Is it cows’ milk protein allergy (CMPA)?

Cows’ milk protein allergy (CMPA) is one of the most common causes of food allergy, affecting around 2% (1 in 50) of infants across Australia and New Zealand.1
CMPA is often difficult to diagnose due to a similar presentation of symptoms to other health conditions. Understanding the multifaceted aspects of CMPA is important for accurate, timely diagnosis and appropriate dietary management.

Nutricia Healthcare Professionals - 1 | Paediatrics Healthcare

Lactose intolerance or cows’ milk protein allergy (CMPA)?

  • Gastrointestinal symptoms from cows’ milk are more likely due to an allergic reaction to milk proteins rather than an intolerance to lactose.2
  • When considering lactose intolerance or CMPA, careful consideration should be given to the presenting symptoms – lactose intolerance does not involve an immune reaction.<sup1–3

9 out of 10 infants with CMPA will present with two or more of the following symptoms:2–5

Dermatological icon | Paediatrics Healthcare


Up to 90% prevalence • Eczema • Erythema • Pruritus • Urticaria
Gastrointestinal Icon | Paediatrics Healthcare


Up to 60% prevalence • Blood in stools • Constipation • Diarrhoea • Vomiting
Respiratory Icon | Paediatrics Healthcare


Up to 30% prevalence • Coughing • Respiratory distress • Wheezing
5 common misconceptions of cows’ milk protein allergy | Paediatrics Healthcare

5 common misconceptions of cows’ milk protein allergy

What should healthcare practitioners be looking out for when considering CMPA and what are common misconceptions?

Hear from real parents about their CMPA diagnosis journey

Useful resources

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Diagnostic and treatment algorithms | Paediatrics Healthcare

Diagnostic and treatment algorithms

Quick-access tools to support diagnosis and appropriate management of CMPA
CPD education modules Icon | Paediatrics Healthcare

CPD education modules

Designed for GPs and Pharmacists to promote best practice in the diagnosis and management of CMPA
Practical guide to CMPA diagnosis | Paediatrics Healthcare

Practical guide to CMPA diagnosis

Developed by Dr Jeremy Rajanayagam, Royal Children's Hospital, Melbourne, on diagnosing and managing CMPA in infants
Syneo Range | Paediatrics Healthcare

Discover how the SYNEO™ range from Nutricia could make a difference to your patients with CMPA

A deeper understanding of the role of the gut microbiome in health and disease is changing how we think about and treat cows’ milk protein allergy (CMPA).

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Gut dysbiosis and cows’ milk protein allergy (CMPA) — is there a link?

Gut microbiota dysbiosis in infants has the potential to increase the risk of cows’ milk protein allergy (CMPA). How can synbiotics help rebalance the gut microbiota and support the immune system?
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Inside the tin: a guide to infant formula for the management of cows’ milk protein allergy (CMPA)

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A unique prebiotic blend that supports healthy immune development

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1. ASCIA. Cow’s Milk (Dairy) Allergy 2019. Available at: (accessed August 2021).
2. Venter C. Cow’s Milk Allergy: myth v reality. Available at: (accessed August 2021).
3. Walsh J et al. Br J Gen Pract 2016;66(649):e609–11.
4. Fiocchi A et al. WAO Journal 2010; 57–161.
5. Host A and Halken S. Allergy 1990;45:587–96.