Ketosteril - combined means of ketone analogs of amino acids, used for kidney failure.
dosage form - tablets, film-coated: oblong biconvex shape, yellow (20 pieces in blister, 5 blisters soldered into packages of PVC, in a cardboard bundle one package.).
Ketosterila The content of active substances in 1 tablet:
Auxiliary ingredients: povidone, corn starch, colloidal silicon dioxide, macrogol 6000, magnesium stearate, povidone, soluble, talc.
shell Ingredients: macrogol 6000, methyl m
total nitrogen content - 36 mg Calcium - 50 mg.
Application Ketosterila indicated for the prevention and treatment of malnutrition, occurred against the backdrop of the altered protein metabolism in patients with restricted protein diet and chronic renal failure.
Ketosteril primarily for patients with glomerular filtration rate of less than 25 ml / min, but the drug can be taken at the glomerular filtration rate of 25 ml / min or more.
In appointing patients with hereditary phenylketonuria should take into account the content of phenylalanine in the preparation.
Ketosteril taken orally, while eating, swallowing without chewing tablets.
dose of the drug prescribed by the physician based on clinical indications, taking into account the patient's weight.
recommended dosing regimen for patients older than 3 years: the rate of 1 tablet per 5 kg body weight per day or 100 mg per 1 kg of body weight per day.Typically, when 70 kg of body weight dose is 4-8 tablets three times a day.
The drug should be continued throughout the period, while the glomerular filtration rate below 25 ml / min.
recommended protein content in food:
Given the degree of chronic renal failure patients on dialysis in the predialysis period, the protein content of the diet should not exceed 40 grams per day, in the intervals between treatments the rate of protein intake should strictly comply with the recommendations.
Against the background of Ketosterila in some cases may develop hypercalcemia.
used vitamin D dose If hypercalcemia is recommended to reduce, if this measure is not sufficient, it is necessary to reduce the dose Ketosterila and other calcium-containing products.
Treatment should be accompanied by regular monitoring of calcium and reducing the level of phosphate concentration in the serum.
Taking the drug during meals improves absorption and conversion to the corresponding amino acids.
Throughout the patient's treatment should be provided with sufficient food calorie.
If hypersensitivity to the drug may develop allergic reactions.
dose simultaneously used aluminum hydroxide is recommended to decrease with decreasing under the influence Ketosterila uremic symptoms.
necessary to control the degree of decrease in serum phosphate content.
interval must be observed for at least two hours between taking drugs and Ketosterila forming calcium sparingly soluble compounds, including quinolones, tetracyclines, iron supplements, estramustine, fluorine (it will not break the absorption in the intestine).
Keep away from children.
Store in a dark, dry place at temperatures up to 25 ° C.
Shelf life - 3 years.
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