If the infant or child NOT had any of the following

history of anaphylaxis (breathing problems or faintness) to cow’s milk or dairy

failure to thrive

multiple food exclusions (if child has started to wean)

infant who is exclusively breast fed


1.  Infant should avoid cow’s milk, other dairy products, and sheep’s and goat’s milk

2. Prescribe extensively hydrolysed formula (Aptimil pepti, SMA Althera or Similac Alimentum)

3. Prescribe Piriton

3. Provide Cow’s Milk Allergy Information Leaflet

4. Arrange telephone consultation in 2 weeks to assess response