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VITALIPID ADULTS

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About the medicine

How to use VITALIPID ADULTS

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Vitalipid Adults Concentrate for Solution for Infusion

Liposoluble Vitamins

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet. You may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • If you get any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the Package Leaflet

  1. What is Vitalipid Adults and what is it used for
  2. What you need to know before you use Vitalipid Adults
  3. How to use Vitalipid Adults
  4. Possible side effects
  5. Storage of Vitalipid Adults
  6. Contents of the pack and other information

1. What is Vitalipid Adults and what is it used for

It is a mixture of liposoluble vitamins that belongs to the group of medicines called additives for intravenous solutions.

Vitalipid Adults is indicated in adult patients and children from 11 years of age, as a supplement in intravenous nutrition to cover the needs of liposoluble vitamins A, D2, E, and K1.

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2. What you need to know before you use Vitalipid Adults

Vitalipid Adults must not be administered to:

  • If you are allergic to egg protein.
  • This medicine contains soybean oil. It must not be used in case of peanut or soy allergy.
  • If you are allergic to any of the liposoluble vitamins it contains or to any of the other components of this medicine (listed in section 6).
  • If you have hypervitaminosis of the vitamins it contains (excess of them).

Warnings and Precautions

Consult your doctor or pharmacist before Vitalipid Adults is administered to you.

Vitalipid Adults must not be administered undiluted.

This medicine contains soybean oil. It must not be used in case of peanut or soy allergy.

Cross-allergic reactions have been observed between soy and peanuts.

It also contains egg phospholipids, which can very rarely cause allergic reactions.

Other Medicines and Vitalipid Adults

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

Rarely, interactions of liposoluble vitamins with other components in parenteral nutrition regimens have been reported.

Anticoagulant and antiplatelet medicines (which prevent clot formation) administered at the same time as vitamin A in high doses may increase the risk of bleeding.

Minocycline (an antibiotic) administered at the same time as vitamin A in high doses and for a prolonged period may increase the risk of benign intracranial hypertension.

The presence of trace elements (chemical elements needed in small amounts in the body) may cause some degradation of vitamin A.

Vitamin K1 interacts with coumarin-type anticoagulants (such as acenocoumarol or warfarin).

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

No reproduction studies have been performed in animals or humans with Vitalipid Adults during pregnancy.

Human experience suggests that retinol (vitamin A) at high doses (more than 6,000 IU per day) can cause alterations in the newborn.

The vitamins in this medicine pass into breast milk.

Driving and Using Machines

No effects on the ability to drive or use machines are expected.

Vitalipid Adults Contains Soybean Oil and Egg Phospholipids

This medicine contains soybean oil. It must not be used in case of peanut or soy allergy.

Cross-allergic reactions have been observed between soy and peanuts.

It also contains egg phospholipids, which can very rarely cause allergic reactions.

3. How to Use Vitalipid Adults

In case of doubt, consult your doctor or pharmacist.

The ampoule of Vitalipid Adults must be diluted before administration (see below).

Intravenous route.

The normal recommended dose in adult patients and children from 11 years of age is 10 ml (one ampoule) per day.

To consult the instructions for dilution of the medicine before administration, see the section Instructions for Correct Administrationat the end of the package leaflet.

If You Use More Vitalipid Adults Than You Should

Overdose of liposoluble vitamins can lead to toxicity syndromes, although there is no evidence of toxicity at the recommended doses.

If Vitalipid Adults is administered at the recommended dose in a complete parenteral nutrition regimen, no signs or symptoms of intoxication should appear. No specific treatment is necessary.

After prolonged infusion with overdose of Vitamin D, elevated serum concentrations of Vitamin D metabolites may appear. This can cause osteopenia (decrease in bone mineral density).

Rapid infusion of Vitamin K1 in aqueous colloid solution can cause flushing, bronchial constriction (bronchospasm), faster heart rate (tachycardia), and hypotension. These disorders have not been reported after infusions with Vitalipid Adults.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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4. Possible Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

No side effects related to Vitalipid Adults have been reported.

Reporting of Side Effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is possible side effects not listed in this leaflet. You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

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5. Storage of Vitalipid Adults

Keep this medicine out of the sight and reach of children.

Store below 25°C. Protect from light.

Do not freeze.

Retinol (vitamin A) can break down due to exposure to ultraviolet light.

Vitalipid Adults must be diluted before use.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiry date is the last day of the month stated.

Shelf life of the product packaged for sale: 24 months

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6. Contents of the Pack and Other Information

Composition of Vitalipid Adults Concentrate for Solution for Infusion

  • The active substances are: Vitamin A (as retinol palmitate), vitamin K1 (phytomenadione), vitamin D2 (ergocalciferol), and vitamin E (all-rac-α-tocopherol).
  • The other components are purified soybean oil, purified egg phospholipids, anhydrous glycerol, sodium hydroxide 1M, and water for injectable preparations.

