SYNTHAMIN 9 5.5% AMINO ACID IV INFUSION WITHOUT ELECTROLYTE
Active substance(s): AMINOACETIC ACID
SYNTHAMIN 9, 5.5% Amino Acid Intravenous
Infusion without electrolytes
Read all of this leaflet carefully before you are given this
medicine because it contains important information for you.
You will not be given SYNTHAMIN if any of the above apply to
• Keep this leaflet. You may need to read it again.
Warnings and precautions
• If you have any further questions, ask your doctor or nurse. Talk to your doctor or nurse before SYNTHAMIN is given to
• If you get any side effects, talk to your doctor or nurse. This
includes any possible side effects not listed in this leaflet, SYNTHAMIN will only be used if the solution is clear, free from
see section 4.
particles and the container is not damaged.
In this leaflet:
You will have regular blood and urine tests while being given
SYNTHAMIN. This will make sure that you are getting the right
amount of solution and if necessary you will be given other
treatments. More checks are made if SYNTHAMIN is being
given to a very young child.
What SYNTHAMIN is and what it is used for
What you need to know before you are given SYNTHAMIN
How SYNTHAMIN is given
Possible side effects
How SYNTHAMIN is stored
Contents of the pack and other information
If any abnormal signs or symptoms of an allergic reaction
develop, such as fever, chills, skin rashes or difficulty in
breathing, excessive sweating, nausea or headache, tell the
doctor or the nurse: the infusion will be stopped immediately.
Throughout this leaflet SYNTHAMIN 9, 5.5% Amino Acid
Intravenous Infusion without electrolytes will be called
SYNTHAMIN can cause the formation of small particles in your
blood. If you start to have difficulty breathing or feel short
of breath, tell the doctor or the nurse: the infusion will be
stopped immediately and you may need other treatment.
1 What SYNTHAMIN is and what it is used for
Certain medications and illnesses can increase the risk
of developing infection or sepsis (bacteria in the blood).
There is a particular risk of infection or sepsis when a tube
(intravenous catheter) is placed in your vein. Your doctor will
SYNTHAMIN is used to give you food (nutrition) straight into
carefully watch you for any signs of infection. Using aseptic
your blood, when you cannot take enough food by your mouth.
“germ free” techniques when placing and maintaining the
Your doctor will check your body has all the nutrition that
catheter and when making the nutritional formula can reduce
it needs for good health. If necessary, you may also have
the risk of infection.
vitamins (such as folic acid), minerals, fatty acids (the building
If you are severely malnourished such that you need to receive
blocks of fats), electrolytes (salts) and sugar solutions (such
feeding through a vein, it is recommended that parenteral
as glucose) at the same time as SYNTHAMIN.
nutrition is started slowly and carefully.
SYNTHAMIN is a sterile solution which contains:
• amino acids – these are the building blocks which your
body uses to make proteins
SYNTHAMIN may cause a stinging pain and redness at the
place where it goes into your vein if given into your arm.
2 What you need to know before you are given
Your doctor will monitor your condition at the onset of the
infusion, particularly if you currently have liver, kidney, heart
or circulation problems.
SYNTHAMIN must not be given to you if:
• you are allergic (hypersensitive) to any of the ingredients
of SYNTHAMIN (listed in section 6) or components of the
Amino acid solutions can increase the level of ammonia or
nitrogen-containing compounds in your blood. Your doctor will
check your blood tests for this.
• your body has problems using certain amino acids
In some severe cases, your doctor may have to give you
Your doctor should also be aware of severe conditions
affecting how your body handles fluid, sugars, fats, proteins or temporary renal dialysis to help your kidneys eliminate the
salt (metabolic disorders). These conditions will be corrected excess product.
before you are given SYNTHAMIN.
To prevent these events occurring, your doctor will regularly
monitor your condition and test your blood parameters.
Use with other medicines
There are no known problems when SYNTHAMIN is used with
4 Possible side effects
Tell your doctor or nurse if you are taking, have recently taken
or might take any other medicines.
Like all medicines, SYNTHAMIN can cause side effects,
although not everybody gets them.
Pregnancy and breast-feeding
If you notice any changes in the way you feel during or after
If you are pregnant, think you might be pregnant or are breast- the treatment, tell your doctor or nurse right away.
feeding, tell your doctor. They will decide if you can be given
The tests your doctor will perform while you are taking the
medicine are meant to minimise side effects.
