3. Open the box and remove both bottles (hCG bottle and Bacteriostatic Water bottle) 

4. Check carefully the NAME, DOSAGE, of both bottles.

5. Use the thumb to lift the plastic lid or thumbnail to lift the tab off of the bottles, wipe the rubber stopper with an alcohol swab or cotton ball soaked with alcohol. Do not remove the metal ring that holds the stopper in place.

6. Remove the 10 ml syringe, (the largest one) and attach the 22g needle (if not already attached). Remove the cap from the needle being careful not to touch the needle to any surface.

7. Insert needle into Bacteriostatic Water bottle, leaving bottle sitting upright on flat surface.

Turn bottle upside down and while keeping the needle inside the fluid withdraw 10ml of Bacteriostatic Water, then discard the Bacteriostatic Water that is in the syringe.

Note: Do not discard the syringe itself or the vial.

*(ML and CC are equivalent measurements)

Note: Not all syringes are marked the same way. Pay special attention to the exact 10ml(or cc) amount on the different syringe types.

8. Re-insert needle into the Bacteriostatic Water bottle using the same technique as in step 7, withdraw 10ml of Bacteriostatic Water.

Do Not Discard.

*(ML and CC are equivalent measurements)

9. Insert this same needle with the Bacteriostatic Water thru the rubber stopper into the bottle of hCG powder and slowly push plunger to add the Bacteriostatic Water to hCG powder. Gently swirl or tilt the bottle until the medication is mixed.

(DO NOT SHAKE) The mixture is completely clear when ready to use.  

10. Withdraw the hCG mixture and add it to the Bacteriostatic Water that is left in the Bacteriostatic Water bottle.

11. Remove the needle and syringe from the bottle and replace cap for your safety—Dispose of this needle and syringe.

Dispose of each syringe after its use by placing in a puncture proof container such as a coffee can or a sharps container to return to the clinic for disposal in a bio-waste container.

Tips:

Keep syringe at eye level while drawing up your medication

If at any time it becomes difficult to draw up your medication, insert more air into the bottle. This makes it easier.

Once hCG is mixed with Bacteriostatic Water, write “hCG” and expiration date on the Bacteriostatic Water bottle label to identify it. It expires 60 days after mixing with bacteriostatic water