Sterile Water Rx Only

Sterile Water Rx Only
SPL v2
SPL
SPL Set ID 81a1a49e-fd89-59d8-e053-2a91aa0ac3c3
Routes
INTRAVENOUS SUBCUTANEOUS INTRAMUSCULAR
Published
Effective Date 2018-05-29
Document Type 34391-3 HUMAN PRESCRIPTION DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Water (1 mL)

Identifiers & Packaging

Marketing Status
NDA Active Since 2005-06-16

Description

Glass Vial Plastic Vial

Indications and Usage

This parenteral preparation is indicated only for diluting or dissolving drugs for intravenous, intramuscular or subcutaneous injection, according to instructions of the manufacturer of the drug to be administered.

Dosage and Administration

The volume of the preparation to be used for diluting or dissolving any drug for injection is dependent on the vehicle concentration, dose and route of administration as recommended by the manufacturer. This parenteral should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Contraindications

Sterile Water for Injection, USP must be made approximately isotonic prior to use.

Adverse Reactions

Reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include febrile response, local tenderness, abscess, tissue necrosis or infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection and extravasation. If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate countermeasures, and if possible, retrieve and save the remainder of the unused vehicle for examination.

How Supplied

Sterile Water for Injection, USP is supplied in the following: Unit of Sale Total Content NDC 0409-4887-05 Tray of 25 Glass Fliptop Vials 1 mL NDC 0409-4887-10 Tray of 25 Plastic Fliptop Vials 10 mL NDC 0409-4887-34 Tray of 30 Plastic Fliptop Vials 10 mL NDC 0409-4887-20 Tray of 25 Plastic Fliptop Vials 20 mL NDC 0409-4887-50 Tray of 25 Plastic Fliptop Vials 50 mL NDC 0409-4887-99 Case of 25 Glass Fliptop Vials 100 mL Store at 20 to 25°C (68 to 77°F). [See USP Controlled Room Temperature.] Distributed by Hospira, Inc., Lake Forest, IL 60045 USA                                                                                    LAB-1292-1.0 Revised: 05/2018


Medication Information

Indications and Usage

This parenteral preparation is indicated only for diluting or dissolving drugs for intravenous, intramuscular or subcutaneous injection, according to instructions of the manufacturer of the drug to be administered.

Dosage and Administration

The volume of the preparation to be used for diluting or dissolving any drug for injection is dependent on the vehicle concentration, dose and route of administration as recommended by the manufacturer.

This parenteral should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Contraindications

Sterile Water for Injection, USP must be made approximately isotonic prior to use.

Adverse Reactions

Reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include febrile response, local tenderness, abscess, tissue necrosis or infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection and extravasation.

If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate countermeasures, and if possible, retrieve and save the remainder of the unused vehicle for examination.

How Supplied

Sterile Water for Injection, USP is supplied in the following:

Unit of Sale Total Content
NDC 0409-4887-05

Tray of 25 Glass Fliptop Vials
1 mL
NDC 0409-4887-10

Tray of 25 Plastic Fliptop Vials
10 mL
NDC 0409-4887-34

Tray of 30 Plastic Fliptop Vials
10 mL
NDC 0409-4887-20

Tray of 25 Plastic Fliptop Vials
20 mL
NDC 0409-4887-50

Tray of 25 Plastic Fliptop Vials
50 mL
NDC 0409-4887-99

Case of 25 Glass Fliptop Vials
100 mL

Store at 20 to 25°C (68 to 77°F). [See USP Controlled Room Temperature.]

Distributed by Hospira, Inc., Lake Forest, IL 60045 USA

                                                                                  

LAB-1292-1.0

Revised: 05/2018

Description

This preparation is designed solely for parenteral use only after addition of drugs that require dilution or must be dissolved in an aqueous vehicle prior to injection.

Sterile Water for Injection, USP is a sterile, nonpyrogenic preparation of water for injection which contains no bacteriostat, antimicrobial agent or added buffer and is supplied only in single-dose containers to dilute or dissolve drugs for injection. For I.V. injection, add sufficient solute to make an approximately isotonic solution.

Water for Injection, USP is chemically designated H 2O.

The glass vial is Type I or II borosilicate glass and meets the requirements of the powdered glass test according to the USP standards.

