Services
Fertility
Medications
List of Medications
Cetrotide
Injection
Cetrotide 0.25mg must be refrigerated (36-46°F).
Protect from light.
Store in original box.
Use immediately after reconstitution/mixing.
Cetrotide (cetrorelix) is an injection given along with other fertility medications during in vitro fertilization (IVF). While it has very few side effects, it can be more difficult to use than other alternatives.
Here are step-by-step instructions for taking Cetrotide™ (cetrorelix) injections:
- Cetrotide™ is injected subcutaneously—or into the fatty tissue under your skin. The primary sites for injection are your abdomen—2 inches on either side of the navel, and your upper, outer-thigh where the skin is loose. Wash your hands thoroughly and make sure that the surface you work on is clean.
2 Flip off the plastic cover of the vial and wipe the rubber stopper with an alcohol swab. - Put the injection needle with the yellow mark (20 gauge) on the pre-filled syringe.
- Push the needle through the rubber stopper of the vial and slowly inject the solvent into the vial. Leaving the syringe in the vial, gently swirl the vial until the solution is clear. Avoid making bubbles. Do not shake.
- Invert the vial and pull back the needle as far as needed to withdraw all of the liquid in the vial. You might not be able to withdraw every drop.
- Replace the yellow marked needle with the (27 gauge) ½ inch syringe.
- With the needle pointing toward the ceiling, flick the side of the syringe to disperse any air bubbles and the air pocket at the top of the syringe, then gently push the plunger until one or two drops of liquid are expressed to make sure you have eliminated any air.
- Gently push on plunger until air pocket is gone and expel a drop of liquid
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Clomiphene
Store at room temperature away from light and moisture.
Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Clomiphene citrate tablets are taken orally and are prescribed to stimulate the ovary to increase egg production. It is used with timed intercourse or with artificial insemination.
Clomiphene must be taken by mouth exactly as directed by your doctor in order to be most effective. It is important to follow your dosing schedule carefully.
Your dosage is based on your medical condition and response to therapy. Do not take it more often or for a longer time than prescribed by your doctor. Long-term treatment with this medication is not recommended and should not be more than 6 cycles.
You may be directed to record your body temperature, perform ovulation tests, and properly time sexual intercourse for best results. Ask your doctor if you have any questions.
Crinone
(Progesterone Gel)
Store at room temperature 77 degrees F (25 degrees C) away from light and moisture.
Brief storage between 59-86 degrees F (15-30 degrees C) is permitted.
Do not store in the bathroom.
Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
Properly discard this product when it is expired or no longer needed.
Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Crinone is a gel containing micronized progesterone that is administered vaginally. It provides progesterone support for women who have a progesterone deficiency and who are undergoing fertility treatment.
Endometrin
Store at room temperature at 77 degrees F (25 degrees C). Brief storage between 59-86 degrees F (15-30 degrees C) is permitted.
Keep all medicines away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
Properly discard this product when it is expired or no longer needed.
Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Endometrin is a progesterone vaginal insert often prescribed for infertile women during the luteal phase of an Assisted Reproductive Technology (ART) treatment. Endometrin is indicated to support embryo implantation and early pregnancy by supplementing the needed progesterone support.
Here are step-by-step instructions for taking Cetrotide™ (cetrorelix) injections:
- Cetrotide™ is injected subcutaneously—or into the fatty tissue under your skin. The primary sites for injection are your abdomen—2 inches on either side of the navel, and your upper, outer-thigh where the skin is loose. Wash your hands thoroughly and make sure that the surface you work on is clean.
2 Flip off the plastic cover of the vial and wipe the rubber stopper with an alcohol swab. - Put the injection needle with the yellow mark (20 gauge) on the pre-filled syringe.
- Push the needle through the rubber stopper of the vial and slowly inject the solvent into the vial. Leaving the syringe in the vial, gently swirl the vial until the solution is clear. Avoid making bubbles. Do not shake.
