alanine + arginine + aspartic acid + 20 other active ingredients at a glance
Medicine class
Combined solution for parenteral nutrition
Main role
Provides amino acids, glucose, electrolytes and fluid when oral or enteral nutrition cannot meet needs
Administration
Infused through a central vein by trained healthcare professionals
Age range
Licensed for adults and children aged 2 to 17 years; contraindicated below 2 years
What is alanine + arginine + aspartic acid + 20 other active ingredients used for?
The selected UK product is licensed for parenteral nutrition in moderate to severe catabolic states when oral or enteral nutrition is impossible, insufficient or contraindicated.
Supply of amino acids for protein synthesis and nitrogen needs
Supply of glucose for energy
Supply of electrolytes and fluid
Use in adults and children aged 2 to 17 years who meet the licensed clinical criteria
How does alanine + arginine + aspartic acid + 20 other active ingredients work?
The infusion places nutrients directly into the bloodstream, bypassing the gut. Amino acids enter the body's amino-acid pools and support structural and functional protein synthesis; glucose provides energy so fewer amino acids are used as fuel; and electrolytes support fluid balance and normal metabolic and physiological processes.
How to take alanine + arginine + aspartic acid + 20 other active ingredients
This product is administered by intravenous infusion into a central vein under clinical supervision. Before use, the bag is brought to room temperature, its two chambers are opened and mixed aseptically, and the clear solution is infused through an appropriate filter. Additions should be made only when compatibility has been established, and unused solution must not be retained after infusion.
Do not drink or inject the solution yourself.
Only clear solution from an undamaged bag should be used.
Strict aseptic technique is required to reduce line-infection risk.
The healthcare team determines the formulation according to nutritional, fluid and metabolic needs.
alanine + arginine + aspartic acid + 20 other active ingredients side effects
Get urgent medical advice
- Breathlessness or other signs of pulmonary oedema or fluid overload
- Severe thirst, dehydration, confusion or reduced consciousness associated with very high blood glucose
- Hot, cold, sweaty, clammy or shivery feelings that may indicate central-line infection
- Worsening pain, redness or swelling around the central venous catheter
alanine + arginine + aspartic acid + 20 other active ingredients in pregnancy
Pregnancy data are limited. The product should be used during pregnancy only when the woman's clinical condition requires parenteral nutrition, following assessment by the specialist team.
alanine + arginine + aspartic acid + 20 other active ingredients while breastfeeding
Although effects on a breastfed infant are not anticipated from usual therapeutic exposure, the product information does not recommend breastfeeding while the mother requires parenteral nutrition. Discuss feeding options with the obstetric, neonatal and nutrition teams.
alanine + arginine + aspartic acid + 20 other active ingredients interactions
The clinical team should review all medicines and other intravenous products because the infusion contains glucose, potassium, sodium, calcium, magnesium and phosphate.
Corticosteroids or adrenocorticotropic hormone
These can promote sodium and fluid retention, increasing the need to monitor fluid status.
Potassium-sparing diuretics
Medicines such as spironolactone, triamterene or amiloride may increase the risk of high blood potassium.
ACE inhibitors
Medicines such as captopril or enalapril may increase blood potassium when combined with potassium-containing solutions.
Common questions about alanine + arginine + aspartic acid + 20 other active ingredients
Answers are fully visible for fast scanning and source review.
Is Nutriflex special a complete source of parenteral nutrition?
Not necessarily. It supplies amino acids, glucose, electrolytes and fluid, but lipid, essential fatty acids, vitamins and trace elements may need to be supplied separately.
Why is Nutriflex special given through a central vein?
It is a highly concentrated, hyperosmolar solution and is licensed for central venous infusion only.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.