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Betaferon Medication Record

Filling-in instructions for injection record

Fill in the dates on the calendar provided with your treatment, starting with the date of your next injection (note the weekdays shown at the top of the columns).

Beginning with your first day of therapy (or your last injection), circle every other day.


On every circled day:

Select an injection site (refer to diagrams below) in different areas (If you have already been using Betaferon starting with the area that has not been used during the past 2 weeks).

When you are coming back to the same area that you have started with use a different section in that area (the one which is most distant from the one being used 16 days before).

After your injection, write the date in the box on the diagram below corresponding to that injection site.

(When the medication record is used up, start again with a new record, using the same procedure.)

Graphic Position 1 01B.jpg Graphic Position 2 02B.jpg



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