Zinc Sulfate 3mg/ml Inj, 10ml
Overview
What is this medicine?
How to Use This Medicine
If you need to store this medication at home, consult with your doctor, nurse, or pharmacist to determine the proper storage procedure.
If you miss a dose, contact your doctor immediately to find out what steps to take next.
Lifestyle & Tips
- Follow your healthcare provider's instructions regarding diet and other medications.
- Report any new or worsening symptoms to your healthcare provider.
Available Forms & Alternatives
Available Strengths:
- Zinc Sulfate 220mg Capsules
- Zinc Trace 1mg/ml Inj, 10ml
- Zinc Oxide 20% Ointment 56.7gm
- Zinc Oxide 20% Ointment 28.4gm
- Zinc Sulfate 5mg/ml Inj, 5ml
- Zinc 50mg Tablets
- Zinc Sulfate 220mg Tablets
- Zinc Oxide 20% Ointment 30gm
- Zinc Oxide 20% Ointment 425gm
- Zinc Oxide Ointment 454gm
- Zinc Oxide 20% Ointment 60gm
- Zinc Sulfate 10mg/10ml Inj, 10ml
- Zinc Sulfate 220mg Capsules
- Zinc Sulfate 5mg/ml Inj, 5ml
- Zinc Sulfate 10mg/10ml Inj, 10ml
- Zinc Chloride 10mg/10ml Inj, 10ml
- Zinc Sulfate 3mg/ml Inj, 10ml
- Zinc Sulfate 3mg/ml Inj, 10ml
Dosing & Administration
Adult Dosing
Condition-Specific Dosing:
Pediatric Dosing
Dose Adjustments
Renal Impairment:
Hepatic Impairment:
Pharmacology
Mechanism of Action
Pharmacokinetics
Absorption:
Distribution:
Elimination:
Pharmacodynamics
Safety & Warnings
Side Effects
While rare, this medication can cause severe and potentially life-threatening side effects. Immediately contact your doctor or seek medical attention if you experience any of the following symptoms, which may indicate a serious allergic reaction:
Rash
Hives
Itching
Red, swollen, blistered, or peeling skin, with or without fever
Wheezing
Tightness in the chest or throat
Difficulty breathing, swallowing, or talking
Unusual hoarseness
Swelling of the mouth, face, lips, tongue, or throat
Vein Irritation
This medication may cause irritation at the injection site. If you notice any of the following symptoms, inform your nurse promptly:
Redness
Burning
Pain
Swelling
Leaking of fluid at the injection site
Other Possible Side Effects
As with all medications, you may experience side effects. Although many people have no side effects or only mild ones, it's essential to discuss any concerns with your doctor. Contact your doctor or seek medical help if you experience any side effects that bother you or persist.
Reporting Side Effects
This list is not exhaustive, and you may have questions about other potential side effects. If you do, contact your doctor for guidance. You can also report side effects to the FDA at 1-800-332-1088 or online at https://www.fda.gov/medwatch. Your doctor can provide medical advice on managing side effects.
Seek Immediate Medical Attention If You Experience:
- Severe nausea or vomiting
- Severe abdominal pain
- Unusual tiredness or weakness
- Signs of copper deficiency (e.g., unusual bruising, pale skin, frequent infections, numbness or tingling in hands/feet, difficulty walking)
Before Using This Medicine
It is essential to inform your doctor about the following:
Any allergies you have, including allergies to this medication, its components, or other substances, such as foods or drugs. Be sure to describe the symptoms you experienced.
All medications you are currently taking, including prescription and over-the-counter (OTC) drugs, natural products, and vitamins. This information will help your doctor and pharmacist assess potential interactions.
* Any existing health problems, as this medication may interact with them.
To ensure your safety, carefully review all your medications and health conditions with your doctor and pharmacist. Never start, stop, or adjust the dosage of any medication without first consulting your doctor to confirm it is safe to do so.
Precautions & Cautions
This medication may contain aluminum, which can increase the risk of aluminum toxicity with long-term use. This risk is particularly higher if you have kidney problems or are a premature infant. It is crucial to discuss this potential risk with your doctor.
As this medication is administered as part of parenteral nutrition (PN), there is a risk of blood clots in the lungs, which can be life-threatening. If you have any questions or concerns about this risk, be sure to discuss them with your doctor.
If you are pregnant, planning to become pregnant, or are breast-feeding, it is essential to inform your doctor. You and your doctor will need to discuss the potential benefits and risks of this medication to both you and your baby to make an informed decision.
