Ketosteril® with low protein diet (100 capsules)

It can reduce nitrogen-containing waste and reduce the burden on the kidneys1
Or effectively help delay kidney dialysis 2
Reduce the chance of malnutrition in patients with chronic kidney disease3
Improve metabolic acidosis and calcium-phosphorus imbalance1,4
Reduce urinary toxins and urinary protein 5-6

Please follow the advice of your doctor, nutritionist or healthcare provider for details

Reference:
Mircescu G et al. J Ren Nutr 2007; 17(3): 179-188
Brunori G et al. Am J Kidney Dis 2007; 49(5): 569-580
Aparicio M et al. J Am Soc Nephrol 2000; 11(4): 708-716
Malvy D et al. J Am Coll Nutr 1999; 18(5): 481-486
Aparicio M et al. Nephron 1988; 50(4): 288-291
Teplan V et al. Wien Klin Wochenschr 2001; 113(17-18): 661-669

Pharmacological effects
Ketosteril contains five essential amino acids (Essential Amino Acid) and the α-keto acid (α-Keto Acid) of the five essential amino acids. α-Keto Acid is similar to amino acids in chemical structure, but does not contain amino groups. ; In the body, it can be combined with the product of protein metabolism - nitrogenous waste through transamination, and then reused and converted into equivalent essential amino acids; therefore, the content of uremia in the body is reduced, and the excretion of nitrogenous waste through the kidneys is reduced, which not only helps improve Symptoms of uremia and reduce the burden on the kidneys.
Indications: Supply of amino acids in chronic renal insufficiency.
Usage and Dosage Oral administration. Use according to physician's prescription. Or for an adult weighing 70 kg, take 4 to 8 tablets at a time, three times a day. Take with meals.

Period of use: The glomerular filtration rate is between 5 and 15 mL/min, and the food intake contains protein ≦40g/day.
Hypercalcemia is an occasional side effect. Serum calcium levels should be checked regularly. Adequate calories should be given to the patient.
Interactions with calcium-containing medicines (e.g. acetolyte) may cause pathological increases in serum calcium levels. Since Guidolea tablets can alleviate uremia symptoms, if you take aluminum hydroxide, you should reduce the dosage. To avoid interfering with absorption, do not administer drugs that easily form complexes with calcium (e.g. tetracycline) at the same time
Hypercalcemia and amino acid metabolism disorders are contraindicated.
Benefit regulations
3.3.2.α-Keto acid-amino acid preparations (such as Ketosteril): limited
1. Only patients with chronic renal failure who are on a low-protein diet for three consecutive months and have a monthly glomerular filtration rate eGFR ≦15mL/min/1.73 m2 and who have not yet received dialysis can use up to six pills a day. (98/11/1, 104/12/1)
2. When using this product, it should be checked every two months. When the glomerular filtration rate eGFR ≧25mL/min/1.73 m2, or if the patient loses >5% of body weight or decreases >5% of serum albumin while taking this product, If the patient fails to comply with the low-protein diet, the drug should be discontinued immediately. (104/12/1)
3. This product cannot be used for dialysis and kidney transplant patients, and cannot be used as a general nutritional supplement. (103/4/1)
4. This product must not be prescribed at the same time as similar preparations (such as Amiyu‥). (93/12/1)

Note: Please also cooperate with your doctor's instructions and limit your daily protein intake to achieve the best results.
Drugs should be stored at room temperature (below 25 degrees C).