Țară: Statele Unite ale Americii
Limbă: engleză
Sursă: NLM (National Library of Medicine)
MAGNESIUM SULFATE HEPTAHYDRATE (UNII: SK47B8698T) (MAGNESIUM CATION - UNII:T6V3LHY838)
Amneal Pharmaceuticals LLC
INTRAVENOUS
PRESCRIPTION DRUG
Magnesium sulfate in water for injection is indicated for the prevention and control of seizures in preeclampsia and eclampsia, respectively. When used judiciously it effectively prevents and controls the convulsions of eclampsia without producing deleterious depression of the central nervous system of the mother or infant. However, other effective drugs are available for this purpose. Intravenous magnesium should not be given to mothers with toxemia of pregnancy during the two hours preceding delivery.
Magnesium Sulfate in Water for Injection is clear and colorless solution filled in intravenous bag and are supplied as 2 g/50 mL (40 mg/mL) and 4 g/100 mL (40 mg/mL). Each 50 mL contains 2 g of magnesium sulfate heptahydrate, USP (equivalent to 16.25 mEq magnesium) in water for injection and each 100 mL contains 4 g of magnesium sulfate heptahydrate, USP (equivalent to 32.5 mEq magnesium) in water for injection. It is available as follows: Strength Each Unit of Sale 2 g/50 mL (40 mg/mL) NDC 70121-1719-1 1 Single-dose Intravenous Bag in an Overwrap NDC 70121-1719-9 Unit of 24 4 g/100 mL (40 mg/mL) NDC 70121-1720-1 1 Single-dose Intravenous Bag in an Overwrap NDC 70121-1720-9 Unit of 24 For more details, please see below table: NDC No. Size Total Magnesium Sulfate Total Magnesium Ion Magnesium Sulfate Concentration Magnesium Ion Concentration Osmolarity (cal.) 70121-1719-1 50 mL 2 g 16.25 mEq 40 mg/mL 16.25 mEq/50 mL 325 mOsmol/Liter 70121-1720-1 100 mL 4 g 32.5 mEq 40 mg/mL 32.5 mEq/100 mL 325 mOsmol/Liter WARNING: DO NOT USE FLEXIBLE CONTAINER IN SERIES CONNECTIONS. Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Avoid excessive heat. Protect from freezing.
Abbreviated New Drug Application
MAGNESIUM SULFATE- MAGNESIUM SULFATE IN WATER FOR INJECTION AMNEAL PHARMACEUTICALS LLC ---------- MAGNESIUM SULFATE IN WATER FOR INJECTION RX ONLY SINGLE-DOSE INTRAVENOUS BAG FOR INTRAVENOUS USE ONLY DESCRIPTION Magnesium sulfate in water for injection is a sterile, nonpyrogenic, clear and colorless solution of magnesium sulfate heptahydrate, USP in water for injection, USP. May contain sulfuric acid and/or sodium hydroxide for pH adjustment. The pH is 4.5 (3.5 to 6.5). It is available in 4% concentration. See HOW SUPPLIED section for the content and characteristics of available dosage forms and sizes. Magnesium sulfate heptahydrate is chemically designated as MgSO • 7H O and its molecular weight is 246.5 g/mol and having below structural formula: Magnesium sulfate heptahydrate, USP is white or almost white crystalline powder or brilliant colorless crystals which is freely soluble in water, very soluble in boiling water, practically insoluble in ethanol (96%). 4 2 Water for Injection, USP is chemically designated H O. The flexible plastic container is fabricated from a specially formulated non polyvinylchloride. CLINICAL PHARMACOLOGY Magnesium (Mg ) is an important cofactor for enzymatic reactions and plays an important role in neurochemical transmission and muscular excitability. Magnesium prevents or controls convulsions by blocking neuromuscular transmission and decreasing the amount of acetylcholine liberated at the end plate by the motor nerve impulse. Magnesium is said to have a depressant effect on the central nervous system, but it does not adversely affect the mother, fetus or neonate when used as directed in eclampsia or pre-eclampsia. Normal serum magnesium levels range from 1.3 mEq/liter to 2.1 mEq/liter. As serum magnesium rises above 4 mEq/liter, the deep tendon reflexes are first decreased and then disappear as the serum level approaches 10 mEq/liter. At this level respiratory paralysis may occur. Heart block also may occur at this or lower serum levels of magnesium. Magnesium acts peripherally t Citiți documentul complet