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Ammonul Side Effects

Generic Name: sodium benzoate / sodium phenylacetate

Note: This page contains information about the side effects of sodium benzoate / sodium phenylacetate. Some of the dosage forms included on this document may not apply to the brand name Ammonul.

In Summary

Common side effects of Ammonul include: respiratory tract disease, infection, vomiting, nutrition disorder, hematologic disease, lymphatic disease, and central nervous system disease. Other side effects include: cerebral edema, vascular disease, metabolic acidosis, convulsions, hyperglycemia, renal disease, hypokalemia, mental disorders, hyperammonemia, cardiac disease, dermatological disease, fever, hypotension, altered mental status, and anemia. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to sodium benzoate / sodium phenylacetate: intravenous solution

Other dosage forms:

In addition to its needed effects, some unwanted effects may be caused by sodium benzoate / sodium phenylacetate. In the event that any of these side effects do occur, they may require medical attention.

If any of the following side effects occur while taking sodium benzoate / sodium phenylacetate, check with your doctor or nurse immediately:

More common
  • Abdominal or stomach pain or cramps
  • blurred vision
  • decreased urine
  • dry mouth
  • fatigue
  • flushed, dry skin
  • fruit-like breath odor
  • increased hunger
  • increased thirst
  • increased urination
  • irregular heartbeat
  • loss of appetite
  • muscle pain or cramps
  • nausea or vomiting
  • numbness or tingling in the hands, feet, or lips
  • seizures
  • shortness of breath
  • sweating
  • troubled breathing
  • unexplained weight loss
  • unusual tiredness or weakness
Less common
  • Agitation
  • anxiety
  • bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
  • bleeding or oozing from the puncture site, mouth, or nose that continues
  • bloody or cloudy urine
  • bloody, black, or tarry stools
  • confusion
  • coughing that sometimes produces a pink frothy sputum
  • depression
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • drowsiness
  • feeling, seeing, or hearing things that are not there
  • feeling that others are watching you or controlling your behavior
  • headache
  • lightheadedness
  • mood or mental changes
  • muscle tremors
  • nightmares or unusually vivid dreams
  • pale skin
  • rapid, deep breathing
  • restlessness
  • skin rash
  • sleepiness or unusual drowsiness
  • trouble with breathing when moving or walking
  • unusual bleeding or bruising

Severity: Minor

Some of the side effects that can occur with sodium benzoate / sodium phenylacetate may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

Less common
  • Diarrhea
  • fever

For Healthcare Professionals

Applies to sodium benzoate / sodium phenylacetate: intravenous solution

General

-The most frequently reported adverse reactions (incidence 6% or greater) are vomiting, hyperglycemia, hypokalemia, convulsions, and mental impairment.
-Patients 30 days of age or younger had more blood and lymphatic system disorders and vascular disorders (specifically hypotension), while patients older than 30 days had more GI disorders (specifically nausea, vomiting, and diarrhea).[Ref]

Nervous system

Very common (10% or more): Nervous system disorders (22%)
Common (1% to 10%): Convulsions, mental impairment, brain edema, coma
Frequency not reported: Brain death, brain herniation, subdural hematoma, areflexia, ataxia, brain infarction, brain hemorrhage, cerebral atrophy, clonus, depressed level of consciousness, encephalopathy, nerve paralysis, increased intracranial pressure, tremor[Ref]

Metabolic

Very common (10% or more): Metabolism and nutrition disorders (21%)
Common (1% to 10%): Hyperglycemia, hypokalemia, hyperammonemia, metabolic acidosis, hypocalcemia, acidosis
Frequency not reported: Blood carbon dioxide changes, blood glucose changes, increased blood pH, partial pressure of carbon dioxide changes, alkalosis, dehydration, fluid overload/retention, hypoglycemia, hyperkalemia, hypernatremia, alkalosis, tetany[Ref]

Respiratory

Very common (10% or more): Respiratory, thoracic, and mediastinal disorders (15%)
Common (1% to 10%): Respiratory distress
Frequency not reported: Increased respiratory rate, acute respiratory distress syndrome, dyspnea, hypercapnia, hyperventilation, Kussmaul respiration, pneumonia aspiration, pneumothorax, pulmonary hemorrhage, pulmonary edema, respiratory acidosis, respiratory alkalosis, respiratory arrest/failure[Ref]

Other

Very common (10% or more): General disorders and administration-site conditions (14%), infections (12%), investigations (10%)
Common (1% to 10%): Injury, poisoning, and procedural complications; pyrexia; injection-site reaction
Frequency not reported: Asthenia, chest pain, multiorgan failure, edema, sepsis/septic shock, overdose[Ref]

Gastrointestinal

Very common (10% or more): GI disorders (13%)
Common (1% to 10%): Vomiting, diarrhea, nausea
Frequency not reported: Abdominal distension, GI hemorrhage[Ref]

Hematologic

Very common (10% or more): Blood and lymphatic system disorders (11%)
Common (1% to 10%): Anemia, disseminated intravascular coagulation
Frequency not reported: Coagulopathy, pancytopenia, thrombocytopenia[Ref]

Cardiovascular

Common (1% to 10%): Cardiac disorders, vascular disorders, hypotension
Frequency not reported: Atrial rupture, bradycardia, cardiac or cardiopulmonary arrest/failure, cardiogenic shock, cardiomyopathy, pericardial effusion, decreased cardiac output, flushing, hemorrhage, hypertension, phlebothrombosis/thrombosis[Ref]

Dermatologic

Common (1% to 10%): Skin and subcutaneous tissue disorders
Frequency not reported: Alopecia, blister, generalized pruritus, rash, urticaria[Ref]

Genitourinary

Common (1% to 10%): Urinary tract infection
Frequency not reported: Anuria, urinary retention[Ref]

Psychiatric

Common (1% to 10%): Psychiatric disorders, agitation
Frequency not reported: Acute psychosis, aggression, confusional state, hallucinations[Ref]

Renal

Common (1% to 10%): Renal and urinary disorders
Frequency not reported: Renal failure[Ref]

Hepatic

Frequency not reported: Cholestasis, hepatic artery stenosis, hepatic failure, hepatotoxicity, jaundice[Ref]

Ocular

Frequency not reported: Blindness[Ref]

Oncologic

Frequency not reported: Acquired hemangioma[Ref]

References

1. "Product Information. Ammonul (sodium benzoate-sodium phenylacetate)." Ucyclyd Pharma, Scottsdale, AZ.

Not all side effects for Ammonul may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.

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