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
How it is given
By controlled infusion through a central vein under healthcare supervision
Bag design
A single-use, three-compartment bag mixed before administration
What is alanine + arginine + aspartic acid + 17 other active ingredients used for?
Its licensed use is parenteral nutrition when oral or enteral feeding cannot provide adequate nutrition.
Adults when oral or enteral nutrition is impossible, insufficient or contraindicated
Children older than 2 years in the same circumstances
How does alanine + arginine + aspartic acid + 17 other active ingredients work?
Glucose provides carbohydrate energy, while triglycerides from refined olive and soya-bean oils provide energy and essential fatty acids. Seventeen amino acids provide nitrogen and building blocks for protein synthesis. The components enter the circulation directly, bypassing digestion and intestinal absorption.
How to take alanine + arginine + aspartic acid + 17 other active ingredients
Trained healthcare professionals prepare and administer this through a central venous line. It is not taken by mouth.
Open the seals between all three compartments and thoroughly mix before use.
The mixed emulsion should be uniformly milky, without particles or phase separation.
The bag is for single use and must not be saved or reconnected after partial use.
Only compatible supplements should be added using aseptic technique.
alanine + arginine + aspartic acid + 17 other active ingredients side effects
Common or expected effects
- Nausea, abdominal pain or diarrhoea
- Reduced appetite
- Raised blood triglycerides
- Fast heartbeat
- Raised blood pressure
Get urgent medical advice
- Hypersensitivity with breathing difficulty, rash, itching, sweating, fever, chills or flushing
- Extravasation causing line-site pain, swelling, redness, warmth, blistering or tissue injury
- Respiratory distress associated with precipitates in the pulmonary circulation
- Fat-overload syndrome, which may include fever, liver enlargement, jaundice, anaemia, low platelets or coagulation problems
- Sepsis or another catheter-related infection
alanine + arginine + aspartic acid + 17 other active ingredients in pregnancy
Clinical pregnancy data for this specific product are unavailable. It may be considered when parenteral nutrition is necessary, after careful multidisciplinary assessment of nutritional need and maternal and fetal risks.
alanine + arginine + aspartic acid + 17 other active ingredients while breastfeeding
It is unclear whether its components or metabolites pass into human milk. Use while breastfeeding requires careful clinical assessment and monitoring.
alanine + arginine + aspartic acid + 17 other active ingredients interactions
Formal interaction studies have not been performed. Important practical interactions concern infusion compatibility, lipid metabolism and laboratory testing.
Blood products
Do not administer through the same tubing because pseudoagglutination may occur.
Ampicillin or fosphenytoin
Do not mix with the emulsion or administer through the same infusion line because precipitation may occur.
Heparin
Can temporarily alter lipoprotein-lipase activity and triglyceride clearance.
Common questions about alanine + arginine + aspartic acid + 17 other active ingredients
Answers are fully visible for fast scanning and source review.
What is it used for?
It provides intravenous nutrition when eating or feeding through the gut is impossible, inadequate or contraindicated.
Can it be taken by mouth?
No. It is administered directly into the bloodstream through a central venous line.
Does it contain soya or egg ingredients?
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.