Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given through a needle placed in one of your veins.
A nurse or other trained health professional will give you this medicine. It may also be given by a home health caregiver.
Your doctor may want you to check your pulse before you take each dose of this medicine. A nurse or other caregiver can teach you how to check your pulse. Your doctor will tell you how fast your pulse should be (for adults, the usual range is 60 to 100 heartbeats per minute). If your pulse is too high or too low, call your doctor before you take the medicine.
You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
Use a new needle and syringe each time you inject your medicine.
Never share your medicine with anyone.
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If you are more than 12 hours late, wait until it is time for your next regular and skip the missed dose. You should not use two doses at the same time.
If you miss your doses for 2 days or longer, call your doctor.
Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
If you store this medicine at home, keep it at room temperature, away from heat and direct light. Do not freeze. Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine no longer needed.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are also using diet pills, steroids, bumetanide (Bumex®), amiodarone (Cordarone®), indomethacin (Indocin®), itraconazole (Sporanox®), nicotine gum, quinidine (Cardioquin®, Quinaglute®), rifampin (Rifadin®), Ritalin®, St John's wort, Synthroid®, diuretics or "water pills" (such as furosemide, hydrochlorothiazide, Aldactazide®, Aldactone®, Dyazide®, Lasix®, Maxzide®, Midamor®, Moduretic®), heart or blood pressure medicine (such as atenolol, metoprolol, verapamil, Adalat®, Cardizem®, Lotrel®, Plendil®, Procardia®, Rythmol®, Tiazac®, Toprol®) , or medicines to treat cancer.
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, too much calcium in your blood (hypercalcemia), or thyroid disorders. Tell your doctor if you are on dialysis, have had a recent heart attack, or if you have recently been vomiting or had diarrhea.
Your doctor will need to check your blood or urine at regular visits while you are using this medicine. Be sure to keep all appointments.
Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests.
Do not stop using this medicine suddenly without asking your doctor. You may need to slowly decrease your dose before stopping it completely.