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WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

Ask a doctor about a prescription for WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

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Doctor

Yevgen Yakovenko

General surgery11 years of experience

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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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

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.

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.

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/

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Online doctors for WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT – subject to medical assessment and local rules.

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

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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  • Fatigue, sleep problems, headaches, general discomfort
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  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
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  • Cancer prevention – screening strategies and risk assessment.
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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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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.
  • Structured support for undiagnosed complaints.
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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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  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
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  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

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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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Areas of expertise:

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  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
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Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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You can consult Dr. Ben Harbi for:

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Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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