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WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

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About the medicine

How to use WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Water for Injections Serra, Solvent for Parenteral Use

Water for Injections

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.

Contents of the Package Leaflet:

  1. What Water for Injections Serra is and what it is used for
  2. What you need to know before you start using Water for Injections Serra
  3. How to use Water for Injections Serra
  4. Possible side effects
  5. Storage of Water for Injections Serra
  6. Contents of the pack and further information

1. What Water for Injections Serra is and what it is used for

Water for Injections Serra is a special type of sterile water. This means it is very clear and can be injected.

Water for Injections Serra is used to dissolve or dilute certain medicines so they can be administered by injection or infusion (drip) into the veins, muscles, or other tissues in the body.

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2. What you need to know before you start using Water for Injections Serra

Warnings and Precautions

Water for Injections Serra is hypotonic (more diluted than your blood) and should not be administered alone, as it may cause hemolysis (destruction of your red blood cells).

Using Water for Injections Serra with other medicines

Tell your doctor or pharmacist if you are using, have recently used, or might use any other medicines.

No interactions are known when Water for Injections Serra is administered with other medicines. Please read the package leaflets of all your medicines, as Water for Injections Serra is added to other medicines to dissolve or dilute them.

Pregnancy and Breastfeeding

It is not known if Water for Injections Serra causes problems during pregnancy or breastfeeding.

Since Water for Injections Serra is administered with other medicines, it is essential that:

  • You inform your doctor if you are pregnant or think you might be pregnant.
  • You inform your doctor if you are breastfeeding a baby.

Your doctor will advise whether you should use this medicine.

3. How to use Water for Injections Serra

Usually, this medicine will be administered by a doctor or nurse. This product is a solvent for injectable use.

The doctor or nurse will use the correct amount to dissolve or dilute another medicine you are receiving as an injection or drip (your doctor or nurse may refer to this as an infusion).

Water for Injections Serra should not be mixed with oily liquids.

Your doctor will decide the amount (dose) of medicine you should receive and for how long.

The dose will depend on the other medicine being dissolved or diluted.

If you have any further questions about the use of this product, ask your doctor, nurse, or pharmacist.

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4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Remember, you may also have side effects related to the other medicines for which Water for Injections Serra is used to dissolve or dilute.

The expected benefit of your medicine will generally be greater than the risk of you suffering harmful side effects.

Important: Side effects or symptoms to look out for, and what to do if you are affected.

The first signs of having too much water in your blood are feeling tired and pale. If you have any of these symptoms, you should see a doctor urgently.

No side effects of Water for Injections Serra are known; therefore, please read the package leaflets of your other medicines to which water is added to dissolve or dilute them.

Reporting side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report side effects directly through the Spanish Medicines Agency's website: www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Water for Injections Serra

Keep out of sight and reach of children.

Do not use this medicine after the expiry date stated on the packaging after "EXP". The expiry date is the last day of the month shown.

This medicine does not require any special storage conditions.

After the first opening:

Use your medicine only if it is a clear, colorless liquid. Open and use it immediately. The unused part of the product should be discarded after opening.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of the packaging and any unused medicines. This will help protect the environment.

6. Contents of the pack and further information

Composition of Water for Injections Serra

  • The active ingredient is Water for Injections. 1 ml contains 1 g of water for injections, 5 ml contains 5 g of water for injections, 10 ml contains 10 g of water for injections, 20 ml contains 20 g of water for injections.
  • This medicine does not contain any other ingredients.

Appearance and packaging of the product

Water for Injections Serra is a solvent for parenteral use.

Water for Injections Serra is a clear, colorless liquid.

Each plastic ampoule contains 5 ml (milliliters), 10 ml, or 20 ml of your medicine.

The 5 ml ampoules are packaged in boxes of 20 or 50 ampoules.

The 10 ml ampoules are packaged in boxes of 20, 50, or 100 ampoules.

The 20 ml ampoules are packaged in boxes of 20 ampoules.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder

Laboratorios SERRA PAMIES S.A.

Ctra. Castellvell, 24

43206 REUS (Tarragona)

Manufacturer

Demo S.A.

21st Km National Road Athens-Lamia

14568 Athens

Greece.

This medicine is authorized in the Member States of the European Economic Area under the following names:

UK: Water for Injections Ph.Eur.

DK: Sterilt vand Noridem.

ES: Agua para preparaciones inyectables Serra, disolvente para uso parenteral.

IE: Water for Injections Ph Eur.

SE: Vatten för injektiosvätskor Noridem.

DE: Wasser für Injektionszwecke Noridem 1mg/ml Lösungsmittel zur Herstellung von Parenteralia.

AT: Wasser für Injektionszwecke Noridem Lösungsmittel zur Herstellung von Parenteralia.

NO: Sterilt vann Noridem.

PT: Água para preparacoes Injectáveis Noridem.

ΕΛ: Water for Injections/Noridem, Διαλυτής για παρεντερική χρήση 100%(v/v)

NL: Water voor injecties Noridem, oplosmiddel voor parenteraal gebruik

Date of last revision of this leaflet: February 2018

Detailed and up-to-date information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.es/

Online doctors for WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

Discuss questions about WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
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  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
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  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
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  • Pediatric Advanced Life Support (PALS)
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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
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  • Test interpretation and diagnostic guidance.
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  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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€70
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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

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  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
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  • Chronic diseases: hypertension, elevated cholesterol, weight management.
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She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
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Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€50

Frequently Asked Questions

Is a prescription required for WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT?
WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
Who manufactures WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT?
WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT is manufactured by Laboratorios Serra Pamies S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT?
Other medicines with the same active substance () include WATER FOR INJECTABLE PREPARATIONS B.BRAUN SOLVENT FOR PARENTERAL USE, WATER FOR INJECTABLE PREPARATIONS BEXEN SOLVENT FOR PARENTERAL USE, AGUA PARA PREPARACIONES INYECTABLES FRESENIUS KABI SOLVENT FOR PARENTERAL USE. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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