- Invert the vial and pull back the needle as far as needed to withdraw all of the liquid in the vial. You might not be able to withdraw every drop.
- Replace the yellow marked needle with the (27 gauge) ½ inch syringe.
- With the needle pointing toward the ceiling, flick the side of the syringe to disperse any air bubbles and the air pocket at the top of the syringe, then gently push the plunger until one or two drops of liquid are expressed to make sure you have eliminated any air.
- Gently push on plunger until air pocket is gone and expel a drop of liquid
Ganirelix Acetate
Injection
Ganirelix is a gonadotropin-releasing hormone (GnRH) antagonist. It is used to suppress premature luteininzing hormone (LH) surges in women during assisted reproductive technology (ART) treatment. Ganirelix prevents eggs from being released prematurely while undergoing controlled ovarian hyper stimulation.
Read the Patient Information Leaflet if available from your pharmacist before you start using Ganirelix Acetate and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Learn all preparation and usage instructions from your health care professional and the product package.
Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid.
Inject this medication under the skin as directed by your doctor, usually once a day for several days. Carefully follow your doctor’s instructions on when to start and stop this medication.
Before injecting each dose, clean the injection site with rubbing alcohol. Change the injection site each time to lessen injury under the skin.
Use this medication exactly as directed by your doctor to get the most benefit from it. Do not increase your dose or use this drug more often or for longer than prescribed.
Learn how to store and discard medical supplies safely.
Follistim AQ
(Follitropin Beta Injection)
Follistim is a follicle-stimulating hormone (FSH) medication. Follistim is an injectable medication used to stimulate healthy ovaries to produce eggs. Your doctor will prescribe Follistim to be used either with artificial insemination or with Assisted Reproductive Technologies. You will be monitored with vaginal ultrasounds during your course of medication for the purpose of determining how many follicles are growing and how they’re maturing.
Be sure that you read, understand, and follow the “Patient Instructions for Use” that come with Follistim AQ Cartridge.
Use Follistim AQ Cartridge exactly as your healthcare provider tells you to.
Your healthcare provider will tell you how much Follistim AQ Cartridge to use, how to inject it, and how often it should be injected.
Do not inject Follistim AQ Cartridge at home until your healthcare provider has taught you the right way to put the cartridge and pen device together and to inject yourself.
Do not mix any other medicines into the cartridge.
Do not change your dose o fFollistim AQ Cartridge unless your healthcare provider tells you to.
Call your healthcare provider immediately if you use too much Follistim AQ Cartridge.
If you miss or forget to take a dose, do not double your next dose. Ask your healthcare provider for nstructions.
Use Follistim AQ Cartridge only with the Follistim Pen.
Do not use the Follistim Pen if you are blind or visually impaired unless you have assistance from an individual with good vision who is trained in the right way to use the pen.
Do not re-use the BDMicro-Fine TM Pen Needle.
Your healthcare provider will do blood and urine hormone tests while you are taking Follistim AQ Cartridge. Make sure you follow-up with your healthcare provider to have your blood and urine tested when told to do so.
Do not take Follistim AQ Cartridge if you are a Woman or Man who:
- is allergic to recombinant human FSH products
- has a high level of FSH in your blood indicating that your ovaries (women only) or testes (men only) may be permanently damaged and do not work at all
- has uncontrolled thyroid, pituitary, or adrenalgl and problems
- is allergic to streptomycinorneomycin (typesofantibiotics)
- has a tumor of the hypothalamus, pituitary gland, breast, uterus(women only), ovary (women only), or testis (menonly)
Do not take Follistim AQ Cartridge if you are a Woman who:
- is pregnant or think you maybe pregnant
- has heavy or irregular vaginal bleeding and the cause is not known
- has ovarian cysts or enlarged ovaries, not due to polycystic ovary syndrome PCOS)
Talk to your healthcare provider before taking this medicine if you have any of the conditions listed above.