The semi-rigid vial is fabricated from a specially formulated polyolefin. It is a copolymer of ethylene and propylene. The safety of the plastic has been confirmed by tests in animals according to USP biological standards for plastic containers. The container requires no vapor barrier to maintain the proper labeled volume.

Section 42229-5

Glass Vial

Plastic Vial

Warnings

Intravenous administration of Sterile Water for Injection without a solute may result in hemolysis.

Overdosage

Use only as a diluent or solvent. This parenteral preparation is unlikely to pose a threat of fluid overload except possibly in neonates or very small infants. In the event these should occur, re-evaluate the patient and institute appropriate corrective measures. See WARNINGS , PRECAUTIONS and ADVERSE REACTIONS .

Precautions

Do not use for intravenous injection unless the osmolar concentration of additives results in an approximate isotonic admixture.

Consult the manufacturer's instructions for choice of vehicle, appropriate dilution or volume for dissolving the drugs to be injected, including the route and rate of injection.

Inspect reconstituted (diluted or dissolved) drugs for clarity (if soluble) and freedom from unexpected precipitation or discoloration prior to administration.

Pregnancy: Animal reproduction studies have not been conducted with Sterile Water for Injection. It is also not known whether sterile water containing additives can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Sterile Water for Injection with additives should be given to a pregnant woman only if clearly needed.

Pediatric Use

Safety and effectiveness have been established in pediatric patients. However, in neonates or very small infants the volume of fluid may affect fluid and electrolyte balance.

Drug Interactions

Some drugs for injection may be incompatible in a given vehicle, or when combined in the same vehicle or in a vehicle containing benzyl alcohol. Consult with pharmacist, if available.

Use aseptic technique for single or multiple entry and withdrawal from all containers.

When diluting or dissolving drugs, mix thoroughly and use promptly.

Do not store reconstituted solutions of drugs for injection unless otherwise directed by the manufacturer of the solute.

Do not use unless the solution is clear and seal intact. Do not reuse single-dose containers. Discard unused portion.

Clinical Pharmacology

Water is an essential constituent of all body tissues and accounts for approximately 70% of total body weight. Average normal adult daily requirement ranges from two to three liters (1.0 to 1.5 liters each for insensible water loss by perspiration and urine production).

Water balance is maintained by various regulatory mechanisms. Water for distribution depends primarily on the concentration of electrolytes in the body compartments and sodium (Na +) plays a major role in maintaining physiologic equilibrium.

The small volume of fluid provided by Sterile Water for Injection, USP when used only as a pharmaceutic aid for diluting or dissolving drugs for parenteral injection, is unlikely to exert a significant effect on fluid balance except possibly in neonates or very small infants.

Principal Display Panel Vial Label

50 mL Single-dose

Sterile Water



for Injection, USP

FOR DRUG DILUENT USE

Principal Display Panel Outer Package

NDC 71872-7041-1

1 - 50 mL Single-dose

Rx only

Sterile Water for Injection, USP

FOR DRUG DILUENT USE


Structured Label Content

Section 42229-5 (42229-5)

Glass Vial

Plastic Vial

Warnings (WARNINGS)

Intravenous administration of Sterile Water for Injection without a solute may result in hemolysis.

Overdosage (OVERDOSAGE)

Use only as a diluent or solvent. This parenteral preparation is unlikely to pose a threat of fluid overload except possibly in neonates or very small infants. In the event these should occur, re-evaluate the patient and institute appropriate corrective measures. See WARNINGS , PRECAUTIONS and ADVERSE REACTIONS .

Description (DESCRIPTION)

This preparation is designed solely for parenteral use only after addition of drugs that require dilution or must be dissolved in an aqueous vehicle prior to injection.

Sterile Water for Injection, USP is a sterile, nonpyrogenic preparation of water for injection which contains no bacteriostat, antimicrobial agent or added buffer and is supplied only in single-dose containers to dilute or dissolve drugs for injection. For I.V. injection, add sufficient solute to make an approximately isotonic solution.

Water for Injection, USP is chemically designated H 2O.

The glass vial is Type I or II borosilicate glass and meets the requirements of the powdered glass test according to the USP standards.

The semi-rigid vial is fabricated from a specially formulated polyolefin. It is a copolymer of ethylene and propylene. The safety of the plastic has been confirmed by tests in animals according to USP biological standards for plastic containers. The container requires no vapor barrier to maintain the proper labeled volume.

