Sterile Water for Injection, USP | Sterile Water [Fresenius Kabi USA, LLC] | BioPortfolio

17:46 EST 26th January 2019 | BioPortfolio
Note: While we endeavour to keep our records up-to-date one should not rely on these details being accurate without first consulting a professional. Click here to read our full medical disclaimer.


Sterile Water for Injection, USP is a sterile, nonpyrogenic, solute-free preparation of distilled water for injection.  It is for use only as a sterile solvent or diluent vehicle for drugs or solutions suitable for parenteral administration.  The pH is 5.5 (5.0 to 7.0).

Sterile Water for Injection contains no bacteriostat, antimicrobial agent or added buffer and is intended only for single dose injection after admixture with an appropriate solute or solution.  When smaller amounts are required, the unused portion should be discarded.

Sterile Water for Injection is a pharmaceutic aid (vehicle) and parenteral fluid replenisher after addition of an appropriate solute.

Water for Injection, USP is chemically designated HO.

The flexible container is fabricated from a specially formulated non-plasticized, film containing polypropylene and thermoplastic elastomers (free flex bag).  The amount of water that can permeate from the container into the overwrap is insufficient to affect the solution significantly.  Solutions in contact with the flexible container can leach out certain of the container’s chemical components in very small amounts within the expiration period.  The suitability of the container material has been confirmed by tests in animals according to USP biological tests for plastic containers.

When administered intravenously as a vehicle for drugs, sterile water for injection provides a source of water for parenteral fluid replenishment after sufficient solute is introduced to achieve an osmolarity of 112 mOsmol or more per liter.

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 distribution depends primarily on the concentration of electrolytes in the body compartments and sodium (Na) plays a major role in maintaining physiologic equilibrium.

Sterile Water for Injection is indicated for use only as a solvent or diluent vehicle for parenterally administered drugs or solutions and as a source of water for parenteral fluid replenishment after suitable additives are introduced.

For intravenous administration, an osmolar concentration not less than two-fifths (0.4) of the normal osmolarity of the extracellular fluid (280 mOsmol/liter) is essential to avoid intravascular hemolysis.

Do not administer without the addition of a solute.


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

The intravenous administration of sterile water for injection with additives can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states or pulmonary edema.  The risk of dilutional states is inversely proportional to the electrolyte concentrations of administered parenteral solutions.  The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentrations of such solutions.

WARNING: This product contains aluminum that may be toxic.  Aluminum may reach toxic levels with prolonged parenteral administration if kidney function is impaired.  Premature neonates are particularly at risk because their kidneys are immature, and they require large amounts of calcium and phosphate solutions, which contain aluminum.

Research indicates that patients with impaired kidney function, including premature neonates, who receive parenteral levels of aluminum at greater than 4 to 5 mcg/kg/day accumulate aluminum at levels associated with central nervous system and bone toxicity.  Tissue loading may occur at even lower rates of administration.

Do not use for intravenous injection unless the osmolar concentration of additives totals at least 112 mOsmol/liter (two-fifths of the normal osmolarity of the extracellular fluid  ̶  280 mOsmol/liter).

Do not administer unless solution is clear and container is undamaged.  Discard unused portion.

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.

The safety and effectiveness in the pediatric population are based on the similarity of the clinical conditions of the pediatric and adult populations.  In neonates or very small infants the volume of fluid may affect fluid and electrolyte balance.

This product contains no more than 25 mcg/L of aluminum.

Reactions which may occur because of 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.

In the event of overhydration or solute overload, re-evaluate the patient and institute appropriate corrective measures (See WARNINGS).

Following suitable admixture of prescribed additive, the dose is usually dependent upon the age, weight and clinical condition of the patient.

Additives may be incompatible.  Consult with pharmacist, if available.  When introducing additives, use aseptic technique, mix thoroughly and do not store.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit (See PRECAUTIONS).

Sterile Water for Injection, USP is supplied in a single dose flexible plastic container as follows:

The container closure is not made with natural rubber latex. Non-PVC, Non-DEHP, Sterile.

Bag Size
Bags Per Carton
1,000 mL Bag
10 Bags

Check flexible container solution composition, lot number, and expiry date.

Do not remove solution container from its overwrap until immediately before use.