Before you take Follistim AQ, tell your healthcare provider if you:
- have an increased risk of blood clots (thrombosis)
- have ever had a blood clot (thrombosis), or any one in your immediate family has ever had a blood clot (thrombosis)
- had stomach (abdominal) surgery
- had twisting of your ovary (ovariantorsion)
- had or have a cystin your ovary
- have polycystic ovary disease
- have any other medical conditions
- are breastfeeding or plan to breastfeed. It is not known if the medicine in Follistim AQ Cartridge passes into your breast milk. You and your healthcare provider should decide if you will take Follistim AQ Cartridge or breastfeed. You should not do both.
Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
Know the medicines you take. Keep a list of them and show your healthcare provider and pharmacist when you get a new medicine.
Leuprolide Acetate
2 Week Kit Injection
Leuprolide Acetate should be stored in the original carton at room temperature below 77ºF until its ready to be used. Once opened Leuprolide Acetate should be refrigerated in the original carton. Do not freeze. Protect from light.
Leuprolide acetate is given via injections and inhibits the secretion of gonadotropins when given continuously and in therapeutic doses. This medication is used to achieve ovarian suppression. Once the ovaries are suppressed, your physician will prescribe an FSH in order to stimulate the ovaries to produce multiple follicles. Leuprolide acetate is used when going through ART.
Leuprolide injection comes as a long-acting suspension (Lupron) that is injected intramuscularly (into a muscle) by a doctor or nurse in a medical office or clinic and is usually given once a month (Lupron Depot, Lupron Depot-PED) or every 3, 4, or 6 months (Lupron Depot-3 month, Lupron Depot-PED-3 month, Lupron Depot-4 month, Lupron Depot-6 Month). Leuprolide injection also comes as a long-acting suspension (Eligard) that is injected subcutaneously (just under the skin) by a doctor or nurse in a medical office or clinic and is usually given every 1, 3, 4, or 6 months. Leuprolide injection also comes as a long-acting suspension (Fensolvi) that is injected subcutaneously (just under the skin) by a doctor or nurse in a medical office or clinic and is usually given every 6 months. Your doctor will tell you how long your treatment with leuprolide injection will last. When used in children with precocious puberty, leuprolide injection (Lupron Depot-PED, Lupron Depot-PED-3 month, Fensolvi) will likely be stopped by your child’s doctor before 11 years of age in girls and 12 years of age in boys.
If you receive leuprolide long-acting suspension (Eligard) as a subcutaneous injection, you may notice a small bump at the place where the injection was given when you first receive the medication. This bump should eventually go away.
Leuprolide may cause an increase in certain hormones in the first few weeks after injection. Your doctor will monitor you carefully for any new or worsening symptoms during this time.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Oral Contraceptive Pills
(OCP’s)
Keep out of the reach of children.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Do not keep outdated medicine or medicine no longer needed.
Oral contraceptives are known also as the Pill, OCs, BCs, BC tablets, or birth control pills. This medicine usually contains two types of hormones, estrogens and progestins and, when taken properly, prevents pregnancy. It works by stopping a woman’s egg from fully developing each month. The egg can no longer accept a sperm and fertilization is prevented. Although oral contraceptives have other effects that help prevent a pregnancy from occurring, this is the main action.
Sometimes a woman’s egg can still develop even though the medication is taken once each day, especially when more than 24 hours pass between two doses. In almost all cases when the medicine was taken properly and an egg develops, fertilization can still be stopped by oral contraceptives. This is because oral contraceptives also thicken cervical mucus at the opening of the uterus. This makes it hard for the partner’s sperm to reach the egg. In addition, oral contraceptives change the uterus lining just enough so that an egg will not stop in the uterus to develop. All of these effects make it difficult to become pregnant when properly taking an oral contraceptive.
