{"id":21709,"date":"2022-06-08T07:29:40","date_gmt":"2022-06-08T07:29:40","guid":{"rendered":"https:\/\/zeepedia.com\/?p=21709"},"modified":"2022-06-08T10:09:46","modified_gmt":"2022-06-08T10:09:46","slug":"ravicti","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ravicti\/","title":{"rendered":"Ravicti | Glycerol-phenylbutyrate uses, dose and side effects"},"content":{"rendered":"\n<p>1.1 g \/ ml&nbsp;oral&nbsp;liquid<br>glycerol-phenylbutyrate<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What RAVICTI is and what it is used for<\/h2>\n\n\n\n<p>RAVICTI contains the active substance &#8216;glycerol-phenylbutyrate&#8217;, which is used to treat six known &#8216;urea cycle disorders (UCDs) in adults and children.\u00a0UCDs include deficiency of a certain liver enzyme such as carbamoyl phosphate synthetase I (CPS), ornithine carbamoyltransferase (OTC), argininosuccinate synthetase (ASS), argininosuccinate lyase (ASL), arginase I (ARG) and ornithine translocase homocyroid hemithrinoemia.<\/p>\n\n\n\n<p>RAVICTI must be used in combination with a protein-reduced diet and, in some cases, a diet with dietary supplements such as essential\u00a0amino acids\u00a0(\u00a0arginine, citrulline, protein-free calorie supplements).\u00a0<\/p>\n\n\n\n<p><strong>About urea cycle disorders<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In urea cycle disorders, the body can not get rid of the nitrogen from the\u00a0protein\u00a0we eat.<\/li><li>Normally, the body converts the excess nitrogen in the\u00a0protein\u00a0into a residual substance called &#8220;ammonia&#8221;.\u00a0The liver removes ammonia from the body through a cycle called the &#8220;urea cycle&#8221;.<\/li><li>In urea cycle disorders, the body cannot produce enough liver enzymes to remove the excess nitrogen.<\/li><li>This means that ammonia builds up in the body.\u00a0Failure to remove ammonia from the body can damage the brain and lead to low levels of consciousness or\u00a0coma.<\/li><li>Urea cycle disorders are rare.<\/li><\/ul>\n\n\n\n<p><strong>How RAVICTI works<\/strong><\/p>\n\n\n\n<p>RAVICTI helps the body get rid of excess nitrogen.&nbsp;This reduces the amount of ammonia in the body.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking RAVICTI<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take RAVICTI<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to glycerol-phenylbutyrate<\/li><li>if you have&nbsp;acute&nbsp;hyperammonemia (high levels of ammonia in your blood), which requires a faster response (see also &#8220;Warnings and Precautions&#8221;).<\/li><\/ul>\n\n\n\n<p>If you are not sure if the above applies to you, talk to your doctor or pharmacist before taking RAVICTI.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking RAVITCI:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have kidney or liver problems &#8211; the reason is that RAVICTI is removed from the body via the kidneys and liver<\/li><li>if you have problems with the pancreas, stomach, or intestines &#8211; these organs are responsible for the absorption of RAVICTI into the body.<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor or pharmacist before taking RAVITCI.<\/p>\n\n\n\n<p>In some cases, such as during\u00a0infection\u00a0or after an operation, the amount of ammonia can increase despite treatment with this drug and damage the brain (hyperammonemia\u00a0encephalopathy\u00a0).<\/p>\n\n\n\n<p>In other cases, the amount of ammonia in the blood rises rapidly.\u00a0In this case, RAVICTI will not prevent the level of ammonia in the blood from becoming severely high.