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Brand Names:

Contraindications:

Uses:

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin, usually around your abdomen.
• A nurse or other trained health professional will give you this medicine. It may also be given by a home health caregiver.
• You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
• You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.
• Use a new needle and syringe each time you inject your medicine.
• Never share your medicine with anyone.

• Call your doctor, pharmacist, or home health caregiver for instructions.

Storage:

• If you store this medicine at home, keep it at room temperature, away from heat and direct light.
• Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
• Keep all medicine away from children.

Special precautions:

• Make sure your doctor knows if you are also using dipyridamole (Persantine®, Aggrenox®), sulfinpyrazone (Anturane®), dextran, any other blood thinners such as warfarin (Coumadin®), or pain or arthritis medicine (such as aspirin, diclofenac, etodolac, ibuprofen, indomethacin, ketorolac, Advil®, Aleve®, Daypro®, Dolobid®, Feldene®, Indocin®, Motrin®, Orudis®, Relafen®, Toradol®, Voltaren®).

Warnings:

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have bleeding problems, kidney disease, liver disease, uncontrolled high blood pressure, ulcer, diabetes-related eye disease, or a history of stroke or spinal injury, or if you have recently had brain, spine, or eye surgery.
• There are additional risks when using this medicine if you have a catheter inserted in your back. A catheter is a tube for delivering pain medicine or anesthesia (sometimes called an "epidural"). Discuss this with your doctor.

Side Effects:

• Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing
• Bloody or black, tarry stools
• Lightheadedness or fainting
• Painful or prolonged erection of the penis
• Sudden back pain, weakness, numbness in the legs or lower body
• Sudden or severe pain
• Unusual bleeding or bruising
• Nosebleeds
• Redness, pain, or bruising where the shot was given
• Unusual vaginal bleeding