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What's the big deal with saline solution?

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  • What's the big deal with saline solution?

    One of the horses at the barn managed to rip himself open. The vet came out, stitched up the dangling skin flaps, and instructed us to rinse out the draining areas with saline solution for the next few days. Now, I was the youngest of all the people present, and my first two cars ran on leaded gasoline. OK, irrigate wound with normal saline, yup, we've been doing that since horses were 14 inches tall and had toes. No big deal. One of our grizzled group heads off to the drug store to pick up a jug of saline solution. Surprise surprise, normal saline is now a prescription item. Just one more new thing, like western cinches with buckles and liquid Murphy's oil soap, to sneak up on us.

    What I don't understand is WHY saline solution requires a prescription. What kind of trouble can you get onto with a couple of quarts of sterile salt water? It's not addictive or explosive. It's not even that hard to make, as long as you aren't aiming for IV grade purity.

  • #2
    That's extremely odd since you can buy saline solution for contact lenses.

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    • #3
      Do they not sell saline solution for contact lenses anymore???
      America dialed 911. Donald Trump answered the phone.

      Stop pumping money into colleges and start getting ready to earn money in the projected tradesman shortage of 2024. Make Trades Great Again!

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      • #4
        I remember hearing about this awhile ago. You should still be able to buy pure saline for contacts-- it's often labeled "for sensitive eyes."

        I was just picking up some first aide stuff in Walmart tonight and they had saline wound wash spray, so maybe it varies by state.
        Don't fall for a girl who fell for a horse just to be number two in her world... ~EFO

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        • #5
          That doesn't make sense.
          But then I had to ask the pharmacist why I had to sign for Claritin D. I'm never overly clued in on what kids are snorting, huffing or cooking up any more.
          You jump in the saddle,
          Hold onto the bridle!
          Jump in the line!
          ...Belefonte

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          • Original Poster

            #6
            You can still buy small bottles for a ridiculous sum. CVS sells a pressurized 7 oz bottle for $8.50. Apparently the prescription requirement only comes into play when you want jugs of it.

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            • #7
              If it's packaged in a container labelled for IV use, it's Rx.

              Similar to how fenbendazole liquid is Rx, but the paste is OTC--it's the method of delivery that interests the FDA.
              "It's like a Russian nesting doll of train wrecks."--CaitlinandTheBay

              ...just settin' on the Group W bench.

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              • #8
                make your own

                1 tsp canning or pickling salt ( not table salt)
                1 pint sterile / distilled water
                _\\]
                -- * > hoopoe
                Procrastinate NOW
                Introverted Since 1957

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                • #9
                  Originally posted by Ghazzu View Post
                  If it's packaged in a container labelled for IV use, it's Rx.

                  Similar to how fenbendazole liquid is Rx, but the paste is OTC--it's the method of delivery that interests the FDA.
                  Yeah, I needed an Rx to buy a bottle of sterile water. Water.
                  Honest to God.
                  As Peter, Paul, and Mary say, a dragon lives forever.

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                  • Original Poster

                    #10
                    Originally posted by hoopoe View Post
                    make your own

                    1 tsp canning or pickling salt ( not table salt)
                    1 pint sterile / distilled water
                    That's pretty much the formula my folks used when any of us cut our feet as kids. Thankfully someone else owns the horse. We got her one of the 7 oz bottles to tide her through tomorrow morning; after that it's her problem.

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                    • #11
                      Originally posted by CrowneDragon View Post
                      Yeah, I needed an Rx to buy a bottle of sterile water. Water.
                      Honest to God.
                      Well, in a country where people pay for bottles of water that mostly come from municipal water sources, I guess if one follows or understands that line of logic, that was the next thing to happen.
                      America dialed 911. Donald Trump answered the phone.

                      Stop pumping money into colleges and start getting ready to earn money in the projected tradesman shortage of 2024. Make Trades Great Again!

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                      • #12
                        You should look for saline for "irrigation" versus saline for "IV use" - the sterility is different and if you are just irrigating a wound you don't require the high sterility of the IV stuff. It will be cheaper and as far as I know it does not require a prescription though it's not something most pharmacies have lying around so you would need to go to a pharmacy that sells durable medical goods or have your local order it is special. It will usually come in a 1L bottle.

                        If they require a prescription it may be because the FDA wants to regulate them more closely. You can imagine that if a shady unregulated company marks a bottle saline for irrigation and then it's something else (say hypertonic or something b/c the company doesn't have good practice or what if it's contaminated) it would have the potential to damage a wound further. The tonicity of a solution used for IV use or even for wound irrigation can impact the tissue.

                        Yes the FDA and rules can be a PITB but please try to remember that good people with fancy degrees make up these rules and they generally are making them in your best interest and not to make your life harder.

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                        • #13
                          I would assume the FDA is involved to make sure it IS sterile. Why didn't you just buy a bag of IV sterile saline from the vet?

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                          • #14
                            Do not use over the counter 'saline' made for contact lenses unless it truly is labeled saline solution.... on this wound.
                            Solutions that are not labeled Saline solution, often called Multi-Purpose Saline Solutions, or MPS, have surfactants and other ingredients that could be detrimental [ex: some contain Hydrogen Peroxide]. Even the generic/store brand.
                            Just an FYI
                            Yo/Yousolong April 23rd, 1985- April 15th, 2014

                            http://notesfromadogwalker.com/2012/...m-a-sanctuary/

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