No contraceptive method is 100 percent effective. Studies show that fewer than one of each one hundred women correctly using oral contraceptives becomes pregnant during the first year of use. Birth control methods such as having surgery to become sterile or not having sex are more effective. Using condoms, diaphragms, progestin-only oral contraceptives, or spermicides is not as effective as using oral contraceptives containing estrogens and progestins. Discuss with your health care professional your options for birth control.
Call your doctor or pharmacist for instructions.
Follow your doctor’s orders or the directions on the label if you miss a dose of this medicine. The following information includes only some of the ways to handle missed doses. Your health care professional may want you to stop taking the medicine and use other birth control methods for the rest of the month until you have your menstrual period. Then your health care professional can tell you how to begin taking your medicine again.
For monophasic, biphasic, triphasic, or quadriphasic cycles:
If you miss the first tablet of a new cycle—Take the missed tablet as soon as you remember and take the next tablet at the usual time. You may take 2 tablets in one day. Then continue your regular dosing schedule. Also, use another birth control method until you have taken seven days of your tablets after the last missed dose.
If you miss 1 tablet during the cycle—Take the missed tablet as soon as you remember. Take the next tablet at the usual time. You may take 2 tablets in one day. Then continue your regular dosing schedule.
If you miss 2 tablets in a row in the first or second week—Take 2 tablets on the day that you remember and 2 tablets the next day. Then continue taking 1 tablet a day. Also use another birth control method until you begin a new cycle.
If you miss 2 tablets in a row in the third week; or
If you miss 3 or more tablets in a row at any time during the cycle—
Using a Day-1 start: Throw out your current cycle and begin taking a new cycle. Also, use another birth control method until you have taken seven days of your tablets after the last missed dose. You may not have a menstrual period this month. But if you miss two menstrual periods in a row, call your health care professional.
Using a Sunday start: Keep taking one tablet a day from your current pack until Sunday. Then, on Sunday, throw out your old pack and begin a new pack. Also use another birth control method until you have taken seven days of your tablets after the last missed dose. You may not have a menstrual period this month. But if you miss two menstrual periods in a row, call your health care professional.
If you miss any of the last seven (inactive) tablets of a twenty-eight–day cycle, there is no danger of pregnancy. However, the first tablet (active) of the next month’s cycle must be taken on the regularly scheduled day, in spite of any missed doses, if pregnancy is to be avoided. The active and inactive tablets are colored differently for your convenience.
Low Dose HCG
CMP (Compound)
Store in a refrigerator, protect from light. Keep all medicine out of the reach of children. Throw away any unused medicine after the beyond use date. Do not flush unused medications or pour down a sink or drain.
hCG, or human chorionic gonadotropin, is very similar in structure to the pituitary hormone LH (luteinizing hormone). Many experts beleive that in order to optimally stimulate the ovaries for assisted reproduction technologies (ART), medications containing both FSH (follicle stimulating hormone) and LH are necessary.
Since most of the FSH medications used in ART are produced through recombinant DNA technology, they contain no LH activity. Supplementation with LH is problematic since LH is broken down very quickly in the body and therefore has very little effect.
hCG, however, lasts much longer and therefore has greater biologic activity. Very low dose hCG is used as a replacement for LH to help supplement the stimulation during ART cycles.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Menopur
(Purified Menotropins Injection)
Store refrigerated or at room temperature (37°F to 77°F). Protect from light. Use immediately after reconstitution. Discard unused material.
Menopur is a purified preparation of human menopausal gonadotropin (hMG). Menopur is a preparation of naturally derived gonadotropins that has undergone an exacting purification process. It contains an equal amount of 75 IU follicle stimulating hormone (FSH) and 75 IU leutinizing hormone (LH). This medication stimulates the ovaries to produce eggs
As part of an Assisted Reproductive Technology (ART) program, MENOPUR is administered by subcutaneous (SC) injection only and is used to induce the development of multiple eggs and pregnancy in women who are able to produce and release eggs (ovulate).
