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. 2017 Mar 1;3:157. Originally published 2014 Jul 10. [Version 3] doi: 10.12688/f1000research.1113.3

Table 2. Summary of results based on information given in product inserts.

Generic Name Trade Name Level of
Evidence
Statement from the leaflet
Dactinomycin Cosmegen 3 On intravenous administration of Cosmegen, extravasation
may occur with or without an accompanying burning or
stinging sensation, even if blood returns well on aspiration
of the infusion needle. If any signs or symptoms
of extravasation have occurred, the injection or infusion should
be immediately terminated and restarted in another vein.
Diphtheria, Pertussis,
Tetanus (DPT)
Infanrix 2 Do not administer this product subcutaneously or
intravenously.
Tetanus toxoid, reduced
diphtheria toxoid and
acellular pertussis
vaccine
Boostrix 2 Special care should be taken to prevent injection into a
blood vessel.
Dacarbazine DTIC-Dome 2 The calculated dose of the resulting solution is drawn into
a syringe and administered only intravenously.
Erythromycin lactobionate Erythrocin 2 Must be administered by continuous or intermittent
intravenous infusion only.
Due to the irritative properties of erythromycin, I.V. push is
an unacceptable route of administration.
Hep B vaccine Engerix-B 2 Do not inject intravenously or intradermally.
MMR Priorix Vaccine 2 Your doctor/nurse will ensure that Priorix is not injected
into the bloodstream.
Promethazine HCL Phenergon 2 The preferred route of administration for phenergan
injection is by deep IM injection. The proper IV
administration of the product is well tolerated, but use
of this route is not without some hazards. Not for SC
administration.
Pneumococcal 7-valent
conjugate Vaccine
Prevnar 1 For intramuscular injection only. Do not inject intravenously.
After insertion of the needle, aspirate and wait to see if
any blood appears in the syringe, which will help avoid
inadvertent injection into a vessel. If blood appears,
withdraw the needle and prepare for injection at another
site.
Progesterone injection Progesterone 2 For intramuscular use only.
Flupenthixol Fluanxol 2 Flupenthixol is administered by deep i.m. injection,
preferably in the gluteus maximus. Flupenthixol is NOT for
i.v. use.
Immune globulin
(Human), I.V.
Gamimune ® 2 For intramuscular use only.
Bupivacaine HCl Sensorcaine 1 It is essential that aspiration for blood or cerebrospinal fluid
(where applicable) be done prior to injecting any local
anesthetic, both the original dose and all subsequent
doses, to avoid intravascular or subarachnoid injection.
However, a negative aspiration does not ensure against an
intravascular or subarachnoid injection.
Thiopental Sodium Pentothal 2 The drug is prepared as a sterile powder and after
reconstitution with an appropriate diluent is administered
by the intravenous route.
Pentothal is administered by the intravenous route only.
Diazepam Valium Injection 2 For dosage in pediatric patients > 30 days old, see the
specific indications below. When intravenous use is
indicated, facilities for respiratory assistance should be
readily available.
Intramuscular: Valium Injection should be injected deeply into
the muscle.
Intravenous Use: (See warnings and precautions:
Pediatric Use.) The solution should be injected slowly,
taking at least 1 minute for each 5 mg (1 mL) given. Do
not use small veins, such as those on the dorsum of the
hand or wrist. Care should be taken to avoid intraarterial
administration or extravasation.
Typhoid Vi
Polysaccharide vaccine
Typhim Vi
Typhim 2 For intramuscular use only. Do NOT inject intravenously.
Purified inactivated rabies
vaccine
Verorab 2 Do not inject intravascularly.
Lidocaine Xylocaine 1 & 3 It is essential that aspiration for blood or cerebrospinal
fluid (where applicable) be done prior to injecting any
local anesthetics, both the original and all subsequent
doses, to avoid intravascular or subarachnoid injection.
However, a negative aspiration does not ensure against an
intravascular or subarachnoid injection. Local anesthetic
solutions containing antimicrobial preservatives (e.g.
methylparaben) should not be used for epidural or spinal
anesthesia because the safety of these agents has not
been established with regards to intrathecal injection, either
intentional or accidental.
Rho (D) Immunoglobin
(Human)
RHO 2 Do not inject Intravenously. Do not inject neonate.