{"product_id":"fresubin-hepa-cappuccino-200ml-pack-of-4s","title":"Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4)","description":"\u003cdiv style=\"background: #f8f9fa; border-left: 4px solid #0057a8; padding: 12px 16px; margin-bottom: 20px;\" id=\"ai-summary\"\u003e\n\u003cstrong\u003eClinical Summary:\u003c\/strong\u003e Fresenius Kabi Fresubin HEPA Cappuccino is a ready-to-drink oral nutritional supplement specifically formulated for the dietary management of patients with acute or chronic liver failure. It provides 260 kcal per 200 ml bottle with a protein profile enriched in branched-chain amino acids (44% BCAA) and 36% medium-chain triglycerides for optimised fat absorption. The formulation is low in sodium to help manage ascites and oedema associated with hepatic decompensation.\u003c\/div\u003e\n\u003ch2\u003eProduct Overview\u003c\/h2\u003e\n\u003cp\u003eFresubin HEPA Cappuccino is a disease-specific oral nutritional supplement developed by Fresenius Kabi for patients with liver disease who are at risk of or experiencing disease-related malnutrition. Hepatic patients frequently develop protein-energy malnutrition due to impaired nutrient metabolism, reduced oral intake and altered amino acid profiles characterised by low branched-chain amino acid levels and elevated aromatic amino acid concentrations. Fresubin HEPA addresses this imbalance with a BCAA-enriched protein source that supports nitrogen balance while minimising the risk of hepatic encephalopathy.\u003c\/p\u003e\n\u003cp\u003eThe formulation incorporates 36% medium-chain triglycerides in its fat component, reflecting the impaired long-chain fatty acid absorption common in cholestatic and cirrhotic liver disease. The low sodium content supports fluid management in patients prone to ascites and peripheral oedema. Fresubin HEPA is lactose-free, gluten-free and available in a palatable cappuccino flavour to encourage compliance in patients with altered taste perception, a frequent complication of chronic liver disease.\u003c\/p\u003e\n\u003ch2\u003eSpecifications\u003c\/h2\u003e\n\u003ctable style=\"border-collapse: collapse; width: 100%;\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eManufacturer\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003eFresenius Kabi Deutschland GmbH\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003ePresentation\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003eReady-to-drink liquid, 200 ml EasyBottle\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eEnergy per Bottle\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e260 kcal (1.3 kcal\/ml)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eProtein\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e8 g per 200 ml (12% energy); 44% BCAA\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eFat\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e9.4 g per 200 ml (33% energy); 36% MCT\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eCarbohydrate\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e34.8 g per 200 ml (53.5% energy)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eFibre\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e2 g per 200 ml\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eOsmolarity\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e360 mosmol\/L\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eAllergen Status\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003eLactose-free, gluten-free\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003ePackaging\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003ePack of 4 x 200 ml EasyBottles\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eComplete Nutrition\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003e7-8 bottles per day as sole source\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px; background: #f2f2f2;\"\u003e\u003cstrong\u003eRegulatory\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd style=\"border: 1px solid #ddd; padding: 8px;\"\u003eFSMP per EU Regulation 2016\/128; HSA-notified Singapore\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003ch2\u003eClinical Indications\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eAcute hepatic failure requiring BCAA-enriched enteral nutrition to reduce risk of hepatic encephalopathy\u003c\/li\u003e\n\u003cli\u003eChronic liver cirrhosis (Child-Pugh B\/C) with protein-energy malnutrition per ESPEN 2019 liver disease guidelines\u003c\/li\u003e\n\u003cli\u003ePre-transplant nutritional optimisation in patients awaiting liver transplantation\u003c\/li\u003e\n\u003cli\u003eAlcoholic hepatitis with associated malnutrition and impaired oral intake\u003c\/li\u003e\n\u003cli\u003eCholestatic liver disease where long-chain fatty acid malabsorption necessitates MCT-enriched formulations\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003ch3\u003eWhy is Fresubin HEPA enriched with branched-chain amino acids?