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Available as N(2)-L-alanyl-L-glutamine dipeptide in 20% 50ml and 100 ml solution​
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Glutamine is conditionally essential amino acid for use in highly catabolic patients​
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Glutamine covers about 20% of total pool of free amino acids in the blood, while 40% - 60% in organs such as the liver and skeletal muscles.Glutamine should be part of amino acid supplementation in parenteral nutrition.​
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Dipeptide technology ensures stability on heat sterilization​
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Systemic role of glutamine:​
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Supports glutathione synthesis
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Increases cellular defence mechanism
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Fuel for enterocytes and immune cells​
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Is a nitrogen donor​
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Reduces insulin resistance​
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Dipeptiven is indicated as part of an intravenous parenteral nutrition regimen as a supplement to amino acid solutions or an amino acid containing infusion regimen, e.g. in patients in hypercatabolic and/or hypermetabolic states​,
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Dipeptiven 20%, 50ml and 100ml glass bottles​
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Depends on severity of the catabolic state & on amino acid requirement​
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1.5 - 2.5 ml (equivalent to 0.3 - 0.5 g)/kg BW/day. (=100 to 175 ml Dipeptiven for a patient of 70 kg body weight)​
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Rate of infusion should not exceed 0.1g amino acids/kg body wt./hr​
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Duration of use should not exceed 3 weeks​
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Not designed for direct administration​
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Should be mixed with a compatible amino acid carrier solution or an amino acid containing infusion regimen​
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A maximum daily dosage of 2 g amino acids per kg BW should not be exceeded in parenteral nutrition​
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Proportion of amino acid supplied through Dipeptiven should not exceed ~30% of total amino acid​
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Maximum daily dose: 2.5 ml or 0.5 g N(2)-L-alanyl-L-glutamine of Dipeptiven®/ kg BW.​
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May improve clinical outcome in highly catabolic patients such as critically ill patients, other ICU and surgical patients​
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Improved survival rate and reduced hospital mortality rate​
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Reduced infectious complications​
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Improved insulin sensitivity​
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Improved nitrogen balance​
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Maintained gut integrity​
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Strengthened immune defense​

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Glutamine product information binder. Dipeptiven®, Glamin®: parenteral nutrition. Version 2, January 2006. Fresenius Kabi, data on file
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Dipeptiven (L-alanyl-L-glutamine). Summary of product characteristics