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Drug Data - A-Z (English)

Drug Description

L-Carnitine inner salt 1 g

Presentation

White, round, standard convex tablets, approximately 22.3 mm diameter.

Indications

Indicated for the treatment of primary and secondary carnitine deficiency in adults and children over 12 years of age.

Adult Dosage

For oral administration only.

Adults and children over 12 years of age

The tablets should be given in divided doses.

It is advisable to monitor therapy by measuring free and acyl carnitine levels in both plasma and urine.

The management of inborn errors of metabolism

The dosage required depends upon the specific inborn error of metabolism concerned and the severity of presentation at the time of treatment. However, the following can be considered as a general guide.

An oral dosage of up to 200mg/kg/day in divided doses (2 to 4) is recommended for chronic use in some disorders, with lower doses sufficing in other conditions. If clinical and biochemical symptoms do not improve, the dose may be increased on a short-term basis. Higher doses of up to 400mg/kg/day may be necessary in acute metabolic decompensation or the i.v. route may be required.

Haemodialysis - maintenance therapy

If significant clinical benefit has been gained by a first course of intravenous Carnitor then maintenance therapy can be considered using 1 g per day of Carnitor orally. On the day of the dialysis oral Carnitor has to be administered at the end of the session.

Contra Indications

Hypersensitivity to any constituent of the product.

Special Precautions

There is limited experience of use in patients with primary and secondary systemic carnitine deficiency suffering from renal failure.

The chewable tablets contain sucrose. This must be considered when treating diabetics or patients who are following diets to reduce calorie intake.

Interactions

There are no known interactions.

Adverse Reactions

Various mild gastro-intestinal complaints have been reported during the long term administration of oral levocarnitine, these include transient nausea and vomiting, abdominal cramps and diarrhoea.

Decreasing the dosage often diminishes or eliminates drug related patient body odour or gastro-intestinal symptoms when present. Tolerance should be monitored very closely during the first week of administration and after any dosage increase.

Manufacturer

sigma-tau Pharma Limited UK

Drug Availability

POM – Prescription Only Medicine

Updated

11 May 2010

Drug Languages: en it fr de es no nl pt se

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Carnitor 1 g Chewable Tablets