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WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE

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About the medicine

How to use WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE

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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 Patient

Water forInjectable PreparationsGrifols Solvent for Parenteral Use

Read the entire package leaflet carefully before starting to use this medication, as it contains important information for you.

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

Contents of the Package Leaflet

  1. What Water for Injectable Preparations Grifols is and what it is used for
  2. What you need to know before starting to use Water for Injectable Preparations Grifols
  3. How to use Water for Injectable Preparations Grifols
  4. Possible side effects
  5. Storage of Water for Injectable Preparations Grifols
  1. Contents of the Packaging and Additional Information

1. What Water for Injectable Preparations Grifols is and what it is used for

The medication is a solvent for parenteral use used as a vehicle for the administration of medications, which is indicated as:

  • Solvent for powder or lyophilized medications for subsequent administration
  • Diluent for solutions and/or medications.

Given its markedly hypotonic character, Water forInjectable PreparationsGrifols is especially indicated for reconstituting medications and/or diluting hypertonic solutions.

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2. What you need to know before starting to use Water for Injectable Preparations Grifols

The contraindications related to the added medications should be considered.

Warnings and Precautions

Consult your doctor or nurse before starting to use Water for Injectable Preparations Grifols.

The water for injectable preparations is markedly hypotonic (less concentrated than blood) and should not be injected without mixing with medications.Before administering intravenously, it should be checked that the final solution is isotonic with blood.

The administration of large volumes of hypotonic solution can cause hemolysis (destruction of red blood cells). To evaluate the appearance of hemolysis, it is recommended to monitor the hematocrit (percentage of red blood cells in blood), blood levels of hemoglobin, haptoglobin, bilirubin, and lactate dehydrogenase, and to check for hematuria (presence of blood in urine). It is also recommended to check the proper functioning of the kidney through laboratory tests.

When large volumes of this medication are administered, the ionic balance should be frequently checked.

If you are elderly, if your heart, liver, and/or kidneys do not function correctly, or if it is used in children, the complications related to incorrect or uncontrolled use of water for injectable preparations can be more severe.

Use ofWater forInjectable PreparationsGrifols withOther Medications

Tell your doctor if you are using, have recently used, or may need to use any other medication.

The possible interactions of the medications to be dissolved and/or diluted should be considered.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor before using this medication.

The risk of using water for injectable preparations during pregnancy and breastfeeding is determined by the added medication.

Driving and Using Machines

The possible effects on the ability to drive and use machinery of the added medications should be considered.

3. How to Use Water for Injectable Preparations Grifols

Water for Injectable Preparations Grifols is a solvent and/or diluent for medications for subsequent parenteral administration.

It will be used in a hospital by the corresponding healthcare personnel.

The dosage of the obtained solution will depend mainly on the added medication and the patient's requirements.

If you are given moreWater forInjectable PreparationsGrifolsthan you should

If large volumes of hypotonic solution are administered when using water for injectable preparations as a diluent, hemolysis may occur.

The signs and symptoms of an overdose may also be related to the added medication.

In case of overdose, administration should be interrupted and symptomatic treatment should be initiated.

If a hemolytic reaction is suspected during the administration of a solution prepared with water for injectable preparations, it should be suspended and a red blood cell concentrate should be administered, diuresis should be induced with diuretics and intravenous fluids, and kidney function and coagulation status should be monitored.

In case of overdose or accidental ingestion, consult the Toxicology Information Service. Phone: 915 620 420.

If you have any other questions about the use of this medication, ask your doctor or nurse.

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4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

Side effects associated with the administration technique may occur, including pain or reaction at the injection site, fever, infection, extravasation, venous thrombosis, and phlebitis extending from the injection site, among others.

Its use can cause hemolysis if it is injected without mixing with medications.

The nature of the added medication will determine the likelihood of any other side effect.

In case of side effects, administration of the solution should be interrupted and symptomatic treatment should be initiated.

Reporting Side Effects

If you experience any type of side effect, consult your doctor or nurse, even if it is a possible side effect that is not listed in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use (website: www.notificaRAM.es). By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Water for Injectable Preparations Grifols

Keep this medication out of sight and reach of children.

No special storage conditions are required.

Do not use this medication after the expiration date shown on the packaging. The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. In case of doubt, ask your pharmacist how to dispose of the packaging and medications that are no longer needed. This will help protect the environment.

6. Contents of the Packaging and Additional Information

Composition of Water forInjectable PreparationsGrifols

The active ingredient is water for injectable preparations (100%).

Appearance of the Product and Contents of the Packaging

It is a transparent and colorless solvent for parenteral use, which is presented in Type II glass vials of 100, 250, and 500 ml.

Marketing Authorization Holder

LABORATORIOS GRIFOLS, S.A.

Can Guasch, 2

08150 Parets del Vallès, Barcelona (SPAIN)

Manufacturer

LABORATORIOS GRIFOLS, S.A.

Polígono Industrial Autopista. Passeig Fluvial, 24.

08150 Parets del Vallès, Barcelona (SPAIN)

Date of the Last Revision of this Package Leaflet:October 2014

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

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This information is intended only for healthcare professionals:

Administer intravenously.

Once the packaging is opened, the contents should be used immediately. The unused volume should be discarded.

Do not use if the product is not transparent or contains visible particles.

Do not injectWater forInjectable PreparationsGrifols without mixing with medications.

Before adding medications, it should be checked that they are soluble and stable in water for injectable preparations and that they are compatible with each other.

It is recommended to perform the reconstitution and/or dilution of medications in Water for Injectable Preparations Grifols under controlled and validated aseptic conditions, and that the obtained solutions be used immediately after preparation.

When using water for injectable preparations as a solvent for medications and/or diluent for solutions, the osmolarity and tonicity of the final solution should be controlledand adjusted, whenever possible, to its isotonicity with plasma.

Use an aseptic procedure to administer the obtained solution.

Online doctors for WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE

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

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • 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)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
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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Chikeluo Okeke

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Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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Anastasiia Shalko

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Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate

Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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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 GRIFOLS SOLVENT FOR PARENTERAL USE?
WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE?
The active ingredient in WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE is Solvents and diluting agents, incl. irrigating solutions. This information helps identify medicines with the same composition but different brand names.
Who manufactures WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE?
WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE is manufactured by Laboratorios Grifols S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of WATER FOR INJECTABLE PREPARATIONS GRIFOLS SOLVENT FOR PARENTERAL USE 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 GRIFOLS SOLVENT FOR PARENTERAL USE 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 GRIFOLS SOLVENT FOR PARENTERAL USE?
Other medicines with the same active substance (Solvents and diluting agents, incl. irrigating solutions) 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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