Instructions for Taking Medications
Instructions for
Daily Lupron Injections
Instructions for Gonadotropin Injections
Sites for Subcutaneous Injections of Daily Lupron and
Gonadotropin
Instructions for Profasi (hCG) Injection
Instructions for Crinone Vaginal Gel Application
Lupron comes in 2 or 4 week kits which
includes a vial of liquid medication and special small syringes for injection
just under the skin. This medication is started approximately 1 week before an
expected menstrual period, or any time in your cycle if your physician gives you
birth control pills to prepare your ovaries for the Lupron injections. We prefer
that you take the injections in the morning. Try to take it at the same time
each day.
Vaginal bleeding usually starts several
days after starting the medication. We will give you specific instructions
regarding your dose of Lupron and how long to stay on the medication.
Call our office if vaginal bleeding does
not start after 10 days of starting Lupron. If you will be decreasing your dose,
call our office if vaginal bleeding does not start before the decrease.
(*Some patients may use a long-acting, depot
form of Lupron. This medication is given as a single, intramuscular injection.)
Summary for Lupron Injection
1. Wash top of bottle with alcohol pad
2. Draw up 0.20 cc of air in syringe
3. Put needle in bottle
4. Push in the air and draw out 0.20 cc of
medication
5. Put cap back on syringe
6. Decide where to inject
7. Wash skin with alcohol pad
8. Pinch up skin
9. Put needle into skin
10. Pull back on plunger
11. Push in medication
12. Take needle out
Call the office (1 . 954 . 217 . 3456
) if any
questions about the medication arise. Report increasing local pain or redness at
injection sites. Remember that hot flashes are an expected potential side
effect.
Protocol for Suppression Therapy with Lupron
Medication: Lupron (bottle of 2.8
cc)
Injection Equipment: Tuberculin
syringes with attached needles for subcutaneous injection.
Make sure to use a new syringe and needle
for every injection.
Alcohol pads.
Injection Site: Inject Lupron
subcutaneously. Optimal sites are thigh and lower abdominal wall.
Lift up skin flap between thumb and index
finger. Inject parallel to skin level.
Dosage for suppression: 0.1 cc or
0.2 cc of Lupron every morning starting approximately cycle day 21 and
continuing for a total of ten days.
If you were not started on Lupron on cycle
day 21 but prescribed Norlutate or oral contraceptive (OC) tablets, please start
injection of Lupron on the fourth day of Norlutate or therapy (unless instructed
otherwise by us) and continue for a total of ten days.
Make appointment for your next visit.
Dosage During Stimulation: Stop
medication or 0.1 cc of Lupron every morning from day 1 of stimulation through
the day of hCG.
Important Recommendations:
a. Draw up your medication while sitting at
a table, allow for adequate space and time to make these preparations. This will
prevent spillage, waste of medication, or contamination of needles.
b. If you are unable to dispose of the
needless and syringes properly, recap the needle, leave it on the syringe, place
it in a Ziploc bag and return it to our office during your next visit. We will
assure proper disposal.
c. Keep medication refrigerated or at room
temperature. Do not leave in your hot car during the day when you are at work.
Store all needles and syringes outside the reach of children.
d. Please contact us if in doubt about any
of the above steps, or if you have other questions, at 1 . 954 . 217 . 3456
.
For Intramuscular Injections (Pergonal,
Humegon, Repronex or Metrodin):
Use ½ cc of liquid to dilute each ampule
of powder medication you are going to use. After opening all the ampules you
will use, draw up the liquid (1, 1½, or 2 cc) into your syringe. Squirt the
liquid into the ampule containing the powder, then draw the mixture back into
the syringe. Repeat this process using the same syringe and the same liquid
until all powders have been mixed with the liquid in the syringe.
The mixture must be injected deep into the
muscle of the buttock. Do not be concerned if you see a little blood on the skin
after the injection or if some fluid leaks out of the injection site. You must
use a 1½ inch needle to be sure the medication is injected deeply (past the
fat).
For Subcutaneous Injections (Fertinex,
Repronex, Follistim, or Gonal-F):
For your total number of ampules, you will
need to use between ½ and 1 cc of liquid to dilute the powders. After opening
all of the ampules you will need, draw up the liquid into the syringe. Squirt
the liquid into the ampule containing the powder, then draw the mixture back
into the syringe. Repeat this process using the same syringe and the same liquid
until all powders have been mixed with the liquid in the syringe.
The injection must be administered just
into the fatty tissue, under the skin (upper arm, abdomen or thigh). Do not be
concerned if you see a little blood on the skin after the injection or if some
fluid leaks out of the injection site. You must use a ½ or ⅝ inch needle.
For
more detailed instructions, including videos, on injecting Repronex, please
click here to visit the web site of Ferring Pharmaceuticals, Inc.
Step-by-step Instructions for Repronex Injections
 
Please click on images.
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Please click on the image.
(Sometimes known as Pregnyl)
Profasi or “hCG” (Human Chorionic
Gonadotropin 10,000 Unit) is taken when your follicles and the eggs they contain
are determined to be mature.
We will inform you of the exact time you
will need to inject the hCG. You will usually only need one injection of this
medication. It is extremely important that you follow these
directions and administer the injection at the time you are instructed to do so.
The hCG comes in powder form with another
vial containing the liquid diluent. You will need to mix 2 cc of the
diluent with all of the powder in the hCG bottle. When powder is
dissolved, draw the contents into the syringe and inject it deep into the
muscle. A few patients will be instructed not to inject the entire 2 cc.
PLEASE, be sure you know the
exact time at which to take the medication, and follow all instructions
carefully.
Crinone vaginal gel is the hormone
Progesterone, in gel form, for absorption through the vaginal wall. Progesterone
promotes implantation. Application of the gel is to begin the day of your egg
retrieval. The dose will increase on the third day.
The gel is to be inserted vaginally and
will be absorbed through the vaginal wall.
Do not become alarmed if you notice some of
the gel leaking from the vagina. Sufficient medication will still be absorbed.
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