IV Medications Compatibility with TPN

Medication Active Ingredient TPN (2 in 1) in Y-site TNA (3 in 1) in Y-site SMOFlipid

5-FLUOROURACIL 5-FLOUROURACIL INCOMPATIBLE UNCERTAIN/VARIABLE

ACTRAPID HUMAN INSULIN COMPATIBLE COMPATIBLE
ACTYLISE ALTEPLASE
ADDAMEL TRACE MINERALS INCOMPATIBLE
ADRIAMYCIN ADRIAMYCIN INCOMPATIBLE INCOMPATIBLE
ALFACEF LEVOFLOXACIN
AMADOL TRAMADOL COMPATIBLE
AMIKIN / ADVOMIKACIN / AMIKABIOTIC AMIKACIN COMPATIBLE UNCERTAIN/VARIABLE
AMBISOME AMPHOTERICIN B (LIPOSOMAL)
ANDOVIMPAMIDE LACOSAMIDE COMPATIBLE IN Y-SITE
ANEXATE/FLUMAZENIL FLUMAZENIL
ANTI-COX II MELOXICAM
ANTODINE / GASTROTIDINE FAMOTIDINE COMPATIBLE COMPATIBLE UNCERTAIN/VARIABLE
ATRACURIUM HAMLEN ATRACURIUM BESYLATE COMPATIBLE
ATROPINE ATROPINE
AUGMENTIN/MAGNABIOTIC AMOXICILLIN/CALVULINATE (CO-AMOXICLAV) COMPATIBLE
B-COM / POWER B.COMPLEX / BECOZYME VITAMIN B COMPLEX
BLEOCIP BLEOMYCIN
BRIDION SUGGAMADEX
BUSCOPAN / BUTACID HYOSCINE N-BUTYL BROMIDE
CAFFEINOSPIRE CAFFEINE CITRATE COMPATIBLE
CALCIFOLINON FOLIC ACID COMPATIBLE
CALCIONATE CALCIUM GLUCONATE MONOHYDRATE + CALCIUM LEVULINATE UNCERTAIN/VARIABLE UNCERTAIN/VARIABLE
CALHEPARIN HEPARIN CALCIUM
CANCIDAS CASPOFUNGIN INCOMPATIBLE
CARNITINE L-CARNITINE
CEFOBID/CEFAZONE CEFOPERAZONE COMPATIBLE COMPATIBLE
CEREBROCETAM PIRACETAM
CEREBROLYSIN CEREBROLYSIN
CLAFORAN/CEFOTAX/CEFORAN/HEBITAXIME CEFOTAXIME COMPATIBLE COMPATIBLE
COLISTIN/COLIXIN/COLOMYCIN COLISTIN
CONTROLOC/ZURCAL/PROTOFIX PANTOPRAZOLE INCOMPATIBLE
CORDARONE/CARDIO-MEP/SUNNYDARONE AMIODARONE INCOMPATIBLE
CYMEVENE GANCICLOVIR UNCERTAIN/VARIABLE INCOMPATIBLE
DALACIN / ALFACLINDAMYCIN CLINDAMYCIN COMPATIBLE COMPATIBLE
DEXAMETHASONE DEXAMETHASONE UNCERTAIN/VARIABLE COMPATIBLE
DICLAC/DECLOPHEN/VOLTAREN DICLOFENAC SODIUM
DICYNONE/ETASYLSUNNY ETAMSYLATE
DIPEPTIVEN L-ALANYL-L-GLUTAMINE
DIUSEX/LASIX FUROSEMIDE UNCERTAIN/ VARIABLE COMPATIBLE COMPATIBLE IN Y-SITE
DOBUTAMINE DOBUTAMINE COMPATIBLE COMPATIBLE
DOPASUNNY DOPAMINE COMPATIBLE UNCERTAIN/VARIABLE INCOMPATIBLE
ECALTA ANIDULAFUNGIN
EMETREX CYCLIZINE
EM-EX/GRANITRYL/MITASHE GRANISTERON COMPATIBLE COMPATIBLE
