MULTRYS- trace elements injection 4 injection, solution

Multrys by

Drug Labeling and Warnings

Multrys by is a Prescription medication manufactured, distributed, or labeled by American Regent, Inc.. Drug facts, warnings, and ingredients follow.

Drug Details [pdf]

  • 1 INDICATIONS AND USAGE

    Multrys is indicated in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated.

  • 2 DOSAGE AND ADMINISTRATION

    2.1 Important Administration Information

    Multrys is supplied as a single-dose vial for admixture use only.  Prior to administration, Multrys must be transferred to a separate parenteral nutrition container and used as an admixture in parenteral nutrition solution.

    The final parenteral nutrition solution is for intravenous infusion into a central or peripheral vein. The choice of a central or peripheral venous route should depend on the osmolarity of the final infusate.  Solutions with osmolarity of 900 mOsmol/L or greater must be infused through a central catheter [see Warnings and Precautions (5.2)].

    2.2 Preparation and Administration Instructions

    • Multrys is for admixture use only.Prior to administration, Multrys must be prepared and used as an admixture in parenteral nutrition solution.
    • Add Multrys to the parenteral nutrition solution in a suitable work area such as a laminar flow hood (or an equivalent clean air compounding area).The key factor in the preparation is careful aseptic technique to avoid inadvertent touch contamination during mixing of solutions and addition of other nutrients.
    • Inspect the parenteral nutrition solution containing Multrys for particulate matter before admixing, after admixing, and prior to administration.

    2.3 Preparation Instructions for Admixing Using a Parenteral Nutrition Container

    • Inspect Multrys single-dose vial for particulate matter.
    • Transfer Multrys to the parenteral nutrition container after the admixture of amino acids, dextrose, lipid emulsion (if added), and electrolyte solutions is prepared.
    • Because additives may be incompatible, evaluate all additions to the parenteral nutrition container for compatibility and stability of the resulting preparation.Consult with a pharmacist, if available.For introducing additives to the parenteral nutrition container, use aseptic technique.
    • An interaction may occur between cupric ion and ascorbic acid; therefore, multivitamin additives should be added to the admixed parenteral nutrition solution shortly before infusion.
    • Inspect the final parenteral nutrition solution containing Multrys to ensure that:
      • Precipitates have not formed during mixing or addition of additives.
      • The emulsion has not separated, if lipid emulsion has been added.Separation of the emulsion can be visibly identified by a yellowish streaking or the accumulation of yellowish droplets in the admixed emulsion.
      • Discard if any precipitates are observed.

    Stability and Storage

    • Single dose vial.Discard any unused portion.
    • Penetrate vial closure only one time with a suitable sterile transfer device or dispensing set that allows measured dispensing of the contents.
    • Transfer Multrys to the parenteral nutrition container promptly after removal from the vial. Discard any remaining drug.
    • Use parenteral nutrition solutions containing Multrys promptly after mixing.Any storage of the admixture should be under refrigeration from 2ºC to 8ºC (36ºF to 46ºF) and limited to a period of no longer than 9 days.After removal from refrigeration, use promptly and complete the infusion within 24 hours. Discard any remaining admixture.
    • Protect the parenteral nutrition solution from light.

    2.4 Overview of Dosing

    • Prior to administration of parenteral nutrition solution containing Multrys, correct severe fluid, electrolyte, and acid-base disorders.
    • The dosage of the final parenteral nutrition solution containing Multrys must be based on the concentrations of all components in the solution, the patient’s clinical condition, nutritional requirements, and the contribution of oral or enteral intake.
    • Monitor fluid and electrolyte status during treatment use of Multrys and adjust the parenteral nutrition solution as needed.

    2.5  Recommended Dosage in Pediatric Patients and Monitoring Considerations

    Multrys is a fixed-combination product. Each mL of Multrys provides zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg.

    Recommended Dosage for Pediatric Patients Weighing 0.4 kg to 0.59 kg

    • The total recommended dosage of Multrys is 0.2 mL every other day.
    • Daily supplementation of Zinc, Copper, and Selenium will be needed to meet daily requirements (See Table 2 below).

    Recommended Dosage for Pediatric Patients Weighing 0.6 kg to less than 10 kg

    • The recommended dosage of Multrys is 0.3 mL/kg/day rounded to nearest 0.1 mL for up to a maximum of 1 mL per day.
    • The recommended volume of Multrys to be added to parenteral nutrition ranges from 0.2 mL per day to 1 mL per day based on body weight, see Table 1 below.

