Drugplain

Magnesium Sulfate in Water 2 g/50mL

magnesium sulfate heptahydrate · INJECTION, SOLUTION · B. Braun Medical Inc.

4 Recalls on RecordCurrently in Shortage
Plain English

Magnesium sulfate injection is used to treat severe asthma attacks, seizures related to pregnancy complications, and abnormal heart rhythms, and it may also be given to prevent premature labor. This medication works by relaxing muscles and calming the nervous system when administered intravenously.

Key Facts

Brand Name
Magnesium Sulfate in Water
Generic Name
magnesium sulfate heptahydrate
NDC Code (Product)
0264-4204
Manufacturer
B. Braun Medical Inc.
Strength
2 g/50mL
Dosage Form
INJECTION, SOLUTION
Route
INTRAVENOUS
Marketing Status
Application #
ANDA207967
Marketing Start
04/26/2021

Recall History

4 Recalls on Record
Class III04/05/2012

Hospira, Inc.

Superpotent (Single Ingredient) Drug: Above specification assay results for percentage of magnesium sulfate.

TerminatedVoluntary: Firm initiated
Class I03/18/2026

Amneal Pharmaceuticals, LLC

Product mix up: a foil pouch labeled "Magnesium Sulfate in Water for Injection, 4 g/100 mL" actually contained an IV bag of Tranexamic Acid instead.

OngoingVoluntary: Firm initiated
Class I01/05/2016

Hospira Inc.

Labeling: Incorrect Barcode: Primary bag labeling may be mislabeled with the wrong barcode which scans in as heparin sodium.

TerminatedVoluntary: Firm initiated
Class II10/03/2018

Pfizer Inc.

Correct Labeled Product Mispack: confirmed report involving a single unit of properly labeled Heparin in 0.45% Sodium Chloride for Injection (NDC 0409-7651-03, Lot 87903FW) that was found inside a case of Magnesium Sulfate in Water for Injection.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

drug ineffective1,172 reports
nausea823 reports
off label use814 reports
pyrexia780 reports
maternal exposure during pregnancy745 reports
pain694 reports
foetal exposure during pregnancy677 reports
premature baby661 reports
diarrhoea627 reports
dyspnoea586 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Magnesium Sulfate in Water for Injection is indicated for the prevention and control of seizures in preeclampsia and eclampsia, respectively. When used judiciously it effectively prevents and controls the convulsions of eclampsia without producing deleterious depression of the central nervous system of the mother or infant. However, other effective drugs are available for this purpose.

Dosage & Administration

DOSAGE AND ADMINISTRATION Magnesium Sulfate in Water for Injection is intended for intravenous use only. For the management of pre-eclampsia or eclampsia, intravenous infusions of dilute solutions of magnesium (1% to 8%) are often given in combination with intramuscular injections of 50% Magnesium Sulfate Injection, USP. Therefore, in the clinical conditions cited below, both forms of therapy are noted, as appropriate. Continuous maternal administration of magnesium sulfate in pregnancy beyond 5-7 days can cause fetal abnormalities. In Eclampsia In severe pre-eclampsia or eclampsia, the total initial dose is 10 to 14 g of magnesium sulfate. To initiate therapy, 4 g of Magnesium Sulfate in Water for Injection may be administered intravenously. The rate of I.V. infusion should generally not exceed 150 mg/minute, or 3.75 mL of a 4% concentration (or its equivalent) per minute, except in severe eclampsia with seizures. Simultaneously, 4 to 5 g (32.5 to 40.6 mEq) of magnesium sulfate may be administered intramuscularly into each buttock using undiluted 50% Magnesium Sulfate Injection, USP. After the initial I.V. dose, some clinicians administer 1 to 2 g/hour by constant I.V. infusion. S

Warnings

WARNINGS FETAL HARM: Continuous administration of magnesium sulfate beyond 5-7 days to pregnant women can lead to hypocalcemia and bone abnormalities in the developing fetus. These bone abnormalities include skeletal demineralization and osteopenia. In addition, cases of neonatal fracture have been reported. The shortest duration of treatment that can lead to fetal harm is not known. Magnesium sulfate should be used during pregnancy only if clearly needed. If magnesium sulfate is given for treatment of preterm labor, the woman should be informed that the efficacy and safety of such use have not been established and that use of magnesium sulfate beyond 5-7 days may cause fetal abnormalities. Parenteral use in the presence of renal insufficiency may lead to magnesium intoxication.

Contraindications

CONTRAINDICATIONS Intravenous magnesium should not be given to mothers with toxemia of pregnancy during the two hours preceding delivery.

Adverse Reactions

ADVERSE REACTIONS The adverse effects of parenterally administered magnesium usually are the result of magnesium intoxication. These include flushing, sweating, hypotension, depressed reflexes, flaccid paralysis, hypothermia, circulatory collapse, cardiac and central nervous system depression proceeding to respiratory paralysis. Hypocalcemia with signs of tetany secondary to magnesium sulfate therapy for eclampsia has been reported.

Frequently Asked Questions

What is Magnesium Sulfate in Water used for?

Magnesium sulfate injection is used to treat severe asthma attacks, seizures related to pregnancy complications, and abnormal heart rhythms, and it may also be given to prevent premature labor. This medication works by relaxing muscles and calming the nervous system when administered intravenously.

Is Magnesium Sulfate in Water a controlled substance?

Magnesium Sulfate in Water is not classified as a controlled substance by the DEA.

What is the generic name for Magnesium Sulfate in Water?

The generic name for Magnesium Sulfate in Water is magnesium sulfate heptahydrate. There are 10 other brand versions of magnesium sulfate heptahydrate.

What is the NDC code for Magnesium Sulfate in Water 2 g/50mL?

The NDC (National Drug Code) for Magnesium Sulfate in Water 2 g/50mL is 0264-4204, listed by B. Braun Medical Inc..