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Sodium Phenylacetate and Sodium Benzoate
Pronunciation
U.S. Brand Names
Generic Available
Pharmacological Index
Use
Pregnancy Risk Factor
Stability
Usual Dosage
Dietary Considerations
Patient Information
Nursing Implications
Dosage Forms
References

Pronunciation
(SOW dee um fen il AS e tate & SOW dee um BENZ oh ate)

U.S. Brand Names
Ucephan®

Generic Available

No


Pharmacological Index

Antidote


Use

Adjunctive therapy to prevent/treat hyperammonemia in patients with urea cycle enzymopathy involving partial or complete deficiencies of carbamoyl-phosphate synthetase, ornithine transcarbamoylase or argininosuccinate synthetase


Pregnancy Risk Factor

C


Stability

Diluting Ucephan® with an acidic solution can result in precipitation of the drug


Usual Dosage

Infants and Children: Oral: 2.5 mL (250 mg sodium benzoate and 250 mg sodium phenylacetate)/kg/day divided 3-6 times/day; total daily dose should not exceed 100 mL


Dietary Considerations

Dilute each dose in 4-8 oz of infant formula or milk and administer with meals


Patient Information

Must be diluted before use; due to its lingering odor, exercise care in mixing to minimize contact with skin and clothing


Nursing Implications

Monitor serum electrolytes, blood ammonia


Dosage Forms

Solution: Sodium phenylacetate 100 mg and sodium benzoate 100 mg per mL (100 mL)


References

Brusilow SW, Danney M, Waber LJ, et al, "Treatment of Episodic Hyperammonemia in Children With Inborn Errors of Urea Synthesis," N Engl J Med, 1984, 310(25):1630-4.

Gutteridge C and Kuhn RJ, "Compatibility of 10% Sodium Benzoate Plus 10% Sodium Phenylacetate With Various Flavored Vehicles," Am J Hosp Pharm, 1994, 51(19):2508, 2510.


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