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Vitlipid N Adult

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SUMMARY OF PRODUCT CHARACTERISTICS

1 NAME OF THE MEDICINAL PRODUCT

Vitlipid N Adult

2 QUALITATIVE AND QUANTITATIVE COMPOSITION

990 mcg (3,300 IU)

5 mcg (200 IU) 9.1 mg (10 IU) 150 mcg


Retinol palmitate corresponding to retinol Ergocalciferol di-alpha-tocopherol Phytomenadione

3. PHARMACEUTICAL FORM

White oil in water emulsion for infusion.

4.    CLINICAL PARTICULARS

4.1.    Therapeutic Indications

Vitlipid N Adult is indicated for use as a supplement to Intralipid 10% or 20% for the intravenous nutrition of adults and children (over 11 years of age) i order to provide the daily requirements of the fat soluble vitamins A1, D2, and K1.

4.2. Posology and Method of Administration

Do not exceed the recommended dose.

Recommended dosage for adults and children (over 11 years of age)

One ampoule (10 ml) Vitlipid N Adult added to 500 ml Intralipid 10% or

20%.

Recommended dosage for the elderly

No adjustment of the adult dosage is required.

4.3    Contraindications

Vitlipid N Adult should not be administered undiluted.

Hypersensitivity to egg-, soya- or peanut protein or to any of the active substances or excipients.

4.4    Special warnings and special precautions for use

This medicinal product contains soya-bean oil and egg phospholipids, which may rarely cause allergic reactions. Cross allergic reaction has been observed between soya-bean and peanut.

The addition of the formulation to the infusion solutions should be made aseptically and the solution used within 24 hours of preparation.

4.5    Interaction with other medicinal products and other forms of interaction

This preparation contains Vitamin K1, which may interact with anticoagulants of the coumarin type.

4.6. Pregnancy and Lactation

This product contains vitamin A. High doses of Vitamin A can cause birth defects especially if taken during the first trimester.

Should not be given if the patient is pregnant or likely to become pregnant, without evaluation of the total daily dose. The concomitant intake of Vitamin A from food must be considered.

4.7. Effects on Ability to Drive and Use Machines

Not applicable.

4.8. Undesirable Effects

None known.

Overdose

4.9.


In general overdosage with Vitlipid N Adult is unlikely. If chronic overdosage occurred symptoms such as headache, nausea, vomiting and drowsiness may be observed. Treatment should be symptomatic along with withdrawal of Vitlipid N Adult. Spontaneous reversal of any symptoms should occur without requiring a specific antidote.

5. PHARMACOLOGICAL PROPERTIES 5.1. Pharmacodynamic Properties

Vitlipid N Adult is formulated to supply the fat soluble vitamins A1, D2, E and K1 for intravenous infusion.

5.2. Pharmacokinetic Properties

Vitlipid N Adult is a formulation of fat soluble vitamins without interest for pharmacokinetic studies.

5.3. Pre-clinical Safety Data

There are no preclinical data of relevance to the prescriber which are additional to that already included in other sections of the SPC.

6. PHARMACEUTICAL PARTICULARS

6.1. List of Excipients

Fractionated soybean oil Fractionated egg phospholipids Glycerol

Sodium hydroxide Water for injections

6.2.


Incompatibilities

None known.

6.3. Shelf-Life

24 months.

6.4 Special precautions for storage

Store below 25°C Do not freeze

Keep container in the outer container to protect from light 6.5. Nature and Content of Container

10 ml glass (Ph.Eur, Type 1) ampoule containing white, oil in water emulsion.

6.6. Instructions for Use, Handling and Disposal

None.

7    MARKETING AUTHORISATION HOLDER

Fresenius Kabi Limited Cestrian Court Eastgate Way Manor Park Runcorn Cheshire WA7 1NT UK

8. MARKETING AUTHORISATION NUMBER(S)

PL 8828/0124

9    DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION

18/03/2009

10    DATE OF REVISION OF THE TEXT

01/06/2009