2 mmol / l potassium haemodialysis fluid / haemofiltration fluid
What Multibic 2 mmol / l potassium is and what it is used for
Multibic 2 mmol / l potassium is a solution used to remove residues from the body in people with kidney disease during treatment with continuous kidney replacement therapy. It is used in patients with kidney damage but also for the treatment of poisoning. It is the amount of potassium (a salt) in your blood that determines the type of solution you receive. Your doctor will check your potassium levels regularly.
What you need to know before using Multibic 2 mmol / l potassium
Do not use Multibic 2 mmol / l potassium if:
- you are allergic to any of the active substances or any of the other ingredients of this medicine (listed in section 6)
- you have hypokalaemia (your potassium level is very low)
- you have metabolic alkalosis (a condition with too high a level of bicarbonate in the blood)
- you can not achieve a sufficiently high blood flow through the hemofilter (the filter used in the blood filtration)
- you have a high risk of bleeding, as drugs are added to prevent blood clotting in the hemofilter.
Warnings and cautions
Talk to your doctor before using Multibic 2 mmol / l potassium.
- May only be used after mixing the two solutions in the double chamber bag.
- Under no circumstances may it be used at temperatures below room temperature.
- The hoses used to administer the reconstituted solution should be inspected every 30 minutes. If a precipitate (solid material) is observed in the tubes, the bag and tubing system must be replaced immediately and the patient closely monitored.
- Your doctor will check your fluid balance (the amount of water in your body), the levels of potassium , sodium , other salts, certain residues and your blood sugar levels. Your doctor can also give you dietary advice.
Children
The use of Multibic 2 mmol / l potassium in children has not been established.
Other medicines and Multibic 2 mmol / l potassium
Tell your doctor if you are taking, have recently taken, or might take any other medicines.
The following interactions are possible:
- Harmful effects of digitalis (a drug used to treat heart disease).
- Electrolyte replacement, parenteral nutrition ( intravenous nutrition) and other infusion treatments. Their effect on blood serum concentration and fluid status must be considered in this treatment.
- This treatment can reduce the blood concentration of drugs. Dose adjustment may be necessary.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.
There are no or limited data from the use of Multibic 2 mmol / l potassium in pregnant and lactating women. This medicine should only be used during pregnancy if your doctor considers it necessary.
Breastfeeding is not recommended during treatment with Multibic 2 mmol / l.
How to use Multibic 2 mmol / l potassium
Treatment with Multibic 2 mmol / l potassium is performed by healthcare professionals. Your doctor knows how to use this medicine.
If you have any further questions, ask your doctor.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects of Multibic 2 mmol / l potassium include:
- nausea
- vomiting
- muscle cramps
- changes in blood pressure et
Some side effects can be caused by too much or too little fluid. These are:
- shortness of breath
- swelling of the ankles and legs
- dehydration (eg dizziness, muscle cramps, thirst)
- blood disorders (eg disturbance of blood salt concentration).
The exact frequency of such side effects is not known (can not be calculated from the available data).
How to store Multibic 2 mmol / l potassium
Keep this medicine out of the sight and reach of children.
Store at least 4 ° C.
Storage instructions after mixing the contents of the two chambers:
The reconstituted solution must be stored at a maximum of 30 ° C and must be used within a maximum of 48 hours.
Do not use this medicine after the expiry date which is stated on the label after EXP. The expiration date is the last day of the specified month.
Contents of the pack and other information
Content declaration
- The active substances are potassium chloride, sodium chloride, sodium bicarbonate, calcium chloride dihydrate, magnesium chloride hexahydrate, glucose monohydrate.
- The other ingredients are water for injections, 25% hydrochloric acid , carbon dioxide and sodium dihydrogen phosphate dihydrate.
What the medicine looks like and contents of the pack
Multibic 2 mmol / l potassium is delivered in a double chamber bag (two chambers containing different solutions). Mixing the two solutions results in the reconstituted solution.
Each bag contains a total of 5000 ml of solution. The reconstituted solution is clear and colorless.
Each bag is equipped with an HF connection, a Luer lock connection, and an injection port and is covered with a protective foil.
Pack size:
2 bags of 5000 ml.
Marketing Authorization Holder and Manufacturer
Marketing Authorisation Holder
Fresenius Medical Care Deutschland GmbH, Else-Kröner-Strasse 1, 61352 Bad Homburg vdH, Germany
Manufacturer
Fresenius Medical Care Deutschland GmbH, Frankfurter Strasse 6-8, 66606 St. Wendel, Germany
Local representative:
Fresenius Medical Care Sverige AB
SE-192 51 Sollentuna
Tel: + 46 8 594 776 0