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PACKAGE LEAFLET: INFORMATION FOR THE USER

Vaminolact® Solution for Infusion

Read all of this leaflet carefully before you start taking this medicine.

•    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. It may harm them, even if their symptoms are the same as yours.

•    If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

1.    What Vaminolact® is and what it is used for

2.    Before your child receives Vaminolact®

3.    How your child will be given Vaminolact®

4.    Possible side effects

5.    How Vaminolact® is stored

6.    Further information

1.    WHAT IS VAMINOLACT® IS AND WHAT IT IS USED FOR

Vaminolact® is especially designed for new born babies and infants.

It provides nourishment into your child's blood stream when they cannot eat normally. It provides amino acids, which the body will use to make proteins (to build and repair muscles, organs, and other body structures).

Vaminolact® is typically mixed with glucose, salts, fats, carbohydrates and vitamins, which together provide complete nutritional needs.

In this leaflet this solution will be referred to as Vaminolact®.

2.    BEFORE YOUR CHILD RECEIVES VAMINOLACT®

Your child should not receive Vaminolact® if he/she suffers from:

•    a known allergy (hypersensitivity) to Vaminolact or any of the ingredients of Vaminolact mentioned in section 6 (for symptoms of an allergic reaction please refer to section 4).

•    seriously reduced liver function

•    reduced kidney function (ureamia) and is not on dialysis or another form of blood filtration treatment Inform your doctor if any of the above conditions apply to your child before treatment with Vaminolact®.

Care should be taken when administering Vaminolact®

Before giving this medicine to your child your doctor should know if he/she suffers from:

•    cardiac insufficiency - where the heart can't pump enough blood throughout the body or any other heart problems

•    a condition where the body has problems using proteins or amino acids

•    high potassium levels (hyperkalaemia)

•    high sodium levels (hypernatraemia)

•    acidosis - higher than normal blood pH levels

•    any liver and kidney problems

Your doctor will carry out regular blood tests to check the condition of your child.

The doctor or nurse will check that the solution is particle free before it is administered to your child.

Taking other medications

Please tell your doctor or pharmacist if your child is receiving or has recently received any other medicines, including medicines obtained without a prescription.

This medicine may cause your child to become deficient in a vitamin known as folic acid, but he /she will usually be given extra vitamins to prevent this.

3.    HOW YOUR CHILD WILL BE GIVEN VAMINOLACT®

Your child will receive this medicine by infusion (IV drip).

The dose given to the child will depend on his/her particular condition and will be decided by the doctor.

Dosage

The dose of Vaminolact® for new born babies and infants is between 8ml and 35ml for every kg of body weight every 24 hrs. The dose is usually increased gradually during the first week.

The dose for children varies between 14.5ml and 24ml for every kg of body weight every 24 hours. The dose should be given slowly over 24 hours.

If your child receives too much Vaminolact®

It is very unlikely that the child will receive more infusion than it should as a doctor or nurse will monitor your child during the treatment. However, if you think that your child has received too much Vaminolact® look for the symptoms described below and inform your doctor or nurse immediately.

The effects of an overdose may include nausea, vomiting, flushing and sweating.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4.    POSSIBLE SIDE EFFECTS

Like all medicines, Vaminolact® can cause side effects, although not everybody gets them.

All medicines can cause allergic reactions although serious allergic reactions are very rare. If your child does get any of the following symptoms after receiving this medicine you should contact your doctor immediately:

•    Skin rash

•    Swelling (particularly of the lips, face, eyelids, tongue and throat)

•    Breathlessness

•    Collapse

The following side effects have been observed when infusion was administered too quickly:

•    feeling sick

•    sweating

•    flushing

Other side effects include:

•    folate deficiency- shortage of a vitamin known as folic acid

•    abnormal liver test results- these will get back to normal after the treatment with Vaminolact® is finished

•    cholestasis- a condition in which bile is not flowing properly from the liver to the intestines

•    soreness and tenderness of the vein

•    thrombosis (the formation of a clot) in the vein where the injection is given The symptoms of thrombosis include:

•    Pain, swelling and redness at the blood clot site

•    An itchy rash at the clot site

•    Warm skin around the clot

•    A mild fever

•    Major veins that stand out from your skin

Please inform your doctor straight away if any of the above side effects happen to your child.

If you notice side effects not listed in this leaflet, please tell your doctor or pharmacist.

5. HOW VAMINOLACT® IS STORED

Keep out of the reach and sight of children. Do not store above 25°C. Do not freeze.

Your doctor and hospital pharmacist are responsible for the correct storage, use and disposal of Vaminolact®.

The solution must not be used after the expiry date shown on the label. The expiry date refers to the last day of that month The solution should not be used if it is not clear of particles.

Any solution remaining after treatment should be disposed of using the approved hospital procedures.

6. FURTHER INFORMATION

What Vaminolact^® infusions contain

Each 1000 ml of Vaminolact® contains the following active ingredients:

Amino Acids

Alanine

Arginine

Aspartic acid

Cysteine/Cystine

Glutamic acid

Glycine

Histidine

Isoleucine

Leucine

Lysine

Methionine

Phenylalanine

Proline

Serine

Taurine

Threonine

Tryptophan

Tyrosine

Valine

The only other ingredient is water for injections.

What Vaminolact^® looks like and contents of pack

Vaminolact® is a clear, colourless to slightly yellow solution of amino acids and salts. It is available in glass bottles with a rubber closure that contain 100 ml or 500 ml of solution.

Not all pack sizes may be marketed.

Marketing authorisation holder

Fresenius Kabi Limited Cestrian Court Eastgate Way Manor Park Runcorn Cheshire WA71NT UK

Manufacturer

Fresenius Kabi Austria GmbH HafnerstraBe 36 8055 Graz Austria

This leaflet was last approved in December 2009