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Bravelle™ (urofollitropin)-For Intramuscular or Subcutaneous Injection
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Follistim® (follitropin beta for injection)-AQ Cartridge/Follistim Pen™
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Follistim Pen® Instruction Video
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Patient information about Follistim® AQ Cartridge
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Last modified on: 10 March 2010
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1.
Preparing my fertility medications is stressful for me
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
2.
Which of the following cause concern when preparing your fertility medication? (Please select up to 3)
Breaking the ampoule (vial)
Needing to use several ampoules (vials) to get the required dose
Mixing or preparation the medication
Drawing up the exact dose
Removing bubbles
Throwing away excess medication
Reactions to injection including pain, bruise, and swelling
Other
3.
When you call the fertility clinic nurse, which concerns do you most frequently discuss? (Please select up to 3)
Issues related to medication preparation
Questions about drawing up the exact dose
Concerns about removing bubbles before injection
Medication storage or disposal
Reactions to the injections, including pain, bruising, or swelling
Symptoms or concerns I'm having related to the fertility treatment
Results of procedures or lab tests
Other
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How was your experience with our pharmacy? Click here to tell us!