Water for injection
 Sterile water for injection | |
| Clinical data | |
|---|---|
| AHFS/Drugs.com | FDA Professional Drug Information |
| License data | |
| ATC code | |
| Identifiers | |
| CAS Number | |
| ChemSpider | |
| UNII | |
| E number | {{#property:P628}} |
| CompTox Dashboard (EPA) |
|
| ECHA InfoCard | {{#property:P2566}}Lua error in Module:EditAtWikidata at line 29: attempt to index field 'wikibase' (a nil value). |
| Chemical and physical data | |
| Formula | H2O |
Water for injection is water of extra high quality without significant contamination.[1] A sterile version is used for making solutions that will be given by injection.[2] Before such use other substances generally must be added to make the solution isotonic.[3] Isotonic solutions containing water for injection can be given by injection into a vein, muscle, or under the skin.[4] A non-sterile version may be used in manufacturing with sterilization occurring later in the production process.[5]
Side effects and mechanisms
[edit | edit source]The primary use of sterile water for injection is as an ingredient for dilution of other medications (aseptic preparation of parenteral solutions).[6] If it is given by injection into a vein without making it approximately isotonic, breakdown of red blood cells may occur.[3] This can then result in kidney problems.[3] Excessive amount may also result in fluid overload.[4] Water for injection is generally made by distillation or reverse osmosis.[5] It should contain less than a mg of elements other than water per 100 ml.[5] Versions with agents that stop bacterial growth are also available.[5]
In the UK, some hospitals offer subcutaneous injections of water directly for treating back pain in labour. It is controversial, with some claiming it is pseudoscience.[7] Because sterile water is not isotonic, its injection causes acute pain.[8] One purported mechanism of action is to induce acute local pain to compete directly with diffuse back pain through a mechanism called diffuse noxious inhibitory control; another hypothesis is instead that the acute pain releases endorphins.[8] A review and meta-analysis in 2009 found the benefits of its use inconclusive.[8]
History and culture
[edit | edit source]It is on the World Health Organization's List of Essential Medicines.[9] Water for injection is available over the counter in the United States.[3]
Other names
[edit | edit source]Water for injection is also known as aqua ad iniectabilia or aqua ad injectionem.
References
[edit | edit source]- ^ Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ a b c d Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ a b Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ a b c d Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ a b c Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- ^ Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
External links
[edit | edit source]- Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
- Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value).
Lua error in mw.title.lua at line 392: bad argument #2 to 'title.new' (unrecognized namespace name 'Portal').