Clinosol 5% (IV Infusion)

500 ml bottle: ৳ 400.00

Medicine Details

Indications

  • Source of amino acids for protein synthesis
  • Suitable for patients with basal amino acid requirements
  • Faster recovery in surgery, burns, renal insufficiency, hepatic insufficiency, effective management of cancer

Composition

  • EssentialAminoAcids:
    • L-Isoleucine 0.352 gm
    • L-Leucine 0.490 gm
    • L-Lysine Hydrochloride 0.430 gm
    • L-Methionine 0.225 gm
    • L-Phenylalanine 0.533 gm
    • L-Threonine 0.250 gm
    • L-Tryptophan 0.090 gm
    • L-Valine 0.360 gm
    • L-Histidine 0.250 gm
    • L-Tyrosine 0.025 gm
  • NonEssentialAminoAcids:
    • L-Arginine 0.500 gm
    • L-Aspartic Acid 0.250 gm
    • L-Glutamic Acid 0.075 gm
    • L-Alanine 0.200 gm
    • L-Cystine 0.010 gm
    • Glycine (Aminoacetic Acid) 0.760 gm
    • L-Proline 0.100 gm
    • L-Serine 0.100 gm
  • Excipients:
    • D-Sorbitol 5.000 gm
  • Electrolytes:
    • Sodium (Na+) 57 mmol/L
    • Potassium (K+) 25 mmol/L
    • Magnesium (Mg++) 1.2 mmol/L
    • Chloride (Cl-) 87 mmol/L
    • Acetate (CH3COO-) 25 mmol/L
  • TotalNitrogenContent: 7.25 gm/L
  • TotalEnergyContent: 1551 kj/L (371.14 Kcal/L)

Pharmacology

  • Sterile aqueous solution of crystalline Amino Acid and D-Sorbitol with electrolytes
  • Contains all 18 essential and non-essential amino acids needed for protein synthesis
  • Clear, colorless to pale yellow colored, pH range of 5.0 to 7.0

Dosage & Administration

  • Dependent on patient's condition and metabolic stress
  • Infusion range of 15-35 ml Amino acids IV/kg/day
  • Slow infusion rate of 1.4-2.8 ml (30-60 drops) per minute
  • Specific dosage for children and infants

Interaction

  • No expected pharmacological interactions with other medicaments

Contraindications

  • Inborn errors of amino acids metabolism
  • Severe liver dysfunction
  • Severe uremia without dialysis facilities
  • Hyperosmolar nonketotic diabetic coma

Side Effects

  • Rarely nausea, vomiting, flushing, sweating
  • Transient increases in liver test
  • Hypersensitivity reactions
  • Thrombophlebitis with peripheral vein use
  • Hyperphenylalaninemia in severely ill, premature infants

Pregnancy & Lactation

  • Reported successful and safe administration during pregnancy in humans
  • No animal reproduction studies carried out

Precautions & Warnings

  • Increased urinary excretion of trace elements
  • Monitoring of phenylalanine level in severely ill, premature infants
  • Caution in patients with diabetes mellitus, severe heart failure, renal function
  • Risk of thiamine deficiency syndrome in severely malnourished patients
  • Monitoring of serum potassium and blood glucose
  • Additional phosphate supply for hypophosphatemia

Overdose Effects

  • Risk of nausea, vomiting, sweating
  • Thrombophlebitis with peripheral vein use
  • Osmotic diuresis with dehydration
  • Symptoms related to hyperglycemia
  • Infusion should be slowed down or discontinued in case of overdose

Therapeutic Class

  • Parenteral nutritional preparations

Storage Conditions

  • Temperature: Between 15°C to 25°C
  • Precautions:
    • Protect from light
    • Avoid freezing
    • Keep out of reach of children

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