ENDOXAN CYCLOPHOSPHAMIDE COMPATIBLE COMPATIBLE
EPICOTIL TENOXICAM
EPIGENT/GARAMYCIN/GENTAMICIN GENTAMICIN COMPATIBLE COMPATIBLE INCOMPATIBLE
EPINEPHRINE EPINEPHRINE COMPATIBLE
EPIRUBICIN EPIRUBICIN
EPISTIGMINE NEOSTIGMINE METHYL SULPHATE
EXAMIDE/EXARETIC/CARDIOTIMIDE TORSEMIDE
FENTANYL FENTANYL COMPATIBLE COMPATIBLE COMPATIBLE IN Y-SITE
FERROSAC / AMPOFER/ SACROFER/ COSMOFER FERRIC HYDROXIDE SACCHARATE COMPLEX
FLEBOCORTID/HYDROCORTISONE/SOLUCORTEF HYDROCORTISONE
FLUMOX AMOXICILLIN/FLUCLOXACILLIN
FORTAMIND CITICOLINE
GAST-REG/TRITONE TRIMEBUTINE MALEATE
GEMZAR GEMCITABINE HCL
GLOMETHASONE BETAMETHASONE
GLYCOPHOS PHOSPHATE/ SODIUM
GLYPRESSIN TERLIPRESSIN
HALOPERIDOL HALOPERIDOL LACTATE COMPATIBLE INCOMPATIBLE
HEPARIN HEPARIN SODIUM COMPATIBLE INCOMPATIBLE COMPATIBLE IN Y-SITE
HERCEPTIN TRASTUZUMAB
HIDONAC N-ACETYLCYSTEINE
HUMAN ALBUMIN HUMAN ALBUMIN INCOMPATIBLE
IMIPENEM/TIENAM IMIPENEM/CILASTATIN COMPATIBLE COMPATIBLE
INVANZ ERTAPENEM SODIUM
ISOPTIN VERAPAMIL HCl
KAPRON TRANEXAMIC ACID
KEFADIM/FORTUM CEFTAZIDIME COMPATIBLE COMPATIBLE
KETAMINE KETAMINE COMPATIBLE IN Y-SITE
KETOLAC/ADOLOR KETOROLAC
KLACID (rec . In SWFI only) CLARITHROMYCIN
KONAKION/PHYTOVIT VITAMIN K1 (PHYTOMENADIONE)
LANOXIN/CARDIXIN DIGOXIN COMPATIBLE COMPATIBLE
LEVOPHRINE NOREPINEPHRINE COMPATIBLE COMPATIBLE
MABTHERA RITUXIMAB
MAGNESIUM SULPHATE 2.5G/MAGNISOL MAGNESIUM SULPHATE COMPATIBLE COMPATIBLE
MERONEM /MEROSTARKYL/MIRAGE MEROPENEM COMPATIBLE
MANNITOL MANNITOL COMPATIBLE COMPATIBLE
MAYESTROTENSE PROPRANOLOL HCl
METHERGINE METHYLERGONOVINE MALEATE
METHOTREXATE METHOTREXATE INCOMPATIBLE COMPATIBLE
METROFLAG METRONIDAZOLE COMPATIBLE COMPATIBLE
MIACALCIC SYNTHETIC SALMON CALCITONIN
MIDATHETIC MIDAZOLAM MALEATE (DATA FOR MIDAZOLAM HCL) UNCERTAIN/VARIABLE UNCERTAIN/VARIABLE COMPATIBLE
MINOPHYLLINE AMINOPHYLLINE UNCERTAIN/VARIABLE COMPATIBLE
MORPHINE MORPHINE
MOXIFLOX MOXIFLOXACIN HCl
 NALBUFINE SERB NALBUPHINE HCl COMPATIBLE INCOMPATIBLE
NAUSILEX ALIZAPRIDE HCl
NAVILUCA FLUCONAZOLE COMPATIBLE COMPATIBLE
NITRONAL NITROGLYCERINE COMPATIBLE COMPATIBLE
