Saloride 0.9%

Indications

Eye/Ear/Nasal Solution: Ideal for alleviating dry nasal membranes, this solution is beneficial for conditions like dry nose caused by cold or allergy medications. It helps moisten nasal passages affected by dry climates or airplane travel, assists in dissolving mucus from congested noses, and aids in post-surgical nasal clearance. Additionally, this sterile saline solution is used for cleansing wounds, body cavities, and medical equipment such as bandages, catheters, and drainage tubes. It also serves as a diluent for mixing other medications for body irrigation, including bacitracin and polymyxin.

Intravenous Solution: Saloride 0.9% is used in managing metabolic alkalosis, treating gastroenteritis, and supporting patients during and after surgery. It is also utilized as a priming fluid in haemodialysis procedures. This solution often acts as a diluent for drug additives and is widely employed for sterile irrigation and dilution processes.

Pharmacology

Nasal Drops: Sodium Chloride nasal drops are an isotonic saline solution designed to moisturize nasal membranes. This formulation provides comfort for prolonged use, helping to dissolve and soften thick or crusty mucus, thereby facilitating easier breathing. Sodium is primarily excreted by the kidneys, with minor amounts lost through feces and sweat.

Nasal Spray: Sodium Chloride 0.9% Nasal Spray is effective in moistening the nasal passages by dissolving and softening thick mucus, making it easier to breathe. For infants and young children who cannot blow their noses, this spray aids in mucus removal using a nasal bulb syringe, relieving congestion and improving breathing.

Dosage

Nasal Drops:

• Nasal Congestion: For infants, administer 1-2 drops in each nostril before feeding to relieve congestion and improve suckling.
• Ear Wax Removal: Warm the Sodium Chloride nasal wash to room temperature before use. Lie on one side and apply 3-4 drops into the ear canal. Wait a few minutes before standing up. For ages 6 months and older, use 3-4 drops 3-4 times a day for 3-5 days.

Nasal Spray:

• Newborn to 12 Months: 1 spray in each nostril 2-3 times a day or as directed by a physician.
• Children Over 12 Months & Adults: 1-2 sprays in each nostril 2-3 times a day or as directed by a physician.

For eye use: Administer 1-2 drops in each eye as needed.

For ear use: Apply 3-4 drops into the affected ear(s) 3-4 times a day for 3-5 days.

Intravenous Solution: Dosage is based on the patient’s age, weight, and clinical condition. Typically, adults receive about 1000 ml of 0.9% sodium chloride infusion.

Consult your doctor for personalized medical advice.

Administration

Nasal Spray:

1. Shake the bottle gently and remove the dust cover.
2. Hold the spray with your forefinger and middle finger on either side of the nozzle and your thumb underneath. Press down until a fine spray emerges. For first-time use or if unused for a week, press the applicator several times until a mist appears.
3. Clear your nostrils by gently blowing your nose.
4. Close one nostril, insert the applicator into the other nostril, tilt your head slightly forward, and keep the spray upright. Inhale through your nose while pressing the applicator down to release a spray.
5. Exhale through your mouth.
6. Repeat in the other nostril if needed.

Cleaning: Clean the nasal spray at least weekly:

1. Remove the dust cover and gently pull off the applicator.
2. Wash the applicator and cover in warm water, shake off excess water, and let air dry. Avoid heat application.
3. Reattach the applicator and cover.

Intravenous Solution:

1. Inspect the infusion set and solution before use.
2. Tear off the protective cover of the Eurocap.
3. Open the flow regulator and attach the administration set securely.
4. Insert the spike into the Eurocap and connect it firmly to the needle.
5. Allow the fluid to flow and close the flow regulator.
6. Clean the venipuncture site with antiseptic, insert the needle, and tape the site and tubing.
7. Begin infusion, adjusting the drip rate as needed.

Consult your doctor for detailed instructions.

Contraindications

Do not share this medication with others to avoid increasing the risk of infection.

Side Effects

Eye/Ear/Nasal: Typically, no side effects are expected. However, some individuals might experience stinging, sneezing, increased nasal discharge, or a salty taste.

Intravenous: Possible reactions include febrile responses, infection at the injection site, venous thrombosis, phlebitis, extravasation, and hypervolemia. Discontinue infusion if adverse reactions occur and assess the patient accordingly.

Pregnancy & Lactation

Eye/Ear/Nasal: Consult your doctor if pregnant or breastfeeding, as the effects on fetal development and breast milk are unknown.

Intravenous: Classified as Pregnancy Category C. The potential risks to fetal development are not well-studied. Administer only if clearly necessary.

Precautions & Warnings

Eye/Ear/Nasal: Inform your doctor of any medical conditions, especially heart, lung, or kidney issues, and any known allergies.

Intravenous: Monitor serum electrolyte levels closely. Administer with caution to patients with heart failure, edema, renal impairment, or pre-eclampsia. Avoid excessive administration to prevent hypokalemia. Discontinue immediately if any adverse reactions occur. Do not use if the solution is cloudy or contains particles.

Overdose Effects

No adverse reports of overdose with Saloride 0.9% nasal wash have been noted.

Therapeutic Class

• Intravenous Fluid Preparations
• Nasal Decongestants & Other Nasal Preparations

Storage Conditions

Store out of reach of children at room temperature (15°C to 30°C), away from light and moisture.