alanine + arginine + aspartic acid + 22 other active ingredients at a glance
Medicine class
Combined parenteral nutrition solution
How it is given
Controlled infusion through a central venous catheter under medical supervision
Who it is licensed for
Adults and children older than 2 years who cannot obtain enough nutrition orally or enterally
Allergy ingredients
Contains soya-bean oil and egg phospholipids; corn-derived glucose is also present
What is alanine + arginine + aspartic acid + 22 other active ingredients used for?
The selected UK product is licensed for parenteral nutrition when oral or enteral nutrition is impossible, insufficient or contraindicated.
Nutritional support for adults.
Nutritional support for children older than 2 years.
How does alanine + arginine + aspartic acid + 22 other active ingredients work?
The amino acids supply nitrogen and building blocks for protein synthesis. Glucose and triglycerides provide energy, while sodium, potassium, magnesium, calcium and phosphate support fluid balance and normal cellular functions. The ingredients are metabolised and eliminated in broadly the same ways as when supplied separately.
How to take alanine + arginine + aspartic acid + 22 other active ingredients
This product is prepared and administered by trained staff through a central vein. The three compartments must be mixed before use, producing a uniform milky emulsion. The bag is for single use, must be checked for damage or separation, and should not be adjusted or disconnected by the patient.
Tell staff about egg, soya, peanut or corn allergies before treatment.
Report any catheter pain, leakage, redness or swelling promptly.
Do not add medicines or supplements unless compatibility has been confirmed and the addition is made aseptically by qualified staff.
alanine + arginine + aspartic acid + 22 other active ingredients side effects
Common or expected effects
- Fast heartbeat
- Raised blood triglycerides
- Raised blood pressure
- Reduced appetite
- Abdominal pain
- Diarrhoea
- Nausea
Get urgent medical advice
- Allergic reaction, including breathing difficulty, rash, itching, fever, chills or sweating
- Catheter leakage into surrounding tissue, particularly with pain, swelling, warmth, redness, blistering or skin damage
- Respiratory distress associated with particles blocking pulmonary blood vessels
- Sudden clinical deterioration suggesting fat overload syndrome, potentially with fever, blood-cell abnormalities, bleeding problems, liver dysfunction or altered consciousness
alanine + arginine + aspartic acid + 22 other active ingredients in pregnancy
Clinical pregnancy data are unavailable and reproductive studies have not been conducted with the complete product. It may be considered when parenteral nutrition is necessary, but only after individual assessment by the specialist team.
alanine + arginine + aspartic acid + 22 other active ingredients while breastfeeding
Information about passage of the components or metabolites into breast milk is insufficient. Parenteral nutrition may still be necessary during breastfeeding, but use requires careful clinical consideration.
alanine + arginine + aspartic acid + 22 other active ingredients interactions
Compatibility with other intravenous treatments and effects on potassium require particular attention.
Ceftriaxone
Calcium-containing solutions can form ceftriaxone-calcium precipitates, so simultaneous administration or mixing is restricted and lines require appropriate separation or flushing.
Potassium-sparing diuretics
Medicines such as amiloride, spironolactone and triamterene can increase the risk of hyperkalaemia because this formulation contains potassium.
ACE inhibitors and angiotensin II receptor antagonists
Combined use can increase the risk of hyperkalaemia and requires attention to potassium levels.
Common questions about alanine + arginine + aspartic acid + 22 other active ingredients
Answers are fully visible for fast scanning and source review.
What is alanine + arginine + aspartic acid + 22 other active ingredients used for?
It provides intravenous nutrition when adequate feeding by mouth or through the gut is not possible or suitable.
Is alanine + arginine + aspartic acid + 22 other active ingredients a complete food replacement?
It supplies major nutrients and electrolytes, but additional vitamins and trace elements are generally required according to individual needs.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.