HYDROXIRAM® is a food for special medical purposes, intended for the dietary management of patients with malnutrition resulting from chronic renal failure, in whom malnutrition and sarcopenia are very common. Under these conditions, branched-chain amino acids and HMB are essential to provide a more effective prevention of protein loss and an improvement of nutritional status respect to the sole diet.

therapeutic areas

It is recommended to take 1-2 sachets a day, in accordance with medical advice, preferably between main meals.


Enteral administration:


  1. Do not combine the product with other enteral nutritional formulas in the same pouch. Pour the contents of one sachet into a suitable dry container; then, disperse in 100 ml of water at room temperature or lukewarm.
  2. Mix until the product is fully dispersed.
  3. Administration using a probe attached to a syringe.
  4. Wash the probe with 30 ml of water before and after administering the product. Preferably use immediately after preparation, within 4 hours if kept at room temperature, or within 24 hours if kept in a refrigerator.


Oral administration:

  1. Pour the contents of one sachet into a dry glass beaker and disperse in 100 ml of water at room temperature.
  2. Mix until completely dispersed. Once prepared, consume immediately.

Box containing 30 x 5.0 g sachets. Each sachet contains: L-leucine 1.250 g, Calcium hydroxymethylbutyrate (HMB) 750 mg, L-isoleucine 625 mg, L-valine 625 mg, zinc oxide 5 mg. Protein 0.0 g. Carbohydrates 1.3 g. Fats 0.0 g. Energy value: 13 Kcal, 54 Kj Osmolality: 308 mOsmol/kg in 100 ml of water.


Nutritional value 1 sachet (5 g) 2 sachets (10 g) Per 100 g di polvere
Energy Value 54 kJ 108 kJ 1076 kJ
  13 kcal 26 kcal 253 kcal
Fats 0,0 g 0,0 g 0,0 g
saturated fatty acids 0,0 g 0,0 g 0,0 g
Carbohydrates 1,3 g 2,6 g 25,6 g
sugar 0,3 g 0,6 g 5,4 g
Dietary fiber  0,0 g 0,0 g 0,5 g
Protein* 0 g 0 g 0 g
Salt 0,00 g 0,00 g 0,00 g
HMB 750 mg 1500 mg 15000 mg
L-leucine 1250 mg 2500 mg 25000 mg
L-isoleucine 625 mg 1250 mg 12500 mg
L-valine 625 mg 1250 mg 12500 mg
Zinc 5 mg 10 mg 100 mg

*Protein equivalent to 0 since the product contains only amino acids in free form.

Osmolality: 308 mOsmol/kg on dispersing the contents of 1 sachet in 100 ml of water