alanine + arginine + aspartic acid + 16 other active ingredients at a glance
Medicine class
Combined parenteral nutrition emulsion.
Route
Infused into a central vein by trained healthcare professionals.
Licensed age group
Adults, adolescents and children older than 2 years.
Electrolytes
Contains no added electrolytes; electrolytes, vitamins and trace elements are supplied separately as required.
Allergy considerations
Contains soya-derived lipid and egg phospholipids; it is contraindicated in egg, peanut or soya-protein hypersensitivity.
What is alanine + arginine + aspartic acid + 16 other active ingredients used for?
Used for parenteral nutrition when oral or enteral nutrition cannot adequately meet nutritional needs.
Supplies energy, amino acids, essential fatty acids and fluid when feeding through the gut is impossible, insufficient or contraindicated.
May support nutrition during recovery from surgery, major injury or burns, or when the stomach or bowel cannot absorb enough nutrients.
How does alanine + arginine + aspartic acid + 16 other active ingredients work?
Amino acids are building blocks for protein synthesis and tissue repair. Glucose and triglycerides provide energy, helping preserve amino acids for growth and recovery. Soya-derived long-chain fats supply essential fatty acids, while medium-chain triglycerides are rapidly broken down for energy.
How to take alanine + arginine + aspartic acid + 16 other active ingredients
Trained healthcare professionals prepare and administer this product through a central venous catheter using an infusion pump.
The three chambers are mixed before use to form a uniform milky-white emulsion.
The bag and emulsion are checked for leaks, particles, discolouration or separation before administration.
Strict aseptic technique is required to reduce catheter-related infection risk.
Do not mix with medicines or additives unless compatibility has been established. Partly used bags must not be reconnected.
alanine + arginine + aspartic acid + 16 other active ingredients side effects
Common or expected effects
- No adverse effects are classified as common. Nausea, vomiting and loss of appetite are uncommon.
- Rare effects include headache, drowsiness, flushing, sweating, chills, temperature changes, blood-pressure changes, and chest, back or bone pain.
Get urgent medical advice
- Allergic reaction, including breathing difficulty or swelling of the face, mouth or throat.
- Severe breathlessness, blue-tinged skin or pulmonary fluid overload.
- Fat overload syndrome, which may cause fever, jaundice, enlarged liver or spleen, blood-cell abnormalities, abnormal clotting or reduced consciousness.
- Severe disturbances of blood glucose, blood fats or acid-base balance.
alanine + arginine + aspartic acid + 16 other active ingredients in pregnancy
Pregnancy data are limited. Parenteral nutrition may sometimes be necessary during pregnancy, but this product should be used only after careful specialist assessment of expected benefits and risks.
alanine + arginine + aspartic acid + 16 other active ingredients while breastfeeding
Although harmful effects from components reaching breast milk are not anticipated, breastfeeding is not recommended while receiving parenteral nutrition. Discuss feeding options with the specialist team.
alanine + arginine + aspartic acid + 16 other active ingredients interactions
The nutrition team should review medicines, infusions and catheter compatibility before treatment.
Warfarin and other coumarin anticoagulants
Vitamin K1 naturally present in soya-bean oil may reduce anticoagulant effect, so anticoagulation requires close monitoring.
Heparin
May temporarily alter lipoprotein-lipase activity and triglyceride clearance.
Insulin
May affect lipid metabolism, although this interaction is considered of limited clinical importance.
Common questions about alanine + arginine + aspartic acid + 16 other active ingredients
Answers are fully visible for fast scanning and source review.
What is it used for?
It provides intravenous energy, amino acids, essential fatty acids and fluid when nutrition by mouth or through the gut is not possible or adequate.
Does it contain electrolytes?
No added electrolytes are included. The clinical team assesses and supplies electrolytes separately according to laboratory results and individual requirements.
Can it be given to children?
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.