alanine + arginine + calcium chloride dihydrate + 23 other active ingredients at a glance
Medicine class
Combined parenteral nutrition solution
Licensed use
Nutritional support for adults when oral or enteral feeding is impossible, insufficient or contraindicated
Administration
Infused into a central vein by healthcare professionals
Important allergies
Contains ingredients derived from fish, egg, soya and corn; peanut allergy may cross-react with soya
What is alanine + arginine + calcium chloride dihydrate + 23 other active ingredients used for?
Its UK licence covers parenteral nutrition in adults.
Providing amino acids, glucose, fats and electrolytes when nutrition by mouth or through the gut is not possible, is inadequate or should not be used.
How does alanine + arginine + calcium chloride dihydrate + 23 other active ingredients work?
The infusion bypasses the gut and delivers nutrients directly into the bloodstream. Amino acids support protein and tissue synthesis; glucose and fats provide energy; essential fatty acids contribute to cell structures; and electrolytes support fluid balance and normal cellular functions.
How to take alanine + arginine + calcium chloride dihydrate + 23 other active ingredients
This product is prepared and administered by trained healthcare professionals through a central venous line using controlled infusion equipment.
The seals between all three chambers must be opened and the contents mixed before use.
The mixed emulsion should be uniformly milky, without particles or separation; damaged or abnormal bags must not be used.
Additions require documented compatibility and aseptic preparation.
A partly used bag must not be reconnected or retained for later use.
Whether eating or drinking is appropriate depends on the underlying condition and should be agreed with the clinical team.
alanine + arginine + calcium chloride dihydrate + 23 other active ingredients side effects
Common or expected effects
- Nausea or vomiting; reported frequency is unknown
- Headache or dizziness; reported frequency is unknown
- Raised blood glucose; reported frequency is unknown
- Fever; reported frequency is unknown
- Raised liver enzymes; reported frequency is unknown
- Inflammation of a vein or leakage into surrounding tissue; reported frequency is unknown
Get urgent medical advice
- Allergic reaction, including rash, swelling, falling blood pressure or breathing difficulty
- Line infection or bloodstream infection
- Respiratory distress or pulmonary embolism
- Refeeding syndrome with dangerous fluid or electrolyte shifts
- Fat overload syndrome, which can cause sudden fever, blood-count changes, liver dysfunction or neurological deterioration
- Fluid overload, pulmonary oedema or worsening heart failure
alanine + arginine + calcium chloride dihydrate + 23 other active ingredients in pregnancy
There are no adequate pregnancy data for this product. Parenteral nutrition may be necessary during pregnancy, but use requires careful specialist assessment of maternal nutritional need and product-specific risks.
alanine + arginine + calcium chloride dihydrate + 23 other active ingredients while breastfeeding
Information about passage of the components or their metabolites into breast milk is insufficient. Use while breastfeeding requires careful consideration by the prescribing and nutrition teams.
alanine + arginine + calcium chloride dihydrate + 23 other active ingredients interactions
Compatibility of the infusion line and any additions is clinically important.
Ceftriaxone
Must not be given simultaneously through the same line because calcium–ceftriaxone precipitates may form; a shared line requires appropriate sequential-use precautions.
Blood products
Must not run simultaneously through the same tubing because pseudoagglutination may occur.
Coumarin anticoagulants
The soya oil supplies a small amount of vitamin K1, although the product is not expected to alter anticoagulation significantly; coagulation remains clinically monitored.
Common questions about alanine + arginine + calcium chloride dihydrate + 23 other active ingredients
Answers are fully visible for fast scanning and source review.
What is this infusion used for?
It provides intravenous nutrition to adults when eating or feeding through the gut is impossible, insufficient or contraindicated.
Why is it given through a central line?
The mixed emulsion is highly concentrated and must be delivered into a large central vein rather than a small peripheral vein.
Sources
These sources were used to prepare and review this medicine page.
Prepared and reviewed by the iatroX editorial team.