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Amino acid derivative

Levocarnitine

Brand names: Carnitor

Adult dose

Dose: Primary deficiency: 1–3g/day in divided doses. Dialysis-related: 10–20 mg/kg IV after each session

Route: PO/IV

Frequency: divided

Clinical pearls

Primary or secondary carnitine deficiency; dialysis-associated deficiency
Specialist metabolic / renal

Contraindications

Hypersensitivity

Side effects

GI upset
Body odour (fishy)
Rash

Interactions

Valproate (raised free carnitine)
Anticoagulants

Monitoring

Free and total carnitine

Reference: BNF; SmPC; https://bnf.nice.org.uk/drugs/levocarnitine/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.

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