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WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT

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5.0 (188)
Doctor

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.

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

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.

Show original

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.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

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.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

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.

5.0 (1201)
Doctor

Andrei Popov

General medicine 7 years exp.

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

5.0 (100)
Doctor

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.

5.0 (188)
Doctor

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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Doctor

Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

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Doctor

Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
  • endocrine and metabolic diseases
  • musculoskeletal and dermatological conditions
  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

4.6 (73)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

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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Doctor

Lizaveta Trafimchuk Takhvaniuk

Dermatology 10 years exp.

Dr. Lizaveta Trafimchuk Takhvaniuk graduated in Medicine and subsequently specialized in Dermatology and Venereology. She has more than 10 years of clinical experience and is licensed to practice in Spain, where she focuses on the comprehensive diagnosis and treatment of dermatological conditions.

Throughout her education and professional career, Dr. Trafimchuk has gained extensive experience in managing diseases of the skin, hair, and nails, as well as in the diagnosis, treatment, and prevention of sexually transmitted infections (STIs). Her clinical approach is based on evidence-based medicine, combined with personalized care tailored to each patient’s needs.

In her daily practice, she treats a wide range of dermatological conditions, including chronic inflammatory dermatoses such as acne, rosacea, atopic dermatitis, psoriasis, and eczema. She also has experience in treating pigmentation disorders, including melasma, post-inflammatory hyperpigmentation, and dyschromia.

She has developed a particular interest in trichology, treating various types of alopecia, chronic hair loss, and scalp disorders. In addition, she has experience in managing infectious dermatoses of fungal, viral, and bacterial origin, as well as in evaluating benign and suspicious skin lesions, with referral to specialized care when necessary.

With a strong interest in a comprehensive approach to skin health, she also treats scars, post-procedural skin changes, and conditions related to hormonal factors and aging, including those associated with pregnancy, menopause, and age-related skin changes.

Thanks to her experience and continuous professional development, Dr. Trafimchuk provides high-quality medical care that is professional, confidential, and aligned with modern dermatology standards.

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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.

What is the active substance in WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT?

The active ingredient in WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT 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 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.

How to buy WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to WATER FOR INJECTABLE PREPARATIONS SERRA PARENTERAL SOLVENT?

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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