alanine + arginine + aspartic acid + 25 other active ingredients at a glance
Medicine class
Combined solution for parenteral nutrition
Licensed use
Parenteral nutrition for children over 2 years and adolescents up to 18 years when oral or enteral nutrition is impossible, insufficient or contraindicated
How it is given
Infused into a vein using specialist intravenous access and a pump
Main components
Amino acids, glucose and electrolytes, with lipids when all three chambers are activated
What is alanine + arginine + aspartic acid + 25 other active ingredients used for?
The selected product is licensed for:
Providing intravenous nutrition to children over 2 years and adolescents up to 18 years when nutrition by mouth or through the gut is not possible, insufficient or contraindicated.
How does alanine + arginine + aspartic acid + 25 other active ingredients work?
Amino acids provide nitrogen for protein synthesis, growth and tissue repair. Glucose and, when included, triglycerides provide energy; electrolytes support fluid balance and cellular function. As the mixture enters the bloodstream directly, its components are available without intestinal absorption.
How to take alanine + arginine + aspartic acid + 25 other active ingredients
This product is prepared and infused by trained healthcare professionals. The required chamber seals are opened and contents mixed before use; the final mixture is checked for particles or separation and protected from light. Undiluted product requires central venous administration, while peripheral use requires appropriate dilution and compatibility assessment.
Do not handle the pump, disconnect the line or add anything to the bag unless specifically trained and instructed.
Tell staff promptly if the bag, tubing or line appears damaged, cloudy, separated or contains particles.
Whether food or drink is also appropriate depends on the underlying condition and should be decided by the nutrition team.
alanine + arginine + aspartic acid + 25 other active ingredients side effects
Common or expected effects
- Low blood phosphate
- High blood glucose
- High blood calcium
- High blood triglycerides
- Low blood sodium
Get urgent medical advice
- Allergic reaction, which may include rash, fever, sweating, shivering or difficulty breathing
- Respiratory distress associated with precipitates in the pulmonary circulation
- Catheter infection or sepsis, potentially presenting with fever, chills or problems around the line
- Extravasation causing pain, swelling, soft-tissue injury or skin damage
- Fat-overload syndrome, with sudden clinical deterioration, fever, breathing problems, blood-cell abnormalities or impaired liver function
alanine + arginine + aspartic acid + 25 other active ingredients in pregnancy
The product is licensed for paediatric patients, so pregnancy may be relevant to an adolescent. There are no clinical data from use during pregnancy; the prescriber must assess potential benefits and risks for the individual patient.
alanine + arginine + aspartic acid + 25 other active ingredients while breastfeeding
There are no clinical data from use while breastfeeding. If treatment is being considered for a breastfeeding adolescent, specialist assessment of potential benefits and risks is required.
alanine + arginine + aspartic acid + 25 other active ingredients interactions
Important interactions and administration incompatibilities include:
Ceftriaxone
Must not be mixed or administered simultaneously with this calcium-containing product because dangerous ceftriaxone–calcium precipitates may form; carefully controlled sequential administration may be possible in patients older than 28 days.
Warfarin and other coumarin anticoagulants
Vitamin K naturally present in the olive and soya oils may reduce anticoagulant activity, so the clinical effect requires attention.
Potassium-sparing diuretics, ACE inhibitors, angiotensin-II receptor antagonists, tacrolimus or ciclosporin
The combination may increase the risk of high blood potassium because the nutrition mixture contains potassium.
Common questions about alanine + arginine + aspartic acid + 25 other active ingredients
Answers are fully visible for fast scanning and source review.
What is it used for?
It provides parenteral nutrition to children over 2 years and adolescents up to 18 years when nutrition by mouth or through the gut is impossible, insufficient or contraindicated.
Is it given by mouth?
No. It is infused directly into a vein under specialist supervision.
What nutrients does it contain?
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.