Overdose Information
Overdose Symptoms:
- Severe nausea
- Vomiting
- Diarrhea
- Abdominal pain
- Headache
- Dizziness
- Lethargy
- Fever
- Chills
- Copper deficiency (anemia, neutropenia, neurological symptoms)
- Pancreatitis (rare)
What to Do:
Discontinue zinc administration. Symptomatic and supportive care. In cases of severe toxicity, chelation therapy may be considered, but is rarely needed for zinc. For copper deficiency, copper supplementation may be required. Call 1-800-222-1222 (Poison Control).
Drug Interactions
Moderate Interactions
- Copper: High doses of zinc can induce copper deficiency by increasing metallothionein synthesis in enterocytes, which binds copper and prevents its absorption. Monitor copper levels with prolonged high-dose zinc therapy.
- Iron: High doses of iron can interfere with zinc absorption when taken orally. Less relevant for IV zinc, but important if oral iron is co-administered.
- Tetracyclines (e.g., doxycycline, minocycline): Zinc can chelate tetracyclines, reducing their absorption and efficacy. Administer IV zinc separately if possible, or monitor for reduced antibiotic effect.
- Quinolone antibiotics (e.g., ciprofloxacin, levofloxacin): Similar to tetracyclines, zinc can chelate quinolones, reducing their absorption. Administer IV zinc separately if possible, or monitor for reduced antibiotic effect.
- Penicillamine: Zinc can reduce the absorption of penicillamine. Administer separately.
Monitoring
Baseline Monitoring
Rationale: To confirm deficiency and establish baseline for therapy.
Timing: Prior to initiation of therapy.
Rationale: To assess baseline copper status, especially if high-dose zinc is anticipated, as zinc can induce copper deficiency.
Timing: Prior to initiation of therapy.
Rationale: Zinc is a cofactor for ALP; low levels may indicate zinc deficiency.
Timing: Prior to initiation of therapy.
Rationale: To establish clinical need and monitor response.
Timing: Prior to initiation of therapy.
Routine Monitoring
Frequency: Weekly initially, then monthly or as clinically indicated once stable.
Target: 70-120 mcg/dL (adults)
Action Threshold: If levels remain low despite adequate dosing, investigate malabsorption or increased losses. If levels are high, consider reducing dose to avoid toxicity.
Frequency: Monthly or every 3 months, especially with prolonged or high-dose zinc therapy.
Target: 70-140 mcg/dL (adults)
Action Threshold: If copper levels fall below normal, consider reducing zinc dose or supplementing copper.
Frequency: Ongoing clinical assessment.
Target: Improvement in symptoms
Action Threshold: Lack of improvement may indicate inadequate dosing, ongoing losses, or other underlying issues.
Symptom Monitoring
- Nausea
- Vomiting
- Diarrhea
- Abdominal pain
- Headache
- Dizziness
- Lethargy
- Fever
- Chills
- Copper deficiency symptoms (e.g., anemia, neutropenia, neurological symptoms like ataxia, peripheral neuropathy)
Special Patient Groups
Pregnancy
Zinc is an essential nutrient during pregnancy. Deficiency can lead to adverse outcomes. Supplementation should be based on clinical need and monitored. Category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
Trimester-Specific Risks:
Lactation
Zinc is naturally present in breast milk and is essential for infant growth and development. Supplementation in lactating mothers is generally considered safe and may be necessary if the mother is deficient. Monitor infant for any adverse effects, though unlikely at appropriate doses.
Pediatric Use
Essential for growth and development. Dosing is weight-based. Close monitoring of zinc and copper levels is crucial, especially in neonates and infants, due to their rapid growth and susceptibility to imbalances.
Geriatric Use
No specific dose adjustments are typically required based on age alone. However, elderly patients may have impaired renal function or multiple comorbidities affecting zinc status, requiring careful monitoring of zinc and copper levels.
Clinical Information
Clinical Pearls
- Zinc sulfate injection is typically used for patients who cannot absorb zinc orally, such as those with short bowel syndrome, Crohn's disease, or on long-term parenteral nutrition.
- Dosing is always expressed in terms of elemental zinc. Be careful with calculations as zinc sulfate heptahydrate (common form) is about 22.7% elemental zinc.
- Prolonged high-dose zinc supplementation can induce copper deficiency. Always monitor copper levels when administering zinc long-term.
- Zinc deficiency can manifest with dermatitis (especially acrodermatitis enteropathica-like rash), impaired wound healing, alopecia, immune dysfunction, and taste/smell disturbances.
- Administer IV zinc slowly, usually as part of a TPN solution or diluted in a compatible IV fluid.
Alternative Therapies
- Oral zinc supplements (e.g., zinc gluconate, zinc acetate, zinc sulfate) for patients with intact gastrointestinal absorption.
- Dietary zinc-rich foods (e.g., red meat, poultry, seafood, nuts, legumes, dairy products).