Here are step-by-step instructions for taking Menopur® (menotropin for injection):
- Flip plastic caps off of 1 vial of diluent and as many vials of powder as you have been instructed to use.
- Clean the rubber stoppers of all vials with alcohol.
- Using a 3cc syringe with a ½” needle, pull the plunger back to the 1cc mark.
- Carefully remove the needle from the syringe.
- Twist the Q-Cap™ onto the syringe.
- Insert the Q-Cap™ through the rubber stopper of the vial of diluent.
- Invert the vial.
- Push on the plunger injecting 1cc of air into the vial of diluent (to break the vacuum).
- Withdraw 1cc of diluent by letting go and then pulling back on the plunger.
- Remove the needle from the vial.
- Inject 1cc of diluent into the first vial of powder. If it does not dissolve instantly, (swirl don’t shake) the contents.
- Invert the vial, withdraw all the liquid.
- If you are using more than 1 vial of powder, inject this mixture into the 2nd vial of powder.
- Continue injecting the mixture into vials of powder until you dissolve all your recommended powders.
- Remove the vial from the Q-Cap™ at an angle and pull off.
- Twist off the Q-Cap™.
- Replace it with a ½” needle.
- Gently push on plunger until air pocket is gone and expel a drop of liquid.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Ovidrel
PreFilled Syringe (Choriogonadotropin Alfa Injection)
Ovidrel® Prefilled Syringe must be stored refrigerated between 2–8°C (36–46°F) before being dispensed to the patient. Patients should store the pre–filled syringe refrigerated to allow the product to be used until the expiry date shown on the syringe or carton. The Ovidrel® Prefilled Syringe may be stored by the patient for no more than 30 days at room temperature (up to 25°C (77°F) but must be used within those 30 days. Protect from light. Store in original package. Discard unused material.
Ovidrel is a recombinant version of human chorionica gonadotropins (HCG). It triggers the actual release of mature eggs from a woman’s ovaries following treatment with FSH.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Progesterone Capsules
/ Suppositories
Are a form of progesterone that is used vaginally. It helps prepare the uterus for embryo implantation and support pregnancy once implantation has occurred.
Store at room temperature or may be refrigerated.
**This medication is taken as a vaginal insert**
Progesterone is indicated to help support the lining of the uterus. The capsules/suppositories are professionally compounded in various strengths. The capsules may be used either orally or vaginally, while the suppositories are only to be used vaginally.
Here are step-by-step instructions for administering an intramuscular progesterone injection:
- Wash your hands thoroughly and make sure the surface you work on is clean.
- Use an alcohol swab to cleanse the rubber stoppers of the progesterone medication.
- Using the 3cc syringe with a 1½ inch needle, pull back on the plunger to the 1cc mark.
- Pierce the rubber stopper of the progesterone vial. Inject 1cc of air into the vial.
- Turn the vial upside down, making sure the tip of the needle is below the fluid level. Withdraw the dosage ordered. Progesterone is an oil. It will pull into the syringe more slowly than sterile water does as when you use your other fertility medications.
- Pull out the needle and replace the cap. Pull back on the plunger to clear the needle of any medication. Remove the needle from the syringe and replace with a new 1½ inch needle.
- With the needle pointing toward the ceiling, flick the side of the syringe to disperse the air bubbles and the air pocket at the top of the syringe, then gently push the plunger to eliminate any air until you expel one or two drops of liquid from the tip of the needle.
- Gently push on plunger until air pocket is gone and expel a drop of liquid
Progesterone in
Oil Injection
Is a progesterone injection, which helps to prepare the uterus for embryo implantation and support pregnancy once implantation has occurred.
Store at room temperature (68-77°F). Do not refrigerate.
Progesterone, one of the reproductive hormones, is needed to increase the receptivity of your endometrium for implantation of an embryo and is used as part of an assisted reproductive technology (ART).
