Prescription medicine
Alanine, arginine and 22 other ingredients Brand names: Perikabiven, Kabiven
Alanine, arginine and 22 other ingredients (Kabiven) is a prescription medicine. No generic is listed in FDA's NDC Directory.
- No generic listed
Check it at the source: the alanine, arginine and 22 other ingredients FDA label on DailyMed (effective September 15, 2025); every alanine, arginine and 22 other ingredients label on DailyMed.
Highlights of the record
FDA label of September 15, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026
Used for
From the label: indications and usagePERIKABIVEN is indicated as a source of calories, protein, electrolytes and essential fatty acids for adult patients requiring parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated.
Forms and strengths
- 7.5 g/100ml / 3.5 g/100ml / 170 mg/100ml / 124 mg/100ml / 105 mg/100ml / 68 mg/100ml / 20 mg/100ml / 187 mg/100ml / 164 mg/100ml / 164 mg/100ml / 152 mg/100ml / 141 mg/100ml / 116 mg/100ml / 116 mg/100ml / 116 mg/100ml / 40 mg/100ml / 333 mg/100ml / 235 mg/100ml / 164 mg/100ml / 141 mg/100ml / 116 mg/100ml / 94 mg/100ml / 71 mg/100ml / 4.8 mg/100ml
- 10.8 g/100ml / 3.9 g/100ml / 239 mg/100ml / 174 mg/100ml / 147 mg/100ml / 96 mg/100ml / 29 mg/100ml / 263 mg/100ml / 231 mg/100ml / 231 mg/100ml / 213 mg/100ml / 199 mg/100ml / 164 mg/100ml / 164 mg/100ml / 164 mg/100ml / 55 mg/100ml / 467 mg/100ml / 330 mg/100ml / 231 mg/100ml / 199 mg/100ml / 164 mg/100ml / 131 mg/100ml / 99 mg/100ml / 6.7 mg/100ml
Injection (emulsion).
On the market
- Generic approvals
- No generic approved
- Labelers listed (NDC)
- 1 of which 0 under generic applications, 1 under brand applications, repackagers included
Supply and safety
- Pharmacy cost (NADAC)
- Not in the survey
- Shortage (FDA)
- No current entry
- Recalls by its makers (FDA)
- 1 since 2015 0 Class I among all firms' recalls; latest April 28, 2015
- FAERS reports
- 398 through July 30, 2026
What is alanine, arginine and 22 other ingredients used for?
From the label: indications and usagePERIKABIVEN is indicated as a source of calories, protein, electrolytes and essential fatty acids for adult patients requiring parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated. PERIKABIVEN may be used to prevent essential fatty acid deficiency or treat negative nitrogen balance in adult patients. PERIKABIVEN is indicated as a source of calories, protein, electrolytes and essential fatty acids for adult patients requiring parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated. PERIKABIVEN may be used to prevent essential fatty acid deficiency or treat negative nitrogen balance in adult patients. […]
FDA pharmacologic class: Amino Acid, Blood Coagulation Factor, Calculi Dissolution Agent, Lipid Emulsion, Osmotic Laxative, Phosphate Binder and Potassium Salt.
Source: FDA drug label (Perikabiven), Fresenius Kabi USA, LLC, effective September 15, 2025 (SPL set c2eb5522-8572-45f4-869d-42f9fd251bb6), via openFDA; the full label on DailyMed
Is there a generic for alanine, arginine and 22 other ingredients (Kabiven)?
No generic alanine, arginine and 22 other ingredients is approved (Drugs@FDA, October 8, 2026).
Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)
Has alanine, arginine and 22 other ingredients been recalled?
The FDA's Enforcement Report lists 1 recall naming alanine, arginine and 22 other ingredients since 2015: 0 Class I (the most serious), 1 Class II, 0 Class III; 0 still ongoing. A recall names products and lots, not every product of the medicine.
| Started | Class | Company | Reason |
|---|---|---|---|
| April 28, 2015 | Class II | Fresenius Kabi USA, LLC | Labeling: Label Error on Declared Strength: Labeled 3.1% Amino Acids but contains 3.3% Amino Acids |
Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026
What does the alanine, arginine and 22 other ingredients label say about other medicines?
The alanine, arginine and 22 other ingredients label names 3 other medicines in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.
| Medicine named | Section | What the label says |
|---|---|---|
| Ceftriaxone | contraindications | CONTRAINDICATIONS The use of PERIKABIVEN is contraindicated in: Neonates (28 days of age or younger) receiving concomitant treatment with ceftriaxone, even if separate infusion lines are used, due to the risk of fatal ceftriaxone calcium salt precipitation in the neonate's bloodstream [see Limitations of Use ( 1 ) … |
| Thiamine | warnings and precautions | Thiamine deficiency and fluid retention may also develop. |
| Warfarin | drug interactions | DRUG INTERACTIONS Coumarin and coumarin derivatives, including warfarin: Anticoagulant activity may be counteracted; monitor laboratory parameters. |
Check alanine, arginine and 22 other ingredients against other medicines
Source: FDA drug label (Perikabiven), Fresenius Kabi USA, LLC, effective September 15, 2025 (SPL set c2eb5522-8572-45f4-869d-42f9fd251bb6), via openFDA; the full label on DailyMed
What do FAERS reports show for alanine, arginine and 22 other ingredients?
The FDA Adverse Event Reporting System holds 398 reports that list alanine, arginine and 22 other ingredients among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 75 are coded as a death and 212 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.
The most reported reactions
Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026
What next?
- Other amino acids
- the pharmacologic class, with prices and generics
- Alanine, arginine and 22 other ingredients side effects
- the label's list beside FAERS reports
- Check an interaction
- what two or more labels say about each other