Sterile Water For Injection, Usp

Sterile Water For Injection, Usp
SPL v1
SPL
SPL Set ID f42ac50f-0ec5-4713-a4c8-99d972d90bed
Routes
INTRAMUSCULAR SUBCUTANEOUS INTRAVENOUS
Published
Effective Date 2022-05-26
Document Type 34391-3 HUMAN PRESCRIPTION DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Water (1 mL)

Identifiers & Packaging

Marketing Status
ANDA Active Since 2022-04-29

Description

This preparation is designed solely for parenteral use only after addition to 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 IV injection, add sufficient amount to a solute to make an approximately isotonic solution. pH 5.0 to 7.0. Water for Injection, USP is chemically designated H 2 O.

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 must be made approximately isotonic prior to use.

Adverse Reactions

To report SUSPECTED ADVERSE REACTIONS, contact Fresenius Kabi USA, LLC at 1-800-551-7176 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 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.

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

Product Code Unit of Sale Volume Each 918510 NDC 63323-185-10 Unit of 25 10 mL in a 10 mL vial NDC 63323-185-07 10 mL Single Dose Vial 918520 NDC 63323-185-20 Unit of 25 20 mL in a 20 mL vial NDC 63323-185-08 20 mL Single Dose Vial 918550 NDC 63323-185-50 Unit of 25 50 mL in a 50 mL vial NDC 63323-185-09 50 mL Single Dose Vial 187100 NDC 65219-187-10 Unit of 25 100 mL in a 100 mL vial NDC 65219-187-01 100 mL Single Dose Vial 18505 NDC 63323-185-05 Unit of 25 5 mL in a 6 mL vial NDC 63323-185-04 5 mL Single Dose Vial Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Single dose use.  No preservative added. Unused portion of vial should be discarded. Use only if solution is clear and seal intact.


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 must be made approximately isotonic prior to use.

Adverse Reactions

To report SUSPECTED ADVERSE REACTIONS, contact Fresenius Kabi USA, LLC at 1-800-551-7176 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

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.

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
Product

Code
Unit of Sale Volume Each
918510 NDC 63323-185-10

Unit of 25
10 mL in a

10 mL vial
NDC 63323-185-07

10 mL Single

Dose Vial
918520 NDC 63323-185-20

Unit of 25
20 mL in a

20 mL vial
NDC 63323-185-08

20 mL Single

Dose Vial
918550 NDC 63323-185-50

Unit of 25
50 mL in a

50 mL vial
NDC 63323-185-09

50 mL Single

Dose Vial
187100 NDC 65219-187-10

Unit of 25
100 mL in a

100 mL vial
NDC 65219-187-01

100 mL Single Dose Vial
18505 NDC 63323-185-05

Unit of 25
5 mL in a

6 mL vial
NDC 63323-185-04

5 mL Single Dose Vial

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

Single dose use.  No preservative added.

Unused portion of vial should be discarded.

Use only if solution is clear and seal intact.

Description

This preparation is designed solely for parenteral use only after addition to 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 IV injection, add sufficient amount to a solute to make an approximately isotonic solution. pH 5.0 to 7.0.

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

Section 42229-5

Lake Zurich, IL 60047

www.fresenius-kabi.com/us

45768H

Revised: April 2022

Section 51945-4

PACKAGE LABEL - PRINCIPAL DISPLAY – Sterile Water for Injection, USP Vial Label

WARNINGS: NOT ISOTONIC.

HEMOLYTIC

NDC 65219-187-01       187100

STERILE WATER

FOR INJECTION, USP

FOR DRUG DILUENT USE ONLY

Rx only

100 mL Single Dose Vial

Warnings

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

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.

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.

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.

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 to 1.5 liters each for insensible water loss by perspiration and urine production).

Water balance is maintained by various regulatory mechanisms.  Water 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.


Structured Label Content

Section 42229-5 (42229-5)

Lake Zurich, IL 60047

www.fresenius-kabi.com/us

45768H

Revised: April 2022

Section 51945-4 (51945-4)

PACKAGE LABEL - PRINCIPAL DISPLAY – Sterile Water for Injection, USP Vial Label

WARNINGS: NOT ISOTONIC.

HEMOLYTIC

NDC 65219-187-01       187100

STERILE WATER

FOR INJECTION, USP

FOR DRUG DILUENT USE ONLY

Rx only

100 mL Single Dose Vial

Warnings (WARNINGS)

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

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.

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 to 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 IV injection, add sufficient amount to a solute to make an approximately isotonic solution. pH 5.0 to 7.0.

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

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.

How Supplied (HOW SUPPLIED)
Product

Code
Unit of Sale Volume Each
918510 NDC 63323-185-10

Unit of 25
10 mL in a

10 mL vial
NDC 63323-185-07

10 mL Single

Dose Vial
918520 NDC 63323-185-20

Unit of 25
20 mL in a

20 mL vial
NDC 63323-185-08

20 mL Single

Dose Vial
918550 NDC 63323-185-50

Unit of 25
50 mL in a

50 mL vial
NDC 63323-185-09

50 mL Single

Dose Vial
187100 NDC 65219-187-10

Unit of 25
100 mL in a

100 mL vial
NDC 65219-187-01

100 mL Single Dose Vial
18505 NDC 63323-185-05

Unit of 25
5 mL in a

6 mL vial
NDC 63323-185-04

5 mL Single Dose Vial

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

Single dose use.  No preservative added.

Unused portion of vial should be discarded.

Use only if solution is clear and seal intact.

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.

Adverse Reactions (ADVERSE REACTIONS)

To report SUSPECTED ADVERSE REACTIONS, contact Fresenius Kabi USA, LLC at 1-800-551-7176 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

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 must be made approximately isotonic prior to use.

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 (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 to 1.5 liters each for insensible water loss by perspiration and urine production).

Water balance is maintained by various regulatory mechanisms.  Water 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.


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