Consult a healthcare provider for a medical and gynecological examination before the administration of Medroxyprogesterone Acetate (DEPOTRUST).
For contraception and menorrhagia: A single vial (150 mg Medroxyprogesterone Acetate in 3 mL Suspension) within the first seven days of cycle or within first 4 weeks after giving birth (delay until six weeks after giving birth if breastfeeding). The patient can also have it injected any day as long as the patient is not pregnant and be sure to use a back-up method such as condoms for the next seven days as a precaution to avoid pregnancy.
For secondary amenorrhea: 5 to 10 mg daily by intramuscular injection for about five to ten days until two days before the anticipated onset of menstruation.
For mild to moderate endometriosis: 50 mg weekly or 100 mg every two weeks by intramuscular injection for at least six months.
As follows are the steps in using Medroxyprogesterone Acetate (DEPOTRUST): 1. Wash hands with soap and water. If injection site is dirty, wash it with soap and water.
2. Gently shake the vial. If vial is cold, warm to skin temperature before injecting.
3. Pierce top of vial with sterile needle and fill syringe with proper dose.
4. Insert sterile needle deep into the hip (ventrogluteal muscle), the upper arm (deltoid muscle), or the buttocks (gluteal muscle, upper outer portion), whichever the woman prefers. Inject the contents of the syringe. Do not massage the injection site. This could cause Medroxyprogesterone Acetate (DEPOTRUST) to be absorbed too fast.
5. Used disposable syringes and needle must be properly disposed by placing in a puncture-proof sharps container.
6. The next injection can be administered two weeks before or four weeks after the scheduled day.
Missed Dose: For effective prevention of pregnancy, the patient must return. to the doctor every three months for the next injection. The next injection can be given two weeks before or 4 weeks after the scheduled day of the injection.
If the patient is less than 4 weeks late for the repeat injection, the doctor may give the next injection. The patient will not need a back-up contraceptive method, such as a condom for the next 7 days.
If the patient is more than 4 weeks late for the repeat injections, the patient can receive the next dose as long as the patient has not had sex since 2 weeks after the scheduled date of the injection or if the patient is reasonably certain that she is not pregnant; and the patient will need a back-up contraceptive method such as condom for the next 7 days after the injection.
If the patient keeps forgetting to return for the scheduled injection, ask the doctor for ways to become compliant or for another method of contraception which will suit the patient better.
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