Package Insert
Ascor L 500®
Ascorbic Acid
Injection, USP
(500 mg/mL)
Ascorbic Acid for Parenteral Use
PHARMACY BULK PACKAGE,
NOT FOR DIRECT INFUSION
Description:
Ascor L
500 (Ascorbic Acid Injection, USP) is a sterile, nonpyrogenic solution
of ascorbic acid prepared with the aid of sodium bicarbonate in water
for injection. Ascorbic Acid is an essential water-soluble vitamin.
Ascor L 500 is indicated for injection by the intravenous,
intramuscular, and subcutaneous routes. Each mL contains 500 mg of
ascorbic acid, and edetate disodium 0.025% (w/v). It also contains
sodium bicarbonate and may contain sodium hydroxide to aid in
preparation and pH adjustment. The pH is 5.5-7.0. It contains no
bacteriostat, antimicrobial agent or added buffer. It must be
protected from light.
The
chemical name of Ascorbic Acid is L-ascorbic acid. The molecular
formula is C6H8O6. It occurs as
white or slightly yellow crystals or powder. It has the following
structural formula:
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Clinical Pharmacology:
Ascorbic
acid (vitamin C) has few strictly pharmacological actions.
Administration in amounts greatly in excess of physiologic
requirements causes no demonstrable effects. The vitamin is an
essential coenzyme for collagen formation, tissue repair and synthesis
of lipids and proteins. It acts both as a reducing agent and as an
antioxidant and is necessary for many physiologic functions, e.g.,
metabolism of iron and folic acid, resistance to infection, and
preservation of blood vessel integrity. Signs and symptoms of early
vitamin C deficiency include malaise, irritability, arthralgia,
hyperkeratosis of hair follicles, nosebleed, and petechial
hemorrhages. Prolonged deficiency leads to clinical scurvy.
Ascorbic
acid is normally present in both plasma and cells. The absorbed
vitamin is ubiquitous in all body tissues. The highest
concentrations are found in glandular tissue, the lowest in muscle and
stored fat. Ascorbic acid is partially destroyed and partially
excreted by the body. There is a renal threshold for vitamin C;
the vitamin is excreted by the kidney in large amounts only when the
plasma concentration exceeds this threshold, which is approximately
1.4 mg/100 mL. When the body is saturated with ascorbic acid,
the plasma concentration will be about the same as that of the renal
threshold; if further amounts are then

Material Data Safety Sheet for Ascor L
500®
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