iMeds.se

Natriumklorid Meda

Document: Natriumklorid Meda solution for infusion ENG SmPC change

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:



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