Triomel

(glucose, lipid emulsion, amino acids & electrolytes)

The Triomel portfolio gives you a broad selection of three-chamber bags with an olive oil-based lipid to meet the unique nutrition needs of each patient.

Prescribing Information
Triomel bag

Not all critically ill patients are the same, and neither are their nutritional requirements. The Triomel portfolio offers a range of central and peripheral formulations to match the individual protein and energy needs of your patients.1-3  Triomel N12 combines a concentrated protein formulation with low glucose content, resulting in the lowest energy to protein ratio currently available in a standardised, three-chamber bag (3CB).2,3,18-23  Triomel contains olive oil, which is rich in long-chain Omega-9 monounsaturated fatty acids (MUFAs), with fewer polyunsaturated fatty acids (PUFAs) than soybean and fish oil.26 An olive oil-based lipid emulsion may preserve immune function and has been associated with fewer infections than soybean oil.4,10-12

Patient and doctor in hospital

Meeting protein targets is key to hospitalised patients’ recovery

During recovery, hospitalised patients face two serious challenges. Firstly, they may be immunocomprimised which can lead to severe complications.5 Secondly, catabolic stress from acute infection, trauma or severe tissue injury depletes protein stores in the skeletal muscle which can lead to poor wound healing, muscle weakness, prolonged ventilator time, and extended hospital stay.6-8 Proper protein intake with parenteral nutrition (PN) not only ensures sufficient caloric intake but also an essential nutrient balance. Still, most critically ill patients receive only half the recommended protein intake during their first weeks in the intensive care unit (ICU).9   

Triomel- meeting the unique nutritional needs of each patient

Preserve immune function icon

Prescribe to preserve

Triomel contains an olive oil-based lipid emulsion, which is associated with fewer infections and may preserve immune function.4,10-12

Reach protein targets  with less fluid icon

Reach protein targets with less fluid

Triomel N12 contains Clinoleic, an olive oil-based lipid emulsion that has the lowest soy content and may help to reduce infections.2,3,18-23

Reduce risk of hyperglycemia icon

Low glucose to minimise impact on glycemic control

Hyperglycemia occurs frequently in critically ill patients, which is associated with an increased risk of infection. Triomel N12 has only 73g/L of glucose making it one of the lowest available on the market.

The power of protein

When compared to standard intake, higher protein as prescribed by guidelines was associated with significant clinical improvements in ICU patients.24 A higher and earlier intake of protein has proven to be beneficial in wound healing, hormonal regulation, and cell signaling and was significantly associated with lower mortality as illustrated by a one percent reduction in mortality for every gram of daily protein ingested.7,25

Association of protein intake with 60-day mortality25

Graph adapted from Zusman O, et al. Crit Care 2016;20;367-374(39) showing that the results from the study suggests a  1% reduction in mortality for every 1 gram of daily protein ingested.
Graph adapted from Zusman O, et al. Crit Care 2016;20;367-374(39) showing that the results from the study suggests a 1% reduction in mortality for every 1 gram of daily protein ingested.

Browse the Triomel portfolio

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Triomel N12

For patients with high catabolic stress 

Triomel N12  is Baxter’s latest generation of industry-leading PN 3CBs and combines a concentrated protein formulation with low glucose content.2,3  Triomel N12 contains an olive oil-based lipid emulsion, which is associated with fewer infections and may preserve immune function.4,10-12

Triomel N12 is formulated for PN in patients with the highest protein demand, or patients who are at risk of overfeeding or fluid overload. Triomel N12 without electrolytes can be administered to provide protein, fatty acids and calories to non-acutely ill malnourished patients receiving intradialytic PN (IDPN).

See full prescribing information for Triomel N12

Triomel bag and information

Triomel N9

For patients with moderate catabolic stress 

Triomel N9 is formulated for PN in moderate stress patients with high protein and moderate energy demands. Triomel N9 without electrolytes can be administered to provide protein, fatty acids and calories to non-acutely ill malnourished patients receiving IDPN. 

See full prescribing information
Triomel N7

Triomel N7

For patients with moderate catabolic stress 

Triomel N7 is formulated for PN in moderate stress patients in stable conditions with moderate protein and higher energy demands. 

See full prescribing information
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Triomel N5

For patients with low catabolic stress

Triomel N5 is formulated for PN in low stress patients in stable conditions with moderate protein and higher energy demands. 

See full prescribing information
Triomel bag with product specification

Triomel N4

For patients with low catabolic stress 

Triomel N4 is formulated for PN in stable patients that need a conveniently delivered, short-term nutrition solution.  Triomel N4 is specifically formulated for peripheral delivery. 

See full prescribing information

How to activate an Triomel bag

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Triomel

Download the UK Triomel Pharmacy Poster.

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ADVERSE EVENT REPORTING

Adverse Events and any drug or medical device product quality complaints (including suspected defective medicines or medical device adverse incidents) should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse Events should also be reported to Baxter Healthcare Ltd, by email ([email protected]) or by phone (+44 (0)1635 206360).Drug or medical device product quality complaints relating to Baxter products can be reported directly to Baxter Healthcare Ltd by email ([email protected]) or by phone (+44 (0)1604 704603).

Triomel Prescribing Information