Nephrosteril

Nephrosteril

Manufacturer:

Fresenius Kabi

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Per L L-isoleucine 5.1 g, l-leucine 10.3 g, l-lysine monoacetate (equiv to l-lysine 7.1 g) 10.01 g, l-methionine 2.8 g, acetylcysteine (equiv to l-cysteine 0.37 g) 0.5 g, l-phenylalanine 3.8 g, l-threonine 4.8 g, l-tryptophan 1.9 g, l-valine 6.2 g, l-arginine 4.9 g, l-histidine 4.3 g, glycine 3.2 g, l-alanine 6.3 g, l-proline 4.3 g, l-serine 4.5 g, l-malic acid 1.5 g, glacial acetic acid 1.38 g. Total amino acid 70 g. Total nitrogen 10.8 g. Osmolarity: 645 mOsm
Indications/Uses
Balances supply of protein elements in acute & chronic renal insufficiency during peritoneal & hemodialysis treatment.
Dosage/Direction for Use
IV Patient weighing 70 kg Acute & chronic renal insufficiency w/o dialysis Up to 0.5 g amino acids/kg or ≤500 mL infusion daily. Acute & chronic renal insufficiency under dialysis Up to 1 g amino acids/kg or ≤1,000 mL infusion daily. Max dose: Up to 1.5 g amino acids/kg or ≤1,500 mL infusion daily. Infusion rate: Not to exceed 20 drops/min. Max duration: Up to 2 wk.
Contraindications
Impaired amino acid metabolism, advanced functional liver impairment, severe cardiac insufficiency, hyperhydration, hypokalemia, hyponatremia.
Special Precautions
May increase production of gastric acid & stress ulcer. Observe blood electrolyte level. Ensure anabolic utilization of amino acids by supplying sufficient K. Regularly monitor water electrolyte metabolism, acid-base status & serum urea. Treat existing reduced renal function by supplying sufficient amounts of water & electrolytes.
Adverse Reactions
Drug Interactions
Chemico-physical changes w/ additives.
MIMS Class
Parenteral Nutritional Products
ATC Classification
B05BA01 - amino acids ; Belongs to the class of solutions for parenteral nutrition used in I.V. solutions.
Presentation/Packing
Form
Nephrosteril soln for infusion
Packing/Price
250 mL x 1's;500 mL x 1's
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