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Step 7: Injection • Proceed with dorsogluteal injection (upper outer quadrant, aspirate for blood) • Alternate buttocks with subsequent injections • Avoid injecting subcutaneously or into adipose • If unable to inject because of clogged vivitrol dosage naltrexone onsite clinics vivitrol chronic pain order vivitrol naltrexone compound needle, withdraw, replace the needle and repeat Step 8: Observation • Observe patient for 10 minutes for any immediate adverse reactions .
• Perform Medical Management Support for Opioid Dependence: Initial Medical Management Form (10 naltrexone minutes) • Remind patient to contact doctor/health care facility in case of any side effects .
• Patient should be given a medication safety card or bracelet to naltrexone carry and present to caregiver to show in an emergency .
Step 9: Follow-up Visit • Conduct active outreach to have patient return to the office for monthly injections revia used for anxiety revia tabletes atsauksmes naltrexone uk naltrexone pills side effects revia (appointment reminders, family involvement) • Unless contraindicated, administer injection of XR-Naltrexone every 4 weeks .
• Perform Follow Up Medical Management • If patient misses injection, administer injection only if no use or perform naloxone/ naltrexone challenge (see Step 4) Clinical Opiate Withdrawal Scale (COWS) • Intended naltrexone to allow clinicians to rate common signs and symptoms of opiate withdrawal and monitor symptoms Naltrexone Readiness Form • This form compiles information on patient history, lab information, drug use history, medical history, physical exam, and other pertinent information to assess patient readiness .
Naltrexone Education Form • Provided vivitrol competition vivitrol pill form cost naltrexone uds order vivitrol online vivitrol names to and reviewed with patient .

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