\u00a0High levels of ammonia lead to feeling sick (nausea), vomiting, or feeling confused.<\/p>\n\n\n\n<p><strong>Tell a doctor or go directly to the hospital if you notice any of these signs.<\/strong><\/p>\n\n\n\n<p>Laboratory tests will be needed so that the doctor can determine and maintain the correct&nbsp;dose&nbsp;for you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and RAVICTI<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>In particular, tell your doctor or pharmacist if you are taking any of the following medicines, which may be less effective when used with RAVICTI.&nbsp;If you are taking these medicines you may need regular blood tests:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>midazolam and\u00a0barbiturates\u00a0&#8211; used for\u00a0sedation, insomnia, or\u00a0epilepsy<\/li><li>contraceptive<\/li><\/ul>\n\n\n\n<p>Also tell your doctor if you are taking any of the following medicines, as they may increase the amount of ammonia in your body or change the way RAVICTI works:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Corticosteroids&nbsp;&#8211; used to treat inflamed areas of the body<\/li><li>valproate&nbsp;&#8211; a drug for epilepsy<\/li><li>haloperidol&nbsp;&#8211; used to treat certain mental health problems<\/li><li>probenecid &#8211; to treat high levels of&nbsp;uric acid&nbsp;in the blood that can cause&nbsp;gout&nbsp;(hyperuricemia)<\/li><li>lipase inhibitors (such as orlistat) &#8211; used to treat obesity<\/li><li>lipase&nbsp;in pancreatic replacement treatments<\/li><\/ul>\n\n\n\n<p>If any of the above apply to you (or you are not sure), talk to your doctor before taking Ravicti.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you are pregnant, talk to a doctor before taking RAVICTI.\u00a0If you become pregnant while taking RAVICTI, talk to a doctor.\u00a0RAVICTI should not be used during pregnancy, as a risk to your unborn baby can not be ruled out.<\/li><li>If you are a woman who may become pregnant, you must use an effective method of contraception during treatment with RAVICTI.\u00a0Talk to your doctor about the best method of contraception for you.<\/li><li>You should discuss this with your doctor before planning to breastfeed while using RAVICTI.\u00a0A decision must be made whether to breastfeed or stop taking RAVICTI, taking into account the benefits of the treatment for you and the benefits of breastfeeding for your baby.\u00a0The reason is that RAVICTI can be excreted in breast milk and a risk to the newborn \/ infant cannot be ruled out.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>RAVICTI can greatly affect the ability to drive and use machines.\u00a0When you take RAVICTI you may feel dizzy or have a headache.\u00a0Do not drive or use machines while you have these\u00a0side effects.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take RAVICTI<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>You must follow a special low-protein diet during treatment with RAVICTI.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>This diet will be designed for you by your doctor and dietitian.<\/li><li>You need to follow this diet carefully.<\/li><li>You may need to take amino acid supplements.<\/li><li>You will need treatment and follow a diet throughout your life unless you undergo a successful liver transplant.<\/li><\/ul>\n\n\n\n<p><strong>How much to take<\/strong><\/p>\n\n\n\n<p>Your doctor will tell you how much RAVICTI to take each day.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your daily\u00a0dose\u00a0will depend on your size and weight, the amount of\u00a0protein\u00a0in your diet, and what your urea cycle disorder looks like.