KetoCal 4:1 Powder

KetoCal 4:1 is a nutritionally complete, powdered ketogenic formula in a 4:1 ratio (fat:carbohydrate + protein) for the dietary management of intractable epilepsy; designed for individuals over 1 year of age.

A food for special medical purposes; must be used under medical supervision.



KetoCal 4:1 provides complete nutritional support from 1-10 years of age, or may be used as a supplement for over 10 years of age for the dietary management of:

  • Intractable epilepsy
  • Pyruvate dehydrogenase deficiency (PDH)
  • Glucose transporter type-1 deficiency (GLUT-1)
  • Other medical conditions where a ketogenic diet is indicated

Pack size

  • 300g tin

Main features

  • Nutritionally complete
  • 4:1 ratio
  • Unflavoured and vanilla
  • Convenient one step preparation with a non-modular approach
  • Supplemented with DHA (Docosahexaenoic acid) and AA (Arachidonic Acid)
  • Contains multi-fibre blend (MF6): Nutricia’s patented mixture of six fibres that reflect the proportions of different fibre types in a normal diet
  • Very low trans fat
  • Aspartame-free (contains sucralose)
  • Nutrient dense for children with low energy requirements
  • Appropriate for enteral or oral feedings

Directions for use

  • The quantity of feed should be determined by a clinician or Dietitian only and is dependent on the age, bodyweight and medical condition of the patient
  • The standard dilution is 14.2% w/v i.e. 14.2g powder added to 86ml of water to give a final volume of 100ml
  • It is recommended to prepare KetoCal with hot water (45-50°C) to ensure the powder completely dissolves
  • For tube feeding, it is recommended that the feeding tube is flushed with warm water (approximately 37°C) between each feed
  • Keep prepared KetoCal in the refrigerator and use within 24 hours
  • For oral feeding, KetoCal is best served chilled

 Important notice

  • Patients should be monitored closely for hypoglycaemia, renal stones, adequate growth and hyperlipidaemia
  • Not for parenteral use
  • Suitable for use as a sole source of nutrition or supplementary feeding from 1 – 10 years of age. May be used for supplementary feeding over the age of 10 years.

 For the complete nutrition information and list of ingredients, download the KetoCal 4:1 Powder fact sheet.