These Highlights Do Not Include All The Information Needed To Use Sodium Chloride Injection, Usp, 0.9% Safely And Effectively. See Full Prescribing Information For Sodium Chloride Injection, Usp, 0.9%.

These Highlights Do Not Include All The Information Needed To Use Sodium Chloride Injection, Usp, 0.9% Safely And Effectively. See Full Prescribing Information For Sodium Chloride Injection, Usp, 0.9%.
SPL v21
SPL
SPL Set ID d1468c0f-dd4f-4d38-a84c-c1d110303965
Routes
INTRAMUSCULAR SUBCUTANEOUS INTRAVENOUS
Published
Effective Date 2022-06-30
Document Type 34391-3 HUMAN PRESCRIPTION DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Sodium Cation (9 mg)
Inactive Ingredients
Water

Identifiers & Packaging

Marketing Status
NDA Active Since 2012-01-13

Description

Sodium Chloride Injection, USP, 0.9% is indicated for: • Dilution or Dissolving the drugs for intravenous, intramuscular or subcutaneous injections ( 1.1 ).

Warnings and Precautions

• Consult the drug product manufacturer’s instructions for choice of vehicle, appropriate dilution or volume for dissolving drugs to be injected including the route and rate of injection ( 5.1 ). • Do not use Sodium Chloride Injection, USP, 0.9% if the solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged ( 5.1 ). • For single use only. Discard unused portion ( 5.2 ).

Contraindications

None

Adverse Reactions

Adverse reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include, but are not limited to, air embolization, 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 therapeutic countermeasures, and if possible, retrieve and save the remainder of unused vehicle for examination if deemed necessary.

Drug Interactions

Some drugs or injections may be incompatible when combined with 0.9% sodium chloride. Before Sodium Chloride Injection, USP, 0.9% is used as a vehicle for the administration of a drug, the drug product manufacturer’s instructions or other specific references should be checked for any possible incompatibility with sodium chloride. Consult with a pharmacist, if unsure of compatibility.

Storage and Handling

The drug product is packaged in a clear plastic hypodermic syringe, which consists of a hypodermic barrel with luer lock, plunger stopper, plunger rod, and tip cap. The syringe is intended for single use and subsequent disposal. The 10 mL fill volume syringes are packaged individually in plastic pouches and 60 syringes are packaged into each dispensing box. DOSAGE FORM Product Number NDC Fill Volume MSD-0230 64253-202-30 10 mL fill in 12 mL syringe The above product is available in boxes of 30, 60 or 120 count each. STORAGE AND HANDLING Store at 25°C (77°F); excursions permitted to 15°-30°C (59° - 86°F). Do not freeze.

How Supplied

The drug product is packaged in a clear plastic hypodermic syringe, which consists of a hypodermic barrel with luer lock, plunger stopper, plunger rod, and tip cap. The syringe is intended for single use and subsequent disposal. The 10 mL fill volume syringes are packaged individually in plastic pouches and 60 syringes are packaged into each dispensing box. DOSAGE FORM Product Number NDC Fill Volume MSD-0230 64253-202-30 10 mL fill in 12 mL syringe The above product is available in boxes of 30, 60 or 120 count each. STORAGE AND HANDLING Store at 25°C (77°F); excursions permitted to 15°-30°C (59° - 86°F). Do not freeze.


Medication Information

Warnings and Precautions

• Consult the drug product manufacturer’s instructions for choice of vehicle, appropriate dilution or volume for dissolving drugs to be injected including the route and rate of injection ( 5.1 ). • Do not use Sodium Chloride Injection, USP, 0.9% if the solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged ( 5.1 ). • For single use only. Discard unused portion ( 5.2 ).

Contraindications

None

Adverse Reactions

Adverse reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include, but are not limited to, air embolization, 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 therapeutic countermeasures, and if possible, retrieve and save the remainder of unused vehicle for examination if deemed necessary.

Drug Interactions

Some drugs or injections may be incompatible when combined with 0.9% sodium chloride. Before Sodium Chloride Injection, USP, 0.9% is used as a vehicle for the administration of a drug, the drug product manufacturer’s instructions or other specific references should be checked for any possible incompatibility with sodium chloride. Consult with a pharmacist, if unsure of compatibility.

Storage and Handling

The drug product is packaged in a clear plastic hypodermic syringe, which consists of a hypodermic barrel with luer lock, plunger stopper, plunger rod, and tip cap. The syringe is intended for single use and subsequent disposal. The 10 mL fill volume syringes are packaged individually in plastic pouches and 60 syringes are packaged into each dispensing box. DOSAGE FORM Product Number NDC Fill Volume MSD-0230 64253-202-30 10 mL fill in 12 mL syringe The above product is available in boxes of 30, 60 or 120 count each. STORAGE AND HANDLING Store at 25°C (77°F); excursions permitted to 15°-30°C (59° - 86°F). Do not freeze.

