Triheptanoin

Triheptanoin is used to treat long-chain fatty acid oxidation disorders in adults and children.

Triheptanoin may also be used for reasons not mentioned in this medication guide.

Follow all instructions on your prescription label and read all medication guides or instruction sheets. Your doctor may change your dose from time to time. Use the medicine exactly as directed.

If you are taking another medium chain triglyceride product, stop taking it before you start taking triheptanoin.

Triheptanoin is usually taken at least 4 times a day with meals or snacks. Follow your doctor's dosing instructions very carefully.

Triheptanoin should always be mixed well with medical food, soft food, drinks, or formula. Do not take the medicine on its own, or it may upset your stomach. Examples of what to mix triheptanoin with include:

• fat-free yogurt (plain or flavored);
• fat-free pudding or smoothies;
• low-sugar applesauce;
• fat-free cottage cheese;
• skim (fat-free) milk;
• fat-free baby food; or
• whole grain hot cereal.

Read and carefully follow all instructions about mixing triheptanoin with soft food or drinks, or how to mix and give the medicine through a feeding tube. Ask your doctor or pharmacist if you do not understand these instructions.

Always mix the medicine in a clean container.

Do not mix or store triheptanoin in any syringe, container, or cup made of polystyrene plastic or polyvinyl chloride (PVC). Do not give this medicine through a feeding tube made of PVC.

You may have problems with your feeding tube the longer you keep using triheptanoin. Check your feeding tube often to make sure it is working properly.

You may need to follow a special diet. Follow all instructions from your doctor or dietitian. Learn about the foods you should eat or avoid.

Store this medicine in the original container at room temperature, away from moisture and heat.

Store mixed medicine in the refrigerator and use it within 24 hours. Do not freeze.

Throw away any unused portion of triheptanoin 9 months after you first opened the bottle or use it until the expiration date (whichever comes first).

Use only as directed. Inform your doctor if you are taking other medicines or have other medical conditions or allergies.

You should not take triheptanoin if you are allergic to it.

Tell your doctor if you have or have ever had a pancreas disorder.

Tell your doctor if you are pregnant or breastfeeding.

If you are pregnant, your name may be included in a pregnancy registry to monitor the effects of triheptanoin on the baby.

Get emergency medical help if you have signs of an allergic reaction: hives, difficulty breathing, swelling of your face, lips, tongue, or throat.

Common side effects of triheptanoin may include:

• nausea, vomiting;
• stomach pain; or
• diarrhea.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Take the medicine as soon as you can, and then take the next doses every 3 to 4 hours. Do not take two doses at once.

If you miss a dose and cannot take all 4 doses in one day, skip the missed dose. Do not take two doses at once.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Tell your doctor about all your other medicines, especially:

• orlistat (alli, Xenical).

This list is not complete. Other drugs may affect triheptanoin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.