ALFA VETERINARY DEXTROSE AND SODIUM CHLORIDE- dextrose and sodium chloride injection, solution 
Alfa VeteriLaboratorios Alfa SR

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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DESCRIPTION

Veterinary 5% dextrose in 0.9% Sodium Chloride Injection, USP is a sterile, non-pyrogenic solution for fluid replenishment in single dose containers for intravenous administration. Discard unused portion. It contains no antimicrobial agents.

 Table 1. Veterinary 5% Dextrose in 9% Sodium Chloride Injection, USP
Size (mL)       Composition (g/ 100mL)    *Osmolarity
    (mOsmol/L)
    (Calculated) 
pH     Concentration
        (mEq/L) 
   Caloric Content (kcal/L) 
      Dextrose 1H2O            Sodium
   Chloride, USP (NaCl)
   Sodium   Chloride
   100        5.5                         0.9           586           3.2-6.5       154       154                   170   
   250 
   500 
   1000 

No venting is necessary during infusion.

CLINICAL PHARMACOLOGY

Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP has value as a source of water, electrolytes. It is capable of inducing diuresis depending on the clinical condition of the patient.

INDICATIONS AND USAGE

Veterinary 5% Dextrose in 0.9% Sodium Chloride, USP is indicated as a source of water, electroytes and calories.

CONTRAINDICATIONS

Solutions containing 5% Dextrose in 0.9% Sodium Chloride Injection, USP may be contraindicated in patients with known allergy to corn or corn products.

WARNINGS

Excessive administration of 5% Dextrose in 0.9% Sodium Chloride Injection, USP may result in significant hypokalemia.

Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP, should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency, and in clinical states in which there exists edema with sodium retention.

Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP should not be administered simultaneously with blood through the same administration set because of the possibility of pseudo agglutination or hemolysis.

The container label for these injections bears the statement: Do not administer simultaneously with blood.

The intravenous administration of veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, over-hydration, congested states, or pulmonary edema.

The risk of dilutive states is inversely proportional to the electrolyte concentration of the injections.

The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentrations of the injections.

In patients with diminished renal function, administration of veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP may result in sodium retention proportional to the electrolyte concentrations of the injections.

Keep out of the reach of children.

ADVERSE REACTIONS

Reactions which may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia.

If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures and save the remainder of the fluid for examination if deemed necessary.

PRECAUTIONS

5% Dextrose in 0.9% Sodium Chloride Injection, USP should be used with caution in patients with overt or subclinical diabetes mellitus.

Clinical evaluation and periodic laboratory determinations are necessary to monitor changes in fluid balance, electrolyte concentrations, and acid base balance during prolonged parenteral therapy or whenever the condition of the patient warrants such evaluation.

Caution must be exercised in the administration of veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP to patients receiving corticosteroids or corticotrophin.

Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP should be used with caution in patients with known subclinical or overt diabetes mellitus.

Do not administer unless solution is clear and both seal and container are intact.

DOSAGE AND ADMINISTRATION

As directed by a veterinarian. Dosage is dependent upon the age, weight and clinical condition of the patient, as well as laboratory determinations.

Parenteral drug products should be inspected visually for particulate matter and discolorations prior to administration whenever solution and container permit.

All injections in plastic containers are intended for intravenous administration using sterile equipment.

Additives may be incompatible. Complete information is not available. Those additives known to be incompatible should not be used. Consult with pharmacist, if available. If, in the informed judgment of the veterinarian, it is deemed advisable to introduce additives, use aseptic technique. Mix thoroughly when additives have been introduced.

Do not store solutions containing additives. Discard unused portion.

OVERDOSAGE

In an event of over hydration or solute overload, re-evaluate the patient and institute appropriate corrective measures. See Warnings, Precautions and Adverse Reactions.

STORAGE 

Store below 30ºC (86ºF).

PRECAUTION FOR USE OF THE BOTTLE

This is a single dose container and does not contain preservatives. If leaks are found, discard solution as sterility may be impaired.

Use the solution immediately after the bottle is opened, discard the remaining one. Discard unused portion. If supplemental medication is desired follow directions below:

Do not administer simultaneously with blood.
Do not use it unless solution is clear and seal is intact, the solution containing dextrose may be contraindicated in patients with a known allergy to corn or corn products.

Preparation and administration

Check for minute leaks by squeezing the container firmly. If leaks are found, discard solution as sterility may be impaired.
Suspend container from eyelet support.
Remove Plastic protector from ports area at the bottom of container.
Hold the bottle in vertical position and inset pyrogen free IV administration set in the outlet port. Use aseptic Technique.

To add medication

WARNING:Additives may be incompatible.

To add medication before solution administration

1. Prepare medication site.

2. Using syringe with 19 to 22 gauge needle, puncture inlet port and inject.

3. Mix solution and medication thoroughly. Return container to in-use position and continue administration. For high density medication such as potassium chloride, squeeze ports while ports are upright and mix thoroughly.

To add medication during solution administration

1. Close clamp on the set.

2. Prepare medication site.

3. Using syringe with 19 to 22 gauge needle, puncture inlet port and inject.

4. Remove container from IV pole and/or turn to an upright position.

5. Mix solution and medication thoroughly.

6. Return container to in use position and continue administration.

CAUTION: Federal law (USA) restricts this drug to use by or on the order of a licensed veterinarian.

PACKAGE INSERT

For Animal Use Only

Insert 1

Insert 2

Insert 3

Insert 4

PRINCIPAL DISPLAY PANEL

Dextrox 5% in 0.9% Sodium Chloride Injection, USP

Veterinary Use

Sterile and NonProgenic Solution

Keep out of reach of Children.

For Animal Use Only.

Take Time - Observe label directions

Manufactured by:

Laboratorios Alfa, SRL

Santo Domingo

Domincan Republic

www.laboratoriosalfa.com

+1-809-544-0222

100mL Package label

250 mL Package label

500mL Package label

1000mL Package label

ALFA VETERINARY DEXTROSE AND SODIUM CHLORIDE 
dextrose and sodium chloride injection, solution
Product Information
Product TypePRESCRIPTION ANIMAL DRUGItem Code (Source)NDC:72483-205
Route of AdministrationINTRAVENOUS
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
DEXTROSE MONOHYDRATE (UNII: LX22YL083G) (ANHYDROUS DEXTROSE - UNII:5SL0G7R0OK) DEXTROSE MONOHYDRATE5.5 g  in 100 mL
SODIUM CHLORIDE (UNII: 451W47IQ8X) (CHLORIDE ION - UNII:Q32ZN48698) SODIUM CHLORIDE900 mg  in 100 mL
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:72483-205-101000 mL in 1 BOTTLE, PLASTIC
2NDC:72483-205-05500 mL in 1 BOTTLE, PLASTIC
3NDC:72483-205-25250 mL in 1 BOTTLE, PLASTIC
4NDC:72483-205-01100 mL in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other11/25/2019
Labeler - Alfa VeteriLaboratorios Alfa SR (815941244)

Revised: 2/2020
Document Id: a8ae6b6c-afc6-42e1-a48a-6865db95050b
Set id: e9f8d57f-78e0-425c-b482-1e6d97de0c75
Version: 4
Effective Time: 20200219
 
Alfa VeteriLaboratorios Alfa SR