{"id":20811,"date":"2022-04-14T08:04:47","date_gmt":"2022-04-14T08:04:47","guid":{"rendered":"https:\/\/zeepedia.com\/?p=20811"},"modified":"2022-04-15T15:23:14","modified_gmt":"2022-04-15T15:23:14","slug":"phoxilium","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/phoxilium\/","title":{"rendered":"Phoxilium uses, dose and side effects"},"content":{"rendered":"\n<p>1.2 mmol \/ l phosphate&nbsp;hemodialysis fluid \/ haemofiltration fluid<br>calcium chloride dihydrate, magnesium chloride hexahydrate, sodium chloride, sodium bicarbonate, potassium chloride, disodium phosphate dihydrate<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Phoxilium is and what it is used for<\/h2>\n\n\n\n<p>Phoxilium belongs to the group of haemofiltration fluids and contains calcium chloride dihydrate, magnesium chloride hexahydrate, sodium chloride, sodium bicarbonate, potassium chloride and disodium phosphate dihydrate.<\/p>\n\n\n\n<p>Phoxilium is used in hospitals in intensive care to correct chemical imbalances in the blood caused by kidney damage.<\/p>\n\n\n\n<p><strong>Continuous&nbsp;kidney replacement therapy<\/strong>&nbsp;is used to remove waste products from the blood that have accumulated when the kidneys are not functioning.<\/p>\n\n\n\n<p><strong>Phoxilium solution<\/strong>&nbsp;is mainly used to treat critically ill patients with&nbsp;acute&nbsp;kidney injury and:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>normal potassium level in the blood or<\/li><li>normal or low phosphate levels (&nbsp;<em>hypophosphatemia<\/em>&nbsp;) in the blood.<\/li><\/ul>\n\n\n\n<p>This drug can also be used for drug poisoning or&nbsp;intoxication&nbsp;of dialyzable or filterable substances.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Phoxilium<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Phoxilium in the following three cases:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>high potassium levels in the blood (&nbsp;<em>hyperkalaemia<\/em>&nbsp;)<\/li><li>high bicarbonate content in the blood (&nbsp;<em>metabolic alkalosis<\/em>&nbsp;)<\/li><li>high phosphate levels in the blood (&nbsp;<em>hyperphosphatemia<\/em>&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Do not use&nbsp;hemodialysis&nbsp;or&nbsp;haemofiltration&nbsp;in any of the following three cases:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if symptoms caused by high levels of&nbsp;urea&nbsp;in the blood (&nbsp;<em>uremic symptoms<\/em>&nbsp;) due to kidney damage with pronounced hypercatabolism (&nbsp;<em>abnormally high degradation of&nbsp;tissues<\/em>&nbsp;) can not be corrected&nbsp;with&nbsp;<em>hemofiltration<\/em><\/li><li>if the arterial pressure in the vessel access is insufficient<\/li><li>if the coagulation capacity is reduced (&nbsp;<em>systemic anticoagulation<\/em>&nbsp;) and there is a high risk of bleeding.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist or nurse before using Phoxilium.<\/p>\n\n\n\n<p>Before and during treatment, your blood condition will be checked and, for example, the acid \/ base balance and salt concentration in the blood (&nbsp;<em>electrolytes&nbsp;) will be<\/em>&nbsp;monitored, including all fluid supply (&nbsp;intravenous&nbsp;infusion&nbsp;) and all fluid withdrawals (urine production), even those not directly related to the treatment. .<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Phoxilium<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.&nbsp;This is important because the concentration of other medicines may affect the treatment with Phoxilium.&nbsp;Your doctor will decide if the&nbsp;dosage&nbsp;of any of the medicines you are taking may need to be adjusted.<br>It is especially important that you tell your doctor if you are taking any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Additional phosphate sources (eg nutritional fluids) as they may increase the risk of high phosphate levels in the blood (&nbsp;<em>hyperphosphatemia<\/em>&nbsp;).<\/li><li>Vitamin&nbsp;D and medicines that contain calcium chloride or calcium gluconate as they may increase the risk of high calcium levels in the blood (&nbsp;<em>hypercalcaemia<\/em>&nbsp;).<\/li><li>Sodium bicarbonate as it may increase the risk of excess&nbsp;bicarbonate&nbsp;in the blood (&nbsp;<em>metabolic alkalosis<\/em>&nbsp;).