    Table 1. Recommended Daily Volume of Multrys and Corresponding Amount of Each Trace Element (mcg)

    Body Weight Recommended
    Daily Volume
     Amount of Trace Element Provided by the Corresponding Multrys Volume
     Zinc
    mcg
    Copper
    mcg
    Manganese
    mcg
    Selenium
    mcg
     0.6 kg to 0.8 kg0.2 mL200120.61.2
     0.9 kg to 1.1 kg0.3 mL300180.91.8
     1.2 kg to 1.4 kg0.4 mL400241.22.4
     1.5 kg to 1.7 kg0.5 mL500301.53
    1.8 kg to 2 kg0.6 mL600  36 1.83.6
    2.1 kg to 2.3 kg 0.7 mL 700 42 2.14.2 
    2.4 kg to 2.6 kg 0.8 mL 800 48 2.44.8
    2.7 kg to 2.9 kg0.9 mL900 54 2.75.4
    3 kg to 9.9 kg1 mL1,000  60 36

    Additional Trace Element Supplementation with Multrys

    Multrys is recommended only for pediatric patients who require supplementation with all four of the individual trace elements (i.e., zinc, copper, manganese and selenium).

    • To determine the additional amount of supplementation that is needed, compare the calculated daily recommended dosage based on the body weight of the patient to the amount of each trace element provided by Multrys and enteral nutrition sources.

    Table 2: Daily Requirement for Trace Element Supplementation for Pediatric Patients

    Trace Element

    Patient Weight
    (kg)

    Daily Requirement*

     Zinc

    Less than 3 kg400 mcg/kg/day
    3 kg to 5 kg250 mcg/kg/day
    5 to 10 kg100 mcg/kg/day
    Copper-20 mcg/kg/day
    Selenium-2 mcg/kg/day
    Manganese**-1 mcg/kg/day

    *Multrys is not recommended for pediatric patients who may require a lower dosage of one or more of these individual trace elements.

    **Avoid additional manganese supplementation with Multrys use. Accumulation of manganese in the brain can occur with long-term administration with higher than the recommended dosage of 1 mcg/kg/day [see Warnings and Precautions (5.3)].

    For pediatric patients weighing less than 3 kg, Multrys does not provide the recommended daily dosage of zinc. 

    • Zinc:For patients weighing less than 3 kg, add Zinc Sulfate to provide total daily recommended dose of 400 mcg/kg/day using parenteral and/or enteral routes of administration.

    For pediatric patients weighing 0.4 kg to 0.59 kg and 4 kg to 9.9 kg, Multrys does not provide the recommended daily dosage of copper or selenium. 

    • Copper:For patients weighing 0.4 to 0.59 kg or 4 kg to 9.9 kg, add Cupric Chloride to provide total daily recommended dose of 20 mcg/kg/day using parenteral and/or enteral routes of administration.
    • Selenium: For patients weighing 0.4 to 0.59 kg or 4 kg to 9.9 kg, add Selenious Acid to provide total daily recommended dose of 2 mcg/kg/day using parenteral and/or enteral routes of administration.

    Monitoring

    • Monitor zinc, copper, and selenium serum concentrations and manganese whole blood concentrations during long-term administration of parenteral nutrition.
    • Trace element concentrations may vary depending on the assay used and the laboratory reference range.The collection, processing, and storage of the blood samples should be performed according to the laboratory’s sample requirements for analysis.
  • 3 DOSAGE FORMS AND STRENGTHS

    Injection: Each mL of Multrys contains zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg in a clear, colorless to slightly blue solution, single-dose vial.

  • 4 CONTRAINDICATIONS

    Multrys is contraindicated in patients with hypersensitivity to zinc or copper [see Warnings and Precautions (5.7)].

  • 5 WARNINGS AND PRECAUTIONS

    5.1 Pulmonary Embolism due to Pulmonary Vascular Precipitates

    Pulmonary vascular precipitates causing pulmonary vascular emboli and pulmonary distress have been reported in patients receiving parenteral nutrition.  The cause of precipitate formation has not been determined in all cases; however, in some fatal cases, pulmonary emboli occurred as a result of calcium phosphate precipitates.  Precipitation has occurred following passage through an in-line filter; in vivo precipitate formation may also have occurred.  If signs of pulmonary distress occur, stop the parenteral nutrition infusion and initiate a medical evaluation.  In addition to inspection of the solution [see Dosage and Administration (2.2, 2.3)], the infusion set and catheter should also periodically be checked for precipitates.

