40% W/V Glucose Intravenous Infusion Bp
PACKAGE LEAFLET: INFORMATION FOR THE USER
B. Braun Melsungen AG ■ 34209 Melsungen, Germany
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
- This medicine has been prescribed for you. Do not pass it on to others.
- If any of the side effects becomes serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
1. What 40% w/v Glucose Intravenous Infusion BP is and what it is used for
2. Before you use 40% w/v Glucose Intravenous Infusion BP
3. How to use 40% w/v Glucose Intravenous Infusion BP
4. Possible side effects
5. How to store 40% w/v Glucose Intravenous Infusion BP
6. Further information
40% w/v Glucose Intravenous Infusion BP is a solution containing glucose (also called grape sugar or dextrose) for administration in the form of a vein drip.
You may receive this medicine when you are unable to eat normally or when you need high amounts of carbohydrates (sugar) but your fluid intake must be low, for example if your kidneys are not working properly. You may also be given it if you have abnormally low blood sugar levels.
• excessively high blood sugar level that needs more than 6 units of insulin per hour to be controlled
• poorly controlled or uncontrolled diabetes
• diabetic coma (a state of unconsciousness caused by extremely high blood sugar level)
• severely impaired blood circulation, i.e. states of shock and circulatory collapse
• bleeding within the skull or the spinal cord
• untreated diabetes insipidus (a kidney disorder where you pass large amounts of urine)
• high levels of acidic substances in your blood
• severe kidney failure without access to treatment with an artificial kidney
• too much water in your body tissues (hyperhydration)
• water in your lungs
• acute severe heart failure.
You should not normally receive this medicine after you suffered from stroke.
Your levels of blood sugar, fluids, electrolytes (especially potassium), and acid-base balance will be checked to make sure that these are correct before and during infusion. For this purpose blood samples may be taken from you.
Before you receive this medicine any existing disorders of your body's fluid and salt content such as:
- too low potassium concentration in your blood (hypokalaemia),
- water deficiency and excess losses of salts have to be corrected.
Your doctor will exercise special caution if you have
• diabetes or any other disorder where your body cannot handle glucose properly
• any kind of impairment of your metabolism (e.g. after operations, injuries, some kinds of organ diseases)
• high blood volume
• abnormally high concentrated blood serum (high serum osmolarity)
• impairment of kidney or heart failure.
Adequate supply of salts, in particular potassium, magnesium, phosphate and vitamins (in particular vitamin B1) will be ensured.
You should not receive full doses of the medicine at the very beginning of your therapy when you are very undernourished, but doses should be increased gradually (see also section "Possible side effects").
Your treatment should not be stopped abruptly but tapered off in order to avoid a severe drop of the blood sugar level.
You should not receive glucose through the same tube as a blood transfusion.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Your doctor will take care only to add drugs or additives to the solution that mix well with it.
Ask your doctor or pharmacist for advice before taking any medicine. Your doctor will decide carefully whether or not you should receive this solution during pregnancy or breast-feeding.
This medicine has no influence on the ability to drive and use machines.
The amount of 40% w/v Glucose Intravenous Infusion BP you will be given will be determined by your doctor, depending upon your condition.
For adults the maximum dose is 15 ml/kg bodyweight perday.
For children the dose will be determined according to their age and body weight.
The medicine will be administered to you by infusion (a drip) through a small tube placed in one of your large veins.
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BlBRAUN Melsungen AG
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40% w/v Glucose Intravenous Infusion BP 41/12260529/0615 IL - GIF
Standort Melsungen Font size: 9 pt G 141404
It is unlikely that this occurs because your doctor will determine your daily dose.
Overdose may result in too high levels of blood sugar, glucose losses in urine, unconsciousness due to extremely high blood sugar or too concentrated body fluids, excess fluid in the body, and abnormally high or low blood electrolyte levels.
If this occurs, your glucose infusion will be slowed down or stopped. Your doctor will decide on any further treatment you may need.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
Like all medicines, 40% w/v Glucose Intravenous Infusion BP can cause side effects, although not everybody gets them.
The following side effects may occur:
When you are very undernourished and receive full doses of glucose from the very beginning of intravenous feeding, this could lead to decreases of blood potassium, magnesium and phosphate levels.
A decrease of blood potassium could also occur when you are receiving insulin together with glucose.
Stopping glucose administration suddenly and/or administration of insulin may cause your blood glucose level to drop especially if you have a reduced glucose tolerance.
Vein inflammation (thrombophlebitis) may be caused by solutions in which the concentration of dissolved substance is above a certain limit value. Added medication should be kept in mind in that respect.
If any of the side effects becomes serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra. gov.uk/yellowcard
By reporting side effects you can help provide more information on the safety of this medicine.
The active substance is glucose
1000 ml of the solution contain 400 g of glucose (as glucose monohydrate)
The other ingredients are hydrochloric acid and water for injections
Caloric value 6700 kJ/l A 1600 kcal/l
Theoretical osmolarity 2200 mOsm/l
Titration acidity (to pH 7.4) < 1 mmol/l
pH 3.5 - 5.5
40% w/v Glucose Intravenous Infusion BP is a sterile solution for infusion (administration by a vein drip).
It is a clear, colourless or slightly yellowish solution of glucose in water.
It is available in plastic (polyethylene) bottles containing 500 ml.
Pack sizes: 10 x 500 ml
B. Braun Melsungen AG
Carl-Braun-StraBe 1 Postal address:
34212 Melsungen, Germany 34209 Melsungen, Germany
B. Braun Melsungen AG Carl-Braun-StraBe 1 34212 Melsungen, Germany
B. Braun Medical S.A.
Carretera de Terrassa 121,
08191 Rub (Barcelona), Spain
Keep out of the reach and sight of children.
Do not use 40% w/v Glucose Intravenous Infusion BP after the expiry date which is stated on the label and the outer carton. The expiry date refers to the last day of that month.
Do not use 40% w/v Glucose Intravenous Infusion BP if you notice cloudiness or discoloration of the solution or if the container is damaged.
12260529_Glucose IntraInf BP40Pr_IL_GIF_A4__GB_41.indd 2 25.06.15 07:30