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Trenbolone enanthate side effects solution of essential and non-essential amino acids necessary for protein synthesis in the body and achieve a positive nitrogen balance in the parenteral nutrition and amino acids make up for losses during dialysis. Designed specifically for patients with impaired renal function.
Amino received intravenously when assigning Nefrotekta, anabolic utilized and included in the body of proteins in the availability of energy substrates.
The bioavailability on intravenous administration is 100%.
The distribution of amino acids when administered intravenously at admission identical to that amino acids from the gastrointestinal tract in the hydrolysis of food proteins.
With the introduction of the recommended rate of only a small part of the administered amino acids are lost in the urine.

Indications for use
– Introduction of amino acids, with full or partial parenteral nutrition in patients with impaired renal function, including parenteral nutrition in acute and chronic renal failure, including patients on hemodialysis or peritoneal dialysis.
– Restores amino acids losses in hemodialysis or peritoneal dialysis.

Contraindications
: Hypersensitivity to the drug. Inborn errors of amino acid metabolism. The acute phase of shock.
General contraindications to infusion therapy: acute pulmonary edema, hyperhydration, decompensated heart failure, decompensated hypotonic dehydration.

Precautions
To apply caution in patients with hyponatremia, increased osmolarity of blood.

Pregnancy, lactation and in children
Introduction of amino acids in parenteral nutrition in patients with impaired renal function can be vital. When needed, the solutions of amino acids can be assigned to pregnant women, nursing mothers and children. Adverse and side effects were not observed in the appointment of pregnant women, nursing mothers and children. Teratogenic effects have been identified.
Before the appointment Nefrotekta pregnant and lactating mothers need to assess the risk / benefit ratio.

Dosing and Administration

Intravenously.

The maximum recommended rate of administration for adults and children:
– Parenteral nutrition: 0.1 g amino acids per kg body weight per hour = 1 mL / kg / h.
– Restores the loss of amino acids during hemo or peritoneal dialysis: 0.2 g amino acids per kg body weight h = 2.0 ml / kg / h.

Typically during parenteral nutrition solutions are assigned any amino acid in combination with a drug-energy sources such as glucose solutions and / or trenbolone enanthate side effects fatliquors. During the TPN Nefrotekt used with power sources, electrolytes, water-soluble and fat-soluble vitamins and trace elements. Nefrotekt in combination with other drugs for parenteral nutrition can be administered to the central or peripheral veins, depending on the final osmolarity.

Nefrotekt can be administered through a single infusion system or may be mixed under aseptic conditions with the other components of parenteral nutrition and introduced into the container.

To make up for losses during dialysis Nefrotekt amino acids can be administered without glucose solutions and fat emulsions directly into the venous trap dialysis machine.

Nefrotekt can be used as long as the patient requires parenteral nutrition or remains a need for replenishing losses of amino acids.

Side effects
Side effects were not observed in compliance with the art of administration, recommended dose and taking into account contraindications.
In rare cases, the introduction of any amino acid solutions can be observed: increased level of eosinophils, muscle pain, sclerosis, swelling of the extremities, shortness of breath.

The interaction with other drugs
Amino acid solutions may be mixed under aseptic conditions with only drugs intended for parenteral nutrition, including fat emulsions, glucose solutions of electrolytes.
It is not recommended coadministration with other groups of drugs due to the risk of incompatibility.

Specific guidance
is recommended to monitor fluid balance, serum electrolytes, indicators of acid-base status, the level of urea and ammonium during therapy.
Nefrotekt can be mixed or administered simultaneously with energy carriers, electrolytes in the quantities needed to meet the needs of the patient. Introduction of amino acids in parenteral nutrition in infants with impaired renal function may be vital in this case possible to use in children. Tyrosine trenbolone enanthate side effects is an essential amino acid for children.
Before the appointment Nefrotekta children need to evaluate the risk / benefit ratio.

Product form
Solution for infusion of 250 or 500 ml vial of colorless glass, hydrolytic, sealed with a rubber (halobutyl) stopper and aluminum cap run-in with a plastic cap-controlled first opening. By 10 bottles with plastic holders or without them in a cardboard box with instructions for use.

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