Rejuvesol Solution
NDC 23731-7000
View dosage, usage, ingredients, routes, and UNII mappings.
Product Information
Rejuvesol (sodium pyruvate, inosine, adenine, sodium phosphate, dibasic, and sodium phosphate, monobasic, monohydrate) is a NDA-approved product labeled by Citra Labs, Llc. This product is primarily utilized in pharmaceutical processing or compounding. It is supplied as a solution for extracorporeal administration. This product entry covers the primary NDC 23731-7000 and its associated package configuration. This profile includes active and inactive ingredient UNII references and FDA labeling data.
Primary Identification
NDC Product Code:
23731-7000
Proprietary Name:
Rejuvesol
Non-Proprietary Name: [1]
Sodium Pyruvate, Inosine, Adenine, Sodium Phosphate, Dibasic, And Sodium Phosphate, Monobasic, Monohydrate
Substance Name: [2]
Adenine; Inosine; Sodium Phosphate, Dibasic; Sodium Phosphate, Monobasic, Monohydrate; Sodium Pyruvate
NDC Directory Status:
Human Prescription Drug
Product Type: [3]
ACTIVE PRODUCT INCLUDED in the NDC Directory
Code Navigator:
Clinical Specifications
Dosage Form:
Solution
- A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route(s): [4]
Extracorporeal - Administration outside of the body.
Labeler & Regulatory Data
Labeler Name: [5]
Labeler Code:
23731
Product Label ID:
FDA Application Number: [6]
BN950522
Marketing Category: [8]
NDA - A product marketed under an approved New Drug Application.
Marketing Timeline
Start Marketing Date: [9]
02-26-1997
Listing Expiration Date: [11]
12-31-2026
Exclude Flag: [12]
N
Code Structure Chart
Product Details
What is NDC 23731-7000?
The NDC code 23731-7000 is assigned by the FDA to the product Rejuvesol. It is commonly known by its generic name, sodium pyruvate, inosine, adenine, sodium phosphate, dibasic, and sodium phosphate, monobasic, monohydrate. This pharmaceutical product is labeled by Citra Labs, Llc and is currently categorized as listed product. The medication is a solution administered via extracorporeal route. In terms of distribution, this product is available in a single package configuration. The associated package NDC(s) include: 23731-7000-5. Beyond standard identification, this entry provides technical data including pharmacologic classes, UNII ingredient references, and RxNorm cross-referencing for healthcare systems.
What are the uses of this product?
Rejuvesol
® Solution is intended only for the extracorporeal rejuvenation of a RBC. It should never be directly administered to Humans.
Rejuvesol
® Solution must not be added to whole blood because the additional plasma may reduce the effectiveness of the rejuvenation process. Immediately after rejuvenation, RBC must either be washed via an approved protocol prior to transfusion or glycerolized and frozen. RBC which have been rejuvenated, glycerolized, and frozen must be deglycerolized via an approved protocol prior to transfusion.
RBC rejuvenated before 6 days of storage may achieve 2,3-DPG levels in excess of 2 times normal and ATP levels in excess of 1.5 times normal.
5,6 In patients with reduced arterial blood p0
2 of less than 40 torr, the use of RBC rejuvenated before 6 days of storage are contraindicated because their high 2,3-DPG levels and low oxygen affinity may impair proper oxygenation of the red blood cells in the lung.
7Rejuvenated RBC are further processed prior to transfusion to remove the un-used portion of
rejuvesol
® Solution, by-products of the rejuvenation process, and any other potential storage-related impurities in
rejuvesol
® Solution. Based on the concentration of the residual inosine in rejuvenated RBC that are either washed or deglycerolized, the average washout of inosine was calculated to be > 97.4%. A literature search for potential toxicity associated with the ingredients that comprise
rejuvesol
® Solution, including potential metabolites, was conducted.
23 This report concludes that no theoretical contraindications would be associated with the transfusion of a single unit of
unwashed, rejuvenated RBC that would contain amounts of pyruvate, inosine, adenine, phosphate, hypoxanthine, uric acid, and lactate that exceed reference values (excluding lactate) as these substances are naturally metabolized and/or are excreted.
23The maximum number of properly processed rejuvenated RBC that can be transfused to a single recipient over their entire lifetime has not been determined.
What are Active Ingredients of this product?
An active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.
- ADENINE .034 g/50mL - A purine base and a fundamental unit of ADENINE NUCLEOTIDES.
- INOSINE 1.34 g/50mL - A purine nucleoside that has hypoxanthine linked by the N9 nitrogen to the C1 carbon of ribose. It is an intermediate in the degradation of purines and purine nucleosides to uric acid and in pathways of purine salvage. It also occurs in the anticodon of certain transfer RNA molecules. (Dorland, 28th ed)
- SODIUM PHOSPHATE, DIBASIC .73 g/50mL
- SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE .311 g/50mL
- SODIUM PYRUVATE .55 g/50mL
Which are the associated UNII Codes?
The UNII codes for the active ingredients in this product are:
- SODIUM PYRUVATE (UNII: POD38AIF08)
- PYRUVIC ACID (UNII: 8558G7RUTR) (Active Moiety)
- INOSINE (UNII: 5A614L51CT)
- INOSINE (UNII: 5A614L51CT) (Active Moiety)
- ADENINE (UNII: JAC85A2161)
- ADENINE (UNII: JAC85A2161) (Active Moiety)
- SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)
- PHOSPHATE ION (UNII: NK08V8K8HR) (Active Moiety)
- SODIUM CATION (UNII: LYR4M0NH37) (Active Moiety)
- SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)
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Product & Regulatory Definitions
What is the Non-Proprietary Name? The non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.
What is the Substance Name? An active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.
What kind of product is this? Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.
What are the Administration Routes? The translation of the route code submitted by the firm, indicating route of administration.
What is the Labeler Name? Name of Company corresponding to the labeler code segment of the Product NDC.
What is the FDA Application Number? This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.
What is the Marketing Category? Product types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.
What is the Start Marketing Date? This is the date that the labeler indicates was the start of its marketing of the drug product.
What is the Listing Expiration Date? This is the date when the listing record will expire if not updated or certified by the product labeler.
What is the NDC Exclude Flag? This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions, or because the listing certification is expired, or because the listing data was inactivated by FDA, or because it was discontinued by the labeler. Possible values in this field are: "D", "E", "I", "N", "U".