||isoleucine . 67 mg, leucine 101 mg, phenylalanine 68 mg, valine 86 mg, methionine 59 mg, L-lysine 105 mg, L-threonine 53 mg, L-tryptophan 23 mg, L-histidine 38 mg, l-tyrosine 30 mg, nitrogen 36 mg.
||Price Per Pack of 100 tabs
Ketostril is used in Prevention and therapy of damages due to faulty or deficient protein metabolism in chronic renal insufficiency in connection with limited protein in food of 40 g per day (for adults) and less; i.e. generally in patients with a glomerular filtration rate (GFR) below 25 ml/min.
Ketosteril Posology and method of administration
For oral use.
If not otherwise prescribed take 4 to 8 tablets three times a day during meals.
This dosage applies to adults (70 kg body weight).
Ketosteril tablets are given as long as the glomerular filtration rate (GFR) is below 25 ml/min and a diet with an intake of max. 40 g protein per day (for adults) is followed.
Hypercalcaemia, disturbed amino acid metabolism.
In case of hereditary phenylketonurie it has to be taken into account that this product contains phenylalanine.
No experience has been made so far with the application in pregnancy and paediatry.
Special warnings and special precautions for use of Ketosteril tablets
Ketosteril should be taken during meals to allow proper absorption and metabolism into the corresponding amino acids. The serum calcium level should be monitored regularly.
Ensure the sufficient supply with calories.
Ketosteril Interaction with other medicinal products and other forms of interaction
The simultaneous administration of medicaments containing calcium (e.g. acetolyte) may lead to pathological increases of the serum calcium level or intensification thereof.
As the uraemic symptoms improve under Ketosteril, a possible administration of aluminium hydroxide should be reduced. Pay attention to a reduction of serum phosphate.
In order not to interfere with absorption, do not take drugs together with Ketosteril that form sparingly soluble compounds with calcium (e.g. tetracyclines, Chinolone like Ciprofloxacin and Norfloxacin, Iron-, Fluoride- and Estramustin-containing drugs). Between the intake of Ketosteril®-Tablets and drugs from the mentioned categories a period of at least 2 hours should pass.
The susceptibility towards heart/cardiac-active glycosides and hence also the risk of arrhythmia increases with the raise of the blood calcium concentration.
Pregnancy and lactation
No experience has been made so far with the application in pregnancy and lactation.
4.7 Effects on ability to drive and use machines
Ketosteril Undesirable effects
Hypercalcaemia may develop. In this case, it is recommended to decrease vitamin D intake.
If the hypercalcaemia persists, reduce the dosage of Ketosteril as well as any other source of calcium.
No symptoms have been observed to date.