Kathy asked about reporting adverse reactions to fortifiers or formula. All
adverse reactions to infant formula or fortifiers in the US should be
reported to both the manufacturer (in writing) as well as the FDA. The FDA
uses a program called MedWatch to track these events. You can report the
adverse event on the FDA website at www.fda.gov and click on MedWatch. I
assume the reaction was not to being bottled-fed which is known to induce
bradycardia and desaturation. You said the baby experienced tachycardia
during or shortly after the feeding. How was he being fed? Gavage tube
placement can also affect babies.

Marsha Walker, RN, IBCLC
Weston, MA

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