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  • Addamel N
    / Cure Medical & Technical Supply


    Active Ingredient
    Electrolytes and trace elements

    Status in Israel
    RX

    Presentation and Status in Health Basket

    Presentation Basket Yarpa Pharmasoft

    Ampoule

    20 X 10 ml

    partial basket chart

    Dosage

    ADDAMEL N must not be given undiluted. The recommended daily dosage of ADDAMEL N in adult patients with basal to moderately increased requirements is 10 ml (one ampoule).


    Indications

    Addamel N is indicated as a supplement in intravenous nutrition of adults to meet the requirements of trace elements.


    Contra-Indications

    Total biliary obstruction.


    Special Precautions

    This product should be used with caution in patients with impaired biliary and/or renal function in whom the excretion of trace elements may be significantly decreased. it should also be used with caution in patients with biochemical or clinical evidence of liver dysfunction (especially cholestasis). If the treatment is continued for more than 4 weeks, checking of manganese levels is required.
    Use solutions containing sodium ions cautiously in patients with CHF and edema with sodium retention. Use solutions containing potassium ions cautiously in patients with hyperkalemia and in conditions in which potassium retention is present. Adjust reduce or omit trace metal supplements in GI malfunction. Consider contributions from blood transfusions, frequently determine plasma levels.Product Wilson’s disease: Avoid administering copper supplements to patients with genetic disorder of copper metabolism/
    This drug must not be given undiluted.


    Side Effects

    No adverse effects related to the trace elements in ADDAMEL N have been reported. Superficial thrombophlebitis has been observed when glucose containing ADDAMEL N was given. However, it is not possible to deduce whether this reaction is attributable to the infused trace elements or not. Allergic reactions to iodine may occur following topical application. No adverse reactions are known to occur as a consequence of using the recommended intravenous iodide dosage levels.


    Drug interactions

    No interactions with other drugs have been observed.


    Pregnancy and Lactation

    Animal reproduction studies or clinical investigations during pregnancy have not been carried out with ADDAMEL N. However, the requirements of trace elements in a pregnant woman are slightly increased compared to non-pregnant women. No adverse events are to be expected when ADDAMEL N is administered during pregnancy. However give to a pregnant woman only if clearly indicated. Molybdenum crosses the placenta.


    Overdose

    In patients with impaired renal or biliary function, there is an increased risk for accumulation of trace elements.Product In case of a chronic overload of iron there is a risk of haemosiderosis, which in severe and rare cases can be treated by venesection.


    Manufacturer
    Fresenius Kabi
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