Precopar
Precopar Uses, Dosage, Side Effects, Food Interaction and all others data.
1000 ml contains: L-Isoleucine: 10.40 gm L-Leucine: 13.09 gm L-Lysine monoacetate: 9.71 gm L-Lysine 6.88 gm L-Methionine 1.1 gm Acetylcysteine 0.70 gm L-Cysteine 0.52 gm L-Phenylalanine 0.88 gm L-Threonine 4.40 gm L-Tryptophan 0.70 gm L-Valine 10.08 gm Arginine 10.72 gm L-Histidine 2.80 gm Aminoacetic acid 5.82 gm L-Alanine 4.64 gm L-Proline 5.73 gm L-Serine 2.24 gm Glacial acetic acid 4.42 gm Water for Injections q.s.An important compound functioning as a component of the coenzyme NAD. Its primary significance is in the prevention and/or cure of blacktongue and pellagra. Most animals cannot manufacture this compound in amounts sufficient to prevent nutritional deficiency and it therefore must be supplemented through dietary intake.
Xylitol is a naturally occurring five-carbon sugar alcohol found in most plant material, including many fruits and vegetables. Xylitol-rich plant materials include birch and beechwood . It is widely used as a sugar substitute and in "sugar-free" food products. The effects of xylitol on dental caries have been widely studied, and xylitol is added to some chewing gums and other oral care products to prevent tooth decay and dry mouth. Xylitol is a non-fermentable sugar alcohol by most plaque bacteria, indicating that it cannot be fermented into cariogenic acid end-products . It works by inhibiting the growth of the microorganisms present in plaque and saliva after it accummulates intracellularly into the microorganism . The recommended dose of xylitol for dental caries prevention is 6–10 g/day, and most adults can tolerate 40 g/day without adverse events .
There has been evidence of xylitol in dental hygiene in reducing dental caries disease and also reversing the process of early caries . Xylitol increases salivary flow and pH, reduces the levels of Streptococcus mutans in plaque and saliva and reduces the adhesion on the microorganism to the teeth surface . Streptococcus mutans is the main target plaque microorganism , but xylitol may potentially have inhibitory actions against several other bacterial species .It prevents a shift of the bacterial community towards a more cariogenic microflora in oral environment . Oral ingestion of xylitol causes a smaller rise in plasma glucose and insulin concentrations than does the ingestion of glucose in healthy men and diabetics .
| Trade Name | Precopar |
| Generic | Amino acid + vitamin B + L-isoleucine + L-leucine + L-valine + L-arginine + L-ornithine-L-aspartate + L-malic acid + xylitol + pyridoxine HCl + nicotinamide + Na acetate + NaCl + Mg sulfate + NaOH |
| Type | Infusion |
| Therapeutic Class | |
| Manufacturer | Sanbe Farma |
| Available Country | Indonesia |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Parenteral amino acid supply in severe forms of hepatic failure (liver insufficiency) with and without encephalopathy. For supply of amino acids as part of a parenteral nutrition regimen when oral or enteral nutrition is impossible or insufficient or contraindicated.Nicotinamide is an ingredient found in a variety of cosmetic products.
Xylitol is an ingredient added to dental products to remove bacteria.
Indicated for use as a sugar substitute, and oral hygiene active ingredient.
Precopar is also used to associated treatment for these conditions: Gastrointestinal insufficiency, Hepatic Insufficiency, Macrocytic anemia, Secondary anemia, Vitamin Deficiency, Severe debilitation, Dietary and Nutritional Therapies, Nutritional supplementation, Dietary supplementation
How Precopar works
Xylitol is initially taken up by the microorganism and accumulates intracellularly. Accumulated xylitol is transported into an energy-consuming cycle, or the inducible fructose transport system. It is converted to non-metabolizable, toxic xylitol-5-phosphate via phosphoenolpyruvate: a constitutive fructose phosphotransferase system by S. mutans . This metabolic process of xylitol, without the gain of any energy molecules, results in the development of intracellular vacuoles and cell membrane degradation. S. mutans dephosphorylates xylitol-5-phosphate and expels it from the cell, in which requires energy consumption. This ultimately leading to starving of microorganism and growth inhibition . Long-term exposure to xylitol can cause microorganisms to develop resistance to xylitol. This clinically beneficial selection process creates xylitol-resistant mutans strains that are less virulent and less cariogenic than their parent strains . Xylitol also increases the concentrations of ammonia and amino acids in plaque, thereby neutralizing plaque acids . A study suggests that xylitol may also promote remineralization of deeper layers of demineralized enamel by facilitating Ca2+ and phosphate movement and accessibility .
Dosage
Precopar dosage
For intravenous infusion. Usual dose: 1.0 to 1.25 ml/kg/hour. Max. dosage: 1.5 g amino acids/kg/day = 1300 ml/day at 70 kg body weight. Constant checking of serum electrolytes, fluid balance and acid-base balance is mandatory. Amino Acid 8% is used as long as required by therapy.Side Effects
Due to the special composition of this preparation, use in indications other than those recommended may result in amino acid imbalances and severe metabolic disorders.Toxicity
Oral LD50 is 16500 mg/kg in rat . At high dosages, xylitol can cause diarrhea in children at 45 g/d and 100 g/d in adults .
Interaction
Because of the increased risk of microbiological contamination and incompatibilities, amino acid solutions should not be mixed with other drugs. Should it become necessary to add other nutrients like carbohydrates, lipid emulsions, electrolytes, vitamins or trace elements to Amino Acid 8% for complete nutrition, care should be given to hygienic admixing, good blending and, in particular, to compatibility.Volume of Distribution
No pharmacokinetic data available.
Elimination Route
Xylitol is absorbed in the small intestine via passive diffusion with a slow absorption rate .
Half Life
No pharmacokinetic data available.
Clearance
No pharmacokinetic data available.
Elimination Route
No pharmacokinetic data available.
Contraindication
Disturbance of amino acid metabolism, metabolic acidosis, fluid overload, hyponatremia, hypokalemia, renal insufficiency, decompensated cardiac insufficiency, shock, hypoxia. No specific studies have been performed to assess the safety of Amino Acid 8% in pregnancy and lactation.Storage Condition
Amino Acid 8% should not be stored after the addition of other components. Do not store above 25°C. Do not freeze. Shelf Life: 36 months. Do not use Amino Acid after the expiry date. Do not use if the solution is cloudy or if the container is damaged. Keep out of the reach of children.Innovators Monograph
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