NEXIUM/ESMORAP ESOMEPRAZOLE INCOMPATIBLE
NORFLEX ORPHENADRINE CITRATE
NOVECETAMOL/PERFALGAN/PENTAMOL PARACETAMOL/ACETAMINOPHEN COMPATIBLE
ORNITATE/LOLAWEST/HEPAMERZ/SUNNYDETOX L-ORNITHINE L-ASPARTATE
OXALIPLATIN OXALIPLATIN
PABAL CARBETOCIN
PACLITAXEL PACLITAXEL COMPATIBLE COMPATIBLE
PAEDIMAINT IV FLUID
PETHIDINE PETHIDINE HCl
PHENYTIN/PHENTOLEPT PHENYTOIN SODIUM UNCERTAIN/VARIABLE
PIPRATAZ /TAZOCIN PIPERACILLIN/TAZOBACTAM COMPATIBLE COMPATIBLE
POTASSIUM CHLORIDE POTASSIUM CHLORIDE COMPATIBLE COMPATIBLE
PRIMAFOXIN CEFOXITIN SODIUM COMPATIBLE COMPATIBLE
PRIMPERAN/SUNNYPYRAMID METOCLOPRAMIDE UNCERTAIN/VARIABLE COMPATIBLE
PRECEDEX DEXMEDETOMIDINE COMPATIBLE COMPATIBLE IN Y-SITE
PROPOFOL PROPOFOL UNCERTAIN/VARIABLE
RANCEF CIPROFLOXACIN UNCERTAIN/VARIABLE COMPATIBLE
REMICADE INFLIXIMAB
RIBOMUSTINE BENDAMUSTINE HCl
SANDOSTATIN OCTREOTIDE COMPATIBLE COMPATIBLE
SODIUM BICARBONATE SODIUM BICARBONATE UNCERTAIN/VARIABLE COMPATIBLE
SOMANILETTA PHENOBARBITONE (DATA FOR PHENOBARBITAL) UNCERTAIN/VARIABLE INCOMPATIBLE
SOLU-MEDROL/METHYLPREDNISOLONE METHYLPREDNISOLONE
SOLUVIT VITAMIN B COMPLEX/FOLIC ACID/BIOTIN/SOD. ASCORBATE ASCORBIC/FOLIC ACID
SPASMOFREE TIEMONIUM METHYLSULPHATE
SULBIN/UNASYN/UNICTAM AMPICILLIN/SULBACTAM COMPATIBLE COMPATIBLE COMPATIBLE IN Y-SITE
SULPERAZONE/SULBACEF CEFOPERAZONE/SULBACTAM COMPATIBLE
SYNTOCINON OXYTOCIN
TABINE CYTARABINE INCOMPATIBLE COMPATIBLE
TARGOCID TEICOPLANIN
TAXOTERE DOCETAXEL
TIRATAM/KEPILEPSY LEVETIRACETAM
TRENTOXIMAL/TRENTAL PENTOXIFYLLINE
TRIAXONE /CEFTRIAXONE/EPICEPHEN CEFTRIAXONE INCOMPATIBLE INCOMPATIBLE
TYGACIL TIGECYCLINE
UROMES/UROMITEXAN MESNA COMPATIBLE COMPATIBLE
VANZAPRO/MAXPIME/CURAFEP CEFEPIME COMPATIBLE COMPATIBLE
V-FEND/CONAZOLGLOBE VORICONAZOLE INCOMPATIBLE INCOMPATIBLE
VINRACINE VINCRISTINE
VITALIPID FAT SOLUBLE VITAMINS
ZAVICEFTA CEFTAZIDIME/AVIBACTAM
ZITHROMAX / XITHRONE AZITHROMYCIN COMPATIBLE
ZOFATRONE/ZOFRAN/DANSET ONDANSTERON COMPATIBLE UNCERTAIN/VARIABLE COMPATIBLE IN Y-SITE
ZOVIRAX/ACYCLOVIR ACYCLOVIR INCOMPATIBLE INCOMPATIBLE
ZYVOX LINEZOLID COMPATIBLE

