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Brand name versus compounded formulations Understanding the difference between brand-name and compounded versions is essential for interpreting dosage charts correctly

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Patients may not be good candidates if they have: Uncontrolled diabetes Bleeding disorders Severe spinal infection Allergy to injection medications Recent steroid use for other conditions A full medical evaluation ensures the injection is performed safely

Infection risk: Though the benzyl alcohol preservative inhibits bacterial growth in the vial, any lapse in sterility (dirty needle, etc.) can introduce pathogens

Label clearly: SHARPS DO NOT RECYCLE. (Write on the bottle.) Use immediately after each injection: drop needle/syringe in point-first