    5.2  Vein Damage and Thrombosis

    Multrys must be prepared and used as an admixture in parenteral nutrition solution.  It is not for direct intravenous infusion.  In addition, consider the osmolarity of the final parenteral nutrition solution in determining peripheral versus central administration.  Solution with an osmolarity of 900 mOsmol/L or greater must be infused through a central catheter [see Dosage and Administration (2.1)].  The infusion of hypertonic nutrient solution into a peripheral vein may result in vein irritation, vein damage, and/or thrombosis.  The primary complication of peripheral access is venous thrombophlebitis, which manifests as pain, erythema, tenderness or a palpable cord. Remove the catheter as soon as possible, if thrombophlebitis develops.

    5.3 Neurologic Toxicity with Manganese

     Pediatric patients on long-term parenteral nutrition receiving manganese at higher than recommended dosages and pediatric patients with cholestatic liver disease have experienced manganese accumulation in the basal ganglia.  Some adult patients with brain MRI findings reportedly experienced neuropsychiatric symptoms, including changes in mood or memory, seizures and/or parkinsonian-like tremors, dysarthria, mask-face, and halting gait.  Some pediatric patients experienced dystonic movements or seizures.  Brain MRI findings and clinical symptoms have also been observed in patients who received manganese at or below the recommended dosage and with normal blood manganese concentrations.  Regression of symptoms and brain MRI findings have occurred over weeks to months following discontinuation of manganese in most patients but have not always completely resolved.

     Monitor patients receiving long-term parenteral nutrition solutions containing Multrys for neurologic signs and symptoms and routinely monitor whole blood manganese concentrations and liver function tests. In case of suspected manganese toxicity or new neuro-psychiatric manifestations, temporarily discontinue Multrys, check manganese whole blood concentrations, and consider brain MRI evaluation.

     Monitor patients receiving Multrys for cholestasis or other biliary liver disease.  Consider individual trace element products as an alternative to Multrys in patients with hepatobiliary disease [see Warnings and Precautions (5.4)].

    5.4  Hepatic Accumulation of Copper and Manganese

    Copper is primarily eliminated in the bile and excretion is decreased in patients with cholestasis and/or cirrhosis.  Hepatic accumulation of copper and manganese have been reported in autopsies of patients receiving long-term parenteral nutrition containing copper and manganese at dosages higher than recommended.

    Patients with cholestasis and/or cirrhosis receiving parenteral nutrition are at increased risk of manganese brain deposition and neurotoxicity [see Warnings and Precautions (5.3)].

    Administration of copper to patients with cholestasis and/or cirrhosis may cause hepatic accumulation of copper.  Administration of copper to patients with Wilson disease, an inborn error of copper metabolism with a defect in hepatocellular copper transport, may cause both increased hepatic accumulation of copper and aggravation of the underlying hepatocellular degeneration. 

    If a patient develops signs or symptoms of hepatobiliary disease during the use of Multrys, obtain serum concentrations of copper and ceruloplasmin as well as manganese whole blood concentrations; consider using individual trace element products in these patients [see Use in Specific Populations (8.6)].

    5.5  Aluminum Toxicity

    Multrys contains aluminum that may be toxic.  Aluminum may reach toxic levels with prolonged parenteral administration if kidney function is impaired.  Preterm infants, including preterm neonates, are particularly at risk because their kidneys are immature, and they require large amounts of calcium and phosphate solutions, which contain aluminum.

    Research indicates that patients with impaired kidney function, including preterm infants and premature neonates, who receive parenteral levels of aluminum at greater than 4 to 5 mcg/kg/day accumulate aluminum at levels associated with central nervous system and bone toxicity.  Tissue loading may occur at even lower rates of administration or lower daily amounts.

    Exposure to aluminum from Multrys is not more than 0.45 mcg/kg/day.  When prescribing Multrys for use in parenteral nutrition containing other small volume parenteral products, the total daily patient exposure to aluminum from the admixture should be considered and maintained at no more than 5 mcg/kg/day.

    5.6  Monitoring and Laboratory Tests

    Monitor zinc, copper, and selenium serum concentrations, manganese whole blood concentration, fluid and electrolyte status, serum osmolarity, blood glucose, liver and kidney function, blood count, and coagulation parameters during use of parenteral nutrition containing Multrys [see Dosage and Administration (2.4)].

