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Icodextrin

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levels, depending on the used testing system. Specifically, glucose dehydrogenase pyrroloquinolinequinone (GDH-PQQ) or glucose-dye-oxidoreductase (GDO) based tests can erroneously show high blood glucose in patients that have been treated with icodextrin.
577:, and headache. Of these side effects, only hypertension and rashes occurred significantly more often than under glucose solution; the other events seem to be related to peritoneal dialysis in general. 747: 505:
When used for peritoneal dialysis, the icodextrin solution absorbs waste products from the blood, and is removed from the peritoneum after a few hours together with the waste.
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and its number-average molecular weight between 5,000 and 6,500 daltons. The substance is a white to off-white solid, and the solution is clear and colourless to pale yellow.
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Icodextrin is not significantly metabolised inside the peritoneum. Instead, it is absorbed slowly (40% after 12 hours) into the bloodstream via the
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Frampton JE, Plosker GL (2003). "Icodextrin: a review of its use in peritoneal dialysis".
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for three to four days, separating tissues and thus reducing adhesion between them when
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is formed after a surgery. In other words, the tissues are kept from gluing together.
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American College of Physicians--American Society of Internal Medicine (2005).
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Icodextrin is contraindicated in patients with cornstarch allergy,
472:. Its weight-average molecular weight is between 13,000 and 19,000 277: 212: 28: 972: 962: 783: 538: 495: 484:
The osmotic activity of icodextrin keeps the solution inside the
469: 461: 458: 422: 414: 411: 1094: 489: 454: 288: 769: 154: 313: 574: 268: 651:"Adept (4% Icodextrin) Adhesion Reduction Solution" 1107: 200: 670: 174: 741: 464:linked by α-(1→4) and less than 10% α-(1→6) 706: 704: 702: 437:surgery for the reduction of post-surgical 111:In general: ℞ (Prescription only) 748: 734: 327: 27: 256: 699: 620: 618: 494: 323: 220: 1108: 479: 729: 645: 643: 641: 639: 615: 600: 296: 50: 532: 191: 85: 508: 276: 13: 636: 556: 457:-derived, branched, water-soluble 14: 1132: 685:10.2165/00003495-200363190-00011 611:. BMJ Pub. Group. p. 1046. 585:Icodextrin can mimic increased 580: 517:. There it is broken down into 664: 1: 994:Peritoneal dialysis solutions 593: 448: 7: 891:Irrigating solutions (B05C) 772:and related products (B05A) 609:Clinical evidence, Issue 14 10: 1137: 433:, and after gynecological 340:Chemical and physical data 986: 890: 836: 768: 759:and perfusion solutions ( 379: 369: 344: 339: 307: 287: 267: 247: 231: 211: 185: 165: 160: 148: 136: 126: 118: 102: 97: 72: 58: 40: 35: 26: 561:Adverse effects include 547:glycogen storage disease 52:International Drug Names 1064:Sodium glycerophosphate 573:(high blood pressure), 794:Hemoglobin crosfumaril 502: 468:, making it a type of 567:respiratory infection 527:glomerular filtration 498: 429:under the trade name 