本文へスキップ

医薬品リファレンス

Ornithine aspartate

Ornithine aspartate is a medicine in the class gastrointestinal tract. It is used for hepatic encephalopathy.

最終更新日

医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。

このページの臨床コンテンツは英語でのみ提供されています。

要点

薬効分類
Gastrointestinal Tract

何に使われるか

作用のしくみ

L-ornithine L-aspartate supplies two amino acids that lower blood ammonia. Ornithine activates the hepatic urea cycle (carbamoyl phosphate synthetase) and is a substrate for it, increasing conversion of ammonia to urea in periportal hepatocytes.

成人の通常用量(添付文書の要約)

Hepatic encephalopathy (latent or manifest), oral granules: 3 to 6 g (1 to 2 sachets of 3 g) up to three times daily. Usual maximum is 18 g/day.

添付文書の最初の用法・用量の行のみの要約です。用法・用量の全項目はアプリでご覧いただけます。

妊娠と授乳

妊娠
Unknown No adequate human data. Labels (e.g. Hepa-Merz) advise avoiding it in pregnancy unless clearly necessary. Ornithine and aspartate are natural amino acids, but high doses used for liver disease have not been studied in pregnancy.
授乳
Unknown Not known if it passes into milk; no LactMed or e-lactancia record. Labels: avoid breastfeeding during treatment unless clearly necessary. Both components are natural amino acids, but high-dose effects on the infant are unstudied; avoid if possible or watch the infant.

報告されている副作用

  • Nausea
  • Vomiting
  • Abdominal pain
  • Flatulence
  • Diarrhoea
  • Limb pain

禁忌

  • Hypersensitivity to ornithine aspartate or to any of the excipients.
  • Severe renal insufficiency (serum creatinine above 3 mg/100 mL).

注意が必要な方

  • With high doses, monitor serum and urine urea levels.
  • Do not exceed an IV infusion rate of 5 g per hour; faster infusion increases nausea and vomiting.
  • Hepatic encephalopathy may impair the ability to drive and use machines; take this into account during treatment.

妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。

Pro+会員向け

ページ全体を見る

アカウントを作成してPro+トライアルを始めると、Ornithine aspartateの完全なモノグラフ(用量、妊娠・授乳、副作用、警告、すべての相互作用)を表示できます。

  • Dosing by age, kidney and liver function, and further dose lines
  • Renal and hepatic dose adjustments
  • Dosing in older adults
  • How to give it
  • Pharmacokinetics
  • Patient counselling points
  • Food interactions

WebでPro+を7日間無料でお試し。カード登録不要。

よくある質問

What is Ornithine aspartate used for?

Ornithine aspartate is a medicine in the class gastrointestinal tract. It is used for Hepatic encephalopathy.

What side effects have been reported with Ornithine aspartate?

Nausea, Vomiting, Abdominal pain, Flatulence, Diarrhoea, Limb pain.

Can Ornithine aspartate be taken in pregnancy or while breastfeeding?

Pregnancy: Unknown. No adequate human data. Labels (e.g. Hepa-Merz) advise avoiding it in pregnancy unless clearly necessary. Ornithine and aspartate are natural amino acids, but high doses used for liver disease have not been studied in pregnancy. Breastfeeding: Unknown. Not known if it passes into milk; no LactMed or e-lactancia record. Labels: avoid breastfeeding during treatment unless clearly necessary. Both components are natural amino acids, but high-dose effects on the infant are unstudied; avoid if possible or watch the infant.

What does Ornithine aspartate interact with?

MediHelp does not list a checked interaction for Ornithine aspartate yet. Always tell your pharmacist about every medicine you take.

完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで

MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。

A–Zで探す · 医薬品リファレンス

アプリを入手 ログイン