Precautions (PRECAUTIONS)

Do not use for intravenous injection unless the osmolar concentration of additives results in an approximate isotonic admixture.

Consult the manufacturer's instructions for choice of vehicle, appropriate dilution or volume for dissolving the drugs to be injected, including the route and rate of injection.

Inspect reconstituted (diluted or dissolved) drugs for clarity (if soluble) and freedom from unexpected precipitation or discoloration prior to administration.

Pregnancy: Animal reproduction studies have not been conducted with Sterile Water for Injection. It is also not known whether sterile water containing additives can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Sterile Water for Injection with additives should be given to a pregnant woman only if clearly needed.

Pediatric Use

Safety and effectiveness have been established in pediatric patients. However, in neonates or very small infants the volume of fluid may affect fluid and electrolyte balance.

Drug Interactions

Some drugs for injection may be incompatible in a given vehicle, or when combined in the same vehicle or in a vehicle containing benzyl alcohol. Consult with pharmacist, if available.

Use aseptic technique for single or multiple entry and withdrawal from all containers.

When diluting or dissolving drugs, mix thoroughly and use promptly.

Do not store reconstituted solutions of drugs for injection unless otherwise directed by the manufacturer of the solute.

Do not use unless the solution is clear and seal intact. Do not reuse single-dose containers. Discard unused portion.

How Supplied (HOW SUPPLIED)

Sterile Water for Injection, USP is supplied in the following:

Unit of Sale Total Content
NDC 0409-4887-05

Tray of 25 Glass Fliptop Vials
1 mL
NDC 0409-4887-10

Tray of 25 Plastic Fliptop Vials
10 mL
NDC 0409-4887-34

Tray of 30 Plastic Fliptop Vials
10 mL
NDC 0409-4887-20

Tray of 25 Plastic Fliptop Vials
20 mL
NDC 0409-4887-50

Tray of 25 Plastic Fliptop Vials
50 mL
NDC 0409-4887-99

Case of 25 Glass Fliptop Vials
100 mL

Store at 20 to 25°C (68 to 77°F). [See USP Controlled Room Temperature.]

Distributed by Hospira, Inc., Lake Forest, IL 60045 USA

                                                                                  

LAB-1292-1.0

Revised: 05/2018

Adverse Reactions (ADVERSE REACTIONS)

Reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include febrile response, local tenderness, abscess, tissue necrosis or infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection and extravasation.

If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate countermeasures, and if possible, retrieve and save the remainder of the unused vehicle for examination.

Contraindications (CONTRAINDICATIONS)

Sterile Water for Injection, USP must be made approximately isotonic prior to use.

Clinical Pharmacology (CLINICAL PHARMACOLOGY)

Water is an essential constituent of all body tissues and accounts for approximately 70% of total body weight. Average normal adult daily requirement ranges from two to three liters (1.0 to 1.5 liters each for insensible water loss by perspiration and urine production).

Water balance is maintained by various regulatory mechanisms. Water for distribution depends primarily on the concentration of electrolytes in the body compartments and sodium (Na +) plays a major role in maintaining physiologic equilibrium.

The small volume of fluid provided by Sterile Water for Injection, USP when used only as a pharmaceutic aid for diluting or dissolving drugs for parenteral injection, is unlikely to exert a significant effect on fluid balance except possibly in neonates or very small infants.

Indications and Usage (INDICATIONS AND USAGE)

This parenteral preparation is indicated only for diluting or dissolving drugs for intravenous, intramuscular or subcutaneous injection, according to instructions of the manufacturer of the drug to be administered.

Dosage and Administration (DOSAGE AND ADMINISTRATION)

The volume of the preparation to be used for diluting or dissolving any drug for injection is dependent on the vehicle concentration, dose and route of administration as recommended by the manufacturer.

This parenteral should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Principal Display Panel Vial Label (PRINCIPAL DISPLAY PANEL - VIAL LABEL)

50 mL Single-dose

Sterile Water



for Injection, USP

FOR DRUG DILUENT USE

Principal Display Panel Outer Package (PRINCIPAL DISPLAY PANEL - OUTER PACKAGE)

NDC 71872-7041-1

1 - 50 mL Single-dose

Rx only

Sterile Water for Injection, USP

FOR DRUG DILUENT USE


Advanced Ingredient Data


Raw Label Data

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