Ketocid 600 mg (Tablet)

Unit Price: ৳ 40.00 (6 x 10: ৳ 2,400.00)
Strip Price: ৳ 400.00

Medicine Details

Title and Categories

  • Ketocid Amino Acid Keto Analogues Tablets
  • Genito-urinary Preparations

Description

  • A nutritional supplement for prevention and treatment of damages due to faulty or deficient protein metabolism in chronic kidney disease
  • Contains essential amino acids and their corresponding keto analogues
  • Dosage applies to adults with 70 kg body weight
  • Should be taken with limited dietary protein intake 40 gm/day or less

Composition

  • Ingredients:
    • Calcium-3-methyl-2-oxo-valerate (α-ketoanalogue of isoleucine, calcium-salt): 67 mg
    • Calcium-4-methyl-2-oxo-valerate (α-ketoanalogue of leucine, calcium-salt): 101 mg
    • Calcium-2-oxo-3-phenylpropionate (α-ketoanalogue of phenylalanine, calcium-salt): 68 mg
    • Calcium-3-methyl-2-oxobutyrate (α-ketoanalogue of valine, calcium salt): 86 mg
    • Calcium-DL-2-hydroxy-4-(methylthio) butyrate (α-hydroxyanalogue to methionine, calcium-salt): 59 mg
    • L-lysine acetate USP (eqv. to Lysine 75mg) :105 mg
    • L-threonine USP: 53 mg
    • L-tryptophan USP: 23 mg
    • L-histidine USP as Histidine Hydrochloride Monohydrate: 38 mg
    • L-tyrosine USP: 30 mg

Indications

  • Prevention and treatment of damages due to faulty or deficient protein metabolism in chronic kidney disease
  • For patients with glomerular filtration rate (GFR) less than 25 ml/min
  • In connection with limited dietary protein intake 40 gm/day or less (adult)

Mode of Action

  • Improves the metabolism of protein in the body
  • Facilitates intake of essential amino acids while minimizing amino-nitrogen intake
  • Transaminates keto- and hydroxy-analogues to essential amino acids

Dosage and Administration

  • 4-8 tablets 3 times a day during meals for adults (with 70 kg body weight)
  • Swallow whole, do not chew
  • Ingest with meals containing 40 g/day protein or less (adults)
  • Given as long as GFR is between 5 and about 25mL/minute

Precautions and Warnings

  • Regular monitoring of serum calcium level required
  • Ensure sufficient calorie intake
  • Contains phenylalanine, so caution needed in the presence of hereditary phenylketonuria

Interaction

  • Concomitant administration of calcium-containing drugs may cause or aggravate elevated serum calcium levels
  • Ketocid dose may need reduction with aluminum hydroxide administration
  • Need at least two hours interval between the ingestion of Alpha ketoanalogue and certain drugs (e.g., tetracyclines, quinolones, iron, fluoride, estramustine)
  • Risk of increased susceptibility to cardioactive glycosides, and hence the risk for arrhythmia with Alpha ketoanalogue

Contraindications

  • Hypersensitivity to the active substances or excipients
  • Hypercalcemia
  • Disturbed amino acid metabolism

Side Effects

  • Hypercalcaemia (Very Rare) - may require reduction in vitamin D and Ketocid intake if persisting

Pregnancy and Lactation

  • Caution advised in pregnancy due to inadequate data
  • No experience so far with use during lactation

Therapeutic Class

  • Other genito-urinary preparations

Storage Conditions

Store at a temperature not exceeding 30°C in a dry place. Protect from light & moisture

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