|
| U.S. Brand
Names |
|
| Ucephan® |

|
|
| Generic
Available |
|
|
No |

|
|
| Pharmacological Index |
|
|
Antidote |

|
|
| Use |
|
|
Adjunctive therapy to prevent/treat hyperammonemia in patients with urea
cycle enzymopathy involving partial or complete deficiencies of
carbamoyl-phosphate synthetase, ornithine transcarbamoylase or argininosuccinate
synthetase |

|
|
| Pregnancy Risk
Factor |
|
|
C |

|
|
| Stability |
|
|
Diluting Ucephan® with an acidic solution can result in
precipitation of the drug |

|
|
| Usual Dosage |
|
|
Infants and Children: Oral: 2.5 mL (250 mg sodium benzoate and 250 mg sodium
phenylacetate)/kg/day divided 3-6 times/day; total daily dose should not exceed
100 mL |

|
|
| Dietary
Considerations |
|
|
Dilute each dose in 4-8 oz of infant formula or milk and administer with
meals |

|
|
| Patient
Information |
|
|
Must be diluted before use; due to its lingering odor, exercise care in
mixing to minimize contact with skin and clothing |

|
|
| Nursing
Implications |
|
|
Monitor serum electrolytes, blood ammonia |

|
|
| Dosage Forms |
|
|
Solution: Sodium phenylacetate 100 mg and sodium benzoate 100 mg per mL (100
mL) |

|
|
| References |
|
|
Brusilow SW, Danney M, Waber LJ, et al,
"Treatment of Episodic Hyperammonemia in Children With Inborn Errors of Urea Synthesis,"
N Engl J Med, 1984, 310(25):1630-4.
Gutteridge C and Kuhn RJ,
"Compatibility of 10% Sodium Benzoate Plus 10% Sodium Phenylacetate With Various Flavored Vehicles,"
Am J Hosp Pharm, 1994, 51(19):2508, 2510.
|

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