{"active_ingredient":["One vial of Soluvit N contains: Active ingredients Quantity 1 ml of reconstituted Thiamine Soluvit N contains: mononitrate (Corresponding to Vitamin B 1 2.5 mg) Riboflavine sodium 3.1 mg 0.31 mg phosphate (Corresponding to Vitamin B 2 3.6 mg) 4.9 mg 0.49 mg Nicotinamide Pyridoxine 40 mg 4.0 mg hydrochloride (corresponding to Vitamin B 6 4.0 mg) Sodium 4.9 mg 0.49 mg pantothenate (corresponding to pantothenic acid 15.0 mg) 16.5 mg 1.65 mg Sodium ascorbate (corresponding to Vitamin C 100 mg) 113 mg 11.3 mg Biotin 60 μg 6.0 μg Folic acid 0.40 mg 40 μg Cyanocobalamin 5.0 μg 0.5 μg For the full list of excipients, see section list of excipients. Osmolality in 10 ml of water: approx. 490 mosm/kg water pH in 10 ml of water: 5.8 Therapeutic indications Soluvit N is indicated in adult patients and children as a supplement in intravenous nutrition to meet the daily requirements of water soluble vitamins."],"active_ingredient_table":["<table width=\"100%\" styleCode=\"Noautorules\"><col width=\"38.500%\" align=\"left\"/><col width=\"19.667%\" align=\"left\"/><col width=\"41.833%\" align=\"left\"/><tbody><tr><td align=\"left\" valign=\"top\"><content styleCode=\"bold italics\">Active ingredients</content></td><td align=\"left\" valign=\"top\"><content styleCode=\"bold italics\">Quantity</content></td><td align=\"left\" valign=\"top\"><content styleCode=\"bold italics\">1 ml of reconstituted</content></td></tr><tr><td align=\"left\" valign=\"top\"> Thiamine </td><td align=\"left\" valign=\"top\"/><td align=\"left\" valign=\"top\"><content styleCode=\"bold italics\">Soluvit N contains:</content></td></tr><tr><td align=\"left\" valign=\"top\">mononitrate (Corresponding to Vitamin B<sub>1</sub> 2.5 mg) Riboflavine sodium </td><td align=\"left\" valign=\"top\">3.1 mg </td><td align=\"left\" valign=\"top\">0.31 mg </td></tr><tr><td align=\"left\" valign=\"top\">phosphate (Corresponding to Vitamin B<sub>2</sub> 3.6 mg) </td><td align=\"left\" valign=\"top\">4.9 mg </td><td align=\"left\" valign=\"top\">0.49 mg </td></tr><tr><td align=\"left\" valign=\"top\">Nicotinamide Pyridoxine </td><td align=\"left\" valign=\"top\">40 mg </td><td align=\"left\" valign=\"top\">4.0 mg </td></tr><tr><td align=\"left\" valign=\"top\">hydrochloride (corresponding to Vitamin B<sub>6</sub> 4.0 mg) Sodium </td><td align=\"left\" valign=\"top\">4.9 mg </td><td align=\"left\" valign=\"top\">0.49 mg </td></tr><tr><td align=\"left\" valign=\"top\">pantothenate (corresponding to pantothenic acid 15.0 mg) </td><td align=\"left\" valign=\"top\">16.5 mg </td><td align=\"left\" valign=\"top\">1.65 mg </td></tr><tr><td align=\"left\" valign=\"middle\"> Sodium ascorbate (corresponding to Vitamin C 100 mg) </td><td align=\"left\" valign=\"top\"> 113 mg </td><td align=\"left\" valign=\"top\"> 11.3 mg </td></tr><tr><td align=\"left\" valign=\"middle\">Biotin </td><td align=\"left\" valign=\"middle\">60 &#x3BC;g </td><td align=\"left\" valign=\"middle\">6.0 &#x3BC;g </td></tr><tr><td align=\"left\" valign=\"middle\">Folic acid </td><td align=\"left\" valign=\"middle\">0.40 mg </td><td align=\"left\" valign=\"middle\">40 &#x3BC;g </td></tr><tr><td align=\"left\" valign=\"bottom\">Cyanocobalamin </td><td align=\"left\" valign=\"bottom\">5.0 &#x3BC;g </td><td align=\"left\" valign=\"bottom\">0.5 &#x3BC;g </td></tr></tbody></table>"],"contraindications":["Contraindications Known hypersensitivity to any of the components, e.g. thiamine or methyl parahydroxybenzoate."],"dosage_and_administration":["Posology and method of administration Posology Adults: For adult patients and children weighing 10 kg or more, the recommended daily dosage is the content of one vial. Infants: Children weighing less than 10 kg should be given 1/10 of the content of one vial per kg body weight per day."],"effective_time":"20240606","id":"44ac95c9-29c5-4867-a426-9e838c11cf0a","instructions_for_use":["Instructions for use/handling, and disposal Adults and children age 11 years and above: The contents of one vial of Soluvit N are dissolved by adding 10 ml of: 1. Vitalipid N Adult or 2. Intralipid 10%, Intralipid 20%, Intralipid 30%, Structolipid or 3. Water for Injections or 4. Glucose solution for infusion (5%-50%) Soluvit N may be added to parenteral nutrition admixtures containing carbohydrates, lipids, amino acids, electrolytes and trace elements provided that compatibility and stability have been confirmed. Children below 11 years of age: The contents of one vial are dissolved by adding 10 ml of: 1. Vitalipid N Infant (for children above 10 kg/bw) or 2. Intralipid 10%, Intralipid 20% or 3. Water for Injections or 4. Glucose solution for infusion (5%-50%) Children weighing less than 10 kg should be given 1 ml of the dissolved mixture per kg body weight per day. Children weighing 10 kg or more should be given 10 ml (one vial) per day. Due to differences in the dosage regimes for Soluvit N and Vitalipid N Infant, the mixture 1 is not recommended for children weighing less than 10 kg. Soluvit N may be added to parenteral nutrition admixtures containing carbohydrates, lipids, amino acids, electrolytes and trace elements provided that compatibility and stability have been confirmed. Disposal Any unused medicinal product or waste material should be disposed of in accordance with local requirements. Manufacturer: Fresenius Kabi