<\/li><li>When citrate is used to counteract blood coagulation, as it can lower the calcium concentration in the blood.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>Pregnancy and breast-feeding:<\/p>\n\n\n\n<p>There are no documented clinical data on the use of this medicine during pregnancy or lactation.&nbsp;This medicine should only be given to pregnant or lactating women if there is a clear need.<\/p>\n\n\n\n<p>Fertility:<\/p>\n\n\n\n<p>No effects on&nbsp;fertility&nbsp;are expected as&nbsp;calcium&nbsp;,&nbsp;sodium&nbsp;,&nbsp;potassium&nbsp;,&nbsp;magnesium&nbsp;, chloride, hydrogen phosphate and bicarbonate are normal constituents of the body.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Phoxilium does not affect the ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Phoxilium<\/h2>\n\n\n\n<p>Phoxilium should be used in hospitals and only administered by healthcare professionals.&nbsp;The volume of Phoxilium, and thus the&nbsp;dose&nbsp;used, will depend on your condition.&nbsp;Dosage&nbsp;one will be determined by the doctor responsible for your treatment.<br>Phoxilium can be administered directly into the bloodstream (&nbsp;<em>intravenously<\/em>&nbsp;) through a CRRT machine or via&nbsp;hemodialysis&nbsp;where the solution flows on one side of a dialysis membrane while the blood flows on the other side.<\/p>\n\n\n\n<p>Always use this medicine exactly as your doctor, pharmacist or nurse has told you.\u00a0If you are not sure, talk to your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<p><br>Instructions for use can be found in the section &#8220;The following information is only intended for healthcare professionals&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Phoxilium than you should&nbsp;<\/h2>\n\n\n\n<p>Phoxilium should be used in a hospital and only administered by healthcare professionals, and your fluid balance and blood status will be closely monitored.<\/p>\n\n\n\n<p><br><strong>Therefore, it is unlikely that you will use too much Phoxilium.<\/strong><br>If this is unlikely to happen and you get an overdose, your doctor will take the necessary steps and adjust your\u00a0dose.<br>Overdose may result in dehydration,\u00a0reduction\u00a0of blood bicarbonate concentration (metabolic\u00a0acidosis\u00a0), and\/or high phosphate levels (\u00a0hyperphosphatemia\u00a0) if you have kidney damage.<\/p>\n\n\n\n<p>It can lead to serious consequences, such as&nbsp;heart failure&nbsp;or blood disorder.<\/p>\n\n\n\n<p><br>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<br>The following three\u00a0side effects may be\u00a0<strong>associated with the use of<\/strong>\u00a0Phoxilium\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>the abnormally high or low fluid level in the body (\u00a0<em>hyper- or\u00a0hypovolemia<\/em>\u00a0)<\/li><li>altered salt balance in the blood\u00a0<em>(disturbed electrolyte balance such as\u00a0hyperphosphatemia\u00a0)<\/em><\/li><li>increased bicarbonate content in the blood (\u00a0<em>metabolic alkalosis\u00a0)<\/em>\u00a0or\u00a0reduction\u00a0of the bicarbonate content in the blood (metabolic\u00a0acidosis\u00a0).<\/li><\/ul>\n\n\n\n<p>Some side effects can be\u00a0caused by\u00a0dialysis treatments, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>nausea, vomiting, muscle cramps, and low\u00a0blood pressure\u00a0(\u00a0<em>hypotension<\/em>\u00a0).uuuuuuuuuuuuuuuuuuuuuuuuu<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Phoxilium<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label and the carton.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store between + 4 \u00b0 C and + 30 \u00b0 C.&nbsp;Store in a cold place.&nbsp;Do not freeze.<\/p>\n\n\n\n<p>For the reconstituted solution, chemical and physical in-use stability have been demonstrated for up to 24 hours at 22 \u00b0 C.\u00a0If not used immediately, in-use storage times and conditions before\u00a0administration\u00a0are the responsibility of the user and should not exceed 24 hours, including treatment time.<\/p>\n\n\n\n<p>Do not use this medicine if the solution is cloudy or if the cover is damaged.&nbsp;All seals must be unbroken.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the package and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substances before and after&nbsp;reconstitution&nbsp;(&nbsp;mixture&nbsp;) are shown below.