The amount of each active substance in Vitalipid Adults is:

Amount per ml: Total amount per ampoule (10 ml):

Retinol (Vit A)............................ 99 micrograms (330 IU) ..............990 micrograms

(as Retinol palmitate .......... 194.1 micrograms)

All-rac-α-Tocopherol (Vit E) ....... 0.91 mg (1 IU) ................................ 9.1 mg

Ergocalciferol (Vit D2) .................. 0.5 micrograms (20 IU) ............... 5 micrograms

Phytomenadione (Vit K1) ............... 15 micrograms ............................ 150 micrograms

pH approx. 8

Osmolality: approx. 300 mosm/kg water

Appearance of the Product and Contents of the Pack

Concentrate for solution for infusion. It is a sterile white homogeneous oil-in-water emulsion. Pack containing 10 ampoules of 10 ml each.

Marketing Authorisation Holder:

FRESENIUS KABI ESPAÑA S.A.U

C/ Marina 16-18

08005 Barcelona

Spain

Manufacturer:

Fresenius Kabi AB

Rapsgatan 7

SE-751 74 Uppsala

Sweden

Date of Last Revision of this Leaflet:January 2017.

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

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This information is intended only for healthcare professionals:

Instructions for Correct Administration

Vitalipid Adults must not be administered undiluted. All additions must be made aseptically.

10 ml (1 ampoule) of Vitalipid Adults should be added to 500 ml of Intralipid or to 500 ml of other lipid emulsions whose compatibility has been previously studied. To ensure a homogeneous mixture, the bottle should be inverted a couple of times immediately before infusion.

Vitalipid Adults can be used to dissolve Soluvit. The contents of one ampoule of Soluvit are dissolved by adding 10 ml of Vitalipid Adults and then adding it to Intralipid or to the lipid emulsion whose compatibility has been previously studied.

Vitalipid Adults can also be used as a complement in Total Parenteral Nutrition (TPN) mixtures in plastic bags.

Incompatibilities

Vitalipid Adults can be added or mixed only with medicinal products whose compatibility has been documented.

Stability

The addition of Vitalipid Adults to the infusion solution should be made up to one hour before the start of the infusion, and it should be used within 24 hours after preparation to prevent microbial contamination. The remaining contents of the bottles/vials/ampoules should be discarded and cannot be used again.

Online doctors for VITALIPID ADULTS

Discuss questions about VITALIPID ADULTS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Doctor

Andreea Mateescu

Paediatrics 8 years exp.

Dr Andreea Mateescu is a board-certified paediatrician with 7 years of clinical experience. She graduated from Carol Davila University of Medicine and Pharmacy in Bucharest, Romania, and completed her paediatric residency at INSMC Alessandrescu-Rusescu. She also holds additional training in general ultrasound diagnostics.

Dr Mateescu focuses on providing high-quality, evidence-based medical care for children, with a strong emphasis on prevention, healthy development, and long-term wellbeing. She believes that clear, empathetic communication with both children and parents is essential for building trust and ensuring effective care.

Online consultations with Dr Mateescu are suitable for:

  • preventive check-ups and monitoring of growth and development;
  • vaccination planning, including personalised and catch-up schedules;
  • assessment of psychomotor, emotional, and physical development;
  • diagnosis and management of acute and chronic paediatric conditions;
  • nutritional guidance for infants and children, including formula selection when medically indicated;
  • care for children with complex or rare conditions;
  • practical guidance and ongoing support for parents.
Dr Mateescu works with patience, empathy, and professionalism, ensuring that each child receives attentive, individualised care. Her goal is to support healthy, balanced development while helping parents feel confident and well-informed at every stage of their child’s care.
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€60
5.0 (145)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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€70
5.0 (7)
Doctor

Anastasiia Hladkykh

Psychiatry 15 years exp.

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
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€130
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Frequently Asked Questions

Is a prescription required for VITALIPID ADULTS?
VITALIPID ADULTS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures VITALIPID ADULTS?
VITALIPID ADULTS is manufactured by Fresenius Kabi España, S.A.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of VITALIPID ADULTS online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether VITALIPID ADULTS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to VITALIPID ADULTS?
Other medicines with the same active substance () include POTASSIUM ACETATE B.BRAUN 1 mEq/ml CONCENTRATE FOR INFUSION SOLUTION, SODIUM BICARBONATE 1/6 M MEIN SOLUTION FOR INFUSION, SODIUM BICARBONATE 1M GRIFOLS INJECTABLE SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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