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11/14/2018

Amino Acids in Dextrose

Products Affected - Description

    • Clinimix 2.75/5 (sulfite-free) injection, Baxter, 2.75%/5%, 1000 mL bag, 6 count, NDC 00338-1132-03
    • Clinimix 4.25/20 injection, Baxter, 4.25%/20%, 1000 mL bag, 6 count, NDC 00338-1135-03
    • Clinimix 4.25/20 (sulfite-free) injection, Baxter, 4.25%/20%, 2000 mL bag, 4 count, NDC 00338-1093-04
    • Clinimix 4.25/25 (sulfite-free) injection, Baxter, 4.25%/25%, 1000 mL bag, 6 count, NDC 00338-1136-03
    • Clinimix 4.25/25 (sulfite-free) injection, Baxter, 4.25%/25%, 2000 mL bag, 4 count, NDC 00338-1095-04
    • Clinimix 5/25 (sulfite-free) injection, Baxter, 5%/25%, 1000 mL bag, 6 count, NDC 00338-1139-03
    • Clinimix 5/25 (sulfite-free) injection, Baxter, 5%/25%, 2000 mL bag, 4 count, NDC 00338-1103-04

Reason for the Shortage

    • Baxter had all Clinimix presentations on allocation due to delays because of the hurricane in Puerto Rico.
    • Baxter discontinued several Clinimix presentations in 2018.

Available Products

    • Clinimix 4.25/10 (sulfite-free) injection, Baxter, 4.25%/10%, 1000 mL bag, 6 count, NDC 00338-1134-03
    • Clinimix 4.25/10 (sulfite-free) injection, Baxter, 4.25%/10%, 2000 mL bag, 4 count, NDC 00338-1091-04
    • Clinimix 4.25/5 (sulfite-free) injection, Baxter, 4.25%/5%, 1000 mL bag, 6 count, NDC 00338-1133-03
    • Clinimix 4.25/5 (sulfite-free) injection, Baxter, 4.25%/5%, 2000 mL bag, 4 count, NDC 00338-1089-04
    • Clinimix 5/15 (sulfite-free) injection, Baxter, 5%/15%, 1000 mL bag, 6 count, NDC 00338-1137-03
    • Clinimix 5/15 (sulfite-free) injection, Baxter, 5%/15%, 2000 mL bag, 4 count, NDC 00338-1099-04
    • Clinimix 5/20 (sulfite-free) injection, Baxter, 5%/20%, 1000 mL bag, 6 count, NDC 00338-1138-03
    • Clinimix 5/20 (sulfite-free) injection, Baxter, 5%/20%, 2000 mL bag, 4 count, NDC 00338-1101-04

Estimated Resupply Dates

    • Baxter has all marketed Clinimix presentations available.

Safety

    • ASPEN provides recommendations for managing shortages of parenteral nutrition products. See their website for more details (https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/Product_Shortages/Product_Shortage_Management/).

Updated

Updated November 14, 2018 by Leslie Jensen, PharmD, Drug Information Specialist. Created October 16, 2017 by Elyse MacDonald, PharmD, MS, BCPS. Copyright 2018, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. ASHP and the University of Utah make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information, and specifically disclaim all such warranties. Users of this information are advised that decisions regarding the use of drugs and drug therapies are complex medical decisions and that in using this information, each user must exercise his or her own independent professional judgment. Neither ASHP nor the University of Utah assumes any liability for persons administering or receiving drugs or other medical care in reliance upon this information, or otherwise in connection with this Bulletin. Neither ASHP nor the University of Utah endorses or recommends the use of any particular drug. Any application of this information for any purpose shall be limited to personal, non-commercial use.

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