Chapters Transcript Video Somatuline Depot NET Admin Video Hello and thank you for joining me today. I'm going to show you the proper way to administer a Samantha lean depo injection while using the redesigned syringe. It is important to understand that's Macha. Lean Depot is administered by deep subcutaneous injection on Lee, and only in a health care providers office. This injection process may be different from other subcutaneous injections you have given, so please pay close attention. First, let's review the indications for Samantha Lean Depot Samantha Lean Depot is the first and only so Mata Staten analog that is, FDA approved to treat both adult patients with unrestricted ble well or moderately differentiated, locally advanced or metastatic gastro entero pancreatic neuro endocrine tumors or get nets to improve progression free survival and adults with carcinoid syndrome. When used, it reduces the frequency of short acting. So matter Staten Analog rescue therapy Samantha Lee Depot is contra indicated in patients with hypersensitivity toe landry. A tide allergic reactions, including angio, oedema and anaphylaxis, have been reported following administration of Landry a Tide. The warnings and precautions for Samantha Lean depot include cola with isis and gall bladder sludge, hypoglycemia or hyperglycemia and cardiovascular abnormalities. Please listen to the additional safety information later in this video. The FDA approved dose, for both indications is 120 mg administered every four weeks by deep subcutaneous injection on Lee. If a patient is being treated for both gap nets and carcinoid syndrome, please do not administer an additional dose of Samantha Lean Depot Before we begin. Let's discuss the updated features of the redesigned syringe. The Samantha Lean Depot syringe was redesigned to help streamline administration for you and your patients. It's pre filled and administered by deep subcutaneous injection. Other features include a molded tray to protect the syringe before use. Ah plunger head with a texture design for stability, reinforced plunger to help with the injection process. Wide and curved finger flanges, a transparent and textured body for improved grip and a robust needle cap. Let's go through the proper way to use the syringe because it may be different from your previous experience with Samantha Lean Depot. There is no reconstitution or mixing required. Just be sure to allow 30 minutes for the medication to reach room temperature. It is important to keep in mind that injecting medicine that has not yet reached room temperature could be painful for your patient. Remember, the syringe can be left in its sealed pouch at room temperature for a maximum of 24 hours. The temperature should not exceed 104 F if left unused for less than 24 hours, you can return the sealed pouch to the refrigerator for continued storage and use at a later time. Once your patient is ready, it's time to start the injection. Wash your hands and follow the physicians or institutions Policy on the use of gloves during this procedure. Once you're ready, pulled the syringe from the outer package and remove it from the molded tray. Confirm that the expiration date has not passed closely. Inspect the syringe for particulate matter and discoloration. If either is observed, do not administer the medication. The pre filled syringe will contain a white or pale yellow semi solid formulation and may contain micro bubbles that do not affect the product. Now it's time to prepare the patient for the injection. Depending on your patients preference position the patient either lying down or standing up. I'll now demonstrate how to administer the injection while the patient is standing up the injection must be given in the upper external area of the buttock. Never inject into the arm or abdomen. Be sure to avoid areas with moles, scar tissue, reddened skin or skin that feels bumpy. An alternate injection sites between the patients left and right buttock from one injection to the next. Now it's time to administer the injection. Clean the injection site and remind your patient to stay as still is possible during the injection. Next, pick up the pre filled syringe and then pull off the needle cap to remove it. Hold the syringe by the body. You should never hold the syringe by the plunger. It's now ready to be used. Remember to flatten the injection area by using your hand to stretch the skin. Make sure to always stretch and never pinch. Hold the syringe as if it were a dark and quickly insert the needle. It is important to insert the needle perpendicular to the skin at a 90 degree angle. It is very important that you insert the needle completely into the deep subcutaneous tissue, and you should not see it once it is fully inserted. Once inserted, push the plunger with steady and firm pressure and count slowly to 20. Remember, pushing the plunger too fast may cause discomfort to the patient or break the device. Since the medication may be thick, give the plunger a final push to make sure you cannot depress it further. Then, while continuing to hold down the plunger, remove the needle and allow it to retract by removing your thumb from the plunger. If the needle does not retract, push the plunger again. To activate the safety mechanism. Do not rub or massage the injection site. You can apply gauze or bandage if necessary. If a patient is accidentally administered, some actually in depot intra muscularly do not repeat the dose until the next scheduled injection. Finally, discard the syringe according to your offices policy. And be sure to wash your hands that concludes the administration portion of the video. Let's review the important safety information. Important Safety information. Samantha Lean Depots Contra indicated in patients with hypersensitivity toe landry. A tide Allergic reactions, including angio oedema and Anna Phil Axis, have been reported following administration of Landry. A Tide Samantha Lean depot may reduce gall bladder motility and lead to gall stone formation. Periodic monitoring may be needed if complications of Coley Leth Iesus Air suspected, discontinue Samantha Lean depot and treat appropriately. Patients treated with spatula in Depo may experience hypoglycemia or hyperglycemia. Blood glucose levels should be monitored when Samantha Lean Depot treatment is initiated, or when the doses altered an anti diabetic treatment should be adjusted accordingly. Samantha Lean Depot made decreased heart rate in patients without underlying cardiac disease. Samantha Lean Depot may lead to a decrease in heart rate without necessarily reaching the threshold of bradycardia in patients suffering from cardiac disorders prior to treatment. Sinus bradycardia may occur. Care should be taken when initiating treatment in patients with bradycardia. Adverse reactions and greater than 10% of patients who received some actually depot in the get Net trial were abdominal pain, musculoskeletal pain, vomiting, headaches, injection site reaction, hyperglycemia, hypertension and Kohli Leth Iesus. Adverse reactions occurring in the carcinoid syndrome try A were generally similar to those in the kep net trial. Adverse reactions in greater than 5% of patients who received Simagina Lee Depot and at least 5% greater than placebo were headache, dizziness and muscle spasm. Samantha Lean Depot may decrease the absorption of cyclosporine dosage adjustments may be needed. Increase the absorption of Bromo Crip teen and required dosage adjustment for bradycardia inducing drugs. E G. Beta blockers advise women not to breastfeed during treatment and for six months after the last dose to report suspected adverse reactions. Contact Ipsen Bio Pharmaceuticals Inc at 18554635127 or FDA at 1 800 FDA 1088 or www dot FDA dot gov. Forward slash med Watch, Please visit www dot tsa match Lean depot HCP dot com For the full prescribing information and instructions for use. Thank you for watching this video about the redesigned So Matalin Depot syringe. Published Created by