How Supplied

The drug product is packaged in a clear plastic hypodermic syringe, which consists of a hypodermic barrel with luer lock, plunger stopper, plunger rod, and tip cap. The syringe is intended for single use and subsequent disposal. The 10 mL fill volume syringes are packaged individually in plastic pouches and 60 syringes are packaged into each dispensing box. DOSAGE FORM Product Number NDC Fill Volume MSD-0230 64253-202-30 10 mL fill in 12 mL syringe The above product is available in boxes of 30, 60 or 120 count each. STORAGE AND HANDLING Store at 25°C (77°F); excursions permitted to 15°-30°C (59° - 86°F). Do not freeze.

Description

Sodium Chloride Injection, USP, 0.9% is indicated for: • Dilution or Dissolving the drugs for intravenous, intramuscular or subcutaneous injections ( 1.1 ).

Section 51945-4
5.1 General

When used to dilute drug products, consult the drug product manufacturer’s instructions for choice of vehicle, appropriate dilution or volume for dissolving 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. Do not use Sodium Chloride Injection, USP 0.9% if the solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged.

11  Description

Sodium Chloride Injection, USP 0.9% is a sterile, nonpyrogenic, isotonic solution of sodium chloride and water for injection. It contains no bacteriostatic antimicrobial agents or added buffer. The nominal pH is 5.5 (4.5 to 7.0).

Hydrochloric acid and/or sodium hydroxide may have been added for pH adjustment. Sodium Chloride Injection, USP, 0.9% contains 9 g/L Sodium Chloride, USP (NaCl) with a calculated osmolarity of approximately 308 mOsmol/L. It contains 154 mEq/L sodium and 154 mEq/L chloride.

The syringe component of Sodium Chloride Injection, USP, 0.9% is manufactured with polypropylene and luer lock.

The syringe is not made with natural rubber latex. The syringe is not made with DEHP. This product contains no preservative. The syringes require no vapor barrier to maintain the proper drug concentration. The empirical formula for sodium chloride is NaCl and the molecular weight is 58.44 g/mol.

Supplied as single use syringes.

7 Drug Interactions

Some drugs or injections may be incompatible when combined with 0.9% sodium chloride. Before Sodium Chloride Injection, USP, 0.9% is used as a vehicle for the administration of a drug, the drug product manufacturer’s instructions or other specific references should be checked for any possible incompatibility with sodium chloride.

Consult with a pharmacist, if unsure of compatibility.

1 Indications & Usage



4  Contraindications

None

6  Adverse Reactions

Adverse reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include, but are not limited to, air embolization, 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 therapeutic countermeasures, and if possible, retrieve and save the remainder of unused vehicle for examination if deemed necessary.

2.1 Recommended Dosage
  • The volume of 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 drug manufacturer.
5.2 for Single Use Only

Re-use of single-use product creates a potential risk to the user. Contamination of product and/or limited functionality of the syringe may lead to injury, illness or death. Discard any unused portion.

2 Dosage & Administration

12  Clinical Pharmacology

Sodium chloride in water dissociates to provide sodium (Na+) and chloride (Cl-) ions. These ions are normal constituents of the body fluids (principally extracellular) and are essential for maintaining electrolyte balance.

The small volume of fluid and amount of sodium chloride provided by Sodium Chloride Injection, USP, 0.9% when used only as an isotonic vehicle for parenteral injection of drugs or for flushing of indwelling access devices, is unlikely to exert a significant effect on fluid and electrolyte balance except possibly in neonates and very small infants.

3 Dosage Forms & Strengths

10 mL fill in 12 mL syringe, 0.9% Sodium Chloride, USP, single use.

5  Warnings and Precautions

17 Patient Counseling Information

17.1 When using to dilute drug products, consult the drug product manufacturer’s instruction to confirm compatibility, appropriate dilution or volume for dissolving drugs 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. Do not use Sodium Chloride Injection, USP 0.9% if the solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe damaged [ see Warning and Precautions, section 5.1].

17.2 Syringes are for single use only. Discard unused portions and dispose of the unit in an appropriate sharps container. [ see Warning and Precaustions, section 5.2].