    5.7  Hypersensitivity Reactions with Zinc and Copper

    Postmarket safety reporting has identified zinc hypersensitivity in patients receiving zinc-containing insulin products and copper hypersensitivity in women receiving copper-containing intrauterine devices, providing evidence that patients may experience hypersensitivity reactions when exposed to these metals. If hypersensitivity reactions (e.g., pruritis, angioedema, dyspnea, rash, urticaria) occur in patients receiving Multrys in parenteral nutrition, discontinue Multrys, and initiate appropriate medical treatment [see Contraindications (4)].

  • 6 ADVERSE REACTIONS

    The following adverse reactions were identified in clinical studies or post-marketing reports.  Given that some of these reactions were reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

    Adverse reactions with other components of parenteral nutrition solutions:

    • Pulmonary embolism due to pulmonary vascular precipitates [see Warnings and Precautions (5.1)]
    • Vein damage and thrombosis [see Warnings and Precautions (5.2)]
    • Aluminum toxicity [see Warnings and Precautions (5.5)]

      Adverse reactions with the use of trace elements administered parenterally or by other routes of administration:

    • Neurologic toxicity with manganese [see Warnings and Precautions (5.3)]
    • Hepatic accumulation of copper and manganese [see Warnings and Precautions (5.4)]
    • Hypersensitivity reactions with zinc and copper [see Warnings and Precautions (5.7)]
  • 8 USE IN SPECIFIC POPULATIONS

    8.4 Pediatric Use

    Multrys is approved for use in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated.  Safety and dosing recommendations in pediatric patients less than 10 kg are based on published literature describing controlled studies of products containing zinc, copper, manganese, and selenium [see Dosage and Administration (2.5)].

    8.6 Hepatic Impairment

    Copper is primarily excreted in the bile.  Excretion is decreased in patients with cholestasis and/or cirrhosis.  Manganese is presumed to be excreted in bile [see Clinical Pharmacology (12.3)].  Hepatic accumulation of copper and manganese has been reported with long-term administration of parenteral nutrition at dosages higher than recommended [see Warnings and Precautions (5.4)].

    For patients with cholestasis or cirrhosis, monitor hepatic and biliary function during long-term administration of Multrys. 

    If a patient develops signs or symptoms of hepatobiliary disease during use of Multrys, obtain serum concentrations of copper and ceruloplasmin as well as manganese whole blood concentrations; consider using individual trace element products in these patients.

  • 10 OVERDOSAGE

    There is no information on overdose-related toxicity with a fixed-combination trace element product.  However, there are reports on overdosage in the literature for the individual trace elements.  Management of overdosage is supportive care based on presenting signs and symptoms.  Obtain blood samples for laboratory testing of the individual trace elements and ceruloplasmin for copper.

    Zinc

    Acute zinc toxicity was reported in an infant who received an inadvertent 1,000-fold overdose of zinc in parenteral nutrition that led to cardiac failure and death.  Zinc toxicity in adult patients receiving 17 to 400-fold the recommended dosage in parenteral nutrition for 2.5 to 60 days reported signs and symptoms including vomiting, diarrhea, hyperamylasemia, thrombocytopenia, and anemia.  The zinc serum concentration was 2 to 30-fold the upper end of the reported range in healthy subjects in these cases.

    Copper

    Acute copper toxicity was reported in patients with oral, intravenous, or subcutaneous administration.  Clinical manifestations included metallic taste, nausea, vomiting, abdominal pain, and multi-organ failure involving kidney, liver, blood, and cardiovascular systems.  Chelating agents can be used for treatment of acute toxicity.  Long-term administration of parenteral copper above recommended dosage may result in significant accumulation of copper in the liver, brain, and other tissues with possible organ damage [see Warnings and Precautions (5.4)].

    Manganese

    Acute manganese toxicity was reported in adult patients following infusion of manganese more than 10,000-fold the recommended dosage and after use of dialysis fluid contaminated with manganese.  Signs and symptoms included skin flushing, acute pancreatitis, elevated whole blood manganese concentrations, and MRI evidence of brain accumulation of manganese.  Chronic infusion and oral intake of manganese above recommended dosage have resulted in neuropsychiatric symptoms and MRI evidence of brain accumulation of manganese [see Warnings and Precautions (5.3)].

