Using repronex to Treat Infertility

Pop off the plastic top of powdered medication and diluent (liquid).

Swab the top of each vial with an alcohol pad to prevent contamination.

Select a 3cc syringe with 1 1/2" needle for mixing. Twist to secure needle.

Using your syringe, draw back 1cc of air into the syringe.

Firmly insert the needle through the rubber stopper into the vial of diluent . Invert, or turn upside down, the vial and syringe as one complete unit and depress the air into the vial in order to equalize the pressure, which will make withdrawal of the diluent easier. Once you depress the plunger of the air-filled syringe into the vial, make sure the tip of the needle is BELOW the liquid level and pull the plunger to withdraw 1cc of the diluent.

Slowly and cautiously deposit the diluent into the vial of powdered medication. Rotate the vial between your thumb and index finger until the solution is clear. Withdraw the newly mixed medication back into the syringe. Remove the syringe from the vial.

Invert the syringe so the needle is pointing upwards and tap the syringe to force any air bubbles to the top. Depress the plunger to expel the air.

SUBCUTANEOUS INJECTION - If you are now ready for your subcutaneous injection, recap and remove the mixing needle by twisting and replace it with the smaller subcutaneous injection needle (usually 1/2” needle). PROCEED TO SUBCUTANEOUS INJECTION INSTRUCTIONS.

INTRAMUSCULAR INJECTION - If you are now ready for your intramuscular injection, recap and remove the mixing needle by twisting and replace it with the intramuscular injection needle (usually 1 1/2" needle). PROCEED TO INTRAMUSCULAR INJECTION INSTRUCTIONS.

Cleanse your selected SUBCUTANEOUS injection site with an alcohol wipe and allow to dry.

While holding the syringe with your dominant hand between your dominant hand between your thumb and finger (as you would a pencil), pinch the skin (with your other hand) at the site you have selected.

With a quick, dart-like motion, insert the entire needle (up to the hub of the syringe) at a 90 or a 45 degree angle and depress the plunger slowly and carefully.

After the injection is complete, quickly pull out the needle. If bleeding, apply pressure to the injection site with a sterile gauze pad. If discomfort occurs after your injection, you may gently massage the injection site to alleviate your discomfort.

After injecting the medication, dispose of the syringe into the Sharps waste container. It is unnecessary to recap the needle as this could cause injury.

Cleanse your selected INTRAMUSCULAR injection site with an alcohol wipe and allow to dry.

Hold the syringe with your dominant hand between your thumb and index finger (as you would a pencil). With your other hand, firmly stretch your skin at the selected injection site. Make sure you are using the intramuscular needle (usaully 1 1/2").

NOTE: To minimize bruising, firmly stretch the skin.

With a quick, dart-like motion, insert the entire needle ( up to the hub of the syringe) at a 90 degree angle into the stretched skin area between your thumb and index finger of the opposite hand.

Using either hand to stablize the syringe, pull back slightly on thee plunger and watch for blood in the syringe. (This is rare). You may feel slight resistance or see a small bubble -this is normal. If blood is not seen in the syringe, the needle is inserted properly. If blood appears in the syringe, DO NOT INJECT YOUR MEDICATIONS. Withdraw the needle, cover the site with a gauze pad, and apply pressure. Discard the syringe into the Sharps container. Repeat mixing and injection instructions.

Depress the plunger slowly and steadily.

Pull the syringe out in one motion.

After injecting the medication, dispose of the syringe into the Sharps waste container. It is unnecessary to recap the needle as this could cause injury.

Apply pressure to the site with a gauze pad and gently massage the area to help disperse the medication and relieve discomfort. Apply a bandage if necessary.