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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