Injection Instructions

OMNITROPE (GROWTH HORMONE) INECTION INSTRUCTIONS

1. Necessary Materials:
   • One 3 cc (ml) syringe with attached needle (gray cap)
   • One 1 cc (100 unit) syringe with attached 29 gauge ½-inch needle
   • One bottle of Omnitrope (5.8 mg) powder
   • One 2 cc sterile water bottle (Sodium Chloride)
   • Alcohol swabs
2. Snap off the caps from both the water and powder (medication) bottles
3. Make sure the needle on the syringe is secured on tightly
4. Turn water vial upside down and draw up 1 cc of sterile water into the 3 cc syringe with the attached needle
5. Inject the drawn up water into Omnitrope powder bottle and allow to dissolve (you may shake bottle gently until powder dissolves completely)
6. Using the 1 cc (100 unit) syringe with attached 29 gauge ½-inch needle, draw up 0.5 cc (50 units) of dissolved medication (you may need to turn bottle up-side-down in order to reach dissolved liquid)
7. To remove any air bubbles, point the needle up and gently tap on the syringe until all the bubbles rise to the top, then push the plunger carefully until a small drop of liquid begins to appear from the tip of the needle
8. Wipe skin with alcohol swab at intended injection site
9. Using the same syringe and attached needle, administer medication subcutaneously:
   • The injection can be given in the back of the arm if someone else is administering it, or in the mid-abdominal area or the top of the thigh if you are self-injecting
   • Pinch the skin with one hand and hold the syringe like a pencil with the other hand
   • Push the needle into the subcutaneous tissue at a 45-degree angle until it disappears into the skin and then inject the medication
10. Refrigerate remaining 50 units (0.5 cc) of dissolved medication for your next injection

Possible skin reaction: A red area may appear around the injection site and/or the injection site might itch and/or bruising may occur. These are all excepted reactions and will disappear over time. Please notify us if redness/bruising around the injection site appear to be enlarging or spreading.

Storage

• Unopened bottle: Store in room temperature.
• Opened bottle (mixed): Maintain refrigerated. Avoid freezer.

Use the disposable syringe(s) only once. Dispose of syringe(s) properly in a biohazard container. When biohazard container is full return it to our office or your pharmacy. Never leave syringes, drugs, or needles where children can reach them. Keep careful track of your prescribed dose of medication as it may change throughout the course of your treatment cycle. Whenever uncertain about your injection, contact our office for clarification.