Tips & Troubleshooting
Tips & Troubleshooting
Tips for injecting ELIGARD
Set expectations with your patient while mixing ELIGARD.
ELIGARD must be mixed for 45 seconds, so this is a great time to let the patient know what to expect. For example, you can tell them:
- This is a subcutaneous injection of LA (the drug they’ve been receiving for X amount of time)
- There is no interruption in their treatment
- This treatment is injected into fat instead of muscle
- They might experience some injection site burning and stinging
- About 20% of patients feel this, it’s to be expected
- This is transient — it goes away in just a few moments.
No sore muscles in days to come!
If it’s cold, ELIGARD will be more difficult to mix and might not reconstitute properly. It must be room temperature before mixing.
Though ELIGARD is shipped cold, it can be stored for up to 8 weeks at room temperature — it can be stocked on shelves in order to be ready for mixing and injection.
45 seconds of mixing
ELIGARD must be mixed for 45 seconds in order to correctly administer the treatment.
ELIGARD comes with a shorter 5/8 needle for injecting. Therefore, always inject at a simple 90° angle (no need to calculate angle to the skin).
Less than 30 minutes
ELIGARD should be administered as soon as possible after mixing. After 30 minutes the polymer is too thick, making administering the treatment ineffective. To ensure the patient receives the correct treatment, do not wait more than 30 minutes after mixing to administer.
If ELIGARD is very difficult to mix and/or administer
Possibility 1 – Blue plunger rod not removed correctly
The blue plunger rod from Syringe B must be popped out, not screwed out. When screwed out, sometimes the grey stopper remains behind in the tube. Mixing and administering is extremely difficult with two (2) grey stoppers in the tube.
If the grey stopper separates from the blue plunger rod, screw the white plunger rod into the grey stopper and remove it.
Pull the blue plunger rod straight off — you’ll hear a pop, and you’ll see the grey ‘hat’ on the blue plunger rod. When that grey ‘hat’ is left in the syringe, the mixing procedure can be difficult.
Possibility 2 – More than 30 minutes
After 30 minutes, the polymer becomes viscous, making mixing and injecting very difficult.
Administer ELIGARD as soon as possible after opening and mixing. Do not mix or administer after 30 minutes.
Possibility 3 – Product is too cold
ELIGARD needs to be brought to room temperature before mixing and administering.
ELIGARD can be stocked at room temperature for up to eight (8) weeks – it does not need to be kept in cold storage.
Have you followed all the steps, but still have difficult mixing and/or administering ELIGARD? Please contact our medical team:
If the patient says ELIGARD hurts
Possibility 1 – Injection not performed at 90° angle
ELIGARD has a short needle designed to be used at a 90° angle to the injection site. Injecting at a different angle may cause the product to be injected in a shallow site with more nerve endings, causing the patient pain. Always inject ELIGARD at 90°.
Possibility 2 – Needle is pulled out before all product is dispensed
Inject ELIGARD slowly until the grey stopper goes all the way down to the hub. Only then should you pull the needle out, to avoid product in shallower, more sensitive layers of the dermis.
Possibility 3 – Not enough skin is pinched during administration
Pinch at least one (1) inch of skin at the injection site to ensure the product is injected into the correct layer.
Would you like a mixing & administration demo?
Send us an in-service (demo) request. We can meet in person or via the platform of your choice.