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Levocarnitine 300 mg/mL Oral Syrup

FDA-approved generic
Dose form
Oral Syrup
Active ingredients
Levocarnitine

Levocarnitine 300 mg/mL Oral Syrup is a concentrated liquid formulation designed for oral administration. It contains active ingredients and sweeteners, providing a palatable and easy-to-administer dosage form. This formulation is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules.

Levocarnitine is primarily used to treat primary systemic carnitine deficiency and secondary carnitine deficiency, which can occur in patients with chronic kidney disease undergoing dialysis. It helps in replenishing carnitine levels, thereby improving energy production and reducing symptoms associated with these conditions.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Levocarnitine
Oral Syrup
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Levocarnitine 300 mg/mL Oral Syrup is a concentrated liquid formulation designed to provide an efficient and palatable method of administering levocarnitine, especially for patients who have difficulty swallowing tablets or capsules. Levocarnitine is a naturally occurring amino acid derivative that plays a crucial role in energy production by transporting long-chain fatty acids into the mitochondria for energy generation.

This oral syrup is particularly beneficial for pediatric patients or adults who require precise dosing adjustments. The sweetened liquid enhances palatability, improving compliance in patients who might otherwise find the medication unpalatable. By offering a liquid form, it allows for accurate dosing based on the patient's weight and specific needs.

Levocarnitine supplementation is indicated for patients with primary systemic carnitine deficiency, a rare genetic disorder characterized by defective carnitine transport across cell membranes, leading to symptoms like muscle weakness, hypoglycemia, and cardiomyopathy. It is also used in the treatment of secondary carnitine deficiency, which can occur due to certain metabolic disorders, prolonged dialysis, or as a side effect of some medications that interfere with carnitine metabolism.

Prescribers should consider levocarnitine for patients with documented carnitine deficiencies or those at risk due to medical conditions or treatments that deplete carnitine levels. The oral syrup formulation allows for individualized dosing, which is crucial for managing the specific requirements of each patient, especially in pediatric care where dosing often depends on body weight.

The typical dosage of levocarnitine varies based on the severity of the deficiency and the patient's weight. Regular monitoring of plasma carnitine levels is recommended to ensure therapeutic efficacy and to adjust dosing as necessary. This helps in avoiding potential side effects associated with over-supplementation.

Common side effects may include gastrointestinal symptoms such as nausea, vomiting, abdominal cramps, and diarrhea. Some patients might experience an unusual body odor due to the formation of trimethylamine, which is excreted through sweat, urine, and breath. If side effects are severe or persistent, it is important to consult a healthcare provider.

Patients or caregivers should use a proper measuring device to ensure accurate dosing of the oral syrup and follow the prescribed dosing schedule closely. Consistent use as directed by a healthcare provider is essential for effectively managing carnitine deficiency and preventing associated complications.

Before starting levocarnitine, patients should inform their healthcare provider about all medications they are taking and any existing medical conditions. This is important to avoid potential drug interactions and to determine if levocarnitine is appropriate for their specific health needs.

If you have any questions about Levocarnitine 300 mg/mL Oral Syrup or how it may benefit you or your patients, please reach out to us for more information.

Drug Interactions

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Levocarnitine 300 mg/mL Oral Syrup is a concentrated liquid formulation designed for oral administration, providing a palatable and easy-to-administer dosage form. This formulation is particularly beneficial for pediatric patients or those who have difficulty swallowing tablets or capsules. Levocarnitine is primarily used to treat carnitine deficiency, which can occur due to various medical conditions, including genetic disorders, certain metabolic diseases, and as a result of specific medical treatments such as hemodialysis.

When considering the use of Levocarnitine 300 mg/mL Oral Syrup, it is important to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Levocarnitine is generally well-tolerated, but interactions with other medications can occur. One of the primary concerns is the potential interaction with anticoagulant medications, such as warfarin. Levocarnitine may enhance the effects of warfarin, leading to an increased risk of bleeding. Patients on anticoagulant therapy should be closely monitored, and dose adjustments may be necessary.

Another consideration is the interaction with thyroid hormone replacement therapies, such as levothyroxine. Levocarnitine may interfere with the absorption of thyroid hormones, potentially leading to suboptimal control of hypothyroidism. It is advisable to separate the administration of levocarnitine and thyroid hormones by at least 4 hours to minimize this interaction.

Additionally, patients taking anticonvulsant medications, such as valproic acid, should be monitored for potential interactions. Levocarnitine may affect the metabolism of valproic acid, potentially altering its therapeutic levels.

For patients receiving zidovudine, an antiretroviral medication used in the treatment of HIV, there is a potential interaction with levocarnitine. Levocarnitine may enhance the myelotoxic effects of zidovudine, increasing the risk of hematological side effects. Monitoring blood counts and adjusting the zidovudine dose may be necessary in such cases.

