Product image of Isopuramin (Glycine, L-Lysine Hydrochloride, L-Tryptophan, L-Arginine, L-Histidine, L-Isoleucine, L-Leucine, L-M) supplied by GNH India

Isopuramin

Active Ingredient:
Glycine, L-Lysine Hydrochloride, L-Tryptophan, L-Arginine, L-Histidine, L-Isoleucine, L-Leucine, L-M
Origin:
EU

Isopuramin (Glycine, L-Lysine Hydrochloride, L-Tryptophan, L-Arginine, L-Histidine, L-Isoleucine, L-Leucine, L-M)

Glycine, the active ingredient in Isopuramin, is a amino acid supplement presented as a sterile intravenous solution for intravenous use. It provides a balanced mixture of essential and conditionally essential amino acids to support protein synthesis and metabolic functions in patients requiring parenteral nutrition.

GNH India supplies Isopuramin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Baxter S.P.A.

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Indications & Clinical Uses

Isopuramin is used in clinical nutrition to address protein and amino‑acid deficits in patients who cannot receive enteral feeding.

  • Parenteral nutrition: Supplies essential amino acids to meet protein requirements in patients dependent on intravenous feeding.
  • Critical illness: Helps maintain nitrogen balance and supports tissue repair in severely ill or trauma patients.
  • Post‑operative recovery: Provides amino acids needed for wound healing and metabolic stability after major surgery.

How It Works

  • Isopuramin delivers a blend of essential and conditionally essential amino acids directly into the bloodstream, bypassing gastrointestinal absorption. The supplied amino acids become substrates for protein synthesis, support gluconeogenesis, and contribute to the synthesis of neurotransmitters and other metabolic intermediates, thereby maintaining nitrogen balance and supporting cellular functions during periods of catabolic stress.

Side Effects

Adverse reactions may occur with intravenous amino‑acid preparations and should be monitored.

Common Side Effects

  • Infusion site phlebitis: redness or pain at the catheter site.
  • Mild hyperglycemia: transient elevation of blood glucose levels.
  • Electrolyte disturbances: shifts in potassium, calcium, or magnesium.
  • Nausea or mild gastrointestinal discomfort.
  • Headache or dizziness during infusion.

Serious or Rare Side Effects

  • Anaphylactic reaction: severe hypersensitivity requiring immediate medical intervention.
  • Metabolic acidosis: significant pH imbalance in blood.
  • Hyperammonemia: elevated ammonia levels, particularly in hepatic impairment.
  • Renal dysfunction: worsening kidney function in susceptible patients.
  • Severe electrolyte imbalance: life‑threatening potassium or calcium abnormalities.

Precautions & Warnings

Careful assessment and monitoring are required when administering Isopuramin.

  • Renal function: evaluate renal status before initiation and monitor creatinine levels during therapy.
  • Electrolyte balance: check serum electrolytes prior to and throughout treatment.
  • Hepatic impairment: avoid or adjust dosing in patients with severe liver disease.
  • Allergy: screen for known hypersensitivity to any amino acid components.
  • Compatibility: verify compatibility with other intravenous solutions before co‑administration.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Isopuramin may interact with other agents affecting metabolic or renal pathways.

Major Interactions (Avoid)

  • Nephrotoxic drugs (e.g., aminoglycosides): may exacerbate renal load and impair clearance.
  • High‑dose insulin therapy: can precipitate severe hypoglycemia when combined with amino‑acid‑induced glucose shifts.

Moderate Interactions (Monitor Closely)

  • Diuretics: may increase risk of electrolyte disturbances; monitor serum levels.
  • Corticosteroids: can augment protein catabolism, potentially altering amino‑acid requirements.
  • Other parenteral nutrition components: ensure total nitrogen and caloric balance to avoid overload.

Frequently Asked Questions

Isopuramin is an intravenous amino‑acid supplement used to meet the protein and essential amino‑acid needs of patients who cannot receive nutrition through the gastrointestinal tract. It is commonly employed in parenteral nutrition programs for critically ill, postoperative, or trauma patients requiring intravenous support.

Glycine, together with other essential amino acids in Isopuramin, serves as a building block for protein synthesis and participates in metabolic pathways such as gluconeogenesis and neurotransmitter production. By delivering these amino acids directly into the bloodstream, the formulation helps maintain nitrogen balance and supports tissue repair during catabolic stress.

The dose of Isopuramin is individualized and determined by the prescribing clinician based on the patient’s weight, clinical condition, renal and hepatic function, and overall nutritional requirements. Healthcare professionals calculate the appropriate infusion rate and total daily amount according to established parenteral nutrition protocols.

Safety data for Isopuramin in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider after careful assessment.

To order Isopuramin, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Isopuramin offers a balanced blend of essential and conditionally essential amino acids similar to other commercial amino‑acid solutions, but its specific composition may differ in the proportion of individual amino acids. Clinicians choose a product based on the patient’s metabolic needs, compatibility with other nutrition components, and institutional protocols.

Isopuramin must be stored refrigerated at 2‑8 °C, protected from light, and should never be frozen or shaken. Before use, inspect the solution for particulate matter or discoloration, and allow it to reach room temperature if required by the administration protocol.

Isopuramin is administered intravenously, typically as a continuous infusion or intermittent bolus, depending on the prescribed nutrition regimen. The infusion set‑up must follow aseptic technique, and the rate is adjusted according to the patient’s calculated amino‑acid requirements and clinical response.

Serious risks include anaphylactic reactions, severe electrolyte imbalances, metabolic acidosis, hyperammonemia, and worsening renal function. Prompt recognition of symptoms such as difficulty breathing, rapid heart rate, significant changes in blood chemistry, or reduced urine output is essential for immediate medical intervention.

Isopuramin is contraindicated in patients with known hypersensitivity to any of its amino‑acid components, those with severe hepatic failure leading to hyperammonemia, and individuals with uncontrolled electrolyte disturbances. It should also be used with caution in patients with impaired renal function or those receiving incompatible intravenous medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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