Special precautions for disposal and other handling: Nephrotect should be used with sterile transfer equipment immediately after opening. Any unused solutions should be discarded.
Generally Nephrotect is given, according to therapeutical requirements, together with energy carriers, electrolytes, vitamins, and trace elements, if necessary, via a central vein (preferably continuously over 24 hours).
When used for intradialytic nutrition, Nephrotect can be infused into the venous part of the dialyzer, and so it is not necessary to place a venous line.
Chemical and physical stability data for a number of individual mixtures are available from the manufacturer upon request.
Additions should be made aseptically.
Use only clear solutions and undamaged containers. Do not draw multiple doses from one bottle.
Any unused product or waste material should be disposed of in accordance with local requirements.
Incompatibilities: Only medicinal products necessary for parenteral nutrition, such as energy carriers, electrolytes, trace elements and vitamins, for which compatibility has been documented, may be added to Nephrotect.
The combination must be well mixed. See Storage.