198 IVF MED INSTRUCTION SHEET - LHRH AN (LFC CITY) ) LISTER FERTILITY CLINIC IVF MEDICATION INSTRUCTION SHEET — LH-RH ANALOGUE (LFC in the City) NAME: .. PATIENT No: X, Your nurse today is: day( / / _) take last oral contracepti /e pill (OCP). After stopping the OCP you wil get ‘@ withdrawal bleed, please email Lister Fertility Clinic in the City on city@LFClinie.com providing your name and patient X no, that you have stopped the Pill the date(_/ / )&time( : ) your withdrawal bleed started. You will not receive a call back unless we require further information. -day( / | )start the selected medication below: Natfaretin (Synarel nasal spray) take 2 snifs (4 each hostril) momning & night (apptex 12 hourly): 1 Buserelin (Suprecur nasal spray) take 2 sniffs (1 each nostri) 3 times a day (approx 8 hourly). © Buserelin (Suprecur injection) take 0.__mis (__units on insulin syringe) once daily (once opened use within 15 days, then change to a new bottle). (Follow the instructions given by your nurse and refer to the information leaflet that comes with your medication for use & storage guidelines. Please continue on above medication until advised by the IVF nurses.) FSH injections should be administered as a single subcutaneous injection in either the abdomen or thigh in the evening at 7pm or later. Bring outstanding consents andior blood results by Day | Date LH-RH Analogue Daily FSH Other | Other | Scan Injections Drugs | Drugs | time with AM PM PM. Io o}ofofofs lo ofolo co PLEASE TURN OVER FOR FURTHER ADVICE 198 IVF Medication instruction Sheet- LH-RH Analogue (LFC in the City)/11.12.14 /V3/LCILCI Page | of 3‘ P198 IVF MED INSTRUCTION SHEET ~ LHRH A. ) LISTER FERTILITY CLINIC qrcciryy FSH INJECTIONS ‘GONALF Comes as a prefiled pen, (300iu, 450iu & 900iu). Once collected from pharmacy, store your Gonal-F pre-filled pen in its original packaging at room temperature (at or below 25°C) for up to 3 months if unopened - do not store in a refridgerator. Each pen may deliver more than one daily dese of FSH depending on the size of the profiled pen and your ‘daily FSH dose. its important to record the Gonal-F dose you have taken each day, to work out how much medication is loft in the cartridge and when to change it. You may notice a small amount of mocication left in the used pen, if there is not ‘enough medication remaining in the pen, you will need to use a mew pen. Once opened, a pre-filled pen can only used for a ‘maximum of 28 days. Please follow the instructions and the "Gonal-F pre-filed Pen User Guide" booklet glven by your Nurse. PUREGOW Comes in cartridges of 300u, 600Iu & 900iu which need to be used with @ Puregon pen. Once collected from pharmacy, ‘store your Puregon cartridges in the original packaging at room temperature (af or below 25°C) for up to 3 months if unopened do not store in a refridgerator. Each cartridge may deliver more than one daily dose of FSH depending on the size of the cartridge and your daily FSH dose. itis important fo record the Puregon dose you have taken each day, to work out how much medication is fet in the cartridge and when to change it. You may notice a small amount of medication left in the used cartridge, ifthere is not enough medication remaining in i, you will need to use a new cartridge. Once ‘opened, a cartridge can only used for a maximum of 28 days. Please follow the instructions and the “How to use the Puregon Peni - a guide for Patients” booklet given by your Nurse, MENOPUR Comes in ether a multidose formulation" or Menopur individual 75iu powder viele: “Menopur multidose formulation comes in 600Iu or 1200Iu. Store your Menopur multidose formulation in its original packaging in a refrigerator between 2°C & 8°C until you are ready to use i. Aer ming your Menopur multiose formulation withthe solvent you may ‘have enough for more than one daly dose of FSH depending onthe size ofthe Menopur multidose formulation and your daily FSH dos. | The remaining mixed solution can be stored at room temperature (at or below 25°C) for @ maximum of 28 days. Pease follow the Instrections and the “Menopur matidose formulation - Guide for Patonts* booklet given by your Nurse “*enopur 75iu powder vials. Store your Menopur 7Siv vials in ts original packaging at room temperature (ator Below 25°C). Please ‘otiow the instructions and the “a guide for self infection bookie given by your Nurse. Depending an your daly dose of FSH you will need fo ‘mx your injection immeatately before infecting [5 75Iu1 power to be mixed with tml of solvent (one ampoule) 1501 2 powders to be mixed with tm of solvent (one ampoule) 1 226iu 3 powders to be mixed with tm of solvent (one ampoule) 1D 