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VITALIPID ADULTS

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
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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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
5.0 (821)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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€55
0.0 (5)
Doctor

Daria Portnova

Psychiatry 31 years exp.

Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations. In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life. Patients consult Dr Daria Portnova for the following concerns: 

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.

Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.

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€110
3
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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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