METHOTREXATE IM INJECTION (Once)		version 1/23/2025		

Appointment Requests 	

	
	Interval	Defer Until	Duration	
	☑	Referral to IV Infusion Room	Once	S	1 treatment	
		Status: Future, Expected: S, Expires: S+365, Clinic Performed
	Urgency of Scheduling: Routine		

Labs 	

	
	Interval	Defer Until	Duration	
	☐	hCG qualitative, serum screen	Every visit	S	Until discont'd	
		STAT, Normal, Clinic Collect		

Medications 	

	
	Interval	Defer Until	Duration	
	☐	methotrexate Preservative Free injection 50 mg/m2	Once	S	1 treatment	
		50 mg/m2, intramuscular, once, Starting when released
	Pharmacy to split dose into multiple syringes when necessary.
	HAZARDOUS

	Handle with care