If any abnormal signs or symptoms of an allergic reaction
develop, such as abnormally low or high blood pressure,
appearance of a blue or purple coloration of the skin,
abnormally high heart rate, breathing difficulties, vomiting,
nausea, skin rashes, raised body temperature, excessive
sweating chills, and shivering, the infusion will be stopped
3 How SYNTHAMIN is given
Your doctor will decide how much SYNTHAMIN you should be
given. It will depend on:
– how much you weigh
– what your body needs
Other side effects have been noticed, occurring more or less
– how much sugar solution (like glucose) you can be given
– why you are being given it.
• serious allergic reaction that is rapid in onset and may
cause death (anaphylaxis)
• the usual daily dose for children is 2.2 grams of amino
acid (protein) per kilogram
• formation of small particles blocking lung blood vessels
(pulmonary vascular precipitate).
• the usual daily dose for adults weighing 70 kilograms is
56 grams of amino acid a day
Reporting of side effects
• these are the recommended amounts to have each day,
but you may be given more or less
If you get any side effects, talk to your doctor, nurse or
pharmacist. This includes any possible side effects not listed
• SYNTHAMIN is given as an infusion into a large vein in your in this leaflet. You can also report side effects directly (see
chest (called the vena cava). The solution is slowly given to details below). By reporting side effects you can help provide
you at a rate which will not be more than 70 millilitres per more information on the safety of this medicine.
Yellow Card Scheme
• You will not be given more than 40 millilitres for every
kilogram of your bodyweight in a day.
Children under two years old should not use SYNTHAMIN.
5 How SYNTHAMIN is stored
You will not be given SYNTHAMIN through the same tubes and
equipment used for any blood transfusion.
Keep this medicine out of the sight and reach of children
If you are given too much
SYNTHAMIN should be stored as follows: Do not store above
25ºC and protect it from light.
Your doctor will give you SYNTHAMIN so it is unlikely that you
will be given too much. If you are worried that you have had
too much, tell your doctor or nurse.
Do not use SYNTHAMIN after the expiry date which is stated
on the label after Exp. The expiry date means the last day of
If the dose given is too high or the infusion too fast, the
amino acid content may make your blood too acid and you
may have too much fluid in the circulation. Giving a volume
of SYNTHAMIN that is too large may cause nausea, vomiting,
chills and electrolyte disturbances, in such situations the
infusion should be stopped immediately.
SYNTHAMIN is for single use only. Partly used bags should not
be used again. Any left over solution should be thrown away
safely by a healthcare professional. All equipment will be
thrown away safely by a healthcare professional after use.
For information about SYNTHAMIN or to
request this leaflet in formats such as audio
or large print please contact the Marketing
Tel: 01635 206345.
6 Contents of the pack and other information
What SYNTHAMIN contains
• The active substances are L-Leucine 0.402% w/v,
L-Isoleucine 0.330% w/v, L-Lysine (as hydrochloride
salt) 0.319% w/v, L-Valine 0.319% w/v, L-Phenylalanine
0.308% w/v, L-Histidine 0.264% w/v, L-Threonine 0.231%
w/v, L-Methionine 0.220% w/v, L-Tryptophan 0.099% w/v,
L-Alanine 1.138% w/v, L-Arginine 0.632% w/v, Amino
acetic acid (glycine) 0.566% w/v, L-Proline 0.374% w/v,
L-Serine 0.275% w/v, L-Tyrosine 0.022% w/v.
Baxter and Synthamin are trademarks of Baxter International
• The other ingredient is sterile water (called ‘water for
injections’). SYNTHAMIN can also sometimes contain a
very small amount of glacial acetic acid or sodium acetate
to adjust the pH of the solution.
What SYNTHAMIN looks like and the contents of the pack
SYNTHAMIN is a solution for infusion (a slow drip injection). It
is a clear sterile solution. It is available in sealed plastic bags
containing 250 ml, 500 ml, 1,000 ml, 2,000 ml* and 3,000 ml*.
* The 2,000 ml and 3,000 ml bags are bulk bags for a
compounding unit to use. They are not meant for use directly
Marketing Authorisation Holder and Manufacturers
The Marketing Authorisation holder is:
Baxter Healthcare Ltd
Send all enquiries to this address.
SYNTHAMIN can be made at any of these places:
Baxter Healthcare Ltd
NV Baxter SA
7860 – Lessines
Baxter Healthcare SA
This leaflet was last revised in 04/2014.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.