Sterile Water for Inhalation
[Note—For microbiological guidance, see Water for Pharmaceutical Purposes 1231. ]
Change to read:

H2O 18.02(ERR 1-Oct-2014)
DEFINITION
Sterile Water for Inhalation is prepared from Water for Injection that is sterilized and suitably packaged. It contains no added antimicrobial agents. [Note—Do not use Sterile Water for Inhalation for parenteral administration or for other sterile compendial dosage forms. ]
SPECIFIC TESTS
•  Oxidizable Substances
Sample:  100 mL
Analysis:  Add 10 mL of 2 N sulfuric acid, and heat to boiling. For Sterile Water for Inhalation in containers having a fill volume of less than 50 mL, add 0.4 mL of 0.02 M potassium permanganate, and boil for 5 min; where the fill volume is 50 mL or more, add 0.2 mL of 0.02 M potassium permanganate, and boil for 5 min. If a precipitate forms, cool in an ice bath to room temperature, and pass through a sintered-glass filter.
Acceptance criteria:  The pink color does not completely disappear. Alternatively, perform the test for Total Organic Carbon 643, Sterile Water.
•  Total Organic Carbon, Sterile Water 643: Meets the requirements. Alternatively, perform the test for Oxidizable Substances.
•  Water Conductivity, Sterile Water 645: Meets the requirements
•  Sterility Tests 71: Meets the requirements
•  Bacterial Endotoxins Test 85: Less than 0.5 USP Endotoxin Unit/mL
ADDITIONAL REQUIREMENTS
•  Packaging and Storage: Preserve in glass or plastic containers. Glass containers are preferably of Type I or Type II glass.
•  Labeling: Label it to indicate that it is for inhalation therapy only and that it is not for parenteral administration.
Change to read:
•  USP Reference Standards 11
USP 1,4-Benzoquinone RS(ERR 1-Oct-2014)
USP Endotoxin RS
USP Sucrose RS(ERR 1-Oct-2014)
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USP38–NF33 Page 5806
Pharmacopeial Forum: Volume No. 38(3)