Use sterile equipment and aseptic technique.

To Open

To Add Medication

Preparation for Administration


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

Manufactured for:

Lake Zurich, IL 60047

Made in Germany


Issued: December 2017 

PACKAGE LABEL - PRINCIPAL DISPLAY PANEL - Sterile Water 1,000 mL Bag Label free flex                        1,000 mL Sterile Water for Injection, USP Do not give intravenously. For drug diluent use only. For intravenous use. Rx only


Fresenius Kabi USA, LLC

Active Ingredients


Drugs and Medications [134 Associated Drugs and Medications listed on BioPortfolio]

Lumigan [allergan, inc.]

Lumigan 03

Fomepizole [sandoz inc. ]

Rx only Sterile Caution: Must be diluted prior to use.

Greenglo [hub pharmaceuticals, inc.]

Green Glo (Lissamine Green)

Ful-glo [akorn, inc.]

Fluorescein Sodium Ophthalmic Strips, USP

Zymar [allergan, inc.]


Clinical Trials [1386 Associated Clinical Trials listed on BioPortfolio]

Test for Preoperative Skin Preparations

Compare 2 application techniques of ChloraPrep Swabstick--3 swabsticks at once versus 3 swabsticks used one-at-a-time. Hibiclens applied according to the manufacturer's directions. Sterile...

Water And Saline Head-to-head In The Blinded Evaluation Study Trial

Patients who are diagnosed with acute appendicitis consented and then randomized into two arms of the trial. In one arm, patients receive irrigation of the abdomen during surgery with norm...

Subcutaneous Sterile Water Injection for Relief of Low Back Pain

To compare the effect of subcutenous sterile water injection technique with the subcutaneous saline injection technique in the degree and duration of low back pain-relieving during childbi...

Pharmacokinetic Study of Advate Reconstituted in 2 mL Sterile Water for Injection

The purpose of this study is to determine the pharmacokinetics and safety of rAHF-PFM reconstituted in 2 mL sterile water for injection (SWFI) and compare with those of rAHF-PFM reconstitu...

Zero Sodium Peritoneal Dialysate Protocol Pilot Study

The following pilot study will be undertaken to determine the effects of use of a zero-sodium peritoneal dialysate solution (10% dextrose in sterile water) on sodium removal as compared to...

PubMed Articles [6452 Associated PubMed Articles listed on BioPortfolio]

Sterile Basics: Pharmaceutical Waters Used in Sterile and Nonsterile Compounding.

Water is the most abundant substance on earth, covering about 70% of the earth's surface. Life is dependent upon water and the water cycles involved. In pharmaceutical compounding, water is the most w...

Fate of in Central Florida Surface Waters and Evaluation of EPA Worst Case Water as a Standard Medium.

Survival of was studied in surface waters. stayed alive in nonsterile microcosms for 168 days. Limited decline was seen in sterile surface, deionized, and EPA Worst Case water. EPA Worst Case water ...

Intracutaneous sterile water injection for pain relief during extracorporeal shock wave lithotripsy: comparison with diclofenac sodium.

Various analgesic applications can be used during extracorporeal shock wave lithotripsy (SWL) for pain relief and maximal success rate. Intracutaneous sterile water injection (ISWI) has been shown to ...

Sterile induction of innate immunity in .

In the past decades, much has been learned about the protective signatures of innate immune responses during the course of infections. However, it is now evident that induction of immune effectors als...

Tissue Adhesive Compared With Sterile Strips After Cesarean Delivery: A Randomized Controlled Trial.

To assess whether tissue adhesive after closure of Pfannenstiel incision for cesarean delivery lowers the risk of wound complications when compared with sterile strips.

Quick Search

Relevant Topics

Pharmacy is the science and technique of preparing as well as dispensing drugs and medicines. It is a health profession that links health sciences with chemical sciences and aims to ensure the safe and effective use of pharmaceutical drugs. The scope of...

Biological Therapy
Biological therapy involves the use of living organisms, substances derived from living organisms, or laboratory-produced versions of such substances to treat disease. Some biological therapies for cancer use vaccines or bacteria to stimulate the body&rs...

Drugs and Medication Quicklinks

Searches Linking to this Drug Record