Medefil, Inc., 250 Windy Point Drive, Glendale Heights, IL 60139. Prepared 10/2020 Rev. 003

2.2 Instruction for Administration
  • Solution and fluid path are sterile and non-pyrogenic if the tip cap is in place, syringe is intact and there is no evidence of leakage. Use proper aseptic technique.
  • Inspect plastic wrapping. Do not use if plastic wrapping is damaged or not intact. (Figure 1)
  • Remove plastic packaging by tearing along perforation. (Figure 2)
  • Do not use if, solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged. (Figure 3)
  • With the tip cap of the syringe on, press the syringe forward to properly activate the syringe. Improper activation may difficult syringe use and/or may cause plunger rod separation. Never draw back rod because the product may become contaminated. (Figure 4)
  • Remove tip cap. Hold the syringe unit upright and prime to expel any air bubble if present. (Figure 5)
  • Syringe is now ready to use.
  • Use aseptic techniques for diluting or dissolving drugs, mix thoroughly and use according to the drug manufacturer’s label instructions.
  • Discard empty unit after use. Discard any unused portion. Do not reuse disposable syringes.
1.1 Dilution Or Dissolution of Drugs

Sodium Chloride Injection, USP, 0.9% is indicated for diluting or dissolving drugs for intravenous, intramuscular or subcutaneous injection, according to instructions of the manufacturer of the drug to be administered.

16 How Supplied/storage and Handling

The drug product is packaged in a clear plastic hypodermic syringe, which consists of a hypodermic barrel with luer lock, plunger stopper, plunger rod, and tip cap. The syringe is intended for single use and subsequent disposal. The 10 mL fill volume syringes are packaged individually in plastic pouches and 60 syringes are packaged into each dispensing box.

DOSAGE FORM

Product Number NDC Fill Volume

MSD-0230

64253-202-30

10 mL fill in 12 mL syringe

The above product is available in boxes of 30, 60 or 120 count each.

STORAGE AND HANDLING

Store at 25°C (77°F); excursions permitted to 15°-30°C (59° - 86°F). Do not freeze.

Package Label.principal Display Panel

Manufactured by:

Medefil, Inc., 250 Windy Point Drive, Glendale Heights, IL 60139.

NDA 202832

Rev. 003

2.3 Preparation and Handling Precautions
  • Before use check for any possible incompatibility with sodium chloride.
  • Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit. Do not administer unless solution is clear and seal is intact.
  • Do not store reconstituted solution or drugs for injection unless otherwise directed by the manufacturer of the solute.
  • Adding additives may be incompatible.
  • Do not use if, solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged.
  • Do not freeze.
  • Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat.

Structured Label Content

Section 51945-4 (51945-4)
5.1 General

When used to dilute drug products, consult the drug product manufacturer’s instructions for choice of vehicle, appropriate dilution or volume for dissolving 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. Do not use Sodium Chloride Injection, USP 0.9% if the solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged.

11  Description (11  DESCRIPTION)

Sodium Chloride Injection, USP 0.9% is a sterile, nonpyrogenic, isotonic solution of sodium chloride and water for injection. It contains no bacteriostatic antimicrobial agents or added buffer. The nominal pH is 5.5 (4.5 to 7.0).

Hydrochloric acid and/or sodium hydroxide may have been added for pH adjustment. Sodium Chloride Injection, USP, 0.9% contains 9 g/L Sodium Chloride, USP (NaCl) with a calculated osmolarity of approximately 308 mOsmol/L. It contains 154 mEq/L sodium and 154 mEq/L chloride.

The syringe component of Sodium Chloride Injection, USP, 0.9% is manufactured with polypropylene and luer lock.

The syringe is not made with natural rubber latex. The syringe is not made with DEHP. This product contains no preservative. The syringes require no vapor barrier to maintain the proper drug concentration. The empirical formula for sodium chloride is NaCl and the molecular weight is 58.44 g/mol.

Supplied as single use syringes.

7 Drug Interactions (7 DRUG INTERACTIONS)

Some drugs or injections may be incompatible when combined with 0.9% sodium chloride. Before Sodium Chloride Injection, USP, 0.9% is used as a vehicle for the administration of a drug, the drug product manufacturer’s instructions or other specific references should be checked for any possible incompatibility with sodium chloride.

Consult with a pharmacist, if unsure of compatibility.

1 Indications & Usage (1 INDICATIONS & USAGE)



4  Contraindications (4  CONTRAINDICATIONS)

None

6  Adverse Reactions (6  ADVERSE REACTIONS)

Adverse reactions which may occur because of this solution, added drugs or the technique of reconstitution or administration include, but are not limited to, air embolization, 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 therapeutic countermeasures, and if possible, retrieve and save the remainder of unused vehicle for examination if deemed necessary.

