Albicar

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Albicar

What is Albicar? An Overview

Property Description
Active ingredient Levocarnitine (L-carnitine)
Primary Form Tablets, Oral Solution, Injectable Solution
Pharmacological Class Amino Acid Derivative, Metabolic Agent
General Purpose Corrects carnitine deficiency (hypocarnitinemia)
Origin Endogenous molecule (naturally synthesized in the body)

The Active Ingredient: Levocarnitine's Identity and Role

Albicar is a prescription medication classified as a Metabolic Agent that features levocarnitine (L-carnitine) as its sole active ingredient. It is pharmacologically designated as an Amino Acid Derivative.

Levocarnitine is an endogenous molecule naturally produced within the human body, synthesized from the essential amino acids lysine and methionine. The formulation provides the pure L isomer of carnitine, which is recognized for its metabolic functionality, differentiating it from other analogues. This approach provides supplementation to replenish the body's supply of this naturally occurring compound.


General Purpose and Mechanism Principle

The general purpose of Albicar is to prevent and correct a diagnosis of carnitine deficiency, a state where insufficient carnitine can impair normal cellular function. Levocarnitine acts as a carrier molecule that facilitates the transport of long-chain fatty acids into the cell's powerhouses, the mitochondria. This transport action is required to enable the breakdown of fat for energy production. As an essential cofactor in mammalian metabolism, carnitine supports function in tissues, such as the heart and muscles, that rely heavily on fat metabolism. Albicar is supplied in multiple pharmaceutical preparations, including both oral and injectable solution forms, to accommodate various patient administration needs.

Regulatory References

  1. methionine
  2. The Cochrane Library

What side effects are possible with Albicar?

Possible Side Effects and Safety Information

The officially documented safety profile of Albicar (levocarnitine) is organized around effects on specific body systems and specific population considerations, as established in government regulatory documents like the FDA Prescribing Information and the European SmPC.

Documented Adverse Reactions

The most frequently documented adverse effects relate to the Gastrointestinal System. These are generally mild and may include nausea, vomiting, abdominal cramps, and diarrhea. A change in body odor is also a recognized, drug-related adverse effect, often noted as dose-dependent.

Adverse Reaction Category Examples Listed in Regulatory Documents
Gastrointestinal Disorders Nausea, Vomiting, Diarrhea, Abdominal cramp, Gastritis
General & Site Conditions Body Odor, Injection site reactions (for injectable form)

Serious Adverse Reactions and Population Constraints

Specific serious adverse reactions are highlighted in the official label. These include severe hypersensitivity reactions, such as anaphylaxis, laryngeal edema, and bronchospasm. Reports also document the potential for an increase in seizure frequency and/or severity in patients with a history of seizure disorders.

For patients with severe renal impairment, particularly those on chronic hemodialysis, the safety information addresses the risk of metabolite accumulation (TMA and TMAO) with chronic oral administration. Additionally, co-administration with coumarinic anticoagulant drugs (e.g., Warfarin) has been reported to cause an increase in the International Normalised Ratio (INR), a safety consequence requiring observation.

Overdose and Emergency Response

Overdose and when to seek help

The official regulatory documentation for Albicar (levocarnitine) provides specific guidance on the documented clinical profile of overdosage and the corresponding actions required.

Documented Overdose Profile

Regulatory agencies note that no reports of toxicity from levocarnitine overdosage have been formally documented in official prescribing information. The only specific clinical manifestation listed following the administration of large doses is diarrhea. This suggests that, according to official data, the primary consequence is gastrointestinal discomfort rather than life-threatening systemic toxicity.

Classification Regulatory Statement
Toxicity No reports of toxicity documented
Manifestation Diarrhea (at large doses)

Required Emergency Actions

While the official profile indicates a low toxicity risk, general regulatory guidance mandates that treatment for an overdosage event should be symptomatic and supportive. The prescribing information confirms that no specific antidote is known for levocarnitine overdosage. Consistent with standard protocol, individuals must seek immediate medical attention for any event that is severe or unexpected. For patients who require intervention, levocarnitine is a substance that is easily removed from plasma by dialysis, a characteristic relevant to specific patient populations.

