Elemune 20gm Infusion: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of the face, lips, or throat
- Severe allergic reaction with rash, itching, or hives
- Chest pain or irregular heartbeat
- Confusion, lethargy, or seizures
- Decreased urine output or swelling in the legs
- Severe abdominal pain or vomiting blood
- Yellowing of the skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is ib-gluta infusion used for?
This medicine is an intravenous infusion of L-alanyl-L-glutamine, used to provide glutamine to patients who cannot eat enough. It supports gut health, immune function, and muscle maintenance during illness or recovery.
- Generic Name: L-alanyl-L-glutamine (20gm)
- Manufacturer: Fusion Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ib-gluta infusion के बारे में (Hindi Summary)
उपयोग: यह दवा एल-एलेनिल-एल-ग्लूटामाइन का इंट्रावेनस इन्फ्यूजन है, जिसका उपयोग उन मरीजों में किया जाता है जो मुंह से पर्याप्त भोजन नहीं कर पाते या जिन्हें ग्लूटामाइन की अतिरिक्त आवश्यकता होती है। यह आंतों की सेहत, प्रतिरक्षा प्रणाली और मांसपेशियों को बनाए रखने में मदद करती है। यह गंभीर बीमारी, सर्जरी या आघात से उबरने वाले मरीजों के लिए दी जाती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में असहजता और दस्त शामिल हैं। कुछ मरीजों को सिरदर्द, चक्कर आना या धातु जैसा स्वाद महसूस हो सकता है। इंजेक्शन की जगह पर लालिमा, सूजन या दर्द हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सांस लेने में कठिनाई या इलेक्ट्रोलाइट असंतुलन हो सकता है। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: यह दवा केवल अस्पताल या क्लिनिक में योग्य स्वास्थ्यकर्मी द्वारा ही दी जानी चाहिए। इसे स्वयं न लगाएं। अपने डॉक्टर को अपनी सभी चिकित्सीय स्थितियों, विशेषकर गुर्दे या यकृत की बीमारी, और किसी भी एलर्जी के बारे में बताएं। इलाज के दौरान डॉक्टर आपके गुर्दे, यकृत, इलेक्ट्रोलाइट और तरल संतुलन की निगरानी करेंगे। यदि घोल धुंधला या कणों युक्त हो तो उपयोग न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 ib-gluta infusion Uses & Benefits
[{"condition":"Parenteral nutrition supplementation","description":"Provides glutamine to patients who cannot eat or absorb enough nutrients orally or enterally, supporting gut integrity and immune function.","evidence":"Well-established"},{"condition":"Critical illness and catabolic states","description":"Helps maintain muscle mass and supports recovery in patients with severe burns, trauma, or sepsis who are under metabolic stress.","evidence":"Moderate"},{"condition":"Post-operative recovery","description":"Used after major surgery to support healing and reduce complications related to gut barrier dysfunction.","evidence":"Moderate"},{"condition":"Short bowel syndrome","description":"May aid in intestinal adaptation and nutrient absorption in patients with compromised gut function.","evidence":"Limited"}]
Off-label uses: [{"condition":"Chemotherapy-induced mucositis","description":"Sometimes used off-label to reduce severity of oral and gastrointestinal mucositis in cancer patients undergoing chemotherapy.","evidence":"Limited"},{"condition":"Sickle cell disease","description":"Investigated for its potential to reduce oxidative stress and improve endothelial function, but not standard practice.","evidence":"Limited"}]
Primary treatment for: Nutritional deficiency requiring parenteral glutamine supplementation
Also treats: Critical illness, Post-operative recovery, Short bowel syndrome, Malnutrition
📋 Drug Information
| Generic Name(s) | L-alanyl-L-glutamine (20gm) |
| Brand Name | ib-gluta infusion |
| Manufacturer | Fusion Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Amino acids |
| Route of Administration | Parenteral (intravenous infusion) |
| Storage | Store at room temperature (15-30°C). Do not freeze. Keep in the original container until use. Protect from light. |
| Shelf Life | Refer to the product packaging for the expiration date. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine delivers L-alanyl-L-glutamine, which is rapidly hydrolyzed by dipeptidases in the bloodstream to release free glutamine and alanine. Glutamine is a key substrate for rapidly dividing cells such as enterocytes, colonocytes, and lymphocytes. It serves as a precursor for nucleotides, glutathione, and other important molecules. By providing exogenous glutamine, this medicine helps maintain gut mucosal integrity, supports immune function, and attenuates muscle protein breakdown during catabolic illness. Alanine released from the dipeptide can be used for gluconeogenesis, contributing to glucose homeostasis.
Mechanism Steps
💡 How to Take ib-gluta infusion
Strength: 20 g of L-alanyl-L-glutamine per infusion bag (as a sterile solution for intravenous infusion).
