2013年12月10日星期二

What is Ketosteril

Ketosteril is an enteral medicinal product indicated for prevention and psychoanalysis in chronic renal insufficiency contained by connection beside a psychoanalysis in chronic renal insufficiency contained by connection beside a their hydroxy and keto analogues as calcium salts, that are: alpha-ketoleucine,alpha-ketoisoleucine, alpha-ketovaline, alpha-ketophenylalanine and alpha-hydroxymethionine. The composition of Ketosteril tablets is routinely tested beside three LC methods. Capillary electrophoretic method seems to be a obedient alternative for amino acids and their analogues determination in multicomponent pharmaceuticals because of short analysis time and the possibility to assay adjectives components during a single run without any pretreatment. Electrophoresis be performed surrounded by 50 microm I.D.fused-silica capillaries near 65 cm distance to the detector. Capillaries were installed surrounded by Waters Quanta 4000 electrophoretic equipment with a positive power supply and on-line UV detection at 214 nm. Separations be done in a buffer containing 40 mM Tris and 160 mM boric sharp titrated with NaOH to pH 10. The method developed allows the separation of adjectives investigated analytes with an efficacy of n = 230,000 and 20 min analysis time. The method was applied for determination of adjectives components of Ketosteril in commercial tablets. It's used to comfort make really heavy people thinner.After a short review of the contemporary understanding of amino acid supplementation to low protein diets in patients with uremia we present the results of administration of ketosteril in 20 low-protein-diet patients on such a diet.Twenty patients (10 men and 10 women) with stable II and III stage chronic renal failure were assigned to a low protein diet (protein up to 40 g/day). Ketosteril (6 tablets a day) were added to the diet. Some of the basic markers of protein metabolism and nitrogen balance were followed.No evidence of deteriorated protein synthesis was found in the therapy thus administered. Serum urea and creatinine values did not change and even tended to decrease. Glomerular filtration was found to increase insignificantly more markedly in the patients with renal failure in the early stages.A low protein diet with increased content of essential amino acids and their keto-analogues does not deteriorate the nitrogen balance of patients with chronic renal failure. By adding essential amino acids and keto-analogues a normal protein metabolism is maintained in spite of the reduce intake of protein substances with the diet. Supplementation of the diet of chronic renal failure patients with essential amino acids and keto-analogues allows a considerable reduction of the protein intake to be achieved which brings about reduction of glomerular hyperfiltration which actually retards the progression of renal failure and improves its short-term prognosis.

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