Balanced salt solution

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BALANCED SALT SOLUTION is a sterile physiological solution containing calcium chloride (CaCl 22H 2O), magnesium chloride (MgCl 26H 2O), potassium chloride (KCl), sodium acetate (C 2H 3NaO 23H 2O), sodium chloride (NaCl) and sodium citrate (C 6H 5Na 3O 72H 2O). This solution is isotonic to ocular tissue and contains electrolytes required for normal cellular metabolic functions. Each 1 mL contains:

Calcium Chloride (MW 147.02) 0.48 mg
Magnesium Chloride (MW 203.31) 0.30 mg
Potassium Chloride (MW 74.56) 0.75 mg
Sodium Acetate (MW 136.08) 3.90 mg
Sodium Chloride (MW 58.44) 6.40 mg
Sodium Citrate (MW 294.10) 1.70 mg
Hydrochloric Acid and/or Sodium Hydroxide added to adjust pH.
Water for Injection
7.0 pH and 300 mosm/kg osmolality.

Clinical pharmacology

Balanced Salt Solution is an isotonic solution for use in irrigating tissues of the eyes.

Indications and usage

For use as an extraocular and intraocular irrigating solution during ocular surgical procedure involving perfusion of the eye with an expected maximum duration of less than 60 minutes.


  • Do not use unless product is clear, seal is intact, container is undamaged.
  • Do not use if product is discolored or contains a precipitate.
  • SINGLE patient use only. The contents of this bottle should not be used in more than one patient.
  • This solution contains no preservative; unused contents should be discarded.


Open under aseptic conditions only.

Prior to use, check the following: tip should be firmly in place, irrigating needle should be properly seated; squeeze out several drops before inserting into anterior chamber. The needle should be removed from the anterior chamber prior to releasing pressure to prevent suction.

Studies suggest that intraocular irrigating solutions which are iso-osmotic with normal aqueous fluids should be used with caution in diabetic patients undergoing vitrectomy since intraoperative lens changes have been observed.

There have been reports of corneal clouding or edema following ocular surgery in which Balanced Salt Solution (Sterile Irrigating Solution) was used as an irrigating solution.

Adverse reactions

Irrigation or any other trauma to the corneal endothelium may result in corneal swelling or bullous keratopathy. Postoperative inflammatory reactions as well as incidents of corneal edema and corneal decompensation have been reported.

Dosage and administration

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18 mL bottle:The adaptor plug is designed to accept an irrigating needle. Tissues may be irrigated by attaching the needle to the bottle as explained below. External irrigation may be done without the irrigating needle.

Method for Using Adaptor Plug for Ophthalmic Irrigating Needle:

  1. Aseptically remove bottle from pouch by peeling backing.
  2. Snap on surgeon's sterile irrigation needle. Push until firmly in place.
  3. Test assembly for proper function before use.

How supplied:

NDC 17478-920-19 18 mL bottle

Storage and handling section

STORAGE:Store at 20 to 25C (68 to 77F) [see USP Controlled Room Temperature]. Avoid exposure to excessive heat and do not allow to freeze.

Manufactured by: Akorn, Inc.
Lake Forest, IL 60045
BLA0N Rev. 10/16

Ingredients and appearance - Product information

Balanced salt solution- Calcium chloride, magnesium chloride, potassium chloride, sodium acetate, sodium chloride, sodium citrate

Product information

Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC: 17478-920
Route of Administration Ophthalmic

Active Ingredient/Active Moiety

Ingredient Name Strength
Calcium chloride ( UNII: M4I0D6VV5M)( Calcium cation - UNII: 2M83C4R6ZB ) 0.48 mgin 1 mL
Magnesium chloride ( UNII: 02F3473H9O)( Magnesium cation - UNII: T6V3LHY838 ) 0.3 mgin 1 mL
Potassium chloride ( UNII: 660YQ98I10)( Potassium cation - UNII: 295O53K152 ) 0.75 mgin 1 mL
Sodium acetate ( UNII: 4550K0SC9B)( Sodium cation - UNII: LYR4M0NH37 ) 3.90 mgin 1 mL
Sodium chloride ( UNII: 451W47IQ8X)( Sodium cation - UNII: LYR4M0NH37 ) 6.40 mgin 1 mL
Sodium citrate ( UNII: 1Q73Q2JULR)( Sodium cation - UNII: LYR4M0NH37 ) 1.70 mgin 1 mL

Inactive Ingredients

Ingredient Name Code
Hydrochloric acid ( UNII: QTT17582CB)
Sodium hydroxide ( UNII: 55X04QC32I)
Water ( UNII: 059QF0KO0R)

Product Characteristics

Marketing Information

Marketing Category Application Number or Monograph Citation Territorial Authority Marketing Start Date

Labeler - Akorn, Inc.( 062649876)


Name ID/FEI Business Operations
Akorn, Inc. 062649876 MANUFACTURE( 17478-920), REPACK( 17478-920), ANALYSIS( 17478-920), LABEL( 17478-920), PACK( 17478-920), RELABEL( 17478-920), STERILIZE( 17478-920)

Package label.principal display panel

Principal Display Panel Text for Container Label:

NDC 17478-920-19 Akorn Logo



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18 mL Sterile Single Dose Bottle

Package label.principal display panel

Principal Display Panel Text for Carton Label:

NDC 17478-920-19 Akorn Logo


30 Sterile Single Dose Bottles (18 mL each)