Created by: Salma Kaila -

Updated at: February, 2021
IV and Clinical Nutrition Support Pharmacist
 Medication Active Ingredient Notes (After referring to previous table)
Flourouracil 1.06 mg/mL in NS
Flourouracil 12.5 mg/mL in NS
Flourouracil 50 mg/mL undiluted
5-FLUOROURACIL 250MG/5ML 5-FLOUROURACIL Flourouracil 6.25 mg/mL in NS
Flourouracil 16 mg/mL in D5W
Flourouracil 25 mg/mL in NS
Flourouracil 3.125 mg/mL in NS
Amikacin sulfate 250mg/ml undiluted
AMIKIN / ADVOMIKACIN / AMIKABIOTIC AMIKACIN
Amikacin sulfate 5mg/ml in D5W
Iron sucrose 0.001 mg/mL (1 mcg/mL)
Iron sucrose 0.0025 mg/mL (2.5 mcg/mL)
FERROSAC / AMPOFER/ SACROFER/ COSMOFER FERRIC HYDROXIDE SACCHARATE COMPLEX Iron sucrose 0.01 mg/mL (10 mcg/mL)
Iron sucrose 0.05 mg/mL (50 mcg/mL)
Iron sucrose 0.1 mg/mL
Famotidine 0.25 mg/mL in NS
ANTODINE / GASTROTIDINE FAMOTIDINE Famotidine 2.5 mg/mL
Famotidine 2.5 mg/mL in NS
Calcium gluconate 40 mg/mL in D5W
CALCIONATE CALCIUM GLUCONATE MONOHYDRATE + CALCIUM LEVULINATE
Calcium gluconate 10mg/ml in NS (with 2 in 1 only)
Ganciclovir Sodium 0.83 mg/mL
Ganciclovir Sodium 1 mg/mL in D5W
Ganciclovir Sodium 1.34 mg/mL
Ganciclovir Sodium 10 mg/mL in D5W
CYMEVENE GANCICLOVIR Ganciclovir Sodium 2 mg/mL
Ganciclovir Sodium 20 mg/mL in D5W
Ganciclovir Sodium 5 mg/mL
Ganciclovir Sodium 5 mg/mL in D5W
Ganciclovir Sodium 3 mg/mL
Dexa sod. phosph. 1 mg/mL in D5W
DEXAMETHASONE DEXAMETHASONE
Dexa sod. phosph. 4 mg/mL undiluted
Furosemide 10 mg/mL undiluted (Y-site)
Furosemide 3mg/ml in D5W (Y-site)
DIUSEX/LASIX FUROSEMIDE Furosemide 0.04 mg/mL (40 mcg/mL) (in solution)
Furosemide amount unspecified (in solution)
Furosemide 10 mg/mL in NS (Y-site)
Dopamine Hydrochloride 1.6 mg/mL in D5W
DOPASUNNY DOPAMINE Dopamine Hydrochloride 1.6 mg/mL in NS
Dopamine Hydrochloride 3.2 mg/mL in D5W
Gentamicin sulphate 0.05 mg/mL (50 mcg/mL)
Gentamicin sulphate 0.075 mg/mL (75 mcg/mL)
EPIGENT/GARAMYCIN/GENTAMICIN GENTAMICIN
Gentamicin sulphate 0.08 mg/mL (80 mcg/mL)
Gentamicin sulphate 0.8 mg/mL
Phytonadione 0.005 mg/mL (5 mcg/mL)
KONAKION/PHYTOVIT VITAMIN K1 (PHYTOMENADIONE)
Phytonadione 0.01 mg/mL (10 mcg/mL)
Midazolam HCl 2 mg/mL in D5W (TNA 3 in 1)
Midazolam HCl 2.5 mg/Ml in NS (TNA 3 in 1)
Midazolam HCl 0.48 mg/Ml in SWFI (TPN 2 in 1)
MIDATHETIC MIDAZOLAM MALEATE (DATA FOR MIDAZOLAM HCL)
Midazolam HCl 0.5 mg/mL in SWFI (TPN 2 in 1)
Midazolam HCl 2 mg/mL in D5W (TPN 2 in 1)
Midazolam HCl 5 mg/mL undiluted (TPN 2 in 1)
Aminophylline 1 mg/mL in NS
Aminophylline 2.5 mg/mL in D5W
Aminophylline 2.5 mg/mL in NS
MINOPHYLLINE AMINOPHYLLINE
Aminophylline 5 mg/mL in NS
Aminophylline 7.5 mg/1.5 mL
Aminophylline 5 mg/mL "unspecified"
PHENYTIN/PHENTOLEPT PHENYTOIN SODIUM Phenytoin sodium 50 mg/mL
Metoclopramide HCl 0.58 mg/mL in SWFI
PRIMPERAN/SUNNYPYRAMID METOCLOPRAMIDE
Metoclopramide HCl 5 mg/mL undiluted
Propofol 0.5 mg/mL
PROPOFOL PROPOFOL Propofol 3 mg/mL
Propofol 2 mg/mL
Ciprofloxacin 1 mg/mL in D5W
RANCEF CIPROFLOXACIN
Ciprofloxacin 2 mg/mL in D5W
Octreotide acetate 0.00045 mg/mL (0.45 mcg/mL)
SANDOSTATIN OCTREOTIDE
Octreotide acetate 0.0015 mg/mL (1.5 mcg/mL)
Sodium Bicarbonate 0.5 mEq/mL (4.2%) in SWFI
SODIUM BICARBONATE SODIUM BICARBONATE
Sodium Bicarbonate 1 mEq/mL (8.4%) undiluted
Phenobarbital Sodium 5 mg/mL in D5W
SOMANILETTA PHENOBARBITONE (DATA FOR PHENOBARBITAL)
Phenobarbital Sodium 64 mg/mL in SWFI
Ondansterone HCl 1 mg/mL in D5W
ZOFATRONE/ZOFRAN/DANSET ONDANSTERON
Ondansterone HCl 2 mg/mL undiluted

Created by: Salma Kaila -

Updated at: February, 2021
IV and Clinical Nutrition Support Pharmacist