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Oxaliplatin - Rexta Inj
Oxaliplatin - Rexta Inj
SECTION 1 : IDENTIFICATION
GHS Pictogram s:
Hazard Statem ents: May cause allergy or asthm a sym ptom s or breathing difficulties if inhaled.
Suspected of dam aging fertility or the unborn child.
May cause an allergic sk in reaction.
May cause harm to breast-fed children.
Em ergency O verview: W ARNING! The drug substance O x aliplatin is m utagenic, cytotox ic, neurotox ic and fetotox ic. The drug
substance is a possible carcinogen and a severe eye irritant. This product is intended for therapeutic
use only when prescribed by a physician. Potential adverse reactions from prescribed doses and
overdoses are described in the pack age insert.
Signs/Sym ptom s: Anticipated signs of overex posure include nausea, vom iting, diarrhea, peripheral neurotox icity (with
cold sensitivity and rare laryngeal dysesthesias, sensation of difficulty with breathing or swallowing),
and possible m yelosuppression (low blood counts). Mucositis (sore m outh, or soreness of other
m ucous m em branes) and transient elevation of liver enzym es have been observed. As with other
platinum com pounds allergic reactions have been observed. In therapeutic use very rare anaphylactoid
reactions (severe, possibly life-threatening allergic reactions) have been observed.
Aggravation of Pre-Ex isting Individuals with a history of k nown allergy to ox aliplatin or other platinum com pounds.
Conditions:
Eye Contact: Im m ediately flush eyes with plenty of water for at least 15 to 20 m inutes. Ensure adequate flushing of
the eyes by separating the eyelids with fingers. Get im m ediate m edical attention.
Sk in Contact: Im m ediately wash sk in with plenty of soap and water for 15 to 20 m inutes, while rem oving
contam inated clothing and shoes.
Get m edical attention if irritation develops or persists.
Inhalation: If inhaled, rem ove to fresh air. If not breathing, give artificial respiration or give ox ygen by trained
personnel. Seek im m ediate m edical attention.
Ingestion: If conscious, flush m outh out with water im m ediately. Call a physician or poison control center
im m ediately. Do not induce vom iting unless directed to do so by m edical personnel. Never give
anything by m outh to an unconscious person.
O ther First Aid: For Adverse Event Inform ation, please call (800) 551-7176.
Ex tinguishing Media: Use alcohol resistant foam , carbon diox ide, dry chem ical, or water fog or spray when fighting fires
involving this m aterial.
Use ex tinguishing m easures that are appropriate to local circum stances and the surrounding
environm ent.
Protective Equipm ent: As in any fire, wear Self-Contained Breathing Apparatus (SCBA), MSHA/NIO SH (approved or equivalent)
and full protective gear.
Hazardous Com bustion Therm al decom position products m ay include sm ok e and tox ic fum es. O x ides of carbon, ox ides of
Byproducts: nitrogen and other organic substances m ay be form ed. O ther undeterm ined low m olecular weight
hydrocarbon com pounds m ay be released in sm all quantities depending upon specific conditions of
com bustion.
Personnel Precautions: Evacuate area and k eep unnecessary and unprotected personnel from entering the spill area.
Avoid personal contact and breathing vapors or m ists. Use proper personal protective equipm ent as
listed in Section 8.
Environm ental Precautions: Avoid runoff into storm sewers, ditches, and waterways.
Methods for containm ent: Contain spills with an inert absorbent m aterial such as soil, sand or oil dry.
Methods for cleanup: Absorb spill with inert m aterial (e,g., dry sand or earth), then place in a chem ical waste container. After
rem oval, flush spill area with soap and water to rem ove trace residue.
Handling: W hen handling pharm aceutical products, avoid all contact and inhalation of vapor, m ists and/or fum es.
Use with adequate ventilation. Use only in accordance with directions.
Storage: Store at 25°C (77°F); ex cursions perm itted to 15 to 30°C (59 to 86°F). Protect from light. Do not
freeze. Retain vial in carton until tim e of use.
Work Practices: Facilities storing or utilizing this m aterial should be equipped with an eyewash facility and a safety
shower.
