Rivamax Suspension

Adult dose

Typically, 1 pouch is administered orally three times a day after meals for adults.

This medication should not be used in patients with congenital maple syrup urine disease. Gastrointestinal symptoms such as constipation, diarrhea, abdominal bloating, abdominal discomfort, and nausea may occur during treatment; if these symptoms arise, dosage should be reduced or temporarily discontinued. Additionally, it may affect kidney function, leading to an increase in blood BUN levels, so dosage should be adjusted if renal dysfunction is suspected. Metabolic disorders that can elevate blood ammonia levels might also occur; in such cases, dosage reduction or discontinuation is necessary. This medication is not expected to be effective in patients with severely impaired liver function or severe hepatic encephalopathy. Since this medication contains only branched-chain amino acids, it does not supply all necessary amino acids, making it important to consume enough protein and calories in the diet. When administered for a long time, caution should be exercised to prevent the deterioration of nutritional status, and if hypoalbuminemia has not improved after more than 2 months of use, alternative treatments should be considered. Elderly patients are at risk for metabolic disorders and should be treated with caution. Women who are pregnant or breastfeeding should only use this medication if the benefits outweigh the risks, as its safety has not been established. Its safety in pediatric patients has not been confirmed, and there is no experience using it in this population. Finally, this medication should be stored out of children's reach, and it is safer and better for quality maintenance not to transfer it to other containers.

Mild side effects

• Constipation, diarrhea, abdominal bloating, abdominal discomfort, nausea, abdominal pain, vomiting, loss of appetite, epigastric pain, thirst, belching, rash, itching, fatigue, flushing, facial redness
• Increased BUN, elevated blood creatinine, increased blood ammonia levels, elevated AST (GOT), ALT (GPT), bilirubin, edema (face, lower limbs, etc.)

This medication is sensitive to light, so it should be stored in a container that protects it from light. Additionally, to maintain the efficacy of the drug, it should be stored at room temperature between 1 and 30 degrees Celsius.

Appearance

A viscous suspension that is white to light yellow and aromatic, packed in aluminum foil pouches.

Package unit

30 pouches (1 pouch (20g) × 30)