Product image of Kombilipid (Olive Oil, Refined, Soya-Bean Oil Refined, Triglycerides, Medium Chain, Fish Oil, Rich In Omega-3-Ac) supplied by GNH India

Kombilipid

Active Ingredient:
Olive Oil, Refined, Soya-Bean Oil Refined, Triglycerides, Medium Chain, Fish Oil, Rich In Omega-3-Ac
Origin:
EU

Kombilipid (Olive Oil, Refined, Soya-Bean Oil Refined, Triglycerides, Medium Chain, Fish Oil, Rich In Omega-3-Ac)

Kombilipid, the active ingredient in Kombilipid, is a intravenous lipid emulsion presented as an intravenous lipid emulsion for intravenous use. It provides calories and essential fatty acids for patients requiring parenteral nutrition and lipid supplementation.
GNH India supplies Kombilipid as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Fresenius Kabi Ab

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Indications & Clinical Uses

Kombilipid is used in clinical settings to support patients who need intravenous lipid nutrition.

  • Parenteral nutrition: supplies calories and essential fatty acids when oral intake is not possible.
  • Essential fatty acid supplementation: prevents deficiency of omega‑3 and omega‑6 fatty acids in long‑term nutrition.
  • Intravenous lipid supplementation: provides medium‑chain and long‑chain triglycerides for energy and membrane synthesis in critically ill patients.

How It Works

  • Kombilipid delivers a mixture of refined olive, soybean, medium‑chain triglycerides and fish oil rich in omega‑3 fatty acids. After infusion, the lipids are incorporated into plasma lipoproteins, serving as an energy substrate and providing essential fatty acids for cell membrane formation and inflammatory modulation, thereby supporting overall caloric needs in parenteral nutrition.

Side Effects

Kombilipid may be associated with several adverse reactions.

Common Side Effects

  • Hypertriglyceridemia: elevated blood triglyceride levels.
  • Fever or chills during infusion.
  • Infusion site reactions such as erythema or pain.
  • Mild electrolyte disturbances, especially phosphate.
  • Transient increase in liver enzymes.
  • Lipemia of plasma samples.

Serious or Rare Side Effects

  • Fat overload syndrome: severe hyperlipidemia with organ dysfunction.
  • Anaphylactic or severe allergic reactions, particularly in patients with fish or soy allergy.
  • Pulmonary embolism from lipid emboli.
  • Hepatic dysfunction or steatosis with prolonged use.
  • Coagulopathy due to altered platelet function.
  • Infection risk if aseptic technique is compromised.

Precautions & Warnings

Kombilipid requires careful monitoring and specific handling precautions.

  • Monitor triglyceride levels: check serum triglycerides regularly during therapy.
  • Assess liver function: periodic liver enzyme testing is recommended.
  • Evaluate for allergies: avoid in patients with known hypersensitivity to fish, soy, or olive oil.
  • Use aseptic technique: ensure sterile preparation and administration to prevent infection.
  • Caution in fat metabolism disorders: contraindicated in patients with severe hyperlipidaemia or lipid metabolism defects.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Kombilipid can interact with other agents that affect lipid metabolism or increase fat load.

Major Interactions (Avoid)

  • Concomitant propofol infusion: risk of cumulative lipid overload.
  • Co‑administration with other intravenous lipid emulsions: may exceed safe fat intake.
  • High‑dose heparin therapy: can exacerbate hypertriglyceridaemia.

Moderate Interactions (Monitor Closely)

  • Corticosteroids: may increase serum triglycerides.
  • Estrogen therapy: can raise triglyceride levels.
  • High‑dextrose total parenteral nutrition: risk of hyperglycaemia and lipid accumulation.

Frequently Asked Questions

Kombilipid is an intravenous lipid emulsion used in parenteral nutrition to provide calories and essential fatty acids, including omega‑3 and omega‑6, for patients who cannot receive nutrition orally or enterally. It supports energy needs and prevents essential fatty acid deficiency in critically ill or postoperative patients.

The lipid components of Kombilipid—refined olive oil, soybean oil, medium‑chain triglycerides, and fish oil rich in omega‑3—are incorporated into plasma lipoproteins after infusion. They serve as an immediate energy source, supply essential fatty acids for cell membrane synthesis, and modulate inflammatory pathways, thereby supporting overall metabolic requirements.

The dose of Kombilipid is individualized and determined by the prescribing clinician based on the patient’s caloric needs, lipid tolerance, and laboratory parameters such as triglyceride levels. Healthcare professionals calculate the appropriate infusion rate and total daily lipid volume according to established parenteral nutrition protocols.

The safety of Kombilipid in pregnancy and lactation has not been definitively established. 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 the treating physician in consultation with obstetric specialists.

To order Kombilipid, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After verification of trade or institutional credentials, the sales team will provide pricing, availability, shipping details—including cold‑chain handling if needed—and assist with import documentation.

Kombilipid contains a balanced mix of long‑chain, medium‑chain, and omega‑3 rich fish oil triglycerides, offering a broader fatty‑acid profile than many standard emulsions that rely mainly on soybean or safflower oil. This composition may provide improved anti‑inflammatory effects and better lipid tolerance, though clinical choice depends on patient-specific factors and institutional protocols.

Kombilipid must be stored refrigerated at 2‑8 °C, protected from light, and should never be frozen or shaken. Before use, allow the emulsion to reach room temperature if required, and inspect for any signs of separation or discoloration. Follow aseptic techniques during preparation and infusion.

Kombilipid is administered intravenously as a sterile lipid emulsion, typically infused through a dedicated line or Y‑site connector as part of a total parenteral nutrition regimen. The infusion rate is set by the clinician based on prescribed lipid calories, and the product should be administered using a filter to remove potential particulates.

Serious risks include fat overload syndrome, severe hypertriglyceridaemia, anaphylactic reactions (especially in patients allergic to fish or soy), pulmonary lipid embolism, and hepatic dysfunction with prolonged use. Prompt monitoring of triglyceride levels, liver function tests, and clinical signs of allergy is essential to mitigate these risks.

Kombilipid is contraindicated in patients with known hypersensitivity to any of its lipid components (fish, soy, olive oil), those with severe hyperlipidaemia, disorders of fat metabolism, or a history of fat overload syndrome. It should also be used with caution in patients with compromised liver function or severe sepsis.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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