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Fructose 10%

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At a glance

Fructose 10% is an intravenous carbohydrate nutrient used for caloric feeding and fluid replacement in diabetic patients.

Description

Introduction: Fructose 10% is an intravenous carbohydrate nutrient used for caloric feeding and fluid replacement in diabetic patients. It is converted to liver glycogen and metabolized more rapidly than dextrose without requiring insulin, thus may be used in diabetic patients.

How it works: Fructose is converted to glycogen in the liver and metabolized rapidly without requiring insulin. It is a better 'nitrogen sparer' than glucose.

Important Information: It should not exceed 0.5-1 g/kg body weight per hour. The usual recommended flow rate for adult is 30-75 drops per minute infused intravenously.

Indications
  • Carbohydrate nutrient in diabetic patients
  • Fluid replacement
  • Caloric feeding
Therapeutic class

Intravenous Nutrition

Pharmacological class

Carbohydrate

Pharmacology

Fructose is used intravenously as a carbohydrate nutrient. It is converted to liver glycogen and metabolized more rapidly than dextrose without requiring insulin and thus may be used in diabetic patients. Fructose is indicated in patients requiring fluid replacement and caloric feeding. It is a better 'nitrogen sparer' than glucose.

Mechanism of action

Fructose is converted to glycogen in the liver and metabolized rapidly without requiring insulin, producing energy.

Dosage

Adult Dose:

  • Should not exceed 0.5-1 g/kg body weight per hour.
  • Usual recommended flow rate: 30-75 drops per minute infused intravenously.

* Use as directed by the registered physician

Administration

Intravenous (IV) infusion. Check infusion set and solution prior to use. Do not use if the solution is cloudy, contains particles, or after expiry date.

Missed dose

If you miss a dose, consult your doctor.

Side effects

Common Side Effects:

  • Lactic acidosis
  • Hyperuricemia
  • Rapid infusion results in facial flushing, abdominal pain and sweating
Precautions & warnings

Precautions:

  • Should not be given to patients with hereditary fructose intolerance.
  • Should be given with caution to patients with impaired kidney function or severe liver damage.
  • Infusion should be immediately discontinued if rigor arises for any reason during the process.
Contraindications

Contraindications:

  • Certain inborn errors of fructose metabolism
  • Methyl alcohol poisoning
  • Hyperuricemia
  • Liver failure
  • Lactic acidosis
Drug interactions

Drug Interactions: No significant interactions found.

Food interactions

Food Interactions: No interaction found/established.

Use in pregnancy

Use in Pregnancy: Consult your doctor before use during pregnancy.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Use in lactation

Use in Lactation: Consult your doctor before use during lactation.

Pediatric use

Pediatric Use: Use as per doctor's advice for children.

Geriatric use

Geriatric Use: Use as per doctor's advice for elderly patients.

Renal / hepatic impairment

Renal & Hepatic Impairment: Should be given with caution to patients with impaired kidney function or severe liver damage.

Overdose effects

Overdose: Overdose may cause lactic acidosis and hyperuricemia. Discontinue infusion and provide symptomatic treatment.

Storage conditions

Storage: Store below 30°C, away from light and moisture. Keep out of reach of children.

Chemical structure

Fructose 10% Injection

Common questions

Q1: What is Fructose 10% used for?
It is used for caloric feeding and fluid replacement in diabetic patients.
Q2: What are the side effects?
Lactic acidosis, hyperuricemia, facial flushing, abdominal pain and sweating with rapid infusion.
Q3: What precautions should be taken?
Avoid in hereditary fructose intolerance. Caution in kidney and liver problems.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.