<\/p>\n\n\n\n<p><strong>Active substances before reconstitution:<\/strong><br>1,000 ml solution from\u00a0<strong>the small chamber (A)<\/strong>\u00a0contains:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Calcium chloride, 2 H&nbsp;<sub>2<\/sub>&nbsp;O<\/td><td>3.68 g<\/td><\/tr><tr><td>Magnesium chloride, 6 H&nbsp;<sub>2<\/sub>&nbsp;O<\/td><td>2.44 g<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>1,000 ml solution from\u00a0<strong>the large chamber (B)<\/strong>\u00a0contains:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Sodium chloride<\/td><td>6.44 g<\/td><\/tr><tr><td>Sodium bicarbonate<\/td><td>2.92 g<\/td><\/tr><tr><td>Potassium chloride<\/td><td>0.314 g<\/td><\/tr><tr><td>Disodium phosphate, 2 H&nbsp;<sub>2<\/sub>&nbsp;O<\/td><td>0.225 g<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Active substances after reconstitution:<\/strong><br>The solutions in chambers A (250 ml) and B (4 750 ml) are reconstituted with the reconstituted solution (5,000 ml), the composition of which is:<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><td>&nbsp;<\/td><td><strong>mmol \/ l<\/strong><\/td><\/tr><\/thead><tbody><tr><td>Calcium&nbsp;Ca&nbsp;<sup>2+<\/sup><\/td><td>1.25<\/td><\/tr><tr><td>Magnesium&nbsp;Mg&nbsp;<sup>2+<\/sup><\/td><td>0.6<\/td><\/tr><tr><td>Sodium, Na\u00a0<sup>+<\/sup><\/td><td>140<\/td><\/tr><tr><td>Chloride, Cl&nbsp;<sup>&#8211;<\/sup><\/td><td>115.9<\/td><\/tr><tr><td>Hydrogen phosphate, HPO&nbsp;<sub>4&nbsp;<\/sub><sup>2-<\/sup><\/td><td>1.2<\/td><\/tr><tr><td>Hydrogen carbonate, HCO&nbsp;<sub>3&nbsp;<\/sub><sup>&#8211;<\/sup><\/td><td>30<\/td><\/tr><tr><td>Potassium, K\u00a0<sup>+<\/sup><\/td><td>4<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Theoretical osmolarity: 293 mOsm \/ l<\/p>\n\n\n\n<p><strong>Other ingredients are:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>carbon dioxide&nbsp;(for&nbsp;pH&nbsp;adjustment) E 290<\/li><li>hydrochloric acid&nbsp;(for&nbsp;pH&nbsp;adjustment) E 507<\/li><li>water for injections.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Phoxilium is a solution for\u00a0hemodialysis\u00a0and\u00a0hemofiltration\u00a0and is packaged in a two-chamber bag.\u00a0The ready-mixed solution is obtained by breaking the seal and mixing the two solutions.\u00a0The reconstituted solution is clear and colorless.\u00a0Each bag (A + B) contains 5,000 ml of solution for\u00a0hemodialysis\u00a0and\u00a0haemofiltration.\u00a0The bag is covered with a transparent film.<br>Each carton contains two bags and a package leaflet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Baxter Holding BV<\/p>\n\n\n\n<p>Kobaltweg 49<\/p>\n\n\n\n<p>3542CE Utrecht<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><\/p>\n\n\n\n<p>Bieffe Medital SpA, Via Stelvio 94, 23035 Sondalo (SO), ITALY<\/p>\n\n\n\n<p><strong>Local representative<\/strong><\/p>\n\n\n\n<p>Baxter Medical AB<\/p>\n\n\n\n<p>Box 63<\/p>\n\n\n\n<p>164 94 Kista<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Phoxilium belongs to the group of haemofiltration fluids and contains calcium chloride dihydrate, magnesium chloride hexahydrate, sodium chloride, sodium bicarbonate, potassium chloride and disodium phosphate dihydrate.uuu<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18527],"tags":[21283,8764,21278,21277,14284,21279,21282,4230,14699,11616,21280,21281],"class_list":["post-20811","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-phoxilium","tag-disodium-phosphate-dihydrate","tag-haemofiltration-fluid-calcium-chloride-dihydrate","tag-l-phosphate-hemodialysis-fluid","tag-magnesium-chloride-hexahydrate","tag-phoxilium","tag-phoxilium-side-effects","tag-potassium-chloride","tag-sodium-bicarbonate","tag-sodium-chloride","tag-what-is-phoxilium","tag-what-phoxilium-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20811","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=20811"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20811\/revisions"}],"predecessor-version":[{"id":20862,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20811\/revisions\/20862"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=20811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=20811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=20811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}