From: Proposed guidelines for the diagnosis and management of methylmalonic and propionic acidemia
Glucose IV | L-carnitine IV | Hydroxo-cobalamin# IV/IM | Biotin IV/PO | Sodium benzoate* (to be given IV in glucose 10%) | 'sodium phenylbutyrate* (to be given IV in glucose 10%) | §L-arginine-HCl* (to be given IV in glucose 10%) | N-carbamyl-glutamate PO |
---|---|---|---|---|---|---|---|
Age dependent (see Table 8) | 100 mg/kg as bolus, then maintenance 100 mg/kg/d | 1 mg/day | 10 - 40 mg/day | 250 mg/kg as bolus in 90-120 min, then maintenance dose 250 mg/kg/d | 250 mg/kg as bolus in 90-120 min, then maintenance dose 250 mg/kg/d | 250 mg/kg as bolus in 90-120 min, then maintenance dose 250 mg/kg/d | 100 mg/kg bolus, then 25-62 mg/kg every 6 h |