infusion solution, emulsion
What SmofKabiven extra Nitrogen is and what it is used for
SmofKabiven extra Nitrogen is an emulsion and is given as a drip ( intravenous infusion ). The medicine consists of amino acids (building blocks of proteins), glucose (carbohydrates), lipids (fats), and salts ( electrolytes ) in a plastic bag and can be given to adults and children who are 2 years of age or older.
SmofKabiven extra Nitrogen is given to you by healthcare personnel when nutritional supply is otherwise impossible, insufficient, or inappropriate.
What you need to know before using SmofKabiven extra Nitrogen
Do not use SmofKabiven extra Nitrogen
- if you are allergic to active substances or any other ingredient in this medicine (listed in section 6)
- if you are allergic to fish or eggs
- if you are allergic to peanuts or soy, do not use this medicine. SmofKabiven extra Nitrogen contains soybean oil
- if you have abnormally high levels of fats in your blood (hyperlipidemia)
- if you have severe liver disease
- if you have problems affecting blood clotting (coagulation disorder)
- if you have a disorder of the body’s ability to convert and break down amino acids
- if you suffer from severe kidney failure and lack access to dialysis
- if you are in acute shock
- if you have elevated and untreated blood sugar levels (hyperglycemia)
- if you have elevated levels of the salts ( electrolytes ) included in SmofKabiven extra Nitrogen
- if you have fluid in your lungs ( acute pulmonary edema )
- in case of overhydration (hyperhydration)
- in untreated heart failure
- if you have a disorder of your blood clotting system (haemophagocytic syndrome)
- in unstable conditions, e.g. after serious injuries, untreated diabetes, heart attack, stroke, blood clot, metabolic acidosis (disorder in the metabolism that produces too much acid in the blood), blood poisoning, in a coma, and in case of too little fluid in the body (hypotonic dehydration )
- for infants and children under 2 years of age
Warnings and precautions
Talk to your doctor before using SmofKabiven extra Nitrogen if you have:
- kidney failure,
- diabetes,
- pancreatitis (inflammation of the pancreas),
- liver failure,
- hypothyroidism (thyroid problem),
- sepsis (blood poisoning).
If you experience fever, skin rash, swelling, shortness of breath, chills, sweating, nausea, or vomiting during the infusion, tell a healthcare professional immediately, as these symptoms may be due to an allergic reaction or to the fact that you have received too much medicine.
Your doctor may need to check your blood regularly e.g. liver function
Children and young people
SmofKabiven extra Nitrogen is not intended for newborn babies or children younger than 2 years. SmofKabiven extra Nitrogen can be given to children and adolescents who are 2 to 18 years old.
Other medicines and SmofKabiven extra Nitrogen
Tell your doctor or pharmacist if you are using, have recently used, or may be thinking about using other medicines, including non-prescription ones.
Pregnancy and breastfeeding
Data from the use of SmofKabiven extra Nitrogen during pregnancy and breastfeeding are missing. SmofKabiven extra Nitrogen should therefore only be given to pregnant or breastfeeding women if the doctor deems it necessary. Use of SmofKabiven extra Nitrogen can be considered during pregnancy and breastfeeding if your doctor thinks so.
Driving ability and use of machinery
Not relevant because the medicine is given in a hospital.
How to use SmofKabiven extra Nitrogen
Always use this medicine exactly as directed by your doctor. Consult a doctor if you are unsure.
Your doctor will adapt the dosage to you individually based on your body weight and body function. SmofKabiven extra Nitrogen will be given to you by healthcare professionals.
If you have used too much SmofKabiven extra Nitrogen
It is unlikely that you will receive too much medicine, as SmofKabiven extra Nitrogen is given to you by healthcare professionals
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Common (may affect up to 1 in 10 people): Slight increase in body temperature.
Uncommon (may affect up to 1 in 100 people): Increased liver levels in the blood, loss of appetite, nausea, vomiting, chills, dizziness, and headache.
Rare (may affect up to 1 in 1,000 people): Low or high blood pressure, shortness of breath, palpitations ( tachycardia ). Hypersensitivity reaction (can cause symptoms such as swelling, fever, drop in blood pressure, skin rash, hives (raised red areas), redness, headache). Experience of heat or cold. Pale skin. Bluish lips and skin (due to low oxygen in the blood). Pain in the neck, back, bones, chest, and lower back.
How SmofKabiven extra Nitrogen should be stored
Keep this medicine out of the sight and reach of children.
Store in the outer bag. Store at a maximum of 25 °C. Do not freeze.
Use before the expiry date stated on the label on the bag and outer packaging. The expiration date is the last day of the specified month.
Contents of the packaging and other information
Contents declaration
Contents declaration
| The active substances are: | g per 1000 ml |
| Alanine | 9.2 |
| Arginine | 7.9 |
| Glycine | 7.2 |
| Histidine | 2.0 |
| Isoleucine | 3.3 |
| Leucine | 4.8 |
| Lysine (as acetate) | 4.3 |
| Methionine | 2.8 |
| Phenylalanine | 3.3 |
| Proline | 7.3 |
| Serine | 4.3 |
| Taurine | 0.65 |
| The threonine | 2.9 |
| Tryptophan | 1.3 |
| Tyrosine | 0.26 |
| The election | 4.1 |
| Calcium chloride (as dihydrate) | 0.28 |
| Sodium glycerophosphate (as hydrate) | 2.3 |
| Magnesium sulfate (as heptahydrate) | 0.61 |
| Potassium chloride | 2.3 |
| Sodium acetate (as trihydrate) | 1.6 |
| Zinc sulfate (as heptahydrate) | 0.0066 |
| Glucose (as monohydrate) | 85 |
| Soybean oil, refined | 8.7 |
| Triglyceride er, medium chain | 8.7 |
| Olive oil, refined | 7.2 |
| Fish oil, rich in omega-3 fatty acids | 4.3 |
Other ingredients are glycerol, purified egg phospholipids, all – rac -α-Tocopherol, sodium hydroxide ( pH adjustment), sodium oleate, acetic acid ( pH adjustment), hydrochloric acid ( pH adjustment), and water for injections.
Appearance and package sizes of the medicine
The glucose and amino acid solutions are clear, colorless, or slightly yellow, and free of particles. The fat emulsion is white and homogeneous.
Package sizes:
1× 506 ml, 6 × 506 ml
1× 1012 ml, 4 × 1012 ml
1× 1518 ml, 4 × 1518 ml
1× 2025 ml, 4 × 2025 ml