    Selenium

    Acute selenium toxicity was reported with oral overdosage of greater than 1 g/day.  Symptoms included nausea, vomiting, diarrhea, abdominal pain, garlic breath odor, and altered mental status.  Death from circulatory collapse was reported after oral ingestion of 5 to 10 g of selenium with blood concentrations ranging 10 to 50-fold the upper end of the reported range in healthy subjects.

  • 11 DESCRIPTION

    Multrys (trace elements injection 4*, USP) is a sterile, non-pyrogenic, clear, and colorless to slightly blue solution, intended for use as a combination of four trace elements and an additive to intravenous solutions for parenteral nutrition.  It contains no preservative.

    Each single-dose vial contains 1 mL.  *Each mL contains zinc 1,000 mcg (equivalent to zinc sulfate 2,470 mcg), copper 60 mcg (equivalent to cupric sulfate 150 mcg), manganese 3 mcg (equivalent to manganese sulfate 8.22 mcg), selenium 6 mcg (equivalent to selenious acid 9.8 mcg), and water for injection. Sulfuric acid may be added to adjust pH between 1.5 and 3.5.

    Zinc sulfate exists as a heptahydrate. The structural formula is:

    Zinc Sulfate Structural Formula

    Molecular formula: ZnSO4 7H2O.
    Molecular weight: 287.54 g/mol.

    Cupric sulfate exists as a pentahydrate. The structural formula is:

    Cupric Sulfate Structural Formula

    Molecular formula: CuSO4 5H2O.
    Molecular weight: 249.69 g/mol.


    Manganese sulfate exists as a monohydrate. The structural formula is:

    Manganese Structural Formula

    Molecular formula: MnSO4 H2O.

    Molecular weight: 169.02 g/mol.


    The structural formula of selenious acid is:

    Selenious Acid Structural Formula

    Molecular formula: H2SeO3.
    Molecular weight: 128.97 g/mol.

    Multrys contains no more than 1,500 mcg/L of aluminum.

  • 12 CLINICAL PHARMACOLOGY

    12.1 Mechanism of Action

    Zinc

    Zinc functions as a cofactor of various enzymes including DNA polymerases, RNA polymerases, alcohol dehydrogenase, and alkaline phosphatases.  Zinc is a coordinator of protein structural folding that interacts with a variety of proteins, lipids, and nucleic acids.  In addition, zinc is a catalyst of essential biochemical reactions, including activation of substrates of carbonic anhydrase in erythrocyte.

    Copper

    Copper is a cofactor for many metalloenzymes acting as an oxidase to achieve reduction of molecular oxygen.  Examples of copper metalloenzymes include but are not limited to lysyl oxidase, monoamine oxidase, ferroxidase, cytochrome C oxidase, dopamine beta monooxygenase, tyrosinase, and superoxide dismutase.

    Manganese

    Manganese is essential for the normal catalytic activity of several metalloenzymes including manganese superoxide dismutase, arginase, glutamine synthetase, phosphoenolpyruvate decarboxylase, and pyruvate carboxylase.  Manganese contributes to the normal function of several other enzyme families including the oxidoreductases, transferases, hydrolases, lyases, isomerases, and ligases.

    Selenium

    Selenious acid is converted in vivo to hydrogen selenide via glutathione-involved electron reductions.  Hydrogen selenide acts as a selenium pool to form selenoproteins which include, but are not limited to, glutathione peroxidase, iodothyronine deiodinase, peroxidase, and thioredoxins.

    12.2 Pharmacodynamics

    The exposure-response relationship and the time course of pharmacodynamic response are unknown for zinc, copper, manganese, and selenium.

    12.3 Pharmacokinetics

    Zinc

    Over 85% of total body zinc is found in skeletal muscle and bone.  In blood, zinc is mainly localized within erythrocytes.  Approximately 80% of serum zinc is bound to albumin and the remainder to α-2-macroglobulin and amino acids.  In adults, zinc is primarily excreted via the gastrointestinal tract and eliminated in the feces.  A smaller amount of zinc is excreted via the kidneys in the urine.  Urinary zinc excretion rates in very low birth weight preterm infants are relatively high in the neonatal period, and they decline to a level on a body weight basis that is similar to that of normal adults by two months of age.

    Copper

    In plasma, about 7% of copper is bound to albumin and amino acids.  In the liver, about 93% of copper is bound to ceruloplasmin and released to the serum.  Copper is excreted in bile and into the gastrointestinal tract where it is not reabsorbed.  Copper is also eliminated through the kidneys.

