This page contains brief details about the drug , it's indication, dosage & administaration, mechanism of action, related brands with strength, warnings and common side effects.

Background and Date of Approval

Ketoanalogue + essential amino acids are approved as nutritional supplements to improve the nutritional status of patients with chronic kidney disease.

Mechanism of Action of undefined

Ketoanalogue + essential amino acids operate by undergoing a process called transamination by taking nitrogen from some non-essential amino acids. This process decreases the formation of urea and prevents the accumulation of uremic toxins, thus improving kidney health. Additionally, it ensures the intake of essential amino acids.

Uses of undefined

Ketoanalogue + essential amino acids has been developed to prevent and treat kidney damage in patients with chronic kidney disease It corrects faulty protein metabolism due to low protein intake (less than 40g/day). It delays the disease progression and the onset of dialysis treatment by preserving the nutritional status.

undefined Drug administaration and Dosage available

Ketoanalogue + essential amino acids are available in the form of powder, granules and tablets. The dose and frequency vary according to body weight. 

Warnings, Precautions and Side Effects of undefined

Warnings

During the Ketoanalogue + essential amino acids treatment, your doctor may periodically monitor your serum calcium, serum phosphate, and other kidney parameters to prevent serious complications. Report to your doctor if you have been diagnosed with hereditary phenylketonuria. 

Precautions

There is insufficient information about the impact of ketoanalogue + essential amino acids on pregnant and breastfeeding women. Exercise caution before using ketoanalogue + essential amino acids during pregnancy and breastfeeding.

Side Effects

Ketoanalogue + essential amino acids are not associated with any serious side effects. However, hypercalcemia is the most common side effect. 

Word Of Advice

Your healthcare provider will regularly monitor your serum calcium levels to check for hypercalcemia and suggest reducing the intake of calcium and vitamin D sources.

Eat a calorie-rich diet. Take ketoanalogue + essential amino acids only on your healthcare provider’s recommendation. Inform your doctor if you have any other kidney disease and about all the underlying medical conditions. Do not stop the medicine until your doctor advises. Do not double-dose the medicine to make up for a forgotten dose. Notify your doctor if you experience any serious side effects. Your medical professional will inform you if you need any dose adjustments. Contact your doctor for more information. 

Frequently Asked Question

References

  1. Rivpra formulation PVT LTD, add manufactrer [Revised on Jan 2021] [Accessed on Nov 2023], https://www.centaurpharma.com/downloads/2021/nephrology/NEFROGARD.pdf
  2. Alexander Zemchenkov, Irina N.Konakova; Efficacy of the Essential Amino Acids and Keto-Analogues on the CKD progression rate in real practice in Russia - city nephrology registry data for outpatient clinic; BMC Nephrology; [Published on 07/07/2016]; [Accessed on 23/11/2023] https://bmcnephrol.biomedcentral.com/articles/10.1186/s12882-016-0281-z
  3. Arun Sharma et al.; Rationale of α-Ketoanalogue Supplemented with Low Protein Diet for the Treatment of Chronic Kidney Disease; Journal of Karnali Academy of Health Sciences; [Published on 09/01/2021]; [Accessed on 23/11/2023]; https://jkahs.org.np/jkahs/index.php/jkahs/article/view/415/222
  4. Che-Hsiung Wu et al.; Ketoanalogues supplementation decreases dialysis and mortality risk in patients with anemic advanced chronic kidney disease; [Published on 05/05/2021]; [Accessed on 23/11/2023]; http://www.ncbi.nlm.nih.gov/pmc/articles/pmc5419544/

Disclaimer

The drug information on this page is not a substitute for medical advice, it is meant for educational purposes only. For further details consult your doctor about your medical condition to know if you are eligible to receive this treatment.