<\/li><li>Your doctor may give you a lower\u00a0dose\u00a0if you have kidney or liver problems.<\/li><li>You will need to have regular blood tests so that your doctor can decide which\u00a0dose\u00a0is right for you.<\/li><li>Your doctor may tell you to take RAVICTI more than 3 times daily.\u00a0In young children, it is usually 4 to 6 times a day.\u00a0There must be at least 3 hours between each\u00a0dose.<\/li><\/ul>\n\n\n\n<p><strong>Taking this medicine<\/strong>&nbsp;<\/p>\n\n\n\n<p>Your doctor will tell you how to take RAVICTI&nbsp;oral&nbsp;liquid.&nbsp;It can be taken as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>via the mouth<\/li><li>through a tube that goes through the stomach (abdomen) to the intestines &#8211; a so-called gastrostomy tube<\/li><li>through a probe that goes through the nose to the stomach &#8211; a so-called nasogastric probe<\/li><\/ul>\n\n\n\n<p>Take RAVICTI by mouth unless your doctor tells you otherwise.<\/p>\n\n\n\n<p><strong>RAVICTI&nbsp;<\/strong><strong>and meals<\/strong><\/p>\n\n\n\n<p>Take RAVICTI with or immediately after a meal.&nbsp;Young children should receive the medicine during or immediately after a meal.<\/p>\n\n\n\n<p><strong>To measure&nbsp;dose&nbsp;one<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Use an\u00a0oral\u00a0syringe\u00a0to measure your\u00a0dose.<\/li><li>You must have the RAVICTI bottle together with an\u00a0oral\u00a0syringe\u00a0to give the correct amount of RAVICTI.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>1.<\/td><td>Open the bottle with RAVICTI by pushing the lid down and turning to the left<\/td><\/tr><tr><th scope=\"col\"><\/th><th scope=\"col\"><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/th><\/tr><tr><td>2.<\/td><td>Place the tip of the oral syringe in the integrated syringe adapter in the vial.<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>3.<\/td><td>Turn the bottle upside down with the oral syringe still in place.<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>4.<\/td><td>Fill the oral syringe by withdrawing the plunger until the syringe is filled with the amount of RAVICTI fluid that your doctor has told you to take.<\/td><\/tr><tr><td>&#8211;<\/td><td>NOTE!&nbsp;If possible, use the oral&nbsp;syringe&nbsp;that is the ml size closest to (but not less than) the recommended&nbsp;dose&nbsp;one (for example, use a&nbsp;1 ml&nbsp;oral&nbsp;syringe if&nbsp;dose&nbsp;one is 0.8 ml).<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>5.<\/td><td>Tap the oral syringe to remove air bubbles and make sure you have filled it with the correct amount of liquid.<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>6.<\/td><td>Swallow the liquid from the oral syringe or attach the oral syringe to a gastrostomy or nasogastric tube.<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>7.<\/td><td><strong>Viktigt:<\/strong>&nbsp;Tills\u00e4tt eller r\u00f6r inte ned RAVICTI i st\u00f6rre m\u00e4ngder v\u00e4tska, som vatten eller juice, d\u00e5 RAVICTI \u00e4r tyngre \u00e4n de flesta v\u00e4tskor. Att blanda RAVICTI med stora m\u00e4ngder v\u00e4tska kan leda till att du kanske inte f\u00e5r hela&nbsp;dosen.<\/td><\/tr><tr><td>8.<\/td><td>RAVICTI kan tills\u00e4ttas till sm\u00e5 m\u00e4ngder mjuk mat som ketchup, l\u00e4kemedelsberedningar, \u00e4pplemos eller pumpapur\u00e9.<\/td><\/tr><tr><td>9.<\/td><td>Om volymen p\u00e5 din orala&nbsp;spruta&nbsp;\u00e4r mindre \u00e4n den&nbsp;dos&nbsp;du ordinerats m\u00e5ste du upprepa dessa steg f\u00f6r att f\u00e5 hela din&nbsp;dos. Anv\u00e4nd en och samma orala&nbsp;spruta&nbsp;f\u00f6r alla&nbsp;doser som tas varje dag.