Phoxillum

— THERAPEUTIC CATEGORIES —
  • Electrolyte disturbances

Phoxillum Generic Name & Formulations

General Description

BK4/2.5 (Ca2+ 2.5mEq/L, HCO3- 32mEq/L, K+ 4mEq/L, Mg2+ 1.5mEq/L, Na+ 140mEq/L, HPO42- 1mmol/L, Cl- 114.5mEq/L); B22K4/0 (HCO3- 22mEq/L, K+ 4mEq/L, Mg2+ 1.5mEq/L, Na+ 140mEq/L, HPO42- 1mmol/L, Cl- 122mEq/L); soln for IV inf after reconstitution.

Pharmacological Class

Fluid & electrolyte replacement.

How Supplied

2-compartment bag (5000mL)—1

Manufacturer

Generic Availability

NO

Phoxillum Indications

Indications

Replacement solution for patients on continuous renal replacement therapy (CRRT), to replace plasma volume removed by ultrafiltration and correct electrolyte and acid-base imbalances. To remove dialyzable toxins associated with drug poisoning treated by CRRT.

Phoxillum Dosage and Administration

Adults and Children

Administer only under the direction of a physician trained in intensive care treatment including CRRT: see full labeling. Individualize; determine mode of therapy, solute formulation, flow rates, and duration based on patient’s clinical condition and electrolyte, acid-base, and glucose balances. Administer into extracorporeal circuit before (pre-dilution) and/or after (post-dilution) the hemofilter or hemodiafilter.

Phoxillum Contraindications

Not Applicable

Phoxillum Boxed Warnings

Not Applicable

Phoxillum Warnings/Precautions

Warnings/Precautions

Use aseptic technique. Monitor fluid, hemodynamic, electrolyte, and acid-base imbalances; correct as needed. Increased risk of metabolic acidosis. Monitor blood glucose levels; initiate or modify antidiabetic therapy as needed. Pregnancy, nursing mothers: monitor.

Phoxillum Pharmacokinetics

See Literature

Phoxillum Interactions

Interactions

May antagonize dialyzable drugs: monitor. Concomitant citrate (as anticoagulant) may reduce plasma calcium; select appropriate Phoxillum formulation. May add drugs to bag via injection connector; administer non-phosphate drugs through different access line.

Phoxillum Adverse Reactions

Adverse Reactions

Metabolic acidosis, hypotension, acid-base disorders, electrolyte and fluid imbalance.

Phoxillum Clinical Trials

See Literature

Phoxillum Note

Not Applicable

Phoxillum Patient Counseling

See Literature