Land: USA
Språk: engelsk
Kilde: NLM (National Library of Medicine)
MANNITOL (UNII: 3OWL53L36A) (MANNITOL - UNII:3OWL53L36A)
Hospira, Inc.
INTRAVENOUS
PRESCRIPTION DRUG
Mannitol Intravenous (Mannitol Injection, USP) is indicated for the following purposes in adults and pediatric patients. - Reduction of intracranial pressure and brain mass. - Reduction of high intraocular pressure when the pressure cannot be lowered by other means. Measurement of glomerular filtration rate. - Well established anuria due to severe renal disease. - Severe pulmonary congestion or frank pulmonary edema. - Active intracranial bleeding except during craniotomy. - Severe dehydration. - Progressive heart failure or pulmonary congestion after institution of mannitol therapy. - Do not administer to patients with a known hypersensitivity to mannitol. To Open Tear outer wrap at notch and remove solution container. If supplemental medication is desired, follow directions below before preparing for administration. Some opacity of the plastic due to moisture absorption during the sterilization process may be observed. This is normal and does not affect the solution quality or safety. The opacity will dimin
Mannitol Intravenous (Mannitol Injection, USP) is supplied in single-dose containers as follows: NOTE: Crystals may form in mannitol solutions especially if the solutions are chilled. To dissolve crystals in the flexible container, warm the unit to 70°C with agitation. Heat solution by using a dry-heat cabinet with overwrap intact. The use of a water bath is not recommended. Cool to body temperature or less before administering. When infusing 20% mannitol, the administration set should include a filter. Protect from freezing. Store at 20 to 25°C (68 to 77°F). [See USP Controlled Room Temperature.]
New Drug Application
MANNITOL- MANNITOL INJECTION, SOLUTION HOSPIRA, INC. ---------- MANNITOL INTRAVENOUS MANNITOL INJECTION, USP FLEXIBLE PLASTIC CONTAINER Rx only DESCRIPTION Mannitol Intravenous (Mannitol Injection, USP) is a sterile, nonpyrogenic solution of mannitol in water for injection available in a concentration of 20% in flexible plastic containers. The content and characteristics of the available concentration is as follows: CONC. (%) G/100 ML MOS MOL/LITER (CALC.) PH * 20 20 1098 6.3 (4.5 to 7.0) The solution contains no bacteriostat, antimicrobial agent or added buffer (except for pH adjustment) and is intended only as a single-dose injection. When smaller doses are required the unused portion should be discarded. Mannitol Injection, USP is a parenteral obligatory osmotic diuretic. Mannitol, USP is chemically designated D-mannitol (C H O ), a white crystalline powder or free- flowing granules freely soluble in water. It has the following structural formula: Water for Injection, USP is chemically designated H O. The flexible plastic container is fabricated from a specially formulated polyvinylchloride. Water can permeate from inside the container into the overwrap, but not in amounts sufficient to affect the solution significantly. Solutions in contact with the plastic container may leach out certain chemical components from the plastic in very small amounts; however, biological testing was supportive of the safety of the plastic container materials. Exposure to temperatures above 25°C/77°F during transport and storage will lead to minor losses in moisture content. Higher temperatures lead to greater losses. It is unlikely that these minor losses will lead to clinically significant changes within the expiration period. CLINICAL PHARMACOLOGY When administered intravenously mannitol is confined to the extracellular space, only slightly metabolized and rapidly excreted by the kidney. Approximately 80% of a 100 g dose appears in the * The 20% concentration may contain sodium bicarbonate for pH adjustment. 6 14 6 2 urine in read_full_document