Product image of Intralipid (Soya Oil, Purified) supplied by GNH India

Intralipid

Active Ingredient:
Soya Oil, Purified
Origin:
EU

Intralipid (Soya Oil, Purified)

Soybean oil, the active ingredient in Intralipid, is an intravenous lipid emulsion presented as a sterile lipid solution for intravenous use. It supplies calories and essential fatty acids to patients who cannot receive enteral feeding, helping to prevent essential fatty acid deficiency and to support nutritional needs in critically ill individuals.

GNH India supplies Intralipid as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide across multiple regions and healthcare institutions with reliable logistics.

Manufacturer / TM Owner

Fresenius Kabi Ab

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Indications & Clinical Uses

Intralipid is used in parenteral nutrition to provide caloric and essential fatty acid support for patients unable to receive enteral feeding.

  • Parenteral nutrition: supplies calories and essential fatty acids to sustain energy needs in patients without enteral intake.
  • Essential fatty acid deficiency prevention: delivers linoleic and alpha‑linolenic acids to avoid deficiency in long‑term lipid‑restricted feeding.
  • Critical illness support: offers supplemental caloric support for critically ill patients receiving total parenteral nutrition.

How It Works

  • The soybean oil emulsion consists of triglyceride droplets that are hydrolyzed by circulating lipoprotein lipase after intravenous infusion. Released free fatty acids are taken up by tissues for oxidative energy production and for synthesis of phospholipids and other membrane components. The emulsion also provides essential fatty acids, such as linoleic and alpha‑linolenic acids, which cannot be synthesized adequately in the body endogenously.

Side Effects

Intralipid may be associated with several adverse reactions, ranging from mild to severe.

Common Side Effects

  • Hypertriglyceridemia: elevated blood triglyceride concentrations during therapy.
  • Fever or chills: mild temperature rise or shaking during infusion.
  • Nausea: transient gastrointestinal discomfort reported by some patients.
  • Infusion site pain: discomfort or irritation at the catheter insertion point.

Serious or Rare Side Effects

  • Fat overload syndrome: metabolic complications from excessive lipid load.
  • Anaphylactic reaction: severe allergic response that may require emergency treatment.
  • Pulmonary embolism: rare blockage of pulmonary vessels due to lipid particles.
  • Hepatic dysfunction: abnormal liver enzyme elevations indicating liver stress.

Precautions & Warnings

When using Intralipid, clinicians should observe specific precautions to minimize risks and ensure safe administration.

  • Monitor triglyceride levels: check serum triglycerides regularly during therapy.
  • Assess for soy allergy: evaluate patient history for hypersensitivity to soy or egg phospholipids.
  • Use aseptic technique: maintain sterility of the infusion set and catheter.
  • Adjust dose in liver dysfunction: reduce infusion rate if hepatic impairment is present.
  • Avoid in severe hyperlipidaemia: contraindicated in patients with markedly elevated lipid levels.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Intralipid can interact with other medications, affecting lipid metabolism or increasing the risk of adverse events.

Major Interactions (Avoid)

  • Propofol: concurrent lipid emulsions may cause severe hypertriglyceridemia.
  • High‑dose heparin: can further elevate triglyceride concentrations.
  • Gemfibrozil: may exacerbate lipid overload when combined with lipid emulsions.

Moderate Interactions (Monitor Closely)

  • Corticosteroids: can increase serum triglyceride levels, requiring monitoring.
  • Additional parenteral lipid formulations: cumulative lipid load may lead to overload.
  • Diuretics: may affect fluid balance during lipid infusion.

Frequently Asked Questions

Intralipid is an intravenous lipid emulsion employed as part of parenteral nutrition. It provides calories and essential fatty acids to patients who cannot receive enteral feeding, helping to meet energy requirements and prevent essential fatty acid deficiency in critically ill or postoperative individuals.

Soybean oil in Intralipid is formulated as triglyceride droplets. After infusion, lipoprotein lipase hydrolyzes these droplets, releasing free fatty acids that are taken up by cells for energy production, membrane synthesis, and the provision of essential fatty acids such as linoleic and alpha‑linolenic acids, which the body cannot synthesize.

The dose of Intralipid is individualized by the prescribing clinician based on the patient’s caloric needs, weight, metabolic status, and laboratory parameters such as serum triglycerides. Dosing is calculated to achieve the desired percentage of total calories from lipids within a total parenteral nutrition regimen.

The safety of Intralipid in pregnancy and lactation has not been definitively established, and the product is classified as having an unknown pregnancy category. Use should be considered only if the potential benefit justifies any potential risk, and decisions are made by the treating physician in consultation with the patient.

To order Intralipid, submit an enquiry on the product page at gnhindia.com indicating the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain handling if required) and any necessary import documentation.

Intralipid is a soybean‑oil based emulsion, offering a balanced profile of omega‑6 and omega‑3 fatty acids. Compared with fish‑oil or olive‑oil emulsions, it provides a higher proportion of linoleic acid and is widely used for general parenteral nutrition. Choice of emulsion depends on patient‑specific factors such as inflammatory status, lipid tolerance and clinician preference.

Intralipid must be stored at 2‑8 °C (refrigerated). Keep the container in its original packaging, protect it from light, and avoid freezing or vigorous shaking, which can destabilize the emulsion. Once removed from refrigeration, the product should be used within the time frame specified by the manufacturer.

Intralipid is administered intravenously, typically as a continuous infusion added to a total parenteral nutrition bag or as a separate lipid infusion. The infusion rate is set by the clinician based on the prescribed lipid calories and is monitored closely for tolerance, serum triglyceride levels and any signs of adverse reactions.

Serious risks include fat overload syndrome, which can cause metabolic disturbances, and severe allergic reactions such as anaphylaxis. Rare but critical complications are pulmonary embolism from lipid particles and hepatic dysfunction manifested by elevated liver enzymes. Prompt recognition and management of these events are essential.

Intralipid is contraindicated in patients with known hypersensitivity to soy or egg phospholipids, those with severe hyperlipidaemia, and individuals with disorders of lipid metabolism that could predispose them to fat overload. It should also be used with caution in patients with severe hepatic impairment or uncontrolled sepsis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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