Here are step-by-step instructions for administering an intramuscular progesterone injection:
- Wash your hands thoroughly and make sure the surface you work on is clean.
- Use an alcohol swab to cleanse the rubber stoppers of the progesterone medication.
- Using the 3cc syringe with a 1½ inch needle, pull back on the plunger to the 1cc mark.
- Pierce the rubber stopper of the progesterone vial. Inject 1cc of air into the vial.
- Turn the vial upside down, making sure the tip of the needle is below the fluid level. Withdraw the dosage ordered. Progesterone is an oil. It will pull into the syringe more slowly than sterile water does as when you use your other fertility medications.
- Pull out the needle and replace the cap. Pull back on the plunger to clear the needle of any medication. Remove the needle from the syringe and replace with a new 1½ inch needle.
- With the needle pointing toward the ceiling, flick the side of the syringe to disperse the air bubbles and the air pocket at the top of the syringe, then gently push the plunger to eliminate any air until you expel one or two drops of liquid from the tip of the needle.
- Gently push on plunger until air pocket is gone and expel a drop of liquid
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Prometrium
Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F)
Prometrium capsules contain the female hormone called progesterone. Progesterone is indicated to help support the lining of the uterus. The capsule may used vaginally or orally as preferred by your doctor.
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
Take the Prometrium capsule with a full glass of water. It is best to take the medicine at night because this medicine can make you dizzy or drowsy.
Apply Prometrium cream to the skin as directed by your doctor.
Prometrium is sometimes used for only a short time, such as 10 to 12 days during each menstrual cycle. Follow your doctor’s dosing instructions very carefully.
Have regular physical exams and self-examine your breasts for lumps on a monthly basis while using Prometrium.
If you need surgery or medical tests or if you will be on bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using Prometrium.
Store at room temperature away from moisture, heat, and light.
Doxycycline
- Tablets, capsules, and syrup should be kept at room temperature 15 C to 30 C (59 F to 86 F) in tight, light resistant containers.
- Powder for injection should be stored at or below 25 C (77 F) and protected from light.
- Atridox (doxycycline in a gel used for subgingival application) should be stored at 2 C to 8 C (36 F to 46 F).
Doxycycline is used to treat a variety of infections caused by certain types of bacteria. Doxycycline is also used to treat or prevent anthrax (a serious infection that may be spread on purpose as part of a bioterror attack) in people who may have been exposed to anthrax in the air and to treat plague and tuleramia (serious infections that may be spread on purpose as part of a bioterror attack). It is also used to prevent malaria. Doxycycline is also used along with other medications to treat acne and rosacea (a skin disease that causes redness, flushing, and pimples on the face). Doxycycline (Oracea) is used only to treat pimples and bumps caused by rosacea. Doxycycline is in a class of medications called tetracycline antibiotics. It works to treat infections by preventing the growth and spread of bacteria. It works to treat acne by killing the bacteria that infects pores and decreasing a certain natural oily substance that causes acne. It works to treat rosacea by decreasing the inflammation that causes this condition.
Antibiotics such as doxycycline will not work for colds, flu, or other viral infections. Using antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment.
Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.a
Doxycycline comes as a capsule, tablet, delayed-release tablet, and suspension (liquid) to take by mouth. Doxycycline is usually taken once or twice a day. Drink a full glass of water with each dose. If your stomach becomes upset when you take doxycycline, you may take it with food or milk. Talk with your doctor or pharmacist about the best way to take doxycycline. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take doxycycline exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Swallow the delayed-release tablets whole; do not split, chew, or crush them.
If you cannot swallow certain delayed-release tablets (Doryx; generics) whole, carefully break up the tablet and sprinkle the contents of the tablet on a spoonful of cold or room temperature (not hot) applesauce. Be careful not to crush or damage any of the pellets while you are breaking up the tablet. Eat the mixture right away and swallow without chewing. If the mixture cannot be eaten right away it should be discarded.
