For example, confusion may have occurred if staff misread the correct drug name when stocking the drug product i. Other than name similarity, none of the reports identified container labels or carton labeling similarities as a contributing factor. In 5 of these cases, the route of administration was misunderstood, and Depo-Medrol was administered intravenously. However, when these drugs were first approved, the risk associated with this prefix was not considered.
It would be very difficult to change the names of these products today—it may even make the risk of errors greater since these drug names are widely recognized. Clarify labeling. Address the look-alike labels and packages of Depo-Testosterone as soon as possible. Most people look at the 1 mL and 10 mL vials and fail to realize that they are not the same. Enhance warnings. Make warnings against IV use of depot products more prominent.
The warnings should be clearly visible on the front label panel of cartons and vials, not on the back. Keep vials apart. Store only one medication in each bin or other storage container. Evaluate whether all three drugs need to be stocked in patient care units. Differentiate the products. Consider stocking Depo-Provera in prefilled syringes for single patient use instead of single-dose vials. Depo-SubQ Provera is available in single use 0.
Since Depo-Medrol is not supplied in prefilled syringes, this may increase differentiation between the two products, but only if staff know to expect Depo-Provera in a syringe. Thus, staff awareness is a necessary component of this differentiation strategy. Limit access. Attempt to limit inventory of Depo-Testosterone to a single strength and vial size. Include auxiliary labels. Highlight or circle important information on labels to draw attention to it, or add an auxiliary label if necessary.
For Depo-Testosterone labels, circle or point an arrow toward the total volume in each vial. Express generic names safely. Use tall man letters when expressing the generic names of Depo-Medrol and Depo-Provera i. Highlight the route. Always include the route of administration, easily visible in a prominent location, on orders and medication administration records. Use barcode scanning. Implement barcode scanning to verify medications when stocking and restocking medications in automated dispensing cabinets, and prior to drug administration at the bedside as a method to help mitigate confusion that may lead to wrong drug medication errors.
Track scanning compliance to ensure that staff is using the technology. Increase staff awareness. Depo-Provera vs. Depo-Medrol vs. A healthcare provider will give you this injection. Steroid medication can weaken your immune system, making it easier for you to get an infection.
Call your doctor if you have any signs of infection fever, chills, body aches. If you have major surgery or a severe injury or infection, your Depo-Medrol dose needs may change. Make sure any doctor caring for you knows you are using this medicine. Do not receive a "live" vaccine while using Depo-Medrol. Live vaccines include measles, mumps, rubella MMR , rotavirus, typhoid, yellow fever, varicella chickenpox , zoster shingles , and nasal flu influenza vaccine.
Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chickenpox or measles. These conditions can be serious or even fatal in people who are using Depo-Medrol.
Get emergency medical help if you have signs of an allergic reaction: hives ; difficulty breathing; swelling of your face, lips, tongue, or throat. Depo-Medrol can affect growth in children. Tell your doctor if your child is not growing at a normal rate while using Depo-Medrol. This is not a complete list of side effects and others may occur.
Call your doctor for medical advice about side effects. Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.
Many drugs can affect Depo-Medrol. This includes prescription and over-the-counter medicines, vitamins , and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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