It is also important to consider the potential interaction with certain antibiotics, such as cefdinir. Levocarnitine may bind to cefdinir in the gastrointestinal tract, reducing its absorption and effectiveness. To avoid this interaction, it is recommended to administer levocarnitine and cefdinir at different times, ideally separated by at least 2 hours.

Patients and prescribers should be aware of these potential interactions and take appropriate measures to manage them. Regular monitoring and communication between healthcare providers and patients are essential to ensure the safe and appropriate use of Levocarnitine 300 mg/mL Oral Syrup. If you have any questions or concerns regarding drug interactions or the use of this formulation, please reach out to us for further assistance.

How Does it Work

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Levocarnitine 300 mg/mL Oral Syrup is a specialized formulation designed to deliver the active ingredient, levocarnitine, in a concentrated liquid form. This formulation is particularly beneficial for patients who have difficulty swallowing tablets or capsules, such as pediatric patients or those with certain medical conditions that impair swallowing. The syrup is crafted to be palatable, incorporating sweeteners to enhance taste and ensure ease of administration, thereby improving patient compliance.

Levocarnitine, also known as L-carnitine, is a naturally occurring amino acid derivative that plays a crucial role in energy production. It is essential for the transport of long-chain fatty acids into the mitochondria, the powerhouse of the cell, where they are oxidized to produce energy. This process is vital for the proper functioning of the heart, muscles, and other tissues that require a high energy supply. In certain disease states, such as primary and secondary carnitine deficiency, the body is unable to produce or utilize levocarnitine effectively, leading to symptoms such as muscle weakness, fatigue, and in severe cases, cardiomyopathy.

The administration of Levocarnitine 300 mg/mL Oral Syrup helps to replenish the body's carnitine levels, thereby restoring normal metabolic function. By facilitating the transport of fatty acids into the mitochondria, levocarnitine supplementation supports energy production and reduces the accumulation of toxic fatty acid metabolites. This can lead to an improvement in muscle strength, reduction in fatigue, and overall enhancement of quality of life for patients suffering from carnitine deficiency.

For prescribers, it is important to note that the dosing of levocarnitine should be individualized based on the patient's specific needs and the severity of the deficiency. Regular monitoring of carnitine levels and clinical response is recommended to ensure optimal therapeutic outcomes. The liquid formulation allows for precise dosing adjustments, which is particularly advantageous in pediatric populations or in patients with fluctuating needs.

If you have any questions about Levocarnitine 300 mg/mL Oral Syrup or its use in treating carnitine deficiency, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure the best possible care for your patients.

Frequently Asked Questions

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What is Levocarnitine 300 mg/mL Oral Syrup used for?

Levocarnitine 300 mg/mL Oral Syrup is used to treat carnitine deficiency, which can occur due to various medical conditions or genetic disorders. It helps the body produce energy by utilizing fats.

How should I take Levocarnitine Oral Syrup?

Levocarnitine Oral Syrup should be taken by mouth, usually with meals or as directed by your healthcare provider. Use the measuring device provided to ensure the correct dosage.

Can children take Levocarnitine Oral Syrup?

Yes, Levocarnitine Oral Syrup is often used in pediatric populations, especially for children who have difficulty swallowing tablets or capsules.

Are there any side effects associated with Levocarnitine Oral Syrup?

Some common side effects may include stomach upset, diarrhea, or a fishy body odor. If you experience severe side effects, contact your healthcare provider immediately.

Can I take Levocarnitine Oral Syrup if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before taking Levocarnitine Oral Syrup to ensure it is safe for you and your baby.

How should I store Levocarnitine Oral Syrup?

Store Levocarnitine Oral Syrup at room temperature, away from light and moisture. Keep it out of reach of children and pets.

What should I do if I miss a dose of Levocarnitine Oral Syrup?

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Can Levocarnitine Oral Syrup interact with other medications?

Levocarnitine Oral Syrup may interact with certain medications. Inform your healthcare provider about all the medications and supplements you are taking to avoid potential interactions.

Is Levocarnitine Oral Syrup suitable for people with dietary restrictions?

Levocarnitine Oral Syrup contains sweeteners and other ingredients. If you have specific dietary restrictions, consult your healthcare provider to ensure it is appropriate for you.

How long will it take to see the effects of Levocarnitine Oral Syrup?

The time it takes to see the effects of Levocarnitine Oral Syrup can vary depending on the individual and the condition being treated. Your healthcare provider can give you a better idea of what to expect based on your specific situation.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Levocarnitine 300 mg/mL Oral Syrup
Oral Syrup
controlled

Take orally

Three times daily