421:, used in form of an 862:Protein hydrolysates 828:umbilical cord blood 417:agent, derived from 1044:Magnesium phosphate 1024:Potassium phosphate 987:Others (B05D, B05X) 933:Ethacridine lactate 804:Hydroxyethyl starch 799:Hemoglobin raffimer 500:Peritoneal dialysis 480:Mechanism of action 427:peritoneal dialysis 23: 16:Pharmaceutical drug 1049:Magnesium chloride 1004:Sodium bicarbonate 999:Potassium chloride 958:Sodium bicarbonate 503: 19: 1103: 1102: 1080:Potassium acetate 1069:Potassium lactate 1059:Hydrochloric acid 1019:Magnesium sulfate 1014:Ammonium chloride 953:Magnesium citrate 757:Blood substitutes 533:Contraindications 397: 396: 309:CompTox Dashboard 1128: 1090:Alanyl glutamine 1039:Sodium phosphate 1029:Calcium chloride 840:solutions (B05B) 750: 743: 736: 727: 726: 720: 719: 708: 697: 696: 679:(19): 2079–105. 668: 662: 661: 655: 647: 634: 633: 622: 613: 612: 604: 519:oligosaccharides 509:Pharmacokinetics 466:glycosidic bonds 453:Icodextrin is a 393: 392: 385: 332: 331: 317: 315: 300: 280: 260: 224: 204: 194: 193: 178: 89: 54: 31: 24: 22: 18: 1136: 1135: 1131: 1130: 1129: 1127: 1126: 1125: 1121:Polysaccharides 1106: 1105: 1104: 1099: 1009:Sodium chloride 982: 943:Sodium chloride 898:Cetylpyridinium 886: 852:Lipid emulsions 832: 764: 754: 724: 723: 710: 709: 700: 669: 665: 653: 649: 648: 637: 624: 623: 616: 605: 601: 596: 583: 559: 557:Adverse effects 551:lactic acidosis 535: 511: 482: 451: 388: 386: 383:(what is this?) 380: 365: 361: 357: 353: 335: 311: 303: 283: 263: 243: 227: 207: 190: 181: 132:40% in 12 hours 128:Bioavailability 120:Pharmacokinetic 114: 93: 67:Intraperitoneal 61: 17: 12: 11: 5: 1134: 1124: 1123: 1118: 1116:Renal dialysis 1101: 1100: 1098: 1097: 1092: 1087: 1082: 1077: 1071: 1066: 1061: 1056: 1051: 1046: 1041: 1036: 1034:Sodium acetate 1031: 1026: 1021: 1016: 1011: 1006: 1001: 996: 990: 988: 984: 983: 981: 980: 975: 970: 965: 960: 955: 950: 948:Sodium citrate 945: 940: 935: 930: 925: 920: 915: 913:Sulfamethizole 910: 905: 900: 894: 892: 888: 887: 885: 884: 879: 874: 869: 864: 859: 854: 849: 843: 841: 834: 833: 831: 830: 821: 816: 811: 806: 801: 796: 791: 789:Gelatin agents 786: 781: 775: 773: 766: 765: 753: 752: 745: 738: 730: 722: 721: 698: 663: 635: 614: 598: 597: 595: 592: 582: 579: 558: 555: 534: 531: 521:by the enzyme 510: 507: 481: 478: 450: 447: 395: 394: 377: 376: 373: 367: 366: 363: 359: 355: 351: 348: 342: 341: 337: 336: 334: 333: 325:DTXSID70872514 320: 318: 305: 304: 302: 301: 293: 291: 285: 284: 282: 281: 273: 271: 265: 264: 262: 261: 253: 251: 245: 244: 242: 241: 237: 235: 229: 228: 226: 225: 217: 215: 209: 208: 206: 205: 197: 195: 183: 182: 180: 179: 171: 169: 163: 162: 158: 157: 152: 146: 145: 140: 134: 133: 130: 124: 123: 116: 115: 113: 112: 108: 106: 100: 99: 95: 94: 92: 91: 78: 76: 70: 69: 64: 62:administration 56: 55: 48: 38: 37: 33: 32: 15: 9: 6: 4: 3: 2: 1133: 1122: 1119: 1117: 1114: 1113: 1111: 1096: 1093: 1091: 1088: 1086: 1083: 1081: 1078: 1075: 1072: 1070: 1067: 1065: 1062: 1060: 1057: 1055: 1054:Zinc chloride 1052: 1050: 1047: 1045: 1042: 1040: 1037: 1035: 1032: 1030: 1027: 1025: 1022: 1020: 1017: 1015: 1012: 1010: 1007: 1005: 1002: 1000: 997: 995: 992: 991: 989: 985: 979: 976: 974: 971: 969: 966: 964: 961: 959: 956: 954: 951: 949: 946: 944: 941: 939: 936: 934: 931: 929: 926: 924: 923:Mandelic acid 921: 919: 916: 914: 911: 909: 906: 904: 