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doi: 10.1056/NEJM199309303291401 17 CorbinKDDriscollKAPratleyRESmithSRMaahsDMMayer-DavisEJet al

In certain conditions where neutropenia is expected, such as chemotherapy, granulocyte colony-stimulating factors (eg, filgrastim [Neupogen]) and/or granulocyte macrophage colony-stimulating factors (eg, sargramostim [Leukine]) can be used as a preventive measure (Renner 2012)

IV protocols require more careful titration

avoid using on broken skin and seek advice if symptoms persist or worsen Paracetamol may be taken for pain relief if needed, following standard dosing guidelines Preventive strategies: Maintain a written log of injection sites to ensure proper rotation Inspect the medication before each usedo not inject if the solution appears cloudy, discoloured, or contains particles [1] [4] Store Mounjaro correctly : keep unopened pens refrigerated (28C)