Sterile Water Injection, Solution
FDA Label NDC 0641-6147

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 intravenous injection, add sufficient solute to make an approximately isotonic solution.

Water for Injection, USP is chemically designated H₂O.

The glass vial is a Type I borosilicate glass and meets the requirements according to the USP standards.

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.

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.

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

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

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.

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.

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.

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.

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.

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.

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.

Sterile Water for Injection, USP is supplied in the following:
    10 mL single dose vials packaged in carton of 25 vials (NDC 0641-6147-25)

Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature.]  DO NOT FREEZE.

To report SUSPECTED ADVERSE REACTIONS, contact West-Ward Pharmaceuticals Corp. at 1-877-845-0689, or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

For Product Inquiry call 1-877-845-0689.

Manufactured by:

West-ward Logo (Sterile Water For Injection Usp 1)

WEST-WARD
PHARMACEUTICALS
Eatontown, NJ 07724 USA

July 2015

462-682-00

WARNINGS: NOT ISOTONIC. HEMOLYTIC.
NDC 0641-6147-01
Rx only
Sterile Water
for Injection, USP
FOR DRUG DILUENT USE ONLY
10 mL Single Dose Vial
Contains no antimicrobial
or other added substance.
Sterile, nonpyrogenic.
Do not give intravenously
unless rendered nearly
isotonic.
USUAL DOSAGE: See insert.
Store at 20° to 25°C (68° to 77°F)
[See USP]. DO NOT FREEZE.

Warnings: Not Isotonic. Hemolytic. Ndc 0641-6147-01 Rx Only Sterile Water For Injection, Usp For Drug Diluent Use Only 10 mL Single Dose Vial Contains No Antimicrobial Or Other Added Substance. Sterile, Nonpyrogenic. Do Not Give Intravenously Unless Rendered Nearly Isotonic. Usual Dosage: See Insert. Store At 20º To 25ºc (68º To 77ºf) [see Usp]. Do Not Freeze. (Sterile Water For Injection Usp 2)

NDC 0641-6147-25
Rx only
Sterile Water
for Injection, USP
FOR DRUG DILUENT USE ONLY
25 x 10 mL Single Dose Vials
Contains no antimicrobial or other added substance.
Sterile, nonpyrogenic. Use only if clear and seal
is intact and undamaged.
Do not give intravenously unless rendered nearly
isotonic. Use promptly; discard unused portion.
USE ASEPTIC TECHNIQUE. Remove cover from
vial and cleanse stopper with antiseptic.
With Sterile Syringe and Needle:
1. Aspirate desired portion of vial contents and
add to suitable container.
2. Discard any remaining fluid in vial.
Store at 20° to 25°C (68° to 77°F)
[See USP Controlled
Room Temperature].
DO NOT FREEZE.

Ndc 0641-6147-25 Rx Only Sterile Water For Injection, Usp For Drug Diluent Use Only 25 X 10 mL Single Dose Vials Contains No Antimicrobial Or Other Added Substance. Sterile, Nonpyrogenic. Use Only If Clear And Seal Is Intact And Undamaged. Do Not Give Intravenously Unless Rendered Nearly Isotonic. Use Promptly; Discard Unused Portion. Use Aseptic Technique. Remove Cover From Vial And Cleanse Stopper With Antiseptic. With Sterile Syringe And Needle: 1. Aspirate Desired Portion Of Vial Contents And Add To Suitable Container. 2. Discard Any Remaining Fluid In Vial. Store At 20º To 25ºc (68º To 77ºf) [see Usp Controlled Room Temperature]. Do Not Freeze. (Sterile Water For Injection Usp 3)