903:Chlorhexidine 901: 899: 896: 895: 893: 889: 883: 880: 878: 875: 873: 870: 868: 865: 863: 860: 858: 857:Carbohydrates 855: 853: 850: 848: 845: 844: 842: 839: 835: 829: 825: 822: 820: 817: 815: 812: 810: 807: 805: 802: 800: 797: 795: 792: 790: 787: 785: 782: 780: 779:Serum albumin 777: 776: 774: 771: 767: 762: 758: 751: 746: 744: 739: 737: 732: 731: 728: 717: 713: 707: 705: 703: 694: 690: 686: 682: 678: 674: 667: 659: 652: 646: 644: 642: 640: 631: 627: 621: 619: 610: 603: 599: 591: 588: 587:blood glucose 578: 576: 572: 568: 564: 554: 552: 548: 545:intolerance, 544: 540: 530: 528: 524: 523:alpha-amylase 520: 516: 515:lymph vessels 506: 501: 497: 493: 491: 487: 477: 475: 471: 467: 463: 460: 456: 446: 444: 440: 436: 432: 428: 425:solution for 424: 420: 416: 413: 409: 405: 401: 391: 384: 378: 374: 372: 368: 349: 347: 343: 338: 330: 326: 322: 321: 319: 310: 306: 299: 298:ChEMBL1201472 295: 294: 292: 290: 286: 279: 275: 274: 272: 270: 266: 259: 255: 254: 252: 250: 246: 239: 238: 236: 234: 230: 223: 219: 218: 216: 214: 210: 203: 199: 198: 196: 188: 184: 177: 173: 172: 170: 168: 164: 159: 156: 153: 151: 147: 144: 143:Alpha-amylase 141: 139: 135: 131: 129: 125: 121: 117: 110: 109: 107: 105: 101: 96: 88: 83: 80: 79: 77: 75: 71: 68: 65: 63: 57: 53: 49: 47: 43: 39: 36:Clinical data 34: 30: 25: 1074:Cardioplegia 867:Electrolytes 819:Blood plasma 814:Thrombocytes 809:Erythrocytes 715: 676: 672: 666: 657: 629: 608: 602: 584: 581:Interactions 571:hypertension 560: 549:, or severe 536: 512: 504: 483: 452: 442: 435:laparoscopic 430: 419:maltodextrin 399: 398: 387:   381:   375:13–19 kg/mol 104:Legal status 98:Legal status 918:Taurolidine 847:Amino acids 838:Intravenous 712:"Extraneal" 626:"Extraneal" 563:peritonitis 176:337376-15-5 161:Identifiers 1110:Categories 928:Noxytiolin 908:Nitrofural 872:Trometamol 824:Stem cells 630:RxList.com 594:References 543:isomaltose 486:peritoneum 400:Icodextrin 371:Molar mass 258:2NX48Z0A9G 233:ChemSpider 167:CAS Number 138:Metabolism 21:Icodextrin 1076:solutions 882:Carbamide 716:Drugs.com 449:Chemistry 439:adhesions 431:Extraneal 150:Excretion 60:Routes of 46:Drugs.com 1085:Arginine 978:Mannitol 968:Sorbitol 938:Neomycin 877:Mannitol 693:12962523 390:(verify) 213:DrugBank 202:17397419 74:ATC code 973:Glycine 963:Glucose 784:Dextran 539:maltose 474:daltons 470:dextrin 462:polymer 459:glucose 423:aqueous 415:osmotic 412:colloid 410:) is a 346:Formula 222:DB00702 187:PubChem 90:) 84: ( 1095:Lysine 691:  575:rashes 490:fibrin 455:starch 289:ChEMBL 278:D03266 189: 826:from 770:Blood 673:Drugs 654:(PDF) 443:Adept 155:Renal 82:B05DA 689:PMID 408:USAN 269:KEGG 249:UNII 240:none 122:data 42:AHFS 761:B05 681:doi 658:FDA 541:or 404:INN 314:EPA 192:SID 87:WHO 1112:: 714:. 701:^ 687:. 677:63 675:. 656:. 638:^ 628:. 617:^ 569:, 565:, 553:. 529:. 445:. 406:, 356:10 350:(C 763:) 749:e 742:t 735:v 718:. 695:. 683:: 660:. 632:. 402:( 364:n 362:) 360:5 358:O 354:H 352:6 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Index


AHFS
Drugs.com
International Drug Names
Routes of
administration

Intraperitoneal
ATC code
B05DA
WHO
Legal status
Pharmacokinetic
Bioavailability
Metabolism
Alpha-amylase
Excretion
Renal
CAS Number
337376-15-5
PubChem
17397419
DrugBank
DB00702
ChemSpider
UNII
2NX48Z0A9G
KEGG
D03266
ChEMBL
ChEMBL1201472
CompTox Dashboard

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