AB, Uppsala, Sweden March 2019 Fresenius Kabi Logo"],"openfda":{},"overdosage":["Overdose No adverse effects of an overdose of water soluble vitamins have been reported, with exception of cases of extremly high parenteral doses. Overdoses caused by parenteral preparations for nutritional supplement of water soluble vitamins have not been reported. No specific treatment is needed. See also section Contraindications."],"package_label_principal_display_panel":["PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Vial Label Soluvit N Powder for solution for infusion PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Vial Label","PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Carton Soluvit™ N Powder for solution for infusion 10 Vials PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Carton","PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Vial Label Soluvit - Trockensubstanz zur Infusionsbereitung PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Vial Label Soluvit N","PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Carton Soluvit - Trockensubstanz zur Infusionsbereitung 10 Trockenstechampullen PACKAGE LABEL – PRINCIPAL DISPLAY – Soluvit N Carton"],"set_id":"9b0856db-7112-45a7-bda4-f5f3510f5e1a","spl_product_data_elements":["SOLUVIT N thiamine mononitrate, riboflavin 5-phosphate sodium anhydrous, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, sodium pantothenate, biotin, sodium ascorbate thiamine mononitrate thiamine ion thiamine riboflavin 5'-phosphate sodium anhydrous riboflavin 5'-phosphate niacinamide niacinamide pyridoxine hydrochloride pyridoxine folic acid folic acid cyanocobalamin cyanocobalamin sodium pantothenate pantothenic acid biotin biotin sodium ascorbate ascorbic acid edetate disodium glycine water methylparaben SOLUVIT N thiamine mononitrate, riboflavin 5-phosphate sodium anhydrous, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, sodium pantothenate, biotin, sodium ascorbate thiamine mononitrate thiamine ion thiamine riboflavin 5'-phosphate sodium anhydrous riboflavin 5'-phosphate niacinamide niacinamide pyridoxine hydrochloride pyridoxine folic acid folic acid cyanocobalamin cyanocobalamin sodium pantothenate pantothenic acid biotin biotin sodium ascorbate ascorbic acid edetate disodium glycine water"],"spl_unclassified_section":["Presentation Soluvit N is a lyophilized, sterile, yellow mixture of water soluble vitamins for intravenous infusion. Qualitative and Quantitative Composition","Interaction with other medicinal products and other forms of interaction Folic acid may lower the serum concentration of phenytoin and obscure pernicious anaemia. Vitamin B 6 can reduce the effect of levodopa.","Fertility, pregnancy and lactation Animal reproduction studies or clinical investigations during pregnancy have not been carried out with Soluvit N. There are, however, published reports on safe administration of water soluble vitamins in this patient group.","Effects on ability to drive and use machines Not relevant.","Undesirable effects Allergic reactions including severe (anaphylactic) reactions may occur in patients hypersensitive to any component of the preparation, e.g. folic acid, thiamine or methyl parahydroxybensoate (frequency not known). Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the national reporting system.","List of excipients Glycine (Aminoacetic acid) Disodium edetate. Methyl parahydroxybenzoate","Incompatibilities Soluvit N may only be added to or mixed with other medicinal products for which compatibility has been documented.","Shelf-life of the medicinal product as packed for sale 18 months Shelf-life after mixing Chemical and physical in-use stability after dilution has been demonstrated for 24 hours at 25°C. From a microbiological point of view, the product should be used immediately. If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at 2-8°C, unless mixing has taken place in controlled and validated aseptic conditions."],"storage_and_handling":["Special precautions for storage Do not store above 25°C. Protect from light."],"version":"2","warnings":["Special warning and special precaution for use Soluvit N must not be given undiluted. When Soluvit N is diluted with water based solutions, the admixture should be protected from light. This is not necessary if Soluvit N is diluted with Intralipid because of the protective effect of the fat emulsion. Interference with clinical laboratory tests Biotin may interfere with laboratory tests that are based on a biotin/streptavidin interaction, leading to either falsely decreased or falsely increased test results, depending on the assay. The risk of interference is higher in children and patients with renal impairment and increases with higher doses. When interpreting results of laboratory tests, possible biotin interference has to be taken into consideration, especially if a lack of coherence with the clinical presentation is observed (e.g. thyroid test results mimicking Graves' disease in asymptomatic patients taking biotin or false negative troponin test results in patients with myocardial infarction taking biotin). Alternative tests not susceptible to biotin interference should be used, if available, in cases where interference is suspected. The laboratory personnel should be consulted when ordering laboratory tests in patients taking biotin."]}