<\/td><\/tr><tr><td>10.<\/td><td>N\u00e4r du har tagit hela din&nbsp;dos, drick lite vatten f\u00f6r att se till att du inte har kvar n\u00e5got l\u00e4kemedel i munnen, eller anv\u00e4nd en ny&nbsp;oral&nbsp;spruta&nbsp;f\u00f6r att spola gastrostomisonden eller den nasogastriska sonden med 10 ml vatten. F\u00f6r att undvika att det kommer vatten i l\u00e4kemedlet, ska sprutan som anv\u00e4nds till sk\u00f6ljning av gastrostomisonden eller den nasogastriska sonden inte anv\u00e4ndas till uppm\u00e4tning av&nbsp;doser av RAVICTI.<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>11.<\/td><td>Tillslut flaskan genom att skruva p\u00e5 locket.<\/td><\/tr><tr><td><\/td><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20140716000018#\" rel=\"noopener\"><\/a><\/td><\/tr><tr><td>12.<\/td><td><strong>Viktigt:<\/strong>&nbsp;Sk\u00f6lj inte den \u00e5terf\u00f6rslutbara flasklocksadaptern eller den orala sprutan mellan de dagliga&nbsp;doserna eftersom vatten g\u00f6r s\u00e5 att glycerolfenylbutyrat bryts ner. Om RAVICTI kommer i kontakt med vatten kommer v\u00e4tskan att f\u00e5 ett grumligt utseende. F\u00f6rvara flaskan och den orala sprutan p\u00e5 en ren och torr plats mellan doseringstillf\u00e4llena.<\/td><\/tr><tr><td>13.<\/td><td>Kassera den orala sprutan efter dagens sista&nbsp;dos. \u00c5teranv\u00e4nd inte den orala sprutan till uppm\u00e4tning av&nbsp;doser av RAVICTI en annan dag. Den \u00e5terf\u00f6rslutbara flasklocksadaptern kan anv\u00e4ndas tills flaskan \u00e4r tom. F\u00f6r varje ny flaska som \u00f6ppnas ska en ny \u00e5terf\u00f6rslutbar flasklocksadapter anv\u00e4ndas.<\/td><\/tr><tr><td>14.<\/td><td>\u00d6verblivna oanv\u00e4nda sprutor ska sparas f\u00f6r att anv\u00e4ndas med en annan flaska. Varje flaska ska kasseras efter 14&nbsp;dagar.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Om du har tagit f\u00f6r stor m\u00e4ngd av RAVICTI<\/h2>\n\n\n\n<p>Om du tar mer av detta l\u00e4kemedel \u00e4n du ska, tala med l\u00e4kare.<\/p>\n\n\n\n<p>Om du m\u00e4rker n\u00e5got av f\u00f6ljande tecken, tala med l\u00e4kare eller \u00e5k direkt till ett sjukhus eftersom detta kan vara tecken p\u00e5 \u00f6verdos eller h\u00f6g ammoniakniv\u00e5:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>k\u00e4nsla av s\u00f6mnighet, tr\u00f6tthet, yrsel eller ibland f\u00f6rvirring<\/li><li>huvudv\u00e4rk<\/li><li>smakf\u00f6r\u00e4ndringar<\/li><li>h\u00f6rselproblem<\/li><li>k\u00e4nsla av f\u00f6rvirring<\/li><li>f\u00f6rs\u00e4mrad f\u00f6rm\u00e5ga att komma ih\u00e5g saker<\/li><li>befintliga neurologiska sjukdomar kan f\u00f6rv\u00e4rras<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Om du har gl\u00f6mt att ta RAVICTI<\/h2>\n\n\n\n<p>Om du har gl\u00f6mt att ta en&nbsp;dos, ta den missade&nbsp;dosen s\u00e5 snart du kommer ih\u00e5g. Men, f\u00f6r vuxna, om n\u00e4sta&nbsp;dos&nbsp;\u00e4r om mindre \u00e4n 2 timmar ska du hoppa \u00f6ver den och ta n\u00e4sta&nbsp;dos&nbsp;som vanligt.<\/p>\n\n\n\n<p>F\u00f6r barn: om n\u00e4sta&nbsp;dos&nbsp;\u00e4r om mindre \u00e4n 30 minuter, hoppa \u00f6ver den och ge n\u00e4sta&nbsp;dos&nbsp;som vanligt.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ta inte dubbel&nbsp;dos&nbsp;f\u00f6r att kompensera f\u00f6r gl\u00f6md&nbsp;dos.<\/li><\/ul>\n\n\n\n<p>Om du har ytterligare fr\u00e5gor om detta l\u00e4kemedel kontakta l\u00e4kare eller apotekspersonal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Om du slutar att ta RAVICTI<\/h2>\n\n\n\n<p>Du kommer att beh\u00f6va ta detta l\u00e4kemedel och f\u00f6lja en s\u00e4rskild proteinfattig diet under hela ditt liv. Sluta inte ta glycerolfenylbutyrat utan att tala med l\u00e4kare.