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r-gene 10

R-Gene 10 (Arginine Hydrochloride) is a medication used to treat Acidosis, Alkalosis.

Arginine Hydrochloride · by Pharmacia and Upjohn

Not yet rated· sourced from the FDA label
Rated against independent regulatory sources·Last updated June 7, 2026·How we rate
Verified againstopenFDANIH DailyMedRxClass

Key facts

Active ingredient
Arginine Hydrochloride
Form
Injectable
Strength
Arginine Hydrochloride 10GM/100ML
Type
Prescription (Rx)
Brand or generic
Brand-name
FDA application
NDA016931

What is R-Gene 10?

From the FDA label:Each 100 mL of R-Gene ® 10 (Arginine Hydrochloride Injection, USP) for intravenous use contains 10 g of L-Arginine Hydrochloride, USP in Water for Injection, USP (equivalent to a 10% solution) (0.1 g/mL). L-arginine is a naturally occurring amino acid. R-Gene ® 10 is hypertonic (950 mOsmol/liter) and contains 47.5 mEq of chloride ion per 100 mL of solution. The pH is adjusted to 5.6 (5.0–6.5) with arginine base or hydrochloric acid.

How to use

Adult Dosage The recommended adult dose is 30 g arginine hydrochloride (300 mL of R-Gene ® 10) administered by intravenous infusion over 30 minutes. The total dose should not exceed 30 g arginine hydrochloride. See Directions for Use for preparation instructions. Pediatric Dosage The recommended pediatric dose is 0.5 g/kg arginine hydrochloride (5 mL/kg of R-Gene ® 10) administered by intravenous infusion over 30 minutes. The total dose should not exceed 30 g arginine hydrochloride. • For patients weighing 59 kg or less , withdraw a weight based dose from a sealed R-Gene ® 10 bottle and place in a separate container for intravenous infusion to avoid the inadvertent delivery and administration of the total volume from the commercially available container. See Directions for Use for preparation instructions. • For patients weighing 60 kg or more , the recommended dose is 30 g arginine hydrochloride (300 mL of R-Gene ® 10). See Directions for Use for preparation instructions Test Procedure The intravenous infusion of R-Gene ® 10 is a part of the test for measurement of pituitary reserve of human growth hormone and, for successful administration of the test, clinical conditions and procedures should be as follows: 1. The test should be scheduled in the morning following a normal night's sleep, and an overnight fast should continue through the test period. 2. Patients must be…

Side effects

Adverse reactions associated with 1670 infusions in premarketing studies were as follows: Non-specific side effects consisting of nausea, vomiting, headache, flushing, numbness and local venous irritation were reported in approximately 3% of the patients. One patient had an allergic reaction which was manifested as a confluent macular rash with reddening and swelling of the hands and face. The rash subsided rapidly after the infusion was terminated and 50 mg of diphenhydramine were administered. One patient had an apparent decrease in platelet count from 150,000 to 60,000. One patient with a history of acrocyanosis had an exacerbation of this condition following infusion of R-Gene ® 10. Post Marketing Experience: The following adverse events have been reported during post-marketing use: extravasation leading to burn-like reaction and/or skin necrosis requiring surgical intervention, hypersensitivity reactions including anaphylaxis, and hematuria that in some cases occurred 1–2 days after an R-Gene ® 10 administration. Because these adverse events are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.

Warnings

Important safety information

There have been reports of overdosage of R-Gene ® 10 in pediatric patients leading to death. EXTREME CAUTION MUST BE EXERCISED WHEN INFUSING R-GENE ® 10 INTO PEDIATRIC PATIENTS. OVERDOSAGE OF R-GENE ® 10 IN PEDIATRIC PATIENTS CAN RESULT IN HYPERCHLOREMIC METABOLIC ACIDOSIS, CEREBRAL EDEMA, OR POSSIBLY DEATH. Hypersensitivity reactions, including anaphylaxis have been reported. Appropriate medical support should be available during R-Gene ® 10 administration. If anaphylaxis or other serious hypersensitivity reaction occurs, R-Gene ® 10 should be discontinued and appropriate medical treatment initiated. R-Gene ® 10 should always be administered by intravenous infusion because of its hypertonicity. R-Gene ® 10 is a diagnostic aid and is not intended for therapeutic use.

Who should not take R-Gene 10

The administration of R-Gene ® 10 is contraindicated in persons having known hypersensitivity to any ingredient in this product.

Overdose — what happens if you take too much

An overdosage may cause a transient metabolic acidosis with hyperventilation, which could lead to death (see " WARNINGS "). In most cases the acidosis will self-compensate and the base deficit will return to normal following completion of the infusion. If the condition persists, the deficit should be determined and corrected by a calculated dose of an alkalizing agent.

U.S. Poison Control: call or text 1-800-222-1222 (free, 24/7). In an emergency call 911. From the FDA label; not medical advice.

May treat (source: NIH RxClass)

Dosage forms

Injectable

The forms currently marketed in the U.S., per the FDA National Drug Code Directory.

Ways to save

Ask for the generic

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Request a 90-day supply

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Use copay cards

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Frequently asked questions

What does R-Gene 10 treat?
R-Gene 10 (Arginine Hydrochloride) may be used to treat acidosis, alkalosis, based on NIH RxClass drug-classification data (conditions a drug may treat — not a verbatim copy of the FDA-approved label). This is general reference, not medical advice.
Is there a coupon or discount for R-Gene 10?
pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell R-Gene 10. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
Who makes R-Gene 10?
R-Gene 10 is marketed by Pharmacia and Upjohn. You can see Pharmacia and Upjohn's full profile, rating, and other products on pharmaranks.
Is R-Gene 10 a brand-name or generic drug?
R-Gene 10 is a brand-name product with the active ingredient Arginine Hydrochloride.
Is R-Gene 10 available over the counter?
No. R-Gene 10 is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
What forms does R-Gene 10 come in?
R-Gene 10 is currently marketed as injectable, per the FDA's National Drug Code Directory.
Is R-Gene 10 FDA-registered?
R-Gene 10 is on record with the U.S. FDA under application number NDA016931. You can verify this on its official FDA label.
Is R-Gene 10 safe?
There's no single safe-or-not verdict, and we don't yet have a composite recall-safety score for R-Gene 10. Review its FDA-label side effects and warnings below, and always consult a licensed professional.
What are the side effects of R-Gene 10?
R-Gene 10's side effects are taken directly from its FDA label. From the label: Adverse reactions associated with 1670 infusions in premarketing studies were as follows: Non-specific side effects consisting of nausea, vomiting, headache, flushing, numbness and local venous irritation were reported in approximately 3% of the patients.… Both common and serious reactions are documented in full on this page. This is general reference from the FDA, not medical advice — always consult a professional.

Clinical content sourced from the FDA label via openFDA (U.S. FDA). View the FDA label on DailyMed → Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.

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