It must not be used if a baby has, or is suspected of having, a cow's milk protein allergy.2
The same stage in other markets
HiPP UK sells an Anti-Reflux Milk of its own, also a food for special medical purposes, and HiPP UK says its mixing instructions differ from its standard formulas'.8
What buyers say
1,010 reviews of this product, gathered from the sellers' own review pages, all of them counted in the rating. The newest are below as their buyers wrote them, each showing where it was written and linking to it; a review is one buyer's experience, not evidence. The rating is this product's alone, never pooled with other products or with a seller's store rating, and milkatlas edits none of them.
- 5 ★98 %
- 4 ★2 %
- 3 ★0 %
- 2 ★0 %
- 1 ★0 %
- Organic Life Start5.0 · 668
- Organic Formula Shop4.9 · 215
- Formuland4.9 · 72
- Organic's Best5.0 · 55
★★★★★ Chauncey M. Verified buyer on Organic Life Start
This has been a really good choice for us, and our bottle routine feels much smoother now. My little one seems happy after feeding, so I’m definitely glad we gave it a try.
★★★★★ Vernon A. Verified buyer on Organic Life Start
This has worked well for our little one and made our days easier.
★★★★★ Seth S. Verified buyer on Organic Life Start
HiPP Anti Reflux helped Soren keep his bottles down and sleep more comfortably.
★★★★★ Natalia B. Verified buyer on Organic Life Start
Since switching to this formula, our baby seems more comfortable and content. We’re finally getting better sleep as a family.
Questions parents ask
What is HiPP Anti-Reflux for?
The box says it is for the dietary management of frequent spitting up and regurgitation in babies, under medical supervision, from birth as the only food and after six months as part of a mixed diet.
How do you make up HiPP Anti-Reflux?
Like HiPP's other German formulas, with water boiled and cooled to 40 to 50 °C and one level scoop for every 30 ml, shaken hard. Then comes the difference: let the bottle stand for seven minutes to thicken, shake it again, and check it is at drinking temperature.
What thickens HiPP Anti-Reflux?
Locust bean gum, a thickener made from carob seeds; the box calls the feed especially thick and creamy, and it needs seven minutes to set.
Does HiPP Anti-Reflux stop reflux?
HiPP says it is thickened for babies who spit up a lot and that a baby should feel better within a few days, and to see the pediatrician again if not. The NHS describes anti-reflux formula as thickened with the aim of preventing reflux, to be used on a health professional's advice.
Does the thicker feed need a different teat?
The box gives no advice on teats. If the thickened feed does not flow well, ask your pediatrician or midwife before changing anything.
Can HiPP Anti-Reflux be used for a cow's milk allergy?
No. The box says not to use it if a baby has, or is suspected of having, a cow's milk protein allergy; its protein is intact cow's milk protein.
Why does the NHS warn about anti-reflux formula and water temperature?
Some anti-reflux formulas are made up with cooler water than the usual 70 °C so they do not go lumpy, and the NHS points out that powdered formula is not sterile and cooler water will not kill any harmful bacteria in it. HiPP's box asks for 40 to 50 °C, so take extra care and ask your pediatrician.
Is HiPP Anti-Reflux approved by the FDA?
No. The FDA does not approve infant formulas, and this box is made for the German market. No HiPP formula is on the FDA's list of formulas marketed in the United States.
Is HiPP Anti-Reflux organic?
No. The box carries no Bio in its name and no EU organic logo, and none of its ingredients is marked organic.
Sources
- HiPP Germany product page for HiPP Anti-Reflux Spezialnahrung the product, its age, and the link to its pack artwork fetched 18 September 2026
- HiPP pack artwork for HiPP AR Spezialnahrung (Anti-Reflux) 600 g, version 7 (May 2025) legal name, age, article number 2304, composition per 100 ml, ingredients and allergens, thickener, scoop, standard dilution, preparation with the 7-minute standing time, feeding chart, storage after opening, medical-supervision, use and warning statements, Hergestellt in Deutschland (made in Germany), the barcode on the bottom flap; the full nutrition panel as printed, every row fetched 25 September 2026
- The partner retailer's listing for HiPP German Anti-Reflux photographs of an earlier print of the box, which gives less calcium per 100 ml than the current artwork fetched 18 September 2026
- Regulation (EU) 2016/128 food for special medical purposes; for infants, the rules for infant and follow-on formula apply where the intended use does not require otherwise (Annex I, Part A) fetched 18 September 2026
- CDC, Infant formula preparation and storage water around 70 °C for babies younger than two months, born early or with a weakened immune system fetched 18 September 2026
- NHS, Types of formula first infant formula through the first year; no benefit in switching to follow-on formula at six months; never under six months; no evidence that babies settle better on formula with more casein; goat, comfort, anti-reflux, hypoallergenic and growing-up milks fetched 18 September 2026
- HiPP for health professionals, HiPP Anti-Reflux Special Formula HiPP's description and claims: locust bean gum as the thickener, L. fermentum fetched 18 September 2026
- HiPP UK, product page for HiPP Comfort Milk, questions and answers HiPP UK's Anti-Reflux formula has different mixing instructions from its standard formulas fetched 18 September 2026
- The partner retailer's photographs of the German Anti-Reflux box the pack photo, and its composition table, ingredients list and preparation steps, read on 15 October 2026: the current print, with the calcium HiPP's artwork gives; the source of the salt, chromium and molybdenum rows, which the box and the artwork both print; the article number 2304 fetched 15 October 2026
Corrections (1)
- The nutrition table had left out three rows that the box and HiPP's artwork both print: salt, 0.05 g per 100 ml, chromium, less than 0.60 µg, and molybdenum, 0.58 µg. They are now in the table. Every other row matches the box in the photographs added on 15 October 2026, the current print, with the 54 mg of calcium HiPP's artwork gives.