alanine + arginine + aspartic acid + 17 other active ingredients at a glance
Medicine class
Combined parenteral nutrition solution
Who it is licensed for
Adults and children older than 2 years who cannot receive enough oral or enteral nutrition
Administration
A controlled infusion through a central venous catheter under medical supervision
Allergen content
Contains soya-bean oil and egg phospholipids; the glucose is derived from corn
What is alanine + arginine + aspartic acid + 17 other active ingredients used for?
Licensed uses include:
Parenteral nutrition for adults when oral or enteral nutrition is impossible, insufficient or contraindicated.
Parenteral nutrition for children older than 2 years in the same circumstances.
How does alanine + arginine + aspartic acid + 17 other active ingredients work?
The amino acids supply nitrogen and building blocks for protein synthesis. Glucose and triglycerides provide energy, while the lipid component also supplies essential fatty acids. Electrolytes, vitamins and trace elements can be adjusted separately according to clinical requirements.
How to take alanine + arginine + aspartic acid + 17 other active ingredients
This product is not swallowed. Trained staff mix the three compartments into a uniform milky emulsion and administer it through a central vein using a controlled pump. It is for single use; compatibility must be confirmed before adding supplements or sharing an infusion line.
Tell staff about egg, soya, peanut or corn allergies before treatment.
Do not adjust the pump, disconnect the line or add anything to the bag yourself.
Report catheter pain, redness, warmth, swelling, leakage or breathing difficulty promptly.
alanine + arginine + aspartic acid + 17 other active ingredients side effects
Common or expected effects
- Fast heartbeat
- Reduced appetite
- Raised blood triglycerides
- Abdominal pain
- Diarrhoea or nausea
- Raised blood pressure
Get urgent medical advice
- Allergic reaction, including rash, sweating, fever, chills or difficulty breathing
- Respiratory distress associated with precipitates in the pulmonary circulation
- Catheter infection or sepsis, which may cause fever or chills
- Extravasation causing pain, swelling, warmth, blistering or tissue injury
- Fat overload syndrome, with sudden deterioration and possible blood, liver or neurological abnormalities
alanine + arginine + aspartic acid + 17 other active ingredients in pregnancy
Clinical pregnancy data are unavailable. Parenteral nutrition may be necessary during pregnancy, but this product should be used only after careful assessment by the specialist team.
alanine + arginine + aspartic acid + 17 other active ingredients while breastfeeding
Information about passage of the components or their metabolites into breast milk is insufficient. Use during breastfeeding requires careful consideration of the mother's nutritional need and the infant's circumstances.
alanine + arginine + aspartic acid + 17 other active ingredients interactions
Compatibility and metabolic interactions require clinical review.
Blood and blood products
Do not administer through the same tubing because pseudoagglutination may occur.
Ampicillin or fosphenytoin
Do not mix or administer through the same line because precipitation may occur.
Heparin
It can temporarily alter lipoprotein-lipase activity and triglyceride clearance.
Insulin
It may affect lipid metabolism, although this is of limited clinical importance.
Common questions about alanine + arginine + aspartic acid + 17 other active ingredients
Answers are fully visible for fast scanning and source review.
What is alanine + arginine + aspartic acid + 17 other active ingredients used for?
It provides intravenous nutrition when food or tube feeding cannot provide enough nutrition or cannot be used.
Is alanine + arginine + aspartic acid + 17 other active ingredients given by mouth?
No. It is mixed into an emulsion and infused through a central venous catheter under medical supervision.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.