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Eventuella biverkningar<\/h2>\n\n\n\n<p>Liksom alla l\u00e4kemedel kan detta l\u00e4kemedel orsaka&nbsp;biverkningar, men alla anv\u00e4ndare beh\u00f6ver inte f\u00e5 dem.<\/p>\n\n\n\n<p>Tala om f\u00f6r l\u00e4kare eller apotekspersonal om du m\u00e4rker n\u00e5gra&nbsp;biverkningar. F\u00f6ljande&nbsp;biverkningar kan f\u00f6rekomma med detta l\u00e4kemedel:<\/p>\n\n\n\n<p><strong>Vanliga:<\/strong>&nbsp;kan f\u00f6rekomma hos upp till 1 av 10 personer<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>svullen mage eller magsm\u00e4rta, f\u00f6rstoppning, diarr\u00e9, halsbr\u00e4nna, gaser, kr\u00e4kning, illam\u00e5ende, sm\u00e4rta i munnen, kv\u00e4ljningar<\/li><li>svullnad i h\u00e4nder eller f\u00f6tter, k\u00e4nsla av tr\u00f6tthet<\/li><li>yrsel, huvudv\u00e4rk eller skakningar<\/li><li>minskad eller \u00f6kad aptit, att inte vilja \u00e4ta viss mat<\/li><li>bl\u00f6dningar mellan menstruationsperioderna,&nbsp;akne, onormal hudlukt<\/li><li>tester som visar \u00f6kade leverenzymniv\u00e5er, obalans av blodsalter, l\u00e5ga niv\u00e5er av en typ av vita blodceller (lymfocyter) eller l\u00e5ga niv\u00e5er av&nbsp;vitamin&nbsp;D<\/li><\/ul>\n\n\n\n<p><strong>Mindre vanliga:<\/strong>&nbsp;kan f\u00f6rekomma hos upp till 1 av 100 personer<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>muntorrhet<\/li><li>rapningar, magv\u00e4rk eller obehagsk\u00e4nsla, f\u00f6r\u00e4ndrad avf\u00f6ring som t.ex. oljig avf\u00f6ring,&nbsp;akut&nbsp;behov att f\u00e5 t\u00f6mma tarmen, sm\u00e4rtsam avf\u00f6ring,&nbsp;inflammation&nbsp;i mun och l\u00e4ppar<\/li><li>hungerk\u00e4nsla<\/li><li>\u00f6kad temperatur<\/li><li>v\u00e4rmevallningar<\/li><li>sm\u00e4rta i gallbl\u00e5sa<\/li><li>sm\u00e4rta i&nbsp;urinbl\u00e5sa<\/li><li>ryggsm\u00e4rta<\/li><li>ledsvullnad, muskelspasmer, sm\u00e4rta i armar och ben, h\u00e4lsporre<\/li><li>virusinfektion i magen<\/li><li>stickningar, k\u00e4nsla av stark rastl\u00f6shet, s\u00f6mnighet, d\u00e5sighet, talsv\u00e5righeter, k\u00e4nsla av f\u00f6rvirring, nedst\u00e4mdhet, f\u00f6r\u00e4ndrad smak<\/li><li>menstruationsperioderna upph\u00f6r eller \u00e4r oregelbundna<\/li><li>r\u00f6stst\u00f6rningar, n\u00e4sblod, n\u00e4st\u00e4ppa, halsont<\/li><li>h\u00e5ravfall, mer svettning \u00e4n normalt, kliande utslag<\/li><li>oj\u00e4mna hj\u00e4rtslag<\/li><li>nedsatt sk\u00f6ldk\u00f6rtelfunktion<\/li><li>viktf\u00f6rlust eller vikt\u00f6kning<\/li><li>tester som visar h\u00f6gre eller l\u00e4gre niv\u00e5er av&nbsp;kalium&nbsp;i blodet<\/li><li>tester som visar h\u00f6gre niv\u00e5er av&nbsp;triglycerider, l\u00e5gdensitetslipoprotein eller vita celler i blodet<\/li><li>tester som visar onormalt&nbsp;EKG&nbsp;(elektrokardiogram)<\/li><li>tester som visar att protrombintiden \u00e4r f\u00f6rl\u00e4ngd<\/li><li>tester som visar l\u00e5ga albuminniv\u00e5er i blodet<\/li><\/ul>\n\n\n\n<p><strong>Biverkningar hos barn som \u00e4r yngre \u00e4n 2 m\u00e5nader<\/strong><\/p>\n\n\n\n<p>F\u00f6ljande&nbsp;biverkningar har observerats i en&nbsp;klinisk studie&nbsp;som omfattade 16 patienter som var yngre \u00e4n 2 m\u00e5nader:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diarr\u00e9, f\u00f6rstoppning, gaser, uppst\u00f6tningar av maginneh\u00e5ll, d\u00e5lig aptit<\/li><li>utslag<\/li><li>minskat antal&nbsp;r\u00f6da blodkroppar<\/li><li>\u00f6kat antal&nbsp;blodpl\u00e4ttar&nbsp;(kan orsaka blodpropp)<\/li><li>f\u00f6rh\u00f6jda leverenzymer<\/li><li>minskade aminosyraniv\u00e5er<\/li><\/ul>\n\n\n\n<p><strong>Biverkningar hos barn mellan 2 m\u00e5nader och h\u00f6gst 2 \u00e5r<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>diarr\u00e9, f\u00f6rstoppning<\/li><li>eksem, r\u00e4fflade naglar, hudutslag<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Hur RAVICTI\u00a0ska f\u00f6rvaras<\/h2>\n\n\n\n<p>F\u00f6rvara detta l\u00e4kemedel utom syn- och r\u00e4ckh\u00e5ll f\u00f6r barn.