Water for Injections Ph. Eur.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor, pharmacist or nurse.
- If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
1. What Water for Injections is and what it is used for
2. What you need to know before you are given Water for Injections
3. How you will be given Water for Injections
4. Possible side effects
5. How to store Water for Injections
6. Contents of the pack and other information
Water for Injections is pure, sterile water. It is used to dilute medicines before use. For example, medicines that are given by:
- injection (given using a needle, for example into your vein)
- infusion (slow injection) into a vein, also called a ‘drip’.
Do not receive Water for Injections on its own. If injected into your bloodstream on its own it can cause your red blood cells to take in water and burst (haemolysis). This is because Water for Injections does not have the same consistency as your blood.
Water for Injections will always be mixed with one or more medicines by a healthcare professional before you receive it.
You should read the Package Leaflet of your medicine or medicines that are being mixed with Water for Injections. These will tell you whether or not you can receive the solution.
Water for Injections should not be used on its own. Before you use Water for Injections:
- it will always be mixed with one or more medicines
- your healthcare professional will make sure that the mixture is roughly the same consistency as your blood (isotonic). Depending on the type of medicine you are given, this will mean that:
- the medicine needs to be diluted with Water for Injections
- another substance needs to be added to your mixture of Water for Injections and medicine before use.
Haemolysis (breaking up of red blood cells) can occur if you are given Water for Injections.
The haemoglobin released by the damaged red blood cells may cause kidney failure in some patients.
To help prevent this, your doctor will take a blood sample to monitor the balance of the chemicals in your blood (the ionic balance).
Before you are given medicines mixed with Water for Injections your doctor will check that:
- the medicines are stable in Water for Injections
- the medicines will not interact with each other.
Tell your doctor or pharmacist if you are using, have recently used or might use any other medicines.
The medicines you are using mixed with Water for Injections may interact with each other.
You should ask your doctor about what you can eat or drink.
If you are pregnant or breast-feeding, think you may be pregnant or a planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Any risk to your unborn baby or your pregnancy will depend on which medicines you are using mixed with Water for Injections.
Any risk to your baby during breast-feeding will also depend on which medicines you are using mixed with Water for Injections.
Your doctor will be able to advise you on what risks are involved in taking particular medicines.
Your doctor will only give you medicines during pregnancy or breast-feeding if it is essential.
Water for Injections does not affect your ability to drive or use machines.
Any effects on your ability to drive or use machines will depend on which medicines you are using mixed with Water for Injections. Your doctor will be able to advise you on this.
Water for Injections will be given to you by a doctor or nurse.
Your doctor will decide on how much you need and when and how it is to be given. This will depend on which medicine or medicines you need to take with Water for Injections.
Your doctor will also consider your age, weight, condition and what other treatments you are receiving.
You should NOT be given Water for Injections if there are particles floating in the water or if the pack is damaged in any way.
if you are given too much Water for Injections (over-infusion) this may lead to haemolysis. Haemolysis is when your red blood cells take in water and burst.
The medicines mixed with Water for Injections may also cause symptoms if administered in too large quantities (over-infusion). Any signs and symptoms of overdose will depend on which medicines you are using mixed with Water for Injections.
If you are accidentally given an overdose your treatment will be stopped and you will be given treatment depending on the symptoms.
You should read the Package Leaflet of the medicines mixed with Water for Injections for a list of possible symptoms of over-infusion.
If you have any further questions on the use of this product, ask your doctor.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
You may suffer bursting (haemolysis) of your red blood cells if:
- you use Water for Injections on its own
- Water for Injections is used to make solutions for injection or infusion that are not of a similar consistency to your blood (isotonic).
If a medicine has been added to Water for Injections, the added medicine may also cause side effects. These side effects will depend on the medicine that has been added. You should read the Package Leaflet of the added medicine for a list of possible symptoms.
If you get any side effects talk to your doctor or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly, via the methods listed below. By reporting side effects you can help provide more information on the safety of this medicine.
United Kingdom
Via the
Yellow Card Scheme:
website: www.mhra.gov.uk/yellowcard
Ireland
HPRA Pharmacovigilance
Earlsfort Terrace
IRL
Dublin 2
Tel: +353 1 6764971
Fax: +353 1 6762517
Website: www.hpra.ie
Malta
ADR Reporting
Website: www.medicinesauthority.gov.mt/adrportal
Keep this medicine out of the sight and reach of children.
This medicine does not require any special storage conditions.
Do not remove Water for Injections from the outer plastic overpouch until it is to be used.
Water for Injections should NOT be given to you after the expiry date which appears on the bag after EXP. The expiry date refers to the last day of that month.
Once the pack is opened Water for Injections should be used straight away.
The only ingredient is sterile water for injections.
Each bag contains 100% sterile water for injections.
Water for Injections is a clear and colourless solution. It is supplied in polyolefin/polyamide plastic bags (Viaflo). Each bag is wrapped in a sealed, protective, outer plastic overpouch.
The bag sizes are:
- 50 ml
- 100 ml
- 250 ml
- 500 ml
- 1000 ml
The bags are supplied in cartons. Each carton contains one of the following quantities:
- 50 bags of 50 ml
- 50 bags of 100 ml
- 60 bags of 100 ml
- 30 bags of 250 ml
- 20 bags of 500 ml
- 10 bags of 1000 ml
- 12 bags of 1000 ml
Not all pack sizes may be marketed.
Marketing Authorisation Holder :
United Kingdom
Baxter Healthcare Ltd
Caxton Way
Thetford
Norfolk
IP24 3SE
United Kingdom
Ireland and Malta
Baxter Holding B.V.
Kobaltweg 49
3542CE Utrecht
Netherlands
Manufacturers for Great Britain:
Baxter Healthcare Ltd
Caxton Way
Thetford
Norfolk
IP24 3SE
United Kingdom
Baxter S.A.
Boulevard R. Branquart, 80
7860 Lessines
Belgium
Bieffe Medital S.A.
Ctra de Biescas-Senegüé
22666 Sabiñànigo (Huesca)
Spain
Vantive Manufacturing Limited
Moneen Road
Castlebar
County Mayo
Ireland
Manufacturers for Ireland and Malta:
Baxter S.A.
Boulevard R. Branquart, 80
7860 Lessines
Belgium
Bieffe Medital S.A.
Ctra de Biescas-Senegüé
22666 Sabiñànigo (Huesca)
Spain
Vantive Manufacturing Limited
Moneen Road
Castlebar
County Mayo
Ireland
This leaflet was last revised in September 2024
For information about Water for Injections or to request this leaflet in formats such as audio or large print please contact the Marketing Authorisation Holder:
Tel: +44 (0)1635 206345.
Baxter and Viaflo are trademarks of Baxter International lnc.
TH-30-02-248