PRODUCT INFORMATION DIN: 02150204 SODIUM CHLORIDE INJECTION USP 9 mg/mL Isotonic Vehicle – Electrolyte Replenisher I.M./ I.V./ S.C. INDICATIONS Sodium Chloride solutions can be used as an isotonic vehicle for many parenteral drugs and as an electrolyte replenisher for maintenance or replacement of deficits of extracellular fluid. SODIUM CHLORIDE INJECTION USP may also be administered subcutaneously to infants in conjunction with hyaluronidase, which facilitates the absorption of the fluid. PRECAUTIONS Cardiovascular disease; patients receiving corticosteroids or corticotropin. ADVERSE EFFECTS Excessive amounts by any route may cause hypopotassemia and acidosis. Excessive amounts by the parenteral route may precipitate congestive heart failure and acute pulmonary oedema, especially in patients with cardiovascular disease. DOSAGE Parenterally, I.M., I.V., and S.C., amount varies with circumstances. SUPPLIED Vials: 10 mL, boxes of 10 30 mL, boxes of 10 50 mL, boxes of 10 SODIUM CHLORIDE INJECTION USP is a sterile isotonic (9 mg/mL) solution of Sodium Chloride in Water for Injection. No preservative added; pH may be adjusted with Hydrochloric Acid. Osmolarity approximately 0.308 mOsm/mL. Store at room temperature. Do not freeze. Omega Laboratories Limited Montréal, Canada H3M 3A2 V-01 PRODUCT INFORMATION BACTERIOSTATIC SODIUM CHLORIDE INJECTION USP 0.9% 270 mg/30 mL 9 mg/mL Sterile Isotonic Vehicle – Electrolyte Replenisher 1. INDICATIONS Treatment or prophylaxis of sodium and/or chloride ion deficiency. Fluid replacement in dehydration. Isotonic solution for vehicle in the parenteral administration of compatible drugs. 2. CONTRAINDICATIONS Patients with conditions in which administration of sodium and/or chloride could be clinically detrimental. 3. PRECAUTIONS Cardiovascular disease; patients receiving corticosteroids or corticotrophin; impaired renal function; peripheral and pulmonary oedema; and toxemia of pregnancy. Use with care in very young, geriatric and post-operative patients. Drug interactions: High sodium intake may reduce serum lithium concentrations, while restriction of sodium may increase serum lithium. The administration of saline solutions may aggravate maternal pulmonary oedema associated with ritodrine administration, particularly in patients receiving corticosteroids. Children: Bacteriostatic sodium chloride injection containing benzyl alcohol as a preservative should not be used for diluting or reconstituting drugs for administration in neonates nor should it be used to flush intravascular catheters in neonates. Benzyl alcohol contained in bacteriostatic sodium chloride injection has been associated with toxicity in newborns. Toxicity appears to have resulted from administration of large amounts (99 to 404 mg/kg daily). 4. ADVERSE EFFECTS Excessive amounts by any route may cause hypernatremia; may also cause or aggravate heart failure or hypertension and rarely causes hypokalemia or expansion acidosis. 5. OVERDOSE Symptoms: Overdosage may cause serious electrolyte disturbances and gastrointestinal irritation (nausea, vomiting, diarrhoea and abdominal cramps). Manifestations of hypematremia may include: weakness, restlessness, dizziness, headache, hypotension, tachycardia, oedema, convulsions and coma. Treatment: Provide an adequate airway and ventilation. Correct fluid and electrolyte imbalance slowly. Convulsions may be treated with I.V. diazepam. Hemodialysis or peritoneal dialysis may be required for severe cases or in patients with renal failure. 6. DOSAGE Parenterally, I.V., I.M. and S.C.: Amount varies with circumstances. 7. SUPPLIED Each mL contains: Sodium chloride 9 mg with Benzyl alcohol 15 mg as a preservative. Vials of 30 mL. Boxes of 10. Omega Laboratories Limited Montréal, Canada H3M 3A2 V-01