Therapeutic Uses of Albicar

What Albicar Treats: Main Uses and Benefits

Albicar (Levocarnitine) is commonly used to help manage symptomatic presentations in conditions where carnitine deficiency is present. This supports the easing of the overall symptom load across several critical therapeutic domains, and the medication is often applied when short-term symptomatic assistance is needed.

The medicine is relevant for managing symptom clusters that interfere with daily comfort in conditions characterized by recurrent or episodic manifestations linked to metabolic disorders, or in patients with End-Stage Renal Disease (ESRD) undergoing hemodialysis. This support contributes to improved comfort during periods of heightened symptoms.

The primary therapeutic uses include the management of signs related to conditions presenting with systemic or localized discomfort associated with metabolic problems, as well as specific symptoms like profound muscle weakness and fatigability in ESRD patients. It may also be part of symptomatic management during acute episodes, such as those associated with Valproic Acid toxicity.

“This supportive therapeutic approach provides support that helps ease the overall symptom burden.”

Quick Fact: Support for Symptoms Related to Physical Discomfort Albicar assists with maintaining functional stability by managing symptoms related to physical discomfort, such as the severe fatigue and weakness common in chronic conditions and dialysis patients.

Eligibility and Restrictions for Use

Who Can and Cannot Use Albicar?

Albicar (Levocarnitine) is officially approved for the treatment of documented carnitine deficiency, including primary systemic deficiency and secondary deficiency resulting from inborn errors of metabolism. It is also approved for use in patients with End-Stage Renal Disease (ESRD) who are undergoing dialysis. The medicine is established for use across all pediatric age groups, from infants through adolescents, as well as in adults.

Use is strictly contraindicated for any patient with a known hypersensitivity or documented allergy to levocarnitine or any of the formulation's components. Furthermore, certain oral solution formulations are specifically contraindicated for patients with Hereditary Fructose Intolerance.

Specific population restrictions require caution and monitoring. Chronic administration of high doses of oral levocarnitine is not recommended for patients with severely compromised renal function due to the risk of accumulating toxic metabolites. Additionally, use requires caution in individuals with a history of pre-existing seizure activity, as regulatory documents report a risk of increased seizure frequency or severity. During pregnancy and lactation, use is conditional and advised only if the benefit clearly outweighs the potential risk, due to a lack of adequate human studies.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The official prescribing information for Albicar (levocarnitine) documents specific interaction patterns and mandates defined procedural, population, and administration constraints.

Interaction Scope

Category Official Regulatory Statement
Pharmacodynamic Interaction Co-administration with warfarin and other coumarinic anticoagulants may be associated with an increase in the International Normalized Ratio (INR).
Interaction-Related Restriction Use requires the mandatory monitoring of INR levels following initiation or dose adjustment.
Population-Specific Note Patients with severely compromised renal function or those on dialysis are at risk for accumulation of the metabolites trimethylamine (TMA) and trimethylamine-N-oxide (TMAO) with chronic high oral doses.
Timing-Based Rules The oral solution must be consumed slowly and doses spaced evenly throughout the day to maximize tolerance.

Official Interaction Structure

The interaction structure is defined by a mandatory procedural constraint for co-administering with anticoagulants, necessitating INR monitoring due to a documented pharmacodynamic potentiation. This is classified as a use-with-caution scenario. A key element of the regulatory profile is the population constraint detailing the risk of TMA and TMAO metabolite accumulation in patients with compromised renal function. Furthermore, the prescribing information includes specific administration constraints for the oral solution, allowing it to be mixed with liquid foods or drinks while requiring slow and evenly spaced consumption.

