Nchi: Marekani
Lugha: Kiingereza
Chanzo: NLM (National Library of Medicine)
ZINC SULFATE (UNII: 89DS0H96TB) (ZINC CATION - UNII:13S1S8SF37), CUPRIC SULFATE (UNII: LRX7AJ16DT) (CUPRIC CATION - UNII:8CBV67279L), MANGANESE SULFATE (UNII: W00LYS4T26) (MANGANESE CATION (2+) - UNII:H6EP7W5457), SELENIOUS ACID (UNII: F6A27P4Q4R) (SELENIOUS ACID - UNII:F6A27P4Q4R)
American Regent, Inc.
INTRAVENOUS
PRESCRIPTION DRUG
Multrys is indicated in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated. Multrys is contraindicated in patients with hypersensitivity to zinc or copper [see Warnings and Precautions (5.7 )]. Multrys is approved for use in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated. Safety and dosing recommendations in pediatric patients less than 10 kg are based on published literature describing controlled studies of products containing zinc, copper, manganese, and selenium [see Dosage and Administration (2.5)] . Copper is primarily excreted in the bile. Excretion is decreased in patients with cholestasis and/or cirrhosis. Manganese is presumed to be excreted in bile [see Clinical Pharm
Multrys (trace elements injection 4*, USP) is a clear, colorless to slightly blue solution supplied in: *Each mL of Multrys contains zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg. Vial closure is not made with natural rubber latex. Store at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F) [See USP Controlled Room Temperature]. Store admixed solution at 2ºC to 8ºC (36ºF to 46ºF) [see Dosage and Administration (2.3)] .
New Drug Application
MULTRYS- TRACE ELEMENTS INJECTION 4 INJECTION, SOLUTION AMERICAN REGENT, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE MULTRYS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR MULTRYS . MULTRYS (TRACE ELEMENTS INJECTION 4*) FOR INTRAVENOUS USE INITIAL U.S. APPROVAL: 2020 INDICATIONS AND USAGE Multrys is a combination of trace elements (zinc sulfate, cupric sulfate, manganese sulfate, and selenious acid) indicated in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated. (1) DOSAGE AND ADMINISTRATION _Single-dose vial, for admixture use only._ (2.1) See full prescribing information for information on preparation, administration and general dosing considerations. (2.1, 2.2, 2.3, 2.4) Recommended Dosage Each mL of Multrys provides zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg. (2.5) Multrys is recommended only for pediatric patients who require supplementation with all four of the individual trace elements (i.e., zinc, copper, manganese, and selenium) to meet daily requirements. (2.5) _Pediatric Patients 0.4 kg to 0.59 kg_: The total recommended dosage of Multrys is 0.2 mL EVERY OTHER DAY.Daily supplementation of Zinc Sulfate, Cupric Chloride and Selenious Acid will be needed to meet daily requirements. (2.5) _Pediatric Patients 0.6 kg to 10 kg_: The recommended dosage of Multrys is 0.3 mL/kg/day rounded to the nearest 0.1 mL for up to a maximum of 1 mL per day. The recommended volume of Multrys to be added to parenteral nutrition ranges from 0.2 mL per day to 1 mL per day based on body weight. (2.5) Multrys is not recommended for patients who may require a lower dosage of one or more of the individual trace elements. (2.5) Monitor trace element concentrations in blood during long-term administration of parenteral nutrition. (2.5) DOSAGE FORMS AND STRE Soma hati kamili