Shake the suspension well before each use to mix the medication evenly.
If you are taking doxycycline for the prevention of malaria, start taking it 1 or 2 days before traveling to an area where there is malaria. Continue taking doxycycline each day you are in the area, and for 4 weeks after leaving the area. You should not take doxycycline for the prevention of malaria for more than 4 months.
Continue to take doxycycline even if you feel well. Take all the medication until you are finished, unless your doctor tells you otherwise.
One doxycycline product may not be able to be substituted for another. Be sure that you receive only the type of doxycycline that was prescribed by your doctor. Ask your pharmacist if you have any questions about the type of doxycycline you were giv
Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.
Take the Prometrium capsule with a full glass of water. It is best to take the medicine at night because this medicine can make you dizzy or drowsy.
Apply Prometrium cream to the skin as directed by your doctor.
Prometrium is sometimes used for only a short time, such as 10 to 12 days during each menstrual cycle. Follow your doctor’s dosing instructions very carefully.
Have regular physical exams and self-examine your breasts for lumps on a monthly basis while using Prometrium.
If you need surgery or medical tests or if you will be on bed rest, you may need to stop using this medicine for a short time. Any doctor or surgeon who treats you should know that you are using Prometrium.
Store at room temperature away from moisture, heat, and light.
Pregnyl
Store at controlled room temperature 15-30°C (59-86°F). Reconstituted solution is stable for
60 days when refrigerated.
Human chorionic gonadotropin (HCG), a polypeptide hormone produced by the human placenta, is
composed of an alpha and a beta subunit. The alpha sub-unit is essentially identical to the alpha
subunits of the human pituitary gonadotropins, luteinizing hormone (LH) and follicle-stimulating
hormone (FSH), as well as to the alpha subunit of human thyroid-stimulating hormone (TSH). The beta
subunits of these hormones differ in amino acid sequence.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Novarel
Store the vials of powder at room temperature away from light and moisture. Store the mixed medication in the refrigerator. Write the date when the medication was mixed on the vial. TheaStore the vials of powder at room temperature away from light and moisture. Store the mixed medication in the refrigerator. Write the date when the medication was mixed on the vial. The mixed medication must be used within 1 to 2 months, depending on the product. Check the product package for the storage time for your product. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. mixed medication must be used within 1 to 2 months, depending on the product. Check the product package for the storage time for your product. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Novarel (chorionic gonadotropin for injection) is a polypeptide hormone used to treat Prepubertal cryptorchidism not due to anatomic obstruction. In general, HCG is thought to induce testicular descent in situations when descent would have occurred at puberty. HCG thus may help to predict whether or not orchiopexy will be needed in the future. Although, in some cases, descent following HCG administration is permanent, in most cases the response is temporary. Therapy is usually instituted between the ages of 4 and 9. Novareli is also used to treats elected cases of hypogonadotropic hypogonadism (hypogonadism secondary to a pituitary deficiency) in males, and for induction of ovulation and pregnancy in the anovulatory, infertile woman in whom the cause of anovulation is secondary and not due to primary ovarian failure, and who has been appropriately pretreated with human menotropins.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Leuprolide Microdose
CMP (Compound)
Refrigerate and protect from the light. Good for 28 days after punctured.
Leuprolide acetate is related to a naturally occurring hormone called gonadotropin-releasing hormone (GnRH). It is used to treat endometriosis, uterine fibroids, early puberty, and as part of the process to stimulate multiple eggs for assisted reproductive technologies.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Contraceptives
Your oral contraceptives should be store in a dry place with a controlled temperature, away from any sources of moisture, light, pets, and children. You should also read the pamphlet in the package of your birth control for any specific instructions regarding temperature or humidity levels for storage.
