alanine + arginine + aspartic acid + 17 other active ingredients at a glance
Medicine class
Paediatric parenteral-nutrition amino-acid solution.
How it is given
Intravenously by a trained healthcare team using a suitable venous line.
Nutritional role
Supplies amino acids for protein production, growth and tissue maintenance; it is not complete nutrition alone.
Light protection
For neonates and children under 2, protect the container and administration set from light until administration is complete.
What is alanine + arginine + aspartic acid + 17 other active ingredients used for?
Used as part of parenteral nutrition for:
Children and infants when oral or enteral nutrition is impossible, insufficient or contraindicated.
Term or premature neonates, including those with normal or low birth weight, in the same circumstances.
How does alanine + arginine + aspartic acid + 17 other active ingredients work?
It delivers amino acids directly into the bloodstream for protein synthesis and nitrogen metabolism. Energy and other nutrients must be provided separately or in a compatible parenteral-nutrition mixture.
How to take alanine + arginine + aspartic acid + 17 other active ingredients
It is not swallowed or used as fluid replacement. Trained staff prepare and administer it intravenously using aseptic technique. Use only if the container is intact and the solution is clear.
Do not use a leaking, cloudy, discoloured or particle-containing solution.
Do not add medicines or nutrients unless compatibility and stability have been confirmed.
Protect the bottle and administration set from light throughout use in neonates and children under 2.
alanine + arginine + aspartic acid + 17 other active ingredients side effects
Get urgent medical advice
- Hypersensitivity or infusion reactions, including facial or eyelid swelling, rash, hives, breathing problems or circulatory collapse.
- Catheter-related infection or sepsis, with fever, chills or clinical deterioration.
- Pulmonary vascular precipitates, with new respiratory distress.
- Vein irritation or thrombophlebitis.
- Leakage outside the vein, potentially causing swelling, blistering, tissue damage, scarring or skin discolouration.
- Metabolic complications including raised ammonia, raised blood urea nitrogen, metabolic acidosis, fluid overload or electrolyte disturbance.
- Liver and biliary complications associated with parenteral nutrition, including cholestasis and abnormal liver tests.
alanine + arginine + aspartic acid + 17 other active ingredients in pregnancy
There are no adequate data for use during pregnancy. Use in a pregnant patient requires an individual specialist assessment of expected nutritional benefit and possible risk.
alanine + arginine + aspartic acid + 17 other active ingredients while breastfeeding
There are no adequate data for use while breastfeeding. A prescriber should assess the need for parenteral nutrition and the potential risks and benefits for the individual patient.
alanine + arginine + aspartic acid + 17 other active ingredients interactions
Formal medicine-interaction studies have not been performed. The main concern is physical and chemical incompatibility in parenteral-nutrition mixtures.
Calcium and phosphate salts
Excessive addition increases the risk of calcium-phosphate precipitates, which can cause serious pulmonary complications.
Trace-element preparations
Addition may produce visible particles; compatibility and the final solution must be checked.
Other injectable medicines or additives
Do not mix unless compatibility and stability have been confirmed.
Common questions about alanine + arginine + aspartic acid + 17 other active ingredients
Answers are fully visible for fast scanning and source review.
Is this complete parenteral nutrition by itself?
No. It provides amino acids and normally needs an appropriate energy source plus other required nutrients.
Can it be taken by mouth?
No. It is given by intravenous infusion through a suitable venous line.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.