Mechanism of Action

How Albicar Works: Mechanism and Biological Action

Albicar's action is defined by a highly selective process targeting the fundamental machinery of fungal cells.


1. Inhibition of Fungal Ergosterol Production

This core mechanism involves Albicar acting as a non-competitive inhibitor of the fungal enzyme Lanosterol 14-alpha -demethylase. This action blocks a critical step in the ergosterol biosynthesis pathway, which is essential for microbial survival. This domain initiates the mechanistic cascade that results in a severe structural deficiency in the fungal cell, which leads to compromised cell proliferation.


2. Destabilization of the Fungal Cell Membrane

By preventing the formation of ergosterol and causing the accumulation of toxic 14-alpha -methylated sterol intermediates, Albicar fundamentally compromises the structural integrity and fluidity of the fungal cell membrane. This results in the core physiological consequence of the mechanism: impaired cell permeability and inhibition of fungal proliferation, which results in fungistatic (growth-inhibiting) and fungicidal (cell-killing) effects on the microbe.

Dosage and Administration Information

How to Use Albicar

Albicar (Levocarnitine) is administered according to a specific regimen, with instructions governing the route, dosage, frequency, and administration context. The medicine is used through two main methods: oral administration, typically for chronic supplementation, and intravenous (IV) injection, reserved for acute metabolic episodes or use in hemodialysis patients.


Administration Guidelines

The established dosing protocol requires careful attention to the administration method and timing, ensuring the product is used strictly as directed.

Instruction Entity Administration Guideline
Route of Administration Oral (tablets/solution) and Intravenous (IV) injection.
Adult Oral Dosage Standard maintenance ranges from 1 to 3 grams daily, taken in divided doses.
IV Dosing (ESRD/Dialysis) 10 to 20 mg/kg of dry body weight, administered after each hemodialysis session.
IV Dosing (Acute Crisis) Initial dose of 50 mg/kg, followed by divided doses over 24 hours.

Contextual and Procedural Instructions

Use of Albicar requires adherence to specific procedural steps to ensure proper delivery. Oral solution doses are generally advised to be taken during or following meals and should be consumed slowly. For the IV route, the injection must be administered as a slow 2- to 3-minute bolus or by infusion. The injectable solution is compatible with standard solutions such as 0.9% Sodium Chloride.

For specific populations, long-term use of high oral doses (exceeding 1 g per dose) is not recommended in patients with severe renal impairment, including those on dialysis. Pediatric patients begin with a weight-based dose of 50 mg/kg/day, with a maximum limit of 3 grams daily.

Recent Clinical Evidence

Research evidence / Overview of Studies for Albicar (Levocarnitine)


Evidence for Use in Primary Systemic Carnitine Deficiency

The research base for Albicar’s administration in individuals with primary systemic carnitine deficiency, a condition characterized by a functional imbalance, has largely focused on long-term clinical observation. Because this is a rare, inherited condition, large-scale, placebo-controlled Randomized Controlled Trials (RCTs) are not commonly feasible. Instead, the evidence has been derived from comprehensive clinical case reports, case series, and long-term observational studies that monitor affected individuals.

Studies reported measurable increases in total and free plasma carnitine levels in the observed population. Case descriptions reported measurements of heart function parameters and physical function scales in the observed populations. Since evidence relies on case series, the certainty provided by large controlled trials is not available.


Evidence for Use in Secondary Carnitine Deficiency in Dialysis Patients

The research base for secondary carnitine deficiency in ESRD patients on hemodialysis includes multiple RCTs, systematic reviews, and meta-analyses. These trials primarily examined patient-reported outcomes describing perceived discomfort, specifically focusing on the frequency and severity of muscle cramps and severe fatigue.

Studies monitored changes in carnitine plasma concentration following levocarnitine administration in patients. Some trials reported data related to changes in the reported severity of muscle symptoms. Findings regarding non-symptomatic outcomes (like lipid profiles or anemia markers) were mixed and varied significantly across studies.


