Natriumklorid Meda
summary of the product characteristics
Name of the Medicinal Product
Natriumklorid Meda 9 mg/ml solution for infusion
Qualitative and Quantitative Composition
1000 ml solution for infusion contains 9 g sodium chloride.
Electrolyte content per litre: Na+ 154 mmol, Cl- 154 mmol.
For a full list of excipients, see section 6.1.
Pharmaceutical Form
Solution for infusion
Clear, colourless sterile water solution.
Osmolarity: approx. 290 mOsm/l
pH: 4.5-7.0
Clinical Particulars
Therapeutic indications
For the treatment of:
-
isotonic extracellular dehydration
-
hypovolaemia
Is also used as:
a vehicle for compatible medicinal products administered intravenously
Posology and method of administration
For intravenous use.
Individual dosage is dependent on the age, body weight and clinical condition of the patient. The product is administered at the rate required by the clinical condition. 1 g of sodium chloride corresponds to 17 mmol of sodium.
Contraindications
Overhydration
Decompensated cardiac insufficiency
Hypernatraemia, hyperchloraemia
Special warnings and precautions for use
Caution should be exercised in patients with impaired cardiac function, severely impaired renal function, hypokalaemia, hyperkalaemia, and in clinical conditions associated with oedema and sodium retention, such as cirrhosis of the liver. Dependent on the condition of the patient and the dosage, frequent monitoring of serum electrolyte levels and fluid and acid-base balance may be required.
Premature or term infants may retain an excess of sodium due to immature renal function. In premature or term infants repeated infusions of sodium chloride should therefore only be given after determination of the serum sodium levels.
Interaction with other medicinal products and other forms of interaction
None known.
Pregnancy and lactation
Can be used during pregnancy and lactation.
Effects on ability to drive and use machines
Not applicable.
Undesirable effects
Excessive administration of sodium may lead to hypernatraemia, peripheral oedema and pulmonary oedema.
Thrombophlebitis.
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the national reporting system listed in Appendix V.*
Overdose
Sodium retention can be treated with a suitable injectable diuretic.
Pharmacological Properties
Pharmacodynamic properties
Pharmacotherapeutic group: Electrolytes.
ATC code: B05B B01
Pharmacokinetic properties
-
Preclinical safety data
-
Pharmaceutical Particulars
List of excipients
Water for injections.
Incompatibilities
Can be used as a diluent for medicinal products administered intravenously, where it is recommended.
Shelf‑life
100 ml: 1 year
250 ml: 18 months
500 ml, 1000 ml, 2000 ml, 2500 ml: 2 years.
From a microbiological point of view, the product should be used immediately after first opening or following reconstitution. If not used immediately, in-use storage times and conditions prior to use are the responsibility of the user and would normally not be longer than 24 hours at 2 °C - 8 °C unless opening has taken place in controlled and validated aseptic conditions.
Special precautions for storage
No special precautions for storage.
Nature and content of container
Soft plastic container (Propyflex) with an inner layer consisting of ethylene-vinyl acetate in an overpouch consisting of polypropylene/nylon/ethylene-vinyl acetate.
24 x 100 ml, 15 x 250 ml, 12 x 500 ml, 9 x 1 000 ml, 4 x 2 000 ml, 4 x 2500 ml, 40 x 2 000 ml, 40 x 2500 ml, 240 x 2000 ml and 160 x 2500 ml.
Not all package sizes may be marketed.
Special precautions for disposals and other handling
The product should be handled with care. This applies in particular to the large volume pack sizes. The product should not be used if there is appearance of leaking or obviously damaged parts of the container.
Any unused solution should be discarded.
Marketing Authorisation Holder
Meda AB
Box 906
SE-170 09 Solna
Sweden
Number(s) in the Country Register of Medicinal Products
15465
Date of First Authorisation/Renewal of the Authorisation
1999-11-19/2009-11-19
Date of Revision of the Text
2016-09-22