prior to administration, as shown in Figure 13.
Grip the syringe firmly and turn it so the syringe plunger is pointing straight down. Then turn the syringe gently, 180 degrees, until the plunger is pointing straight up.
Invert the syringe several times to ensure a properly mixed suspension.
Figure 13
Figure 13
A properly mixed suspension will be uniformly milky white and contain no clumps.
Inspect Syringe.
As shown in Figure 14, the syringe on the left, with the X, requires more inversions (turning) to properly mix the suspension. The syringe on the right shows the suspension properly mixed and ready for the next step.
Figure 14
Figure 14
Administer ZILRETTA.
The usual technique for intra-articular injection should be followed.
Aspiration of synovial fluid may be performed based on clinical judgment prior to administration of ZILRETTA.
Do not reuse excess ZILRETTA. Any excess suspension in the vial should be thrown away immediately after the injection. Leftover ZILRETTA in the vial must never be reused for another injection.
Note: The entire contents of the syringe must be injected to ensure the intended dose of ZILRETTA is delivered.
Note: Discard all used components in an appropriate medical waste container according to local regulations.
Note: ZILRETTA is for intra-articular use only. ZILRETTA is not intended for epidural, intrathecal, intravenous, intraocular, intramuscular, intradermal, or subcutaneous use.
Part Number: 60-005-01
Rev: 10/2017
PRINCIPAL DISPLAY PANEL
Principal Display Panel - Zilretta Cart 32mg Carton Label
NDC 70801-003-01 Rx Only
Zilretta™
(triamcinolone acetonide extended-release
injectable suspension)
32 mg per vial
For intra-articular injection only.
Single-dose kit. Discard unused portion.
Must be reconstituted
with the supplied diluent.
This carton contains:
1 Vial of Zilretta
microsphere powder
1 Vial of diluent (5 mL)
for Zilretta
1 sterile vial adapter
flexion
Principal Display Panel - Zilretta Cart 32mg Carton Label
PRINCIPAL DISPLAY PANEL
Principal Display Panel - Zilretta Cart 32mg Professional Carton Label
NDC 70801-003-02 Rx Only
Zilretta™
(triamcinolone acetonide extended-release
injectable suspension)
32 mg per vial
For intra-articular injection only.
Single-dose kit. Discard unused portion.
Must be reconstituted
with the supplied diluent.
PROFESSIONAL SAMPLE
NOT FOR SALE
OR REIMBURSEMENT
This carton contains:
1 Vial of Zilretta
microsphere powder
1 Vial of diluent (5 mL)
for Zilretta
1 sterile vial adapter
flexion
Principal Display Panel - Zilretta Cart 32mg Professional Carton Label
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PRINCIPAL DISPLAY PANEL
Principal Display Panel - Zilretta 32mg Vial Label
NDC 70801-001-01 Rx Only