Livamin

Livamin

Manufacturer:

Sanbe
Concise Prescribing Info
Contents
Per 500 mL L-isoleucine 3.8 g, l-leucine 4.25 g, l-lysine monomalate 3.93 g, l-methionine 0.25 g, l-phenylalanine 0.125 g, l-threonine 0.6 g, l-tryptophan 0.05 g, l-valine 3.2 g, l-arginine 2.45 g, l-histidine 0.3 g, l-ornithine-l-aspartate 4.015 g, l-alanine 1.05 g, n-acetyl-l-cysteine 0.1 g, l-glutamic acid 0.5 g, glycine 0.35 g, l-proline 0.6 g, l-serine 1.375 g, sorbitol 12.5 g, xylitol 12.5 g, Na glycerophosphate.5H2O 2.296 g, MgCl 0.509 g, KCl 0.671 g, water for inj ad 500 mL. Na 30 mEq/L, K 18 mEq/L, Mg 10 mEq/L, Cl 28 mEq/L, malate 28 mEq/L, P. Osmolarity 750 mOsm/L. Nitrogen 3.8 g/500 mL
Indications/Uses
Essential parenteral nutrition in patients w/ severe chronic hepatic insufficiency eg, decompensated liver cirrhosis, shunt patients w/ liver cirrhosis, hepatic insufficiency resulting from other causes (eg, metastatic liver), chronic hepatitis.
Dosage/Direction for Use
IV infusion 0.7-1 g amino acid/kg/day. In special case, a reduced dose ±0.5 g amino acid/kg/day or w/ considerably increased requirements up to 1.4 g amino acid/kg/day. This yields 14-20 mL (10-28 mL)/kg/day or approx 1,000-1,500 mL (700-2,000 mL)/kg/day for patients weighing 70 kg. Normal infusion rate: 0.1 g amino acid/kg/hr equal w/ 2 mL/kg/hr or 2.3 mL/min (45 drops/min or 500 mL in approximately 3 ¾ hr) for patients weighing 70 kg. Max infusion rate: 0.15 g amino acid/kg/hr (±3.5 mL or 70 drops/min for patients weighing 70 kg).
Contraindications
Liver atrophy w/ coma (endogenous hepatic coma, acute liver atrophy) occuring as a result of hepatitis or severe poisoning eg, chronic renal disease w/ serious restriction of renal performance; hyperkalemia, shock, decompensated cardiac insufficiency, fructose or sorbitol intolerance, fructose-1,6-diphosphatase deficiency, methanol poisoning, metabolic anomalies in connection w/ amino acid content.
Special Precautions
Acute poisoning could occur where comatose states are imminent. Childn.
Adverse Reactions
Febrile response, infection at inj site, venous thrombosis or phlebitis extending from inj site, extravasation & hypervolemia.
ATC Classification
B05BB01 - electrolytes ; Belongs to the class of solutions affecting the electrolyte balance used in I.V. solutions.
Presentation/Packing
Form
Livamin infusion
Packing/Price
500 mL x 1's (Rp212,350/boks)
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