![BALANCED SALT (CALCIUM CHLORIDE, MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, SODIUM ACETATE, SODIUM CHLORIDE, SODIUM CITRATE) SOLUTION [AKORN, INC.]](https://medic.hrt.org//dailymed/images/b691c782-98e8-4689-8ae3-e7bc30e46785/bal00-0002-01.jpg)
![BALANCED SALT (CALCIUM CHLORIDE, MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, SODIUM ACETATE, SODIUM CHLORIDE, SODIUM CITRATE) SOLUTION [AKORN, INC.]](https://medic.hrt.org//dailymed/images/b691c782-98e8-4689-8ae3-e7bc30e46785/bal00-0002-02.jpg)
| NDC | 17478-920-19 |
| Set ID | b691c782-98e8-4689-8ae3-e7bc30e46785 |
| Category | HUMAN PRESCRIPTION DRUG LABEL |
| Packager | Akorn, Inc. |
| Generic Name | |
| Product Class | |
| Product Number | |
| Application Number | ANDA075503 |
- SPL UNCLASSIFIED SECTION
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DESCRIPTION
BALANCED SALT SOLUTION is a sterile physiological solution containing calcium chloride (CaCl2·2H2O), magnesium chloride (MgCl2·6H2O), potassium chloride (KCl), sodium acetate (C2H3NaO2·3H2O), sodium chloride (NaCl) and sodium citrate (C6H5Na3O7·2H2O). This solution is isotonic to ocular tissue and contains electrolytes required for normal cellular metabolic functions. Each 1 mL contains:
Calcium Chloride (MW 147.02) 0.48 mg Magnesium Chloride (MW 203.31) 0.30 mg Potassium Chloride (MW 74.56) 0.75 mg Sodium Acetate (MW 136.08) 3.90 mg Sodium Chloride (MW 58.44) 6.40 mg Sodium Citrate (MW 294.10) 1.70 mg Hydrochloric Acid and/or Sodium Hydroxide added to adjust pH. Water for Injection
7.0 pH and 300 mosm/kg osmolality. - CLINICAL PHARMACOLOGY
- INDICATIONS AND USAGE
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WARNINGS
- NOT FOR INJECTION OR INTRAVENOUS INFUSION.
- Do not use unless product is clear, seal is intact, container is undamaged.
- Do not use if product is discolored or contains a precipitate.
- SINGLE patient use only. The contents of this bottle should not be used in more than one patient.
- This solution contains no preservative; unused contents should be discarded.
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PRECAUTIONS
Open under aseptic conditions only.
Prior to use, check the following: tip should be firmly in place, irrigating needle should be properly seated; squeeze out several drops before inserting into anterior chamber. The needle should be removed from the anterior chamber prior to releasing pressure to prevent suction.
Studies suggest that intraocular irrigating solutions which are iso-osmotic with normal aqueous fluids should be used with caution in diabetic patients undergoing vitrectomy since intraoperative lens changes have been observed.
There have been reports of corneal clouding or edema following ocular surgery in which Balanced Salt Solution (Sterile Irrigating Solution) was used as an irrigating solution.
- ADVERSE REACTIONS
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DOSAGE AND ADMINISTRATION
18 mL bottle: The adaptor plug is designed to accept an irrigating needle. Tissues may be irrigated by attaching the needle to the bottle as explained below. External irrigation may be done without the irrigating needle.
Method for Using Adaptor Plug for Ophthalmic Irrigating Needle:
- Aseptically remove bottle from pouch by peeling backing.
- Snap on surgeon's sterile irrigation needle. Push until firmly in place.
- Test assembly for proper function before use.
- HOW SUPPLIED:
- PRINCIPAL DISPLAY PANEL
- PRINCIPAL DISPLAY PANEL
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INGREDIENTS AND APPEARANCE
BALANCED SALT
calcium chloride, magnesium chloride, potassium chloride, sodium acetate, sodium chloride, sodium citrate solutionProduct Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:17478-920 Route of Administration OPHTHALMIC Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Calcium Chloride (UNII: M4I0D6VV5M) (calcium cation - UNII:2M83C4R6ZB) Calcium Chloride 0.48 mg in 1 mL Magnesium Chloride (UNII: 02F3473H9O) (magnesium cation - UNII:T6V3LHY838) Magnesium Chloride 0.3 mg in 1 mL Potassium Chloride (UNII: 660YQ98I10) (POTASSIUM CATION - UNII:295O53K152) Potassium Chloride 0.75 mg in 1 mL Sodium Acetate (UNII: 4550K0SC9B) (SODIUM CATION - UNII:LYR4M0NH37) Sodium Acetate 3.90 mg in 1 mL Sodium Chloride (UNII: 451W47IQ8X) (SODIUM CATION - UNII:LYR4M0NH37) Sodium Chloride 6.40 mg in 1 mL Sodium Citrate (UNII: 1Q73Q2JULR) (SODIUM CATION - UNII:LYR4M0NH37) Sodium Citrate 1.70 mg in 1 mL Inactive Ingredients Ingredient Name Strength Hydrochloric Acid (UNII: QTT17582CB) Sodium Hydroxide (UNII: 55X04QC32I) Water (UNII: 059QF0KO0R) Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NDC:17478-920-19 1 in 1 POUCH 09/27/2006 1 18 mL in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date ANDA ANDA075503 09/27/2006 Labeler - Akorn, Inc. (117696770) Registrant - Akorn Operating Company LLC (117693100) Establishment Name Address ID/FEI Business Operations Akorn, Inc. 117696832 MANUFACTURE(17478-920) , ANALYSIS(17478-920) , STERILIZE(17478-920) Establishment Name Address ID/FEI Business Operations Akorn, Inc. 117696790 REPACK(17478-920) , RELABEL(17478-920) , LABEL(17478-920) , PACK(17478-920)
