BICAVERA Solution for peritoneal dialysis Ref.[50426] Active ingredients: Calcium chloride Glucose Magnesium chloride Sodium bicarbonate Sodium chloride

Source: Marketing Authorisation Holder  Revision Year: 2022  Publisher: Fresenius Medical Care Deutschland GmbH, Else-Kröner-Straße 1, 61352 Bad Homburg, Germany

Product name and form

BicaVera 1.5% Glucose, 1.25 mmol/l Calcium.

Solution for peritoneal dialysis.

Pharmaceutical Form

Solution for peritoneal dialysis.

Clear and colourless solution.

Theoretical osmolarity: 357 mOsm/l
pH ≈ 7.4

Qualitative and quantitative composition

BicaVera 1.5% Glucose, 1.25 mmol/l Calcium is delivered in a double chamber bag. One chamber contains the alkaline hydrogen carbonate solution, the other chamber contains the acidic glucose-based electrolyte solution. Mixing of both solutions by opening the median seam between the two chambers results in the ready-to-use solution.

Before reconstitution

1 litre of acidic glucose based electrolyte solution contains:

Active substances:

Calcium chloride dihydrate 0.3675 g
Sodium chloride 11.57 g
Magnesium chloride hexahydrate 0.2033 g
Glucose monohydrate 33.0 g
(equivalent to glucose) (30.0 g)

This corresponds to:

Ca2+ 2.5 mmol/l
Na+ 198 mmol/l
Mg2+ 1.0 mmol/l
Cl- 207 mmol/l

1 litre of alkaline hydrogen carbonate solution contains:

Active substances:

Sodium hydrogen carbonate 5.88 g

This corresponds to:

Na+ 70 mmol/l
HCO3- 70 mmol/l

After reconstitution

1 litre of the ready-to-use solution contains:

Active substances:

Calcium chloride dihydrate 0.1838 g
Sodium chloride 5.786 g
Sodium hydrogen carbonate 2.940 g
Magnesium chloride hexahydrate 0.1017 g
Glucose monohydrate 16.5 g
(equivalent to glucose) (15.0 g)

This corresponds to:

Ca2+ 1.25 mmol/l
Na+ 134 mmol/l
Mg2+ 0.5 mmol/l
Cl- 103.5 mmol/l
HCO3- 34 mmol/l
Glucose 83.25 mmol/l

For a full list of excipients, see section 6.1.

Active Ingredient Description
Calcium chloride

Calcium is the most abundant mineral in the body, and is an essential body electrolyte. Homeostasis is mainly regulated by the parathyroid hormone, by calcitonin, and by the activated form of vitamin D. Calcium is a structural component of bones and teeth. It is also required for blood clotting, neurotransmitter release, muscle contraction and normal heartbeat.

Glucose

Glucose is frequently used in both adults and children to restore blood glucose concentrations in the treatment of hypoglycaemia resulting from insulin excess or from other causes. The metabolism of glucose is an energy source for the body.

Magnesium chloride
Sodium bicarbonate

Sodium bicarbonate has antacid properties. Sodium bicarbonate causes neutralisation of gastric acid with the production of carbon dioxide.

Sodium chloride

Sodium chloride is the principle salt involved in maintaining the osmotic tension of blood and tissues. Changes in osmotic tension influence the movement of fluids and diffusion of salts in cellular tissue.

List of Excipients

Hydrochloric acid
Sodium hydroxide
Carbon dioxide
Water for injections

Pack sizes and marketing

Double-chamber bag

One chamber contains the alkaline hydrogen carbonate solution; the other chamber contains the acidic glucose-based electrolyte solution. Mixing of both solutions (ratio 1:1) by opening the median seam between the two chambers results in the ready-touse solution.

Stay safe

The stay safe system is provided as a double bag system consisting of a doublechamber solution bag and a drainage bag, both with injection units, a transfer tubing system and a system connector. All components are based on polypropylene. The bags and tubings also contain synthetic elastomers. The solution bag is laminated in addition by polyester. The stay safe system is wrapped up in an outer bag made of polyolefins.

Sleep safe

The sleep safe system is provided as a single bag system consisting of a doublechamber solution bag with an injection unit, a transfer tubing system and a bag connector. All components are based on polypropylene. The bags and tubings also contain synthetic elastomers. Further materials of the solution bag are polyester and polyamide. The sleep safe system is wrapped up in an outer bag made of polyolefines.

Sleep safe combo

The sleep safe combo system is bicaVera sleep safe additionally provided with a disinfection cap and a sleep safe Set Plus for the application to the patient.

Pack sizes:

Stay safe sleep safe
4 bags of 2000 ml4 bags of 3000 ml
4 bags of 2500 ml2 bags of 5000 ml

Sleep safe combo:

2 bags of 5000 ml + disinfection cap + sleep safe Set Plus

Not all pack sizes may be marketed.

Marketing authorization holder

Fresenius Medical Care Deutschland GmbH, Else-Kröner-Straße 1, 61352 Bad Homburg, Germany

Marketing authorization dates and numbers

PL 13689/0021

26/10/2016

Drugs

Drug Countries
BICAVERA Austria, Cyprus, Estonia, Spain, Finland, France, Croatia, Poland

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