alanine + arginine + aspartic acid + 24 other active ingredients at a glance
Medicine class
Combined parenteral nutrition emulsion
Administration
Central-vein intravenous infusion
Age range
Adults, adolescents and children older than two years
Important allergens
Contains soya-derived lipid and egg phospholipids
What is alanine + arginine + aspartic acid + 24 other active ingredients used for?
Used for parenteral nutrition in adults, adolescents and children older than two years with moderate to severe catabolism when sufficient nutrition cannot be obtained through the gastrointestinal tract.
Supplies amino acids, energy, essential fatty acids, electrolytes and fluid.
May be used when oral or tube feeding is impossible, insufficient or contraindicated.
How does alanine + arginine + aspartic acid + 24 other active ingredients work?
Amino acids support protein synthesis. Glucose and triglycerides provide energy, while soya-derived long-chain triglycerides provide essential fatty acids. The emulsion is infused directly into a vein.
How to take alanine + arginine + aspartic acid + 24 other active ingredients
Trained healthcare professionals prepare and administer this emulsion through a central venous line. The three chambers are mixed before use using aseptic technique. Do not adjust the pump, disconnect the line or add anything to the bag unless trained and instructed by the nutrition team.
Tell staff if the line leaks, disconnects, becomes painful or the pump alarms.
Blood must not be given at the same time through the same infusion set.
Only documented compatible additives should be used.
alanine + arginine + aspartic acid + 24 other active ingredients side effects
Common or expected effects
- No adverse effects are classified as common in the product information. Uncommon effects include nausea, vomiting and loss of appetite.
- Rare effects include headache, drowsiness, flushing, sweating, chills, altered blood pressure and chest, back, bone or lower-back pain.
- Blood tests may show raised glucose or fats, disturbed acid balance, blood-cell changes or impaired bile flow.
Get urgent medical advice
- Allergic reaction with breathing difficulty, rash or swelling of the face, mouth or throat.
- Breathlessness, blue-grey skin discolouration or fluid overload.
- Fat-overload syndrome, which may include fever, clotting abnormalities, liver enlargement, jaundice or reduced consciousness.
- Central-line infection, with fever or inflammation around the catheter.
alanine + arginine + aspartic acid + 24 other active ingredients in pregnancy
Evidence in pregnant women is limited. The product should be used only after the specialist team has considered the clinical need and alternatives.
alanine + arginine + aspartic acid + 24 other active ingredients while breastfeeding
The product information does not recommend breastfeeding while the mother is receiving parenteral nutrition. Discuss feeding plans with the obstetric, neonatal and nutrition teams.
alanine + arginine + aspartic acid + 24 other active ingredients interactions
The clinical team should review medicines and other intravenous products before starting or changing this emulsion.
Warfarin and other coumarin anticoagulants
Vitamin K naturally present in soya-bean oil may alter anticoagulant control; close monitoring is required.
Potassium-sparing diuretics, ACE inhibitors, angiotensin-II receptor blockers, ciclosporin or tacrolimus
These can increase potassium concentrations, requiring caution and electrolyte monitoring.
Heparin or insulin
These can affect triglyceride clearance, lipid metabolism or glucose control.
Common questions about alanine + arginine + aspartic acid + 24 other active ingredients
Answers are fully visible for fast scanning and source review.
Is this the same as tube feeding?
No. Tube feeding delivers nutrition into the stomach or intestine, whereas this treatment delivers nutrients directly into a vein.
Does it contain soya, egg or peanut?
It contains refined soya-bean oil and egg phospholipids. It is contraindicated in people with hypersensitivity to egg, peanut or soya protein.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.