Food for Special Medical Purposes, for use under medical supervision. Suitable as a nutritional supplement for patients who cannot or will not eat sufficient quantities of everyday food and drink to meet their nutritional requirements. Ensure Shake may also be added to foods as a “fortifier”. Not suitable as a sole source of nutrition.

• Store in a cool, dry place but not refrigerated.
• Empty the contents of one sachet into a glass or shaker.
• Measure 200 ml (1/3 pint) of whole milk.
• Add a little of the milk to the powder and mix with a fork until smooth.
• Add the remaining milk and stir until smooth.
• For a frothy shake, use a shaker or electric blender.
• Pour into a glass and serve.
• Reconstituted Ensure Shake should be used promptly or covered, refrigerated and used within 24 hours.
• Whisk or shake again before use.

Ensure Shake can also be mixed with semi-skimmed or skimmed milk, or water. If making Ensure Shake up with liquids other than whole milk, the nutritional profile will vary.

• 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 (please refer to pharmacist).
• Patients should not make any additions to the feed without consulting with their pharmacist or dietitian.
• Many nutritional products contain sucrose and other sugars. It is important for patients who are taking supplements as sip feeds to observe good oral hygiene. It is suggested that patients consult with their dentist for further advice.
• Unless recommended by a healthcare professional, not intended for use in children.
• When feeding to patients with dysphagia, please thicken the product as appropriate.

• FOR ENTERAL USE ONLY.
• Do not use in children under 1 year of age.
• Not for use in galactosaemia.
• Suitable for people with diabetes provided that routine glucose checks are performed.

Can be prescribed on a FP10 (GP10 in Scotland) for the following indications:

• 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).

• Presented in cartons of 7 single-serving sachets (57 g) providing 389 kcal per serving when reconstituted with 200 ml whole milk.
• Available in banana, chocolate, strawberry and vanilla flavours.