300iu 4 pomters fo be mixed with 1.5m of solvent (one and 2 half ampoules) © 875iu 5 powders fo be mixed with 1.5m of solvent (one and a ha ampoules) 5 AS0Iu 6 powders 1 be mixed with 1.5m of soWent (one and a half ampoules) FOSTIMON/MERIONAL. Comes in ether individual powder vals of 7Su or 160iu. Store your Fostimon/Meronal vials in ts original packaging at room temperature {at or below 25°C), Please follow the instructions and the Pharmasure "Step by step guide fo sel-njection at home” booklet given by your ‘Nurse. Depending on your daly dose of FSH you wil need to mis: Fostimon/Merional 75iu powder viale 11 75iu 1 powder to be mixed with tml oF solvent (one ampoule) 1 180i 2 powders to be mixed with tml of solvent (one ampoule) 1 226Iu 8 powders to be mixed with tm! of solvent (one emipoule) 1 800Iu 4 powders to be mixed with tm of solvent (one ampoule) 75 5 powders to bo mixed with 4m of solvent (one ampoule) 1 450iu 6 powders fo bo mixed with 1.5 mi of solvent (ane and a ha aripouies) Fostimon/merional 150iu powder vials 5 150iu 1 powder fo be mixed with tml of solvent (one ampoule) 5 200iu 2 powders 1 be mixed with tm of solvent fone ampoule) 1 450iu 3 powders fo be mixed with 1m of solvent (one ampoule) ‘Note: You may continue fo experience bleeding whilst taking the FSH Infections, Please continue your advised medications and {inform your ultrasonogrepher & nurse at your next sean appointment. 198 IVF Medication instruction Sheet- LH-RH Analogue (LFC in the City)/11.12.14 /V3/LCILC/ Page 2 of3P198 IVF MED INSTRUCTION SHEET - LARH AN G i WW) LISTER FERTILITY CLINIC arcern) Instructions for collecting medication from London Bridge Pharmacy We advise you to collect all your prescribed medication from the pharmacy once you start your treatment. Please be aware that some medications require refrigeration within 1 hour therefore you will need to advise the Pharmacist if your joumey is longer than 1 hour. I you decide to pick up medications as you go along. you ‘must ensure that you have enough medication until your next appointment and for any unexpected dose increase, Advantages. + Saves queuing up at every visit to the pharmacy waiting for the prescription to be processed. + Saves time with accounts as payment is required for the medication at each visit. 3. Saves time yet again as folowing payment the medication wil need to be collected from the pharmacy. + Last but not the least a dispensing fee is charged per item at every vst. Disadvantages * Once the medications are bought from the pharmacy, you are unable to return them or receive a refund. Instructions for collecting medication from London Bridge or Lister Pharmacy: | Nearest Pharmacy. London Bridge Pharmacy, Mon-Fri: 8.30am - 7.00pm 27 Tooley Street, Sat: 9.00am - 12.00pm (midday) London, SE1 2PR Bank Holidays: Contact the Pharmacy directly | Tet: 020 7234 2048 ‘Alternatively patients can aliend: Lister Hospital Pharmacy, Chelsea Bridge Roa Mon-Fri: 8.30am - 7.00pm London, SW1W 8RH Sat: 9.00am - 12.30pm (midday) Bank Holidays: 9,00am - 12,00pm (midday) ar 20 7730 3475 Lister Fertility Clinic IVF Nurse: Please use the following information when advising patients regarding drop-in service to see the nurses, as we have had a rather large volume of patients attending out of hours (this includes evening and Saturdays). Please be aware that this information has always been in the Cycle booklets for patients. Drop in Service We offer a drop in service for patients who require blood tests or have minor queries for the nurses. ‘This service operates Monday to Friday from 9:00am to 4:00pm only. ‘The drop in service is not ave Medical Emergencies: ‘An out-of-hours mobile phone for Lister Fertity Clinic patents is carried by one of the nurses who also works during the day. ble on Weekends and Bank Holidays. ‘The number is: 07860 484 100 (this number does not have a message service). Should this number be temporarily unavailable, Please wait and try again. Patients may sometimes be unable {o speak to the nurse on the emergency mobile if she Is in an out-of ‘Signal area (using the tube on the way home from work). Usually all “missed calls® are retumed as soon as possible unless the caller's number is “withheld” If this number is unavailable for more than 30 minutes, please call the Lister Hospital Duty Sister, on 020 7730 7733. The Duty Sister will contact a doctor on your behalf. NOTE: PLEASE DO NOT BRING CHILDREN TO THE HOSPITAL ON DAY OF EGG COLLECTION. ALL OF THE LISTER FERTILITY PATIENTS HAVE SINGLE ROOMS ON THE DAY OF EGG COLLECTION. PIO8 IVF Medication instruction Sheet- LH-RH Analogue (LEC in the City)/11.12.14 /V3/LC/LC/ Page 3 of 3