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 20 g of L-alanyl-L-glutamine (equivalent to approximately 13.46 g of L-glutamine) administered as an intravenous infusion once daily or as directed by a clinician. The dose may be adjusted based on the patient's clinical condition, nutritional requirements, and renal and hepatic function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may have reduced renal or hepatic function and may require dose adjustment. Use with caution and monitor closely. |
| Renal Impairment | In patients with renal impairment, dose reduction may be necessary. Contraindicated in severe renal impairment (creatinine clearance < 25 mL/min). Consult a clinician for individualized dosing. |
| Hepatic Impairment | In patients with hepatic impairment, dose reduction may be necessary. Contraindicated in severe hepatic dysfunction. Consult a clinician for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 20 g of L-alanyl-L-glutamine, but this may vary based on clinical judgment. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ib-gluta infusion
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
🚨 Major Interactions
- None established
⚡ Moderate Interactions
- None established
🍷 Alcohol Interaction
Alcohol consumption should be avoided while receiving this medicine, as alcohol can worsen dehydration, electrolyte imbalances, and liver stress. Consult your doctor for personalized advice.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe renal impairment (e.g., creatinine clearance < 25 mL/min)","Severe hepatic dysfunction","Known hypersensitivity to L-alanyl-L-glutamine or any component of the formulation","Inborn errors of amino acid metabolism","Severe metabolic acidosis"]
⚠️ Warnings & Precautions
["Administer only under medical supervision.","Monitor for signs of allergic reactions.","Use with caution in patients with renal or hepatic impairment.","Do not use if the solution is cloudy or contains particles.","Ensure proper aseptic technique during preparation.","Do not add other medications to the infusion bag unless instructed.","Monitor electrolyte levels and fluid balance regularly.","Avoid in patients with severe metabolic acidosis."]
🤱 Lactation Safety
It is not known whether L-alanyl-L-glutamine is excreted in human breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose with this medicine is unlikely due to its administration by healthcare professionals. If overdose is suspected, stop the infusion and provide supportive care. Monitor electrolytes, renal function, and fluid status. There is no specific antidote. Contact a poison control center if needed.
⏰ Missed Dose
This medicine is administered by healthcare professionals in a clinical setting. If a dose is missed, it will be rescheduled by your healthcare team. Do not attempt to self-administer a missed dose.
Additional Safety Advice
This medicine must be administered only by a qualified healthcare professional in a clinical setting. Do not attempt to self-administer this infusion. Inform your doctor about all your medical conditions, especially kidney or liver disease, and any allergies you have. Your doctor will monitor your kidney and liver function, electrolyte levels, and acid-base balance during treatment. Do not use this medicine if the solution is cloudy, discolored, or contains particles. Follow strict aseptic technique during preparation and administration to prevent infection. Do not add other medications to the infusion bag unless specifically instructed. Keep this medicine out of reach of children. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before receiving this medicine. Report any new or worsening symptoms to your healthcare provider immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may have reduced renal and hepatic function and may require dose adjustments. Monitor closely for side effects and electrolyte imbalances.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before receiving this medicine. Safety in pregnancy is not well established.
🏥 Post-Surgery Considerations
This medicine is often used after major surgery to support recovery and maintain gut integrity. It is administered under medical supervision.
🦷 Dental Procedures
No specific precautions are required for dental procedures while receiving this medicine, but inform your dentist about your treatment.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while receiving this medicine, especially if you are recovering from illness or surgery. Consult your doctor before starting any exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is administered in a healthcare setting, so it may require time away from work for treatment. Discuss your treatment schedule with your employer and plan for rest as needed.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your healthcare provider will determine when to stop based on your clinical condition and nutritional status.
📅 Long-Term Use Effects
Long-term use of this medicine should be monitored for potential effects on liver and kidney function, as well as electrolyte balance. Prolonged use without proper monitoring may lead to complications. Regular follow-up with your healthcare provider is essential to assess ongoing need and adjust treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
May be used if oral intake is possible and adequate, but not a substitute for intravenous therapy in severe cases.
Evidence: LimitedTube feeding may be an alternative if the gut is functional but oral intake is insufficient.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor regarding vaccination timing if you are immunocompromised or recovering from illness.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not freeze
✅ DO
Keep in original container until use
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Protect from light
❌ DON'T
Do not use if solution is cloudy or contains particles
✈️ Traveling with This Medicine
This medicine is administered in a healthcare setting, so travel advice is limited. If you are traveling and need to continue treatment, ensure you have a copy of your prescription and a letter from your doctor explaining the medical need. Carry the medicine in its original packaging and store it at room temperature, away from direct sunlight. Check with your airline and destination country about regulations for carrying medical infusions. Arrange for administration by a qualified healthcare professional at your destination.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The medicine starts working immediately after infusion, but clinical effects on gut and immune function may take several days to become noticeable.
A: This medicine is given in a clinical setting. You should not drive immediately after infusion if you feel dizzy or unwell. Follow your doctor's advice.
A: Safety in pregnancy is not well established. Use only if clearly needed and prescribed by your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for ib-gluta infusion
View AllAlternative brands with exact same active ingredient:
-
orvoglut 20gm infusionUnited Biotech Pvt Ltd ₹1,335.94 15.9% CHEAPER
-
immuflash 20 solution for infusionStrathspey Labs Pvt Ltd ₹1,405.31 11.6% CHEAPER
-
l-gludel 20% infusionH & I Critical Care ₹1,486.41 6.5% CHEAPER
-
glutaverge solution for infusionConverge Biotech ₹1,545.94 2.7% CHEAPER
-
glutakem solution for infusionTyykem Private Limited ₹1,550.63 2.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a general energy booster.
Fact: It is a specialized nutritional supplement for patients with specific medical needs, not a general tonic. - Myth: It can be taken orally.
Fact: It is formulated for intravenous infusion only and must be given by a healthcare professional.