<\/p>\n\n\n\n<p>Anv\u00e4nd inte Ravicti efter det utg\u00e5ngsdatum som anges p\u00e5 kartongen och p\u00e5 flaskans etikett efter bokst\u00e4verna \u201dEXP\u201d. Utg\u00e5ngsdatumet \u00e4r den sista dagen i angiven m\u00e5nad.<\/p>\n\n\n\n<p>Inga s\u00e4rskilda f\u00f6rvaringsanvisningar. N\u00e4r flaskan v\u00e4l har \u00f6ppnats m\u00e5ste du anv\u00e4nda ditt l\u00e4kemedel inom 14 dagar. Flaskan ska sl\u00e4ngas \u00e4ven om den inte \u00e4r tom.<\/p>\n\n\n\n<p>L\u00e4kemedel ska inte kastas i avloppet eller bland hush\u00e5llsavfall. Fr\u00e5ga apotekspersonalen hur man kastar l\u00e4kemedel som inte l\u00e4ngre anv\u00e4nds. Dessa \u00e5tg\u00e4rder \u00e4r till f\u00f6r att skydda milj\u00f6n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is glycerol-phenylbutyrate.<\/li><li>Each ml of liquid contains 1.1 g of glycerol-phenylbutyrate.&nbsp;This corresponds to a density of 1.1 g \/ ml.<\/li><li>There are no other ingredients.<\/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>The liquid is filled in a transparent glass bottle of 25 ml which is sealed with a child-resistant plastic lid.&nbsp;To ensure correct&nbsp;dosing&nbsp;of RAVICTI, CE-marked oral syringes that are the appropriate size for one&nbsp;dose&nbsp;and that fit with the integrated syringe adapter can be purchased at a pharmacy.&nbsp;Ask your doctor or pharmacist what type of syringe to buy based on the prescribed dosing volume.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Unimedic AB<\/p>\n\n\n\n<p>Storjordenv\u00e4gen 2<\/p>\n\n\n\n<p>SE-864 31 Matfors<\/p>\n\n\n\n<p>Sweden<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RAVICTI contains the active substance &#8216;glycerol-phenylbutyrate&#8217;, which is used to treat six known &#8216;urea cycle disorders&#8217; (UCDs) in adults and children. UCDs include deficiency of a certain liver enzyme such as carbamoyl phosphate synthetase I (CPS), ornithine carbamoyltransferase (OTC), argininosuccinate synthetase (ASS), argininosuccinatlyase (ASL), arginase I (ARG) and ornithine translocase homocyroid hemithrinoemia.<\/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":[2200,18529],"tags":[22456,22461,22452,22455,22458,22459,22454,22453,22460,22457],"class_list":["post-21709","post","type-post","status-publish","format-standard","hentry","category-medicines","category-r","tag-benefits-of-glycerol-phenylbutyrate","tag-benefits-of-ravicti","tag-glycerol-phenylbutyrate","tag-glycerol-phenylbutyrate-side-effects","tag-ravicti","tag-ravicti-side-effects","tag-what-glycerol-phenylbutyrate-is-used-for","tag-what-is-glycerol-phenylbutyrate","tag-what-is-ravicti","tag-what-ravicti-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21709","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=21709"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21709\/revisions"}],"predecessor-version":[{"id":21743,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21709\/revisions\/21743"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21709"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}