Hygiene Practices: Wash thoroughly after handling. Avoid contact with eyes and sk in. Avoid inhaling vapor or m ist.
Engineering Controls: General ventilation is sufficient if this product is being used in a controlled m edical setting (clinic,
hospital, m edical office) for its sole intended parenteral (injection) purpose. O therwise, use appropriate
engineering control such as process enclosures, local ex haust ventilation, or other engineering controls
including use of a biosafety cabinet / fum e hood to control airborne levels below recom m ended
ex posure lim its.
Eye/Face Protection: Chem ical splash goggles. Wear a face shield also when splash hazard ex ist.
Sk in Protection Description: Protective laboratory coat, apron, or disposable garm ent recom m ended.
Respiratory Protection: No personal respiratory protective equipm ent is norm ally required when this product is being
used/adm inistered by a licensed healthcare practitioner (i.e. an end-user such as a clinician / doctor /
nurse) for its sole intended parenteral (injection) purpose in a controlled m edical setting. The need for
respiratory protection will vary according to the airborne concentrations and environm ental conditions. A
NIO SH approved air-purifying respirator with an organic vapor cartridge or canister m ay be perm issible
under certain circum stances. Consult the NIO SH web site
(http://www.cdc.gov/niosh/npptl/topics/respirators/) for a list of respirator types and approved suppliers.
O ther Protective: Consult with local procedures for selection, training, inspection and m aintenance of the personal
protective equipm ent.
Color: Colorless.
pH: 4.0-7.0
Chem ical Stability: Stable under norm al tem peratures and pressures.
Succinic acid :
Ingestion: O ral - Rat LD50 : 2260 m g/k g [Details of tox ic effects not reported other than lethal dose value]
Sodium hydroxide :
Sk in: Adm inistration onto the sk in - Rabbit Standard Draize test.: 500 m g/24H
Oxaliplatin :
Mutagenicity: Positive genotox ic agent in both in vitro and in vivo tests. O x aliplatin interacts with DNA, block ing DNA
replication and transcription.
Reproductive Tox icity: There was no im pairm ent of fertility of treated rats. However, testicular hypoplasia has been detected in
dogs following repeated doses of ox aliplatin.
Teratogenicity: O x aliplatin produced evidence of fetal tox icity in the rat but it was not teratogenic to the rat or rabbit.
Pregnancy Category D: May cause harm when adm inistered to a pregnant wom an.
O ther Tox icological Inform ation: Intravenous. - Hum an TDLo: 2.19 m g/k g [Nutritional and Gross Metabolic - body tem perature
increase]
Intravenous. - Hum an TDLo: 2.125 m g/k g [Gastrointestinal - hyperm otility, diarrhea Gastrointestinal -
nausea or vom iting Im m unological Including Allergic - other im m ediate (hum oral): urticaria, allergic
rhinitis, serum sick ness]
Biodegradation: Hydrolysis test data indicate that O x aliplatin will not readily hydrolyze in the environm ent.
Bioaccum ulation: The octanol / water partition coefficient (Kow) value of 0.02 indicates that O x aliplatin is not lik ely to
bioaccum ulate. Dissociation constant (pKa) data indicate that ox aliplatin will not dissociate in the
environm ental pH range.
Mobility In Environm ental Media: Water Solubility, Kow and Henry's Law Constant data indicate that O x aliplatin will m igrate to the water
com partm ent of the environm ent.
Waste Disposal: Dispose of in accordance with Local, State, Federal and Provincial regulations.
Safety Phrase: S45 In case of accident or if you feel unwell, seek m edical advice im m ediately (show the label where
possible).
S53 Avoid ex posure — obtain special instructions before use.
Succinic acid :
Sodium hydroxide :
HMIS Ratings:
Disclaim er: The inform ation contained herein pertains to this m aterial. It is the responsibility of each individual
party to determ ine for them selves the proper m eans of handling and using these m aterials based on
their purpose and intended use. Fresenius-Kabi assum es no liability resulting from the use of or
reliance upon the inform ation contained in this m aterial safety data sheet. This m aterial safety data
sheet does not constitute the guaranty or specifications of the product.