Adverse reactions to food can be categorised into IgE mediated reactions and non-IgE mediated reactions. Understanding the difference between the two is important as the approach to treatment is quite different. An IgE-mediated food reaction involves the immune system. The onset is sudden and includes vomiting, abdominal pain, urticaria and angio-edema. An IgE-mediated reaction to food can be diagnosed through a range of validated tests including skin prick testing.
As of 1 July 2012, the Pharmaceutical Benefits Advisory Committee (who administer the Pharmaceutical Benefits Scheme or PBS), have made changes to the way amino acid-based forumlae like Neocate or Elecare can be prescribed for children under 24 months. Theoretically, now only paediatric gastroenterologists, a specialist allergist or clinical immunologist can now write these prescriptions.
HOWEVER, paediatricians and General Practitioners can still prescribe these formulae “in consultation with” any of the specialists above.