\u003c\/h3\u003e\n\u003cp\u003ePatients with liver failure exhibit reduced plasma BCAA relative to aromatic amino acids. This altered Fischer ratio contributes to hepatic encephalopathy. ESPEN guidelines recommend BCAA-enriched oral supplements to improve nitrogen balance and reduce encephalopathy episodes in advanced cirrhosis.\u003c\/p\u003e\n\u003ch3\u003eWhy does Fresubin HEPA contain medium-chain triglycerides?\u003c\/h3\u003e\n\u003cp\u003eMCTs are absorbed directly into the portal circulation without requiring bile salt emulsification. This is clinically important in liver disease where bile production is impaired. The 36% MCT content ensures adequate fat absorption even in patients with significant cholestasis.\u003c\/p\u003e\n\u003ch3\u003eCan Fresubin HEPA be used as a sole source of nutrition?\u003c\/h3\u003e\n\u003cp\u003eYes. At 7-8 bottles per day, Fresubin HEPA provides complete nutrition. Most clinical protocols use it as a supplementary feed (1-3 bottles per day) alongside modified oral diet, titrated by a clinical dietitian.\u003c\/p\u003e\n\u003ch3\u003eIs Fresubin HEPA suitable for hepatic encephalopathy patients?\u003c\/h3\u003e\n\u003cp\u003eYes. The elevated BCAA-to-aromatic amino acid ratio addresses the altered amino acid metabolism contributing to encephalopathy. Clinical use should be supervised by a hepatologist or gastroenterologist.\u003c\/p\u003e\n\u003ch3\u003eHow can I order for my Singapore healthcare facility?\u003c\/h3\u003e\n\u003cp\u003eFresubin HEPA is available through EMIS (Essential Medical International Supplies Pte Ltd) for Singapore healthcare facilities. FSMP classification means it should be used under medical supervision. Institutional and bulk pricing available.\u003c\/p\u003e\n\n\u003cscript type=\"application\/ld+json\"\u003e\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4) used for?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4) by Fresenius Kabi is an ostomy care product designed to support stoma management and protect peristomal skin. It is suitable for use with colostomy, ileostomy, and urostomy pouching systems. For personalised advice on your pouching system, consult a Wound, Ostomy and Continence (WOC) nurse at SGH, NUH, CGH, or TTSH in Singapore.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Is Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4) suitable for all stoma types — colostomy, ileostomy, and urostomy?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Most Fresenius Kabi stoma care products are designed to be compatible with all stoma types. However, the right product depends on your individual stoma location, output type, and skin condition. An enterostomal therapist (ET nurse) at a Singapore hospital can help you select the most appropriate products for your specific pouching system.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How do I use Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4) correctly?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Always refer to the product instructions included with Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4). In general, ensure peristomal skin is clean and dry before application, measure your stoma accurately, and change your pouching system every 1–3 days or when leakage is suspected. If you experience peristomal skin irritation, soreness, or persistent leakage, contact a WOC nurse or EMIS+ team for advice.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Where can I buy Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4) in Singapore?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Fresenius Kabi Fresubin HEPA Cappuccino – Liver Support Medical Nutrition Drink, 200 ml (Pack of 4) is available from EMIS+ at emis.asia — Singapore's trusted nurse-led stoma supply store. We stock a comprehensive range of ostomy products with fast island-wide delivery. Bulk orders for home care and nursing facilities are welcome. Contact us at emis.asia\/pages\/contact.\"\n      }\n    }\n  ]\n}\n\u003c\/script\u003e","brand":"Fresenius Kabi","offers":[{"title":"Default Title","offer_id":43202815426638,"sku":null,"price":40.6,"currency_code":"SGD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0613\/3763\/2846\/files\/Fresenius_Kabi_Fresubin_HEPA_Cappuccino.png?v=1767046630","url":"https:\/\/www.emis.asia\/products\/fresubin-hepa-cappuccino-200ml-pack-of-4s","provider":"EMIS +","version":"1.0","type":"link"}