Dosage and Administration of Leuprolide Acetate
The leuprolide acetate injection is chemically
identical to GnRH or LH-RH (gonadotropin-releasing hormone), a hormone that
arises naturally in the body. Normally, our body releases slight amounts of
LH-RH and this leads to events that basically stimulate the construction of
sex hormones. However, when you inject leuprolide acetate injection, the normal events that lead to sex hormone
construction are interrupted and testosterone is no longer developed by the
testes. This medicinal product must be injected because, like insulin which is
injected by diabetics, leuprolide is inactive when taken orally. In case you
were to discontinue the medication for any reason, your body would start making
testosterone again.
Dosage
& Administration: The proposed dosing regimen is 1 mg (0.2 mL
or 20-unit mark) administered as a single daily subcutaneous injection. As with
other medicines administered chronically by subcutaneous injection, the
injection site needs to be varied periodically. Each 0.2 mL mainly contains 1
mg of leuprolide, sodium chloride for tonicity adjustment, 1.8 mg of benzyl
alcohol as a preservative, and water for injection. The pH level may have been
regulated with acetic acid and/or sodium hydroxide.
NOTE: As
with all parenteral products, kindly inspect the solution for discoloration and
particulate matter prior to each use.
How
Supplied: Leuprolide injection is a sterile solution
supplied as a 2.8 mL multiple-dose vial. The leuprolide vial is packaged as a
14-Day Patient Administration Kit with 14 disposable syringes and 28 alcohol
swabs. Store this medicinal product below 77°F (25°C). Do not freeze. Protect
from the light; store vial in carton until use.
Some
Special Advice:
●
You may have hot flashes when using leuprolide
injection. During the initial weeks of treatment, you may have increased
difficulty in urinating, increased bone pain, and less common but most
importantly, you may have the onset or aggravation of nerve symptoms. In case
of any of these events, discuss the symptoms with your health specialist. Like
other treatment options, leuprolide may cause impotence. Notify your health
specialist in case you develop new or worsened symptoms after starting
leuprolide treatment.
●
You may have some irritation at the injection
site, such as itching, burning, or swelling. These are usually mild and go away.
In case they do not, tell your health specialist.
●
In case you have an allergic reaction to other
medicines like leuprolide acetate, you should not use this medicine.
●
It is not advisable to stop taking your
injections because you feel better. You require an injection each day to make
sure leuprolide keeps working for you.
●
In case you need to use an alternative to the
syringe supplied with leuprolide injection, reduced-dose insulin syringes need
to be utilized.
●
When the medication level gets low, take
special care in order to hold the bottle straight up and down and to keep the
needle tip in liquid while pulling back on the plunger.
●
Avoid trying to get every last drop out of the
bottle. This will enhance the probability of drawing air into the syringe and
getting an incomplete dose. Some extra medicine has been offered so that you
can withdraw the prescribed number of doses.
●
Inform your health specialist when you will
need a leuprolide injection so it will be at the pharmacy when you require it.
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