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Kenalog consent form

Kenalog injection consent form 2026

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This document is a consent form for patients seeking Restylane® injections, a cosmetic procedure aimed at correcting facial wrinkles and folds. It outlines the purpose, procedure, associated risks, benefits, alternatives, costs, and the voluntary nature of the treatment. Patients are informed about potential side effects and the necessity for follow-up treatments to maintain results. The document emphasizes that no guarantees are made regarding outcomes and encourages patients to ask questions before consenting.

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How is injection given?

-40 is given through a needle and can be injected into different areas of the body: into a muscle, into the space around a joint or tendon, or into a lesion on the skin. A healthcare provider will give you this injection.

Can you be allergic to ?

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects.

Does have to be prescribed?

is a prescription-only medicine (POM) which must not be directly or indirectly advertised to the public. is a brand name for triamcinolone acetonide.

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How do you get a injection?

The usual starting dose is 40 mg (1.0 ml) injected deeply into the upper outer area of the buttock. If you require a further injection, this should be made into the same area on the other buttock. Some patients with pollen asthma find that one injection of 40-100 mg improves asthmatic symptoms.

Who cant have injections?

IA/IM Injection is not recommended for children under 6 years. You have had any recent infection [including tuberculosis (TB)] You have had recent bowel surgery. You have, or have had a bowel disorder or stomach ulcer. You have an infection or inflammation of the veins in your legs.

Who can administer injection?

How to use -40 Vial. Depending on your product, this medication may be given by injecting into different locations such as a muscle (intramuscularly), a skin lesion (intradermally), or a joint (intra-articularly). Injections are usually given by a trained healthcare professional.

Who should not take injection?

You should not be treated with -40 if you are allergic to it. You may not be able to receive -40 if you have a fungal infection, or a condition called idiopathic thrombocytopenic purpura (ITP).