alanine + arginine + aspartic acid + 22 other active ingredients at a glance
Medicine class
Combined parenteral nutrition emulsion
Route
Infusion through a central vein
Main components
Amino acids, glucose, olive and soya-bean oils, and electrolytes
Important allergens
Contains soya-bean oil and egg phospholipids; contraindicated with relevant egg, soya, peanut or corn allergy
What is alanine + arginine + aspartic acid + 22 other active ingredients used for?
Licensed uses in the selected product are:
Parenteral nutrition for adults when oral or enteral nutrition is impossible, insufficient or contraindicated.
Parenteral nutrition for children older than 2 years when oral or enteral nutrition is impossible, insufficient or contraindicated.
How does alanine + arginine + aspartic acid + 22 other active ingredients work?
Amino acids provide nitrogen and building blocks for protein synthesis. Glucose and triglycerides provide energy, while electrolytes support fluid balance and normal cellular functions. The nutrients enter the bloodstream directly, bypassing digestion and intestinal absorption.
How to take alanine + arginine + aspartic acid + 22 other active ingredients
This preparation is administered by trained staff through a central venous catheter using a controlled infusion pump.
The three compartments must be mixed before administration; the resulting emulsion should be uniformly milky.
Use only an intact bag with clear amino-acid and glucose compartments and a homogeneous lipid compartment before mixing.
Additions such as vitamins, trace elements or extra electrolytes must be made by qualified personnel under aseptic conditions after compatibility checks.
Whether eating, drinking or tube feeding can continue depends on the underlying condition and should be agreed with the nutrition team.
Do not reconnect a line that has become disconnected unless specifically instructed by the responsible clinical team.
alanine + arginine + aspartic acid + 22 other active ingredients side effects
Common or expected effects
- Fast heartbeat
- Raised blood triglycerides
- Reduced appetite
- Abdominal pain
- Diarrhoea
- Nausea
- Raised blood pressure
Get urgent medical advice
- Breathlessness, rash, itching, sweating, fever or chills suggesting hypersensitivity
- Fever, shivering, discharge, redness or pain around the catheter suggesting line infection
- Sudden respiratory distress, which may indicate precipitates affecting the lungs
- Pain, warmth, swelling, blistering or skin damage around the infusion site
- Sudden clinical deterioration with fever, blood-count changes, liver dysfunction or neurological symptoms, which may indicate fat-overload syndrome
alanine + arginine + aspartic acid + 22 other active ingredients in pregnancy
Clinical pregnancy data for this specific preparation are unavailable. It may be considered when parenteral nutrition is necessary, but only after careful assessment by specialist nutrition and maternity teams.
alanine + arginine + aspartic acid + 22 other active ingredients while breastfeeding
It is unclear whether its components or metabolites pass into human milk. Parenteral nutrition can be necessary while breastfeeding, but nutritional requirements and the available evidence should be reviewed by the specialist team.
alanine + arginine + aspartic acid + 22 other active ingredients interactions
Compatibility with other intravenous treatments and medicines affecting potassium or lipid handling requires particular attention.
Ceftriaxone
Calcium-containing Triomel can form dangerous precipitates with ceftriaxone; they must not be mixed or given together through the same infusion line.
Potassium-sparing diuretics
Amiloride, spironolactone and triamterene can increase the risk of hyperkalaemia because this formulation contains potassium.
ACE inhibitors and angiotensin-II receptor blockers
Combined use may increase potassium concentrations, requiring clinical and biochemical monitoring.
Common questions about alanine + arginine + aspartic acid + 22 other active ingredients
Answers are fully visible for fast scanning and source review.
Why is Triomel given through a central line?
Its high osmolarity can irritate smaller peripheral veins, so the selected product must enter a large central vein.
Can I eat or drink while receiving Triomel?
Sometimes, but this depends on why parenteral nutrition is needed. The nutrition team should confirm whether oral or tube feeding is appropriate.
Does Triomel contain all necessary vitamins and trace elements?
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.