GOSERELIN (ZOLADEX) SQ INJECTION		version 2/27/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Every 4 weeks	S	6 treatments	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	hCG qualitative, urine screen	Once	S	1 treatment	
		STAT, Normal, Clinic Collect
	Prior to initiating therapy.		
	☐	Follicle stimulating hormone	Once	S	1 treatment	
		STAT, Normal, Clinic Collect
	Prior to initiating therapy		
	☐	Luteinizing hormone	Once	S	1 treatment	
		STAT, Normal, Clinic Collect
	Prior to initiating therapy		
	☐	Estradiol by TMS	Once	S	1 treatment	
		STAT, Normal, Clinic Collect
	Prior to initiating therapy.		
	☐	Follicle stimulating hormone	Every visit	S	Until discont'd	
		Routine, Normal, Clinic Collect
	If last estradiol level < 5 pg/mL, then obtain FSH / LH / Estradiol q 6 months		
	☐	Luteinizing hormone	Every visit	S	Until discont'd	
		Routine, Normal, Clinic Collect
	If last estradiol level < 5 pg/mL, then obtain FSH / LH / Estradiol q 6 months		
	☐	Estradiol by TMS	Every visit	S	Until discont'd	
		Routine, Normal, Clinic Collect		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	goserelin (ZOLADEX) injection 3.6 mg (RESTRICTED)	Every 4 weeks	S	6 treatments	
		3.6 mg, subcutaneous, once, Starting when released
	HAZARDOUS - Handle with care
	Administer implant by inserting needle at a 30- to 45-degree angle into the anterior abdominal wall below the navel line