2.1 Recommended Dosage
  • The volume of 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 drug manufacturer.
5.2 for Single Use Only (5.2 For Single Use Only)

Re-use of single-use product creates a potential risk to the user. Contamination of product and/or limited functionality of the syringe may lead to injury, illness or death. Discard any unused portion.

2 Dosage & Administration (2 DOSAGE & ADMINISTRATION)

12  Clinical Pharmacology (12  CLINICAL PHARMACOLOGY)

Sodium chloride in water dissociates to provide sodium (Na+) and chloride (Cl-) ions. These ions are normal constituents of the body fluids (principally extracellular) and are essential for maintaining electrolyte balance.

The small volume of fluid and amount of sodium chloride provided by Sodium Chloride Injection, USP, 0.9% when used only as an isotonic vehicle for parenteral injection of drugs or for flushing of indwelling access devices, is unlikely to exert a significant effect on fluid and electrolyte balance except possibly in neonates and very small infants.

3 Dosage Forms & Strengths (3 DOSAGE FORMS & STRENGTHS)

10 mL fill in 12 mL syringe, 0.9% Sodium Chloride, USP, single use.

5  Warnings and Precautions (5  WARNINGS AND PRECAUTIONS)

17 Patient Counseling Information (17 PATIENT COUNSELING INFORMATION)

17.1 When using to dilute drug products, consult the drug product manufacturer’s instruction to confirm compatibility, appropriate dilution or volume for dissolving drugs 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. Do not use Sodium Chloride Injection, USP 0.9% if the solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe damaged [ see Warning and Precautions, section 5.1].

17.2 Syringes are for single use only. Discard unused portions and dispose of the unit in an appropriate sharps container. [ see Warning and Precaustions, section 5.2].

Medefil, Inc., 250 Windy Point Drive, Glendale Heights, IL 60139. Prepared 10/2020 Rev. 003

2.2 Instruction for Administration
  • Solution and fluid path are sterile and non-pyrogenic if the tip cap is in place, syringe is intact and there is no evidence of leakage. Use proper aseptic technique.
  • Inspect plastic wrapping. Do not use if plastic wrapping is damaged or not intact. (Figure 1)
  • Remove plastic packaging by tearing along perforation. (Figure 2)
  • Do not use if, solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged. (Figure 3)
  • With the tip cap of the syringe on, press the syringe forward to properly activate the syringe. Improper activation may difficult syringe use and/or may cause plunger rod separation. Never draw back rod because the product may become contaminated. (Figure 4)
  • Remove tip cap. Hold the syringe unit upright and prime to expel any air bubble if present. (Figure 5)
  • Syringe is now ready to use.
  • Use aseptic techniques for diluting or dissolving drugs, mix thoroughly and use according to the drug manufacturer’s label instructions.
  • Discard empty unit after use. Discard any unused portion. Do not reuse disposable syringes.
1.1 Dilution Or Dissolution of Drugs (1.1 Dilution or Dissolution of Drugs)

Sodium Chloride Injection, USP, 0.9% is indicated for diluting or dissolving drugs for intravenous, intramuscular or subcutaneous injection, according to instructions of the manufacturer of the drug to be administered.

16 How Supplied/storage and Handling (16 HOW SUPPLIED/STORAGE AND HANDLING)

The drug product is packaged in a clear plastic hypodermic syringe, which consists of a hypodermic barrel with luer lock, plunger stopper, plunger rod, and tip cap. The syringe is intended for single use and subsequent disposal. The 10 mL fill volume syringes are packaged individually in plastic pouches and 60 syringes are packaged into each dispensing box.

DOSAGE FORM

Product Number NDC Fill Volume

MSD-0230

64253-202-30

10 mL fill in 12 mL syringe

The above product is available in boxes of 30, 60 or 120 count each.

STORAGE AND HANDLING

Store at 25°C (77°F); excursions permitted to 15°-30°C (59° - 86°F). Do not freeze.

Package Label.principal Display Panel (PACKAGE LABEL.PRINCIPAL DISPLAY PANEL)

Manufactured by:

Medefil, Inc., 250 Windy Point Drive, Glendale Heights, IL 60139.

NDA 202832

Rev. 003

2.3 Preparation and Handling Precautions
  • Before use check for any possible incompatibility with sodium chloride.
  • Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit. Do not administer unless solution is clear and seal is intact.
  • Do not store reconstituted solution or drugs for injection unless otherwise directed by the manufacturer of the solute.
  • Adding additives may be incompatible.
  • Do not use if, solution is discolored, cloudy, hazy, or contains a precipitate, or if the syringe is damaged.
  • Do not freeze.
  • Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat.

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