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Periflex® LQ

A flavored phenylalanine-free amino acid-based drink containing a balanced mix of the other essential and non-essential amino acids, carbohydrate, fat, vitamins, minerals and trace elements for the dietary management of phenylketonuria (PKU). Suitable for children, teens through adults, including pregnant women.

Price: $167.20(18 x 250 mL (8.5 fl oz))


 


Features

  • Phenylalanine-free
  • Contains a balanced mixture of other amino acids, carbohydrate, vitamins and minerals
  • No measuring or mixing
  • Great addition to any daily PKU diet plan
  • Periflex LQ provides 15 g of protein equivalent per 250 mL container
  • Available in Orange Crème and Berry Crème
  • Osmolality (mOsm/kg):
Dilution Orange Berry
0.64 kcal/mL 1080 1030
Indications
  • Phenylketonuria

Nutrition

Product Per 250 mL Per 10 g Protein
Equivlaent
Weight, g 250 mL 167 mL
Calories 160 107
Protein Equivalent, g 15 10
Carbohydrate, g 13.8 9.2
Fiber, g 1 0.67
Fat, g 5 3.3
Saturates, g 0.75 0.5
Monounsaturates, g 3 2
Polyunsaturates, g 1 0.7
Linoleic Acid, g 0.684 0.5
Linolenic Acid, g 0.2 0.1
     
Amino Acids, g Per 250 mL Per 10 g Protein
Equivlaent
Alanine 0.68 0.45
Arginine 1.28 0.85
Asparagine 0 0
Aspartic Acid 1.2 0.8
Citrulline 0 0
Cystine 0.48 0.32
Glutamic Acid 0 0
Glycine 1.23 0.82
Histidine 0.73 0.49
Isoleucine 1.13 0.75
Leucine 1.95 1.3
Lysine 1.5 1
Methionine 0.33 0.22
Phenylalanine 0 0
Proline 1.38 0.92
Serine 0.85 0.57
Threonine 0.95 0.63
Tryptophan 0.38 0.25
Tyrosine 1.73 1.15
Valine 1.25 0.83
Carnitine 0.01 0.01
Taurine 0.08 0.05
Glutamine 0 0
Vitamins Per 250 mL Per 10 g Protein
Equivlaent
Vitamin A, IU 833 555
Vitamin A, mcg RE 250 167
Vitamin D, IU 130 87
Vitamin D, mcg 3.3 2.2
Vitamin E, IU 7 4.7
Vitamin E, mg alpha TE 4.8 3.2
Vitamin K, mcg 30.8 20.5
Thiamine, mg 0.35 0.23
Riboflavin, mg 0.38 0.25
Vitamin B6, mg 0.6 0.4
Vitamin B12, mcg 1.2 0.8
Niacin, mg 2.1 1.4
Folic Acid, mcg 184 123
Pantothenic Acid, mg 1.9 1.3
Biotin, mcg 9.3 6.2
Vitamin C, mg 23.3 15.5
Choline, mg 161 107
Inositol, mg 30 20
Minerals Per 250 mL Per 10 g Protein
Equivlaent
Calcium, mg 400 267
Phosphorus, mg 288 192
Magnesium, mg 114 76
Iron, mg 5.5 3.7
Zinc, mg 3.5 2.3
Manganese, mg 0.7 0.47
Copper, mcg 310 207
Iodine, mcg 49 32.7
Molybdenum, mcg 14 9.3
Chromium, mcg 9.8 6.5
Selenium, mcg 21.8 14.5
Sodium, mg 210 140
Potassium, mg 263 175
Chloride, mg 210 140

Ingredients

Water, Sugar, and less than 2% of each of the following: Calcium Glycerophosphate, High Oleic Sunflower Oil, L-Lysine Acetate, Canola Oil, L-Leucine, L-Tyrosine, Artificial Flavor, L-Proline, L-Arginine, L-Valine, Glycine, L-Aspartic Acid, L-Isoleucine, Micro- Crystalline Cellulose, Citric Acid, L-Threonine, L-Serine, Magnesium Acetate, Tripotassium Citrate, L-Histidine, L-Alanine, L-Cystine, Choline Hydrogen Tartrate, N-Acetyl L-Methionine, Sodium Chloride, L-Tryptophan, Trisodium Citrate, Soybean Oil, L-Ascorbic Acid, Diacetyl Tartaric Acid Esters of Monoglycerides, Mono- and Diglycerides, Guar Gum, Xanthan Gum, Artificial Sweetener: Acesulfame Potassium, Taurine, M-Inositol, Ferrous Sulphate, Tricalcium Phosphate, Carnitine, Zinc Sulfate, DL-Alpha Tocopherol Acetate, Niacinamide, Manganese Sulphate, Calcium- D-Pantothenate, Cupric Sulfate, Pyridoxine Hydrochloride, Thiaminee Chloride Hydrochloride, Riboflavin, Vitamin A Acetate, Potassium Iodide, Chromium Chloride, Sodium Selenite, Sodium Molybdate, Phylloquinone, D-Biotin, Cholecalciferol, Folic Acid, Cyanocobalamin.

Preparation & Storage

Administration
Use only under the direction of a physician or dietitian. Periflex® LQ must be consumed in conjunction with natural protein, fluid and other nutrients in quantities prescribed by a physician or dietitian to meet the phenylalanine and general nutrient requirements.


The recommended intake of Periflex® LQ will vary depending on the age, bodyweight and medical condition of the individual. Intake should be adjusted to maintain normal growth and development. The daily intake of Periflex LQ should be divided into equal portions and distributed throughout the day.

Mixing Instructions
Periflex® LQ is ready-to-drink. Just shake gently, open and enjoy. Best served chilled. Once opened, store any remaining formula in a refrigerator for no more than 24 hours. Shake formula immediately before use. Do not heat, bake or add to food or beverages above 130°F.

Precaution
Must only be used under strict medical supervision. Not intended for use as the sole source of nutrition. Not suitable for infants or sole source of formula for toddlers. Not for parenteral use. Not suitable for metabolic disorders other than phenylketonuria.

This product must be supplemented with natural protein and other nutrients in medically prescribed quantities to supply the phenylalanine and general nutritional requirements of the patient.

Storage
Store unopened containers in a cool, dry place away from sunlight. Can be frozen. Do not store at extreme temperatures. Once opened, refrigerate for up to 24 hours

Ordering Information


Product Code Reimbursement Code HCPCS Code Product Packaging Calories Per Unit

80177 - Orange Crème 49735-0125-51

B4162 or B4157 18 x 250 mL (8.5 fl oz) 160
80176 - Berry Crème 49735-0125-24 B4162 or B4157 18 x 250 mL (8.5 fl oz) 160
         
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