GNH USA

Europe — EMA

Multibic

GNH USA supplies Multibic (Multibic), an electrolyte solution for intravenous electrolyte replacement and haemodialysis. Request a quote for global supply.

Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc

Request sourcing

1
Pack/s

What is Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc?

Multibic, the active ingredient in Multibic, is a electrolyte solution presented as N/A/solution for injection for intravenous and haemodialysis use. It provides balanced electrolytes and buffering capacity to support patients requiring fluid and electrolyte management during renal replacement therapy.

GNH USA supplies Multibic as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide. The company follows EU GMP standards and offers reliable logistics for global healthcare facilities.

What is Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc used for?

Multibic is used to manage electrolyte balance and acid‑base status in patients undergoing renal replacement therapy or requiring intravenous electrolyte supplementation.

- Acute renal failure: helps maintain electrolyte homeostasis during haemodialysis. - Chronic kidney disease: supports ongoing electrolyte replacement in dialysis patients. - Metabolic acidosis: provides bicarbonate buffering to correct acid‑base disturbances. - Perioperative fluid management: supplies essential electrolytes during surgery when large fluid shifts occur.

What are the side effects of Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc?

Multibic, like other intravenous electrolyte solutions, may be associated with adverse reactions.

Common Side Effects: - Injection site pain or irritation. - Mild hypernatremia. - Mild hyperkalemia. - Transient hypotension. - Nausea. - Headache.

Serious or Rare Side Effects: - Severe hyperkalemia leading to cardiac arrhythmia. - Severe hypernatremia causing neurological symptoms. - Fluid overload with pulmonary edema. - Allergic reactions including anaphylaxis. - Metabolic alkalosis. - Significant electrolyte imbalance requiring medical intervention.

What precautions apply to Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc?

When using Multibic, clinicians should observe the following precautions to ensure patient safety. - Baseline assessment: evaluate electrolyte levels before administration. - Volume status: monitor fluid balance to avoid overload. - Cardiac monitoring: watch for arrhythmias in patients with electrolyte disturbances. - Renal function: adjust infusion rate based on kidney performance. - Compatibility: verify compatibility with other IV medications before co‑administration. - Store at ambient temperature: keep in original container, protect from light and moisture.

What does Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc interact with?

Multibic can interact with other medicines; awareness of these interactions helps prevent complications.

Major Interactions (Avoid): - Concurrent use of potassium‑sparing diuretics may cause dangerous hyperkalemia. - High‑dose sodium bicarbonate solutions can lead to severe metabolic alkalosis. - Calcium‑containing medications may precipitate when mixed, risking emboli.

Moderate Interactions (Monitor Closely): - Loop diuretics may increase electrolyte loss, requiring dose adjustment. - ACE inhibitors or ARBs can affect potassium levels; monitor electrolytes. - Blood transfusions may alter calcium and magnesium balance; observe closely.

Frequently asked questions

What is Multibic used for?+
Multibic is an intravenous electrolyte solution used to restore and maintain normal plasma electrolyte concentrations and acid‑base balance in patients undergoing haemodialysis, those with acute or chronic kidney impairment, and individuals who need rapid intravenous electrolyte supplementation.
How does Multibic work?+
The solution contains sodium hydrogen carbonate, magnesium chloride, potassium chloride, sodium chloride and calcium ions. When infused, these ions disperse into the extracellular fluid, correcting deficits, providing bicarbonate buffering for metabolic acidosis, and supporting osmotic equilibrium essential for renal replacement and fluid‑management therapies.
What is the usual dose of Multibic?+
The dose of Multibic is determined by the prescribing clinician based on the patient’s electrolyte profile, fluid status, and the specific clinical situation. Dosage may be adjusted during haemodialysis sessions or other intravenous therapy, and should follow the healthcare professional’s instructions.
Is Multibic safe during pregnancy or breastfeeding?+
Safety data for Multibic in pregnancy and lactation are limited. Use is only recommended if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made by a qualified healthcare provider.
How do I order Multibic from GNH USA?+
To order Multibic, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if required) and necessary import documentation.
How does Multibic compare with other electrolyte solutions?+
Multibic offers a balanced combination of sodium, potassium, calcium, magnesium and bicarbonate, making it suitable for both electrolyte replacement and acid‑base correction. Compared with single‑ion solutions, it reduces the need for multiple infusions and helps streamline fluid management during dialysis or critical‑care settings.
How should Multibic be stored and handled?+
Multibic should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the solution from direct sunlight, moisture and extreme temperature fluctuations. Inspect the container for any signs of damage before use and discard if the solution appears discolored or particulate.
How is Multibic administered?+
Multibic is administered intravenously, either as a continuous infusion during haemodialysis or as a bolus injection when rapid electrolyte correction is needed. Administration should be performed by trained healthcare personnel using aseptic technique and appropriate infusion equipment.
What are the most serious risks associated with Multibic?+
Serious risks include severe hyperkalemia or hypernatremia, fluid overload leading to pulmonary edema, metabolic alkalosis, and rare allergic reactions such as anaphylaxis. Continuous monitoring of electrolyte levels, cardiac rhythm and fluid balance is essential to detect and manage these complications promptly.
Who should not use Multibic?+
Multibic should be avoided in patients with known hypersensitivity to any of its components, uncontrolled severe hyperkalemia or hypernatremia, and in those where fluid overload is a contraindication. Clinicians should also exercise caution in patients with severe cardiac arrhythmias or uncompensated metabolic disorders.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.
Send a sourcing enquiry for this product →

Product details

Drug
Sodium Hydrogen Carbonate, Magnesium Chloride Hexahydrate, Potassium Chloride, Sodium Chloride, Calc
Route
Haemodialysis , Intravenous Use
Manufacturer
Fresenius Medical Care Deutschland Gmbh
Origin
EU