Birth control can handle higher or lower temperatures for short periods but should not be exposed to temperatures below 59 F (15 C) or above 86 F (30 C) for an extended period of time. If you store it at a much hotter or colder temperature than that range, your pills theoretically could lose their potency. Since oral contraceptives are hormone-based, they can be affected by temperature fluctuation.
Oral contraceptives are known also as the Pill, OCs, BCs, BC tablets, or birth control pills. This medicine usually contains two types of hormones, estrogens and progestins and, when taken properly, prevents pregnancy. It works by stopping a woman’s egg from fully developing each month. The egg can no longer accept a sperm and fertilization is prevented. Although oral contraceptives have other effects that help prevent a pregnancy from occurring, this is the main action.
Leuprolide Microdose
Trigger Kits
Refrigerate and protect from the light. Good for 28 days after punctured.
Leuprolide acetate is related to a naturally occurring hormone called gonadotropin-releasing hormone (GnRH). It is used to treat endometriosis, uterine fibroids, early puberty, and as part of the process to stimulate multiple eggs for assisted reproductive technologies.
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Estradiol
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Do not freeze topical estradiol. Keep estradiol gel away from open flame. Dispose of your estradiol gel pump after you have used 64 doses even if it is not completely empty.
Estradiol (Estrace, Vivelle-Dot, Climara) is a moderately priced drug used to treat hot flashes and osteoporosis. It is also used to treat women with low estrogen levels or those who have had their ovaries removed. This drug is more popular than comparable drugs. It is available in multiple generic and brand versions.
Omnitrope
Before use, keep Omnitrope cartridges and loaded pens in the refrigerator between 36°F and 46°F (2°C and 8°C).
Once a cartridge has been loaded into the pen, it should not be removed until it is empty or 28 days have passed since its first use. The pen with the loaded cartridge should be stored in the refrigerator for a maximum of 28 days. Do not freeze Omnitrope. To protect medicine from light, keep Omnitrope cartridges in their original packaging until a cartridge is loaded into the pen. Remember to always keep Omnitrope and injection needles away from children.
After reconstitution of Omnitrope vials, the contents of the vial must be used within 3 weeks. Before use and after the first injection, the vial should be stored in the carton in a refrigerator between 36°F and 46°F.
Omnitrope (somatropin) injection is a laboratory-created human growth hormone. It is indicated to treat people with:
- Growth failure due to growth hormone deficiency (GHD)
- Prader-Willi syndrome
- Small for gestational age
- Turner syndrome
- Idiopathic short stature
There are three places that a subcutaneous injection may be given: the abdomen, the thigh, or the back of your arm as shown here
- Select your injection site (the abdomen is preferred)
- Cleanse the area with alcohol and let dry. Do not blow on it.
- Take a pinch of the fatty tissue you have cleansed. The injection is given here.
- Hold the syringe like a pencil or a dart approximately 1 inch away from the skin.
- Insert the needle quickly (not hard), with one fluid motion, into the skin.
- Let go of the pinch of skin. Depress the plunger and inject all of the medication. Pull the needle straight out.
- Apply pressure to the injection site with a sterile gauze pad.
- Never reuse needles or syringes.
- Dispose of the syringe in a biohazard container such as a Sharps container – or in a sealable, unbreakable plastic container such as a laundry detergent bottle.
Please be aware that some of these instructions may vary based on your particular situation or preference.
Low Dose Naltrexone
CMP (Compound)
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Low Dose Naltrexone is used to reduce pain, and fight inflammation. It is used to treat cancers, autoimmune diseases, chronic pain and mental health issues, to name a few. Treatment is constantly evolving, with new conditions and methods of treatment being shared regularly.
Intralipid
Intralipid provides calories to patients who are getting their nutrition through an injection into the vein. Calories are needed to provide the body with energy so that the body can work properly. This product is also used to provide a certain nutrient (essential fatty acids) to people who do not have enough of it. This product helps to prevent or reverse the signs of this deficiency (such as scaly skin, poor growth, poor wound healing).