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glutamine (NutreStore, Endari)
Pharmacology:
Tradename: NutreStore
Indications:
1) used to reduce severity of mucositis caused by chemotherapy
2) short-bowel syndrome
3) treatment of irritable bowel syndrome after GI infection [3]
4) treatment of sickle cell disease [2]
Dosage:
- 5-15 grams PO BID based on body weight
- < 30 kg: 5 g/dose (10 g/day)
- 30-65 kg: 10 g/dose (20 g/day)
- > 65 kg: 15 g/dose (30 g/day)
- mix in 8 oz (240 mL) of cold or room temperature beverage or 4-6 oz of food before ingestion
Oral Powder: 5 grams/packet
Adverse effects:
- constipation, nausea, headache, cough,
- abdominal pain, back pain, chest pain, & leg pain [2]
Laboratory:
- glutamine in specimen
- glutamine in body fluid
- glutamine in amniotic fluid
- glutamine in vitreous fluid
- glutamine in CSF
- glutamine in blood
- glutamine in serum/plasma
- glutamine in urine
Mechanism of action:
1) may diminish inflammation & prevent mucosal damage
2) amino-acid supplement (not an essential amino acid)
Related
glutamine in serum/plasma
glutamine residue (Gln, Q)
Specific
phenylacetylglutamine
General
alpha-amino acid
Properties
Database Correlations
PUBCHEM correlations
References
- Prescriber's Letter 8(10):57 2001
- FDA News Release. July 7, 2017
FDA approves new treatment for sickle cell disease.
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm566084.htm
- Zhou Q, Verne ML, Fields JZ et al.
Randomised placebo-controlled trial of dietary glutamine
supplements for postinfectious irritable bowel syndrome.
Gut 2018 Aug 14
- Endari Prescribing Information
https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/208587s000lbl.pdf
Component-of
glutamine/tyrosine