What Is Still Uncertain About Albicar's Research

While a significant body of research exists, several areas remain subject to ongoing scientific discussion. These include the inconsistency in findings for non-symptomatic outcomes in dialysis patients; the high variability (heterogeneity) in trial design and dosing across studies; and limited information for long-term outcomes beyond the commonly observed follow-up periods of six to twelve months.

Key Studies & References Primary Carnitine Deficiency - GeneReviews® - NCBI Bookshelf (Clinical Management Guideline)

Frequently Asked Questions (FAQ)

Common questions about Albicar (FAQ)

Q: Is Albicar a type of antibiotic or something else?

A: According to regulatory documents, Albicar (levocarnitine) is classified as an Amino Acid Derivative and a Metabolic Agent. Its general purpose is to correct carnitine deficiency, which is a state where the body has insufficient carnitine. It does not act against microbial cells like an antibiotic.

Q: What are the most commonly reported side effects of Albicar?

A: Official prescribing information describes that the most frequently documented adverse effects relate to the gastrointestinal system. These may include experiences such as nausea, vomiting, abdominal cramps, and diarrhea. Additionally, a change in body odor is a recognized, dose-related effect noted in the drug's safety profile.

Q: Can Albicar affect my sleep?

A: Official safety summaries for the drug do not consistently report insomnia or sleep disorders as a frequent adverse effect. However, regulatory documents do note the potential for neurological effects, such as an increased risk of seizures in patients who have a history of seizure disorders.

Q: Is it normal to feel dizzy after starting Albicar?

A: Official patient safety materials have sometimes listed dizziness as a possible side effect that may occur when using the medication. Side effects are described in official safety profiles for informational purposes. Individual experiences with the medication can vary.

Q: Are there any official studies on Albicar's long-term safety?

A: Research evidence includes long-term clinical observations for people with primary carnitine deficiency, which is a rare, inherited condition. For other approved uses, studies sometimes note limited information for long-term outcomes beyond standard follow-up periods. Additionally, official safety information specifically cautions against the chronic administration of high oral doses in patients with severe kidney impairment due to a risk of metabolite buildup.

Q: What research evidence supports the use of Albicar?

A: Studies and official information indicate that the research base includes long-term observational studies for primary systemic carnitine deficiency and randomized controlled trials (RCTs) focusing on secondary carnitine deficiency in dialysis patients. These trials often examine patient-reported outcomes like muscle cramps and fatigue.

Q: How quickly does Albicar start to work?

A: Pharmacokinetic data from regulatory documents describes how the drug is absorbed and processed by the body. Following oral administration in healthy volunteers, the drug reaches its maximum concentration in the blood (Cmax) at approximately 3.3 hours.

Q: How long does the effect of Albicar last?

A: Pharmacokinetic data describes the drug's elimination profile. Following intravenous (IV) administration, the mean apparent terminal elimination half-life is approximately 17.4 hours in studies. This is the time it takes for half of the drug to be eliminated from the body.

Q: Do you take Albicar every day?

A: Official administration guidelines detail dosing for oral formulations in divided doses daily. For patients with end-stage renal disease (ESRD) on hemodialysis, the intravenous use is administered after each hemodialysis session, according to the regimen defined by regulatory authorities.

Q: What happens if I miss a day of Albicar?

A: Regulatory patient information advises taking a missed dose as soon as possible if remembered. If it is almost time for the next scheduled dose, regulatory patient information typically describes the protocol to skip the missed dose and continue the regular schedule. The protocol also states not to take double or extra doses.

Q: Can Albicar be used for long-term treatment?

A: The drug is officially approved for the acute and chronic treatment of carnitine deficiency. Long-term use requires monitoring, especially in specific populations. For example, official safety information cautions against the chronic administration of high oral doses for patients with severe kidney impairment due to a risk of metabolite buildup.

Q: Are there any food restrictions while taking Albicar?

