Product image of Ketosteril (L-Lysine Acetate, L-Tryptophan, L-Histidine, L-Threonine, L-Tyrosine, Keto-Isoleucine Calcium, Keto-) supplied by GNH India

Ketosteril

Active Ingredient:
L-Lysine Acetate, L-Tryptophan, L-Histidine, L-Threonine, L-Tyrosine, Keto-Isoleucine Calcium, Keto-
Origin:
EU

Ketosteril (L-Lysine Acetate, L-Tryptophan, L-Histidine, L-Threonine, L-Tyrosine, Keto-Isoleucine Calcium, Keto-)

L‑Lysine Acetate, the active ingredient in Ketosteril, is a keto‑analogue of essential amino acids presented as various strengths/tablet for oral use. It supports protein metabolism and reduces nitrogen load in patients with chronic kidney disease and other forms of renal insufficiency.

GNH India supplies Ketosteril as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and pharmacies worldwide.

Manufacturer / TM Owner

Fresenius Kabi Ab

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Indications & Clinical Uses

Ketosteril is used in the management of renal conditions where protein intake must be restricted.

  • Chronic kidney disease: helps maintain nutritional status while limiting nitrogen accumulation.
  • Renal failure: provides keto‑analogues that are converted to essential amino acids, reducing uremic toxins.
  • Dietary management of protein‑restricted diets: supports adequate amino acid supply without increasing nitrogen load.

How It Works

  • Ketosteril supplies keto‑analogues of essential amino acids that are transaminated in the body to form the corresponding essential amino acids. This process bypasses the need for nitrogen‑containing substrates, thereby lowering the nitrogen burden and supporting protein synthesis in patients with impaired renal function.

Side Effects

Ketosteril may cause adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Vomiting: occasional episodes, especially when taken on an empty stomach.
  • Loss of appetite: reduced desire to eat.
  • Abdominal discomfort: mild cramps or bloating.
  • Headache: transient mild headache.
  • Dizziness: occasional light‑headedness.

Serious or Rare Side Effects

  • Hyperkalemia: elevated blood potassium levels.
  • Metabolic acidosis: significant shift in acid‑base balance.
  • Allergic reactions: rash, itching, or swelling.
  • Severe skin rash: Stevens‑Johnson‑type reactions.
  • Hepatic dysfunction: abnormal liver enzymes.
  • Electrolyte imbalance: disturbances in sodium, calcium or phosphate levels.

Precautions & Warnings

When prescribing Ketosteril, clinicians should consider several safety measures.

  • Monitor renal function: assess glomerular filtration rate regularly.
  • Adjust protein intake: coordinate with dietitian to maintain low‑protein diet.
  • Review electrolyte levels: especially potassium and phosphate.
  • Avoid in severe hepatic impairment: liver dysfunction may affect transamination.
  • Use caution in pregnancy: limited data, weigh benefits against potential risks.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Ketosteril can interact with other agents that affect nitrogen balance or electrolyte status.

Major Interactions (Avoid)

  • High‑protein supplements: may negate the nitrogen‑sparing effect.
  • Sodium bicarbonate excess: can exacerbate metabolic alkalosis.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: monitor potassium and renal function.
  • Potassium‑sparing diuretics: risk of hyperkalemia.
  • Phosphate binders: may affect phosphate balance.
  • Vitamin D analogues: watch for calcium‑phosphate product changes.
  • Other keto‑analogues: avoid cumulative dosing without specialist guidance.

Frequently Asked Questions

Ketosteril is a renal nutrition supplement that provides keto‑analogues of essential amino acids. It is used to support protein metabolism and reduce nitrogen load in patients with chronic kidney disease, renal failure, or those following a protein‑restricted diet.

L‑Lysine Acetate, together with other keto‑analogues in Ketosteril, is transaminated in the body to become the corresponding essential amino acid. This conversion supplies needed amino acids without adding nitrogen, helping to lower uremic toxins in impaired kidney function.

The dosage of Ketosteril is individualized. The prescribing clinician determines the appropriate amount based on the patient’s renal function, dietary protein restriction, and overall nutritional needs.

Safety data for Ketosteril in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made by the treating physician.

To order Ketosteril, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Ketosteril is a keto‑analogue formulation that directly supplies nitrogen‑free precursors of essential amino acids, whereas some alternatives provide standard amino acid mixtures. The keto‑analogue approach can better limit nitrogen accumulation in advanced renal disease, but choice depends on individual patient needs and clinician preference.

Ketosteril tablets should be stored at ambient temperature, below 25 °C, in the original packaging. Keep the product away from moisture, direct sunlight and excessive heat to maintain stability.

Ketosteril is taken orally, usually with meals, as directed by the prescribing healthcare professional. The tablets are swallowed whole with water and should be incorporated into the patient’s overall renal diet plan.

Serious risks, though rare, include hyperkalemia, metabolic acidosis, severe allergic reactions such as Stevens‑Johnson syndrome, hepatic dysfunction, and significant electrolyte disturbances. Patients should be monitored regularly for these potential events.

Ketosteril should be avoided in patients with severe hepatic impairment, known hypersensitivity to any component, or in those where a high‑protein diet is required. Contra‑indications should be confirmed by the treating physician before initiation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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