    Manganese

    Manganese is widely distributed in body tissues including liver and specific brain regions such as the basal ganglia.  The concentrations of manganese are higher in erythrocytes compared to the plasma or serum concentrations.  In human plasma, manganese is bound to albumin and β1-globulin.  Manganese is found in human bile suggesting biliary excretion.

    Selenium

    In humans, 85% of intravenous administered 75Se-sodium selenite was protein-bound within 4 to 6 hours and 95% by 24 hours.

  • 16 HOW SUPPLIED

    Multrys (trace elements injection 4*, USP) is a clear, colorless to slightly blue solution supplied in:

    *Each mL of Multrys contains zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg.

    Vial closure is not made with natural rubber latex.

    Store at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F) [See USP Controlled Room Temperature].

    Store admixed solution at 2ºC to 8ºC (36ºF to 46ºF) [see Dosage and Administration (2.3)].

  • 17 PATIENT COUNSELING INFORMATION

    Inform patients, caregivers, and home healthcare providers of the following risks of Multrys:

    • Pulmonary embolism due to pulmonary vascular precipitates [see Warnings and Precautions (5.1)]
    • Vein damage and thrombosis [see Warnings and Precautions (5.2)]
    • Neurologic toxicity with manganese [see Warnings and Precautions (5.3)]
    • Hepatic accumulation of copper and manganese [see Warnings and Precautions (5.4)]
    • Aluminum toxicity [see Warnings and Precautions (5.5)]
    • Hypersensitivity reactions with zinc and copper [see Warnings and Precautions (5.7)]
  • SPL UNCLASSIFIED SECTION

    Distributed by:

    ARI Logo

    IN9302

  • PRINCIPAL DISPLAY PANEL - Container Label

    NDC 0517-9302-01

    Rx Only

    Multrys® (Trace Elements Injection 4*, USP)

    *Each mL provides: zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg

    For intravenous infusion after admixing

    For use in neonatal and pediatric patients weighing less than 10 kg

    1 mL Single-Dose Vial - Discard Unused Portion

    1 ml multrys container label

  • PRINCIPAL DISPLAY PANEL - Carton Labeling

    NDC 0517-9302-25

    Rx Only

    Multrys® (Trace Elements Injection 4*, USP)

    *Each mL provides: zinc 1,000 mcg, copper 60 mcg, manganese 3 mcg, and selenium 6 mcg

    For intravenous infusion after admixing

    For use in neonatal and pediatric patients weighing less than 10 kg

    25 x 1 mL Single-Dose Vials - Discard Unused Portion

    1 ml 25 pack multrys carton



  • INGREDIENTS AND APPEARANCE
    MULTRYS 
    trace elements injection 4 injection, solution
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC: 0517-9302
    Route of AdministrationINTRAVENOUS
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    ZINC SULFATE (UNII: 89DS0H96TB) (ZINC CATION - UNII:13S1S8SF37) ZINC CATION2470 ug  in 1 mL
    CUPRIC SULFATE (UNII: LRX7AJ16DT) (CUPRIC CATION - UNII:8CBV67279L) CUPRIC CATION150 ug  in 1 mL
    MANGANESE SULFATE (UNII: W00LYS4T26) (MANGANOUS CATION - UNII:H6EP7W5457) MANGANOUS CATION8.22 ug  in 1 mL
    SELENIOUS ACID (UNII: F6A27P4Q4R) (SELENIOUS ACID - UNII:F6A27P4Q4R) SELENIOUS ACID9.8 ug  in 1 mL
    Inactive Ingredients
    Ingredient NameStrength
    WATER (UNII: 059QF0KO0R)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC: 0517-9302-2525 in 1 TRAY09/01/2021
    1NDC: 0517-9302-011 mL in 1 VIAL, SINGLE-DOSE; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    NDANDA20937609/01/2021
    Labeler - American Regent, Inc. (002033710)
    Establishment
    NameAddressID/FEIBusiness Operations
    American Regent, Inc.002033710analysis(0517-9302) , manufacture(0517-9302)

  • Trademark Results [Multrys]

    Mark Image

    Registration | Serial
    Company
    Trademark
    Application Date
    MULTRYS
    MULTRYS
    90579713 not registered Live/Pending
    American Regent, Inc.
    2021-03-15
    MULTRYS
    MULTRYS
    88181166 not registered Live/Pending
    Luitpold Pharmaceuticals, Inc.
    2018-11-05

    © 2024 FDA.report
    This site is not affiliated with or endorsed by the FDA.