What is Extraneal used for?
Extraneal is a sterile peritoneal dialysis solution
used for chronic kidney failure. It draws fluid and wastes
from your bloodstream into your peritoneal cavity (the space
inside your abdomen). The fluids and wastes are removed from
your body when the Extraneal solution is drained. You should
use Extraneal only for the long dwell exchange (8-16 hours) in
peritoneal dialysis, and not more than 1 exchange in 24 hours.
Who should not be treated with Extraneal?
Do not use Extraneal if you:
- have a glycogen storage disease
- are allergic to Extraneal or to any of the
ingredients in Extraneal. Extraneal contains icodextrin,
which is made from cornstarch.
Special Warnings with Extraneal:
If you monitor your blood glucose, you must use a
glucose specific monitor and test strips. If your glucose
monitor or test strips use a glucose dehydrogenase
pyrroloquinolinequinone (GDH PQQ) method, using EXTRANEAL may
cause a falsely high glucose reading. A false high blood
glucose reading could cause you to give more insulin than you
need. Getting more insulin than you need can lower your blood
sugar unnecessarily and can cause a serious reaction including
loss of consciousness. You or your health care provider should
contact the manufacturer(s) of the monitor and test strips you
use to make sure that Extraneal, icodextrin or maltose will
not interfere with the test results.
What should I tell my health care provider?
Tell your health care provider if you:
- have a condition that restricts normal
nutrition (you do not eat well)
- have a lung or breathing problem
- have low potassium levels in your blood
- have high calcium levels in your blood
- are trying to become pregnant, are
already pregnant, or are breast-feeding
- use cardiac glycosides, such as digoxin.
Your health care provider may need to monitor your blood
levels of calcium, potassium and magnesium.
Tell your health care provider if you have
had abdominal (stomach area):
- surgery in the past 30 days
- tumors
- open wounds
- hernia
Tell your health care provider about any
other conditions you have that may affect the wall of your
abdomen, inside or outside of your abdomen.
Tell your health care provider about all the
medicines you take, including prescription and
non-prescription medicines, vitamins, and herbal supplements.
Especially tell your health care provider if you take insulin
and blood pressure medicines. Extraneal may affect how these
medicines work.
What are some possible side effects of Extraneal?
(This is NOT a complete list of side
effects reported with Extraneal. Your health care provider can
discuss with you a more complete list of side effects.)
Rash is the most common side effect of Extraneal. It
usually appears during the first 3 weeks of treatment and goes
away when treatment stops. This side effect is more common in
women.
Other side effects of Extraneal:
- peritonitis (an infection in the peritoneal cavity).
Report any symptoms of peritonitis (pain, redness, fever,
and cloudy drained fluid) to your health care provider right
away.
- high blood pressure
- cold
- headache
- abdominal (stomach) pain
- cough
- flu-like symptoms
- nausea
- swelling
- chest pain
- upset stomach
- high blood sugar
For more detailed information about Extraneal, ask your
health care provider or pharmacist.
Extraneal's Approved Labeling and Patient Information
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