STERILE WATER FOR INJECTION, USP

sterile water (waterinjection 
[Hospira]

Plastic Vial

LifeShield® Plastic Vial

Rx only

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 H2O.

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.

The plastic syringe is molded from a specially formulated polypropylene. Solutions in contact with the plastic container may leach out certain chemical components from the plastic in very small amounts; however, biological testing was supportive of the safety of the syringe material.

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

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.

CONTRAINDICATIONS

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

WARNINGS

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

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 Category C.

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.

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.

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.

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.

HOW SUPPLIED

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

List No.

Container

Size

4887

Plastic Fliptop Vial

10 mL

4887

Plastic Fliptop Vial

20 mL

4887

Plastic Fliptop Vial

50 mL

For use with the LifeShield® Blunt Cannula:

4887

LifeShield Plastic Fliptop Vial

10 mL

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

©Hospira 2005

EN-0812

Printed in USA

HOSPIRA, INC., LAKE FOREST, IL 60045 USA


Sterile Water (water)
PRODUCT INFO
Product Code0409-4887Dosage FormINJECTION
Route Of AdministrationINTRAVENOUSDEA Schedule
INGREDIENTS
Name (Active Moiety)TypeStrength
water (water) Active1 MILLILITER  In 1 MILLILITER
IMPRINT INFORMATION
CharacteristicAppearanceCharacteristicAppearance
ColorScore
ShapeSymbol
Imprint CodeCoating
Size
PACKAGING
#NDCPackage DescriptionMultilevel Packaging
10409-4887-1016 TRAY In 1 CASEcontains a TRAY
125 VIAL In 1 TRAYThis package is contained within the CASE (0409-4887-10) and contains a VIAL, SINGLE-DOSE ()
110 MILLILITER In 1 VIAL, SINGLE-DOSEThis package is contained within a TRAY and a CASE (0409-4887-10)

Sterile Water (water)
PRODUCT INFO
Product Code0409-4887Dosage FormINJECTION
Route Of AdministrationINTRAVENOUSDEA Schedule
INGREDIENTS
Name (Active Moiety)TypeStrength
water (water) Active1 MILLILITER  In 1 MILLILITER
IMPRINT INFORMATION
CharacteristicAppearanceCharacteristicAppearance
ColorScore
ShapeSymbol
Imprint CodeCoating
Size
PACKAGING
#NDCPackage DescriptionMultilevel Packaging
10409-4887-204 TRAY In 1 CASEcontains a TRAY
125 VIAL In 1 TRAYThis package is contained within the CASE (0409-4887-20) and contains a VIAL, SINGLE-DOSE ()
120 MILLILITER In 1 VIAL, SINGLE-DOSEThis package is contained within a TRAY and a CASE (0409-4887-20)

Sterile Water (water)
PRODUCT INFO
Product Code0409-4887Dosage FormINJECTION
Route Of AdministrationINTRAVENOUSDEA Schedule
INGREDIENTS
Name (Active Moiety)TypeStrength
water (water) Active1 MILLILITER  In 1 MILLILITER
IMPRINT INFORMATION
CharacteristicAppearanceCharacteristicAppearance
ColorScore
ShapeSymbol
Imprint CodeCoating
Size
PACKAGING
#NDCPackage DescriptionMultilevel Packaging
10409-4887-504 TRAY In 1 CASEcontains a TRAY
125 VIAL In 1 TRAYThis package is contained within the CASE (0409-4887-50) and contains a VIAL, SINGLE-DOSE ()
150 MILLILITER In 1 VIAL, SINGLE-DOSEThis package is contained within a TRAY and a CASE (0409-4887-50)

Sterile Water (water)
PRODUCT INFO
Product Code0074-4887Dosage FormINJECTION
Route Of AdministrationINTRAVENOUSDEA Schedule
INGREDIENTS
Name (Active Moiety)TypeStrength
water (water) Active1 MILLILITER  In 1 MILLILITER
IMPRINT INFORMATION
CharacteristicAppearanceCharacteristicAppearance
ColorScore
ShapeSymbol
Imprint CodeCoating
Size
PACKAGING
#NDCPackage DescriptionMultilevel Packaging
10074-4887-1216 TRAY In 1 CASEcontains a TRAY
125 VIAL In 1 TRAYThis package is contained within the CASE (0074-4887-12) and contains a VIAL, PATENT DELIVERY SYSTEM ()
110 MILLILITER In 1 VIAL, PATENT DELIVERY SYSTEMThis package is contained within a TRAY and a CASE (0074-4887-12)

Revised: 01/2006