TOLEREX® Novartis Nutrition Elemental Diet
Indications And Clinical Uses:
A nutritionally complete elemental diet formulated for the nutritional management of patients with impaired digestion and absorption. May include those with inflammatory bowel disease, intestinal atresia, pancreatitis, fistula, partial obstruction, short-gut syndrome. Malnutrition and cachexia. Bowel preparation prior to diagnostic and surgical procedures. Transition diet between parenteral and normal oral feeding. Food sensitivities.:
Precautions:
Not for parenteral administration. For use only under medical supervision.
Children: Use in children may require adjusting the daily consumption to meet the Recommended Daily Allowance for the age group involved.
Dosage And Administration:
1 800 mL or 7 520 kJ (6 servings or 1 800 kcal) provides at least 100% of the Canadian RNI (adult males, 25 to 49) for essential vitamins and minerals. May be administered by nasogastric, nasointestinal, esophagostomy, gastrostomy or jejunostomy feeding tube. Follow a physician’s or dietitian’s directions.
Oral: For oral use, the product may be flavored and chilled over ice. Flavoring agents may be used if their contribution to the elemental and nutritional qualities of the diet are kept in mind. It should be sipped slowly, perferably through a straw, when served as a beverage.
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Gastric Administration:
Day Strength Approx. Rate mL/hr Kilojoules (kJ)/24 hrs Nitrogen (g)/24 hrs
1 1/2 50 2Â 510 2.4
2 Full 50 5Â 020 4.8
3 Full 100 10Â 041 9.6
4 Full 125 12Â 552 12.0
Intestinal Administration:
1 1/2 50 2Â 510 2.4
2 1/2 100 5Â 020 4.8
3 3/4 100 7Â 531 7.2
4 Full 100 10Â 041 9.6
5 Full 125 12Â 552 12.0
Tolerex is a perishable liquid food when in solution. A full day’s supply may be prepared at one time and stored in the refrigerator for up to 48 hours, shake the liquid before serving. Do not leave at room temperature for more than 8 hours.
Availability And Storage:
Each 80 g packet contains: D maltodextrin, magnesium gluconate, L-glutamine, calcium glycerophosphate, L-arginine acetate, modified cornstarch, L-aspartic acid, glycine, L-lysine acetate, L-leucine, safflower oil, potassium chloride, L-proline, L-phenylalanine, L-valine, L-alanine, L-methionine, L-threonine, L-isoleucine, sodium phosphate dibasic, L-serine, potassium sorbate, potassium citrate, L-histidine monohydrochloride monohydrate, sodium citrate, L-tryptophan, L-tyrosine, choline bitartrate, polyoxyethylene sorbitan monooleate, ascorbic acid, ferrous sulfate, alpha tocopheryl acetate, zinc sulfate, niacinamide, copper gluconate, calcium pantothenate, manganese sulfate, ascorbyl palmitate (to preserve freshness), vitamin A palmitate, alpha tocopherol (to preserve freshness), pyridoxine HCl, riboflavin, thiamine HCl, chromic acetate, folic acid, BHA/BHT (to preserve freshness), biotin, potassium iodide, sodium molybdate, sodium selenite, phytonadione (vitamin K 1), cholecalciferol (vitamin D 3), cyanocobalamin (vitamin B 12).
Table II – Tolerex
Analysis 100 mL
Energy 418 (100) kJ (kcal)
Protein 2.1 g
Carbohydrate 23 g
Fat 0.15 g
Linoleic Acid 0.12 g
Sodium 47 mg
Potassium 120 mg
Vitamin A 280 IU
Vitamin C 3.3 mg
Thiamine 0.083 mg
Riboflavin 0.094 mg
Niacin 1.1 mg
Calcium 56 mg
Iron 1.0 mg
Vitamin D 22 IU
Vitamin E 1.7 IU
Vitamin B6 0.11 mg
Folic Acid 0.022 mg
Vitamin B12 0.0003 mg
Phosphorus 56 mg
Iodine 0.009 mg
Magnesium 22 mg
Zinc 0.83 mg
Copper 0.11 mg
Biotin 0.017 mg
Pantothenic Acid 0.56 mg
Vitamin K 0.0037 mg
Choline 4.1 mg
Chloride 95 mg
Manganese 0.11 mg
Selenium 0.004 mg
Chromium 0.007 mg
Molybdenum 0.004 mg
The standard dilution of 4.2 kJ (1 kcal)/mL has a pH of approximately 5.5 and an average osmolality of 550 mOsm/kg/water. Pouches of 80 g, cartons of 6, cases of 10Â cartons. Store unopened powder below 30°C.
TOLEREX® Novartis Nutrition Elemental Diet
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