A: No specific food restrictions are listed in the official prescribing information. The oral formulation is generally advised to be taken with or following meals to help reduce the possibility of gastrointestinal side effects.

Q: Can Albicar be taken with alcohol?

A: Official prescribing information focuses on documented drug-drug interactions (such as with Warfarin) and does not contain a specific interaction warning regarding the consumption of alcohol.

Q: Is Albicar safe to use while pregnant?

A: Official documents state that the drug should be used during pregnancy only if clearly needed. Stopping treatment in women with primary carnitine deficiency may carry serious consequences, so careful risk assessment is required.

Q: Can breastfeeding mothers use Albicar?

A: The decision to use the drug during lactation requires weighing the risks to the child from excess carnitine intake against the benefits of supplementation to the mother. Levocarnitine is known to be a normal component of human milk.

Q: What age groups is Albicar generally approved for?

A: According to regulatory documents, Albicar is approved for its indications across all pediatric age groups, including infants through adolescents, as well as in adults.

Q: Can Albicar affect blood pressure readings?

A: Some official patient safety information mentions monitoring for signs of high or low blood pressure as a potential issue. Observing for changes in blood pressure may be necessary as part of routine medical supervision.

Q: Does Albicar interact with birth control pills?

A: Official prescribing information documents specific interactions, such as those with anticoagulants like Warfarin. However, the official document does not list a specific interaction with oral contraceptives (birth control pills).

Q: Does Albicar cause weight gain or loss?

A: Weight changes (gain or loss) are not listed among the most common adverse reactions in the official safety sections of the drug's prescribing information.

Q: Are there certain medical conditions that prevent me from taking Albicar?

A: A known hypersensitivity or allergy to the drug or its components is an absolute contraindication, preventing its use. Other conditions that require caution and monitoring include having severe renal (kidney) impairment and a history of seizure activity.

Q: Can Albicar affect mood or cause anxiety?

A: While not listed as common side effects, patient safety information notes that signs of a serious neurological reaction can include feeling anxious or nervous, which may require medical attention.

Q: Is Albicar safe for children?

A: Official regulatory documents confirm that Albicar is approved for its indications in all pediatric age groups, from infants through adolescents. Use in children is established for the management of carnitine deficiency. Administration protocols for pediatric patients include weight-based calculations.

Q: What happens if I accidentally take two doses of Albicar?

A: Regulatory patient information advises contacting a poison control center or emergency room immediately in case of an accidental overdose. The drug is administered under prescribed regimens to maintain appropriate levels.

Q: Is Albicar used to prevent something or to treat an active condition?

A: According to official regulatory approval, Albicar is used for the acute and chronic management of patients with carnitine deficiency. This use includes the goal to both prevent the adverse consequences of the deficiency and to treat the active condition.

Q: Are there any lab tests required before starting Albicar?

A: A diagnosis of carnitine deficiency generally requires the determination of low plasma concentrations of free carnitine and other metabolic markers. Blood work and monitoring of carnitine levels are often required for individuals taking the drug.

How should Albicar be stored and disposed of?

How to Store and Dispose of Albicar?

Proper storage of Albicar is essential to maintain its potency and safety. Store the medication in its original container at room temperature, away from excessive heat, moisture, and direct light, unless otherwise directed by the packaging or your pharmacist. A cool, dry location is generally suitable; the bathroom medicine cabinet is typically not recommended due to humidity.

To prevent accidental ingestion or misuse, always keep Albicar out of the sight and reach of children and pets.

For disposal of unused or expired Albicar, do not flush it down a toilet or pour it down a drain unless specifically instructed to do so. The preferred method is to utilize a community drug take-back program. If such a program is unavailable, mix the medication with an unappealing substance, such as dirt, cat litter, or used coffee grounds. Place this mixture in a sealed plastic bag and dispose of it in the household trash. Always remove or obscure personal information from all medication packaging before disposal.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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