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Purified Cortrophin Gel: Uses, Side Effects and Dosage

Updated:
Facts
Status:
Prescription (Rx)
Strength:
80 USP units/mL
Other brand names:
Active ingredient:

Patient information: uses, side effects, how to take - Purified Cortrophin Gel

Instructions for Use

Purified Cortrophin® Gel

(Repository Corticotropin Injection USP)

for intramuscular or subcutaneous use

This Instructions for Use contains information on how to inject Purified Cortrophin Gel.

Your healthcare provider should show you how to prepare and inject Purified Cortrophin Gel the right way before you inject it for the first time. Do not try to inject yourself until you have been shown the right way to give your injections by your healthcare provider.

Important information about how to inject Purified Cortrophin Gel

  • Purified Cortrophin Gel is given as an injection into the muscle or under the skin as directed by your healthcare provider. Do not inject it into a vein or take by mouth.
  • Inject Purified Cortrophin Gel exactly as your healthcare provider tells you. Your healthcare provider will tell you where to give the injection, how much to give, how often and when to give it.
  • Do not use Purified Cortrophin Gel until your healthcare provider has taught you how to give the injection.

Before starting, collect all of the supplies that you will need to use for preparing and injecting Purified Cortrophin Gel. You will need the following supplies:

  • Vial of Purified Cortrophin Gel
  • Syringe
  • Needle for withdrawal (20G or as prescribed by your healthcare provider)
  • Needle for injection (23G or as prescribed by your healthcare provider)
  • 2 alcohol pads
  • Cotton balls or gauze pad
  • Bandage (if needed)
  • Sharps container for throwing away used syringes and needles (see “Disposing of used needles and syringes”)

Preparing Purified Cortrophin Gel

  • Wash your hands well and dry with a clean towel.
  • Remove the vial from the refrigerator. Check the expiration date on the vial. Do not use if the expiration date has passed.
  • Purified Cortrophin Gel will be a solid gel when refrigerated and it needs to be warmed to a liquid gel before injecting. Warm the solid gel in the vial by rolling between your hands for a few minutes. Do not microwave or heat on the stove.

  • Remove (flip off) the plastic cap from the top of the Purified Cortrophin Gel vial and throw it away in the trash. Do not put the plastic cap back on the vial.

  • Wipe the top of the vial rubber stopper with a new sterile alcohol pad.

  • Use a new sterile 20G needle (or needle prescribed for withdrawal) and syringe to draw up the amount of Purified Cortrophin Gel your healthcare provider has told you to use.

Injecting Purified Cortrophin Gel

  • Prepare the skin where you are going to give the injection by wiping it with a new sterile alcohol pad. Allow to air dry.
  • Replace the 20G needle (or needle prescribed for withdrawal) used for drawing the Purified Cortrophin Gel from the vial with the 23G needle (or needle prescribed for injection). Do not use the 20G needle for injecting.
  • Give the injection the way your healthcare provider has instructed you.
  • There may be a little bleeding at the injection site. You can press a cotton ball or gauze pad over the injection site (do not rub).
  • If needed, you may cover the injection site with a bandage.
  • Return the vial to the refrigerator as soon as possible.

Disposing of your used needles and syringe

  • Put your used needles and syringe in an FDA-cleared sharps disposal container right away after use. Do not throw away (dispose of) your used needles and syringe in your household trash.
  • If you do not have an FDA-cleared sharps disposal container, you may use a household container that is:

    • made of a heavy-duty plastic,
    • can be closed with a tight-fitting, puncture-resistant lid, without sharps being able to come out,
    • upright and stable during use,
    • leak-resistant, and
    • properly labeled to warn of hazardous waste inside the container.
  • When your sharps disposal container is almost full, you will need to follow your community guidelines for the right way to dispose of your sharps disposal container. There may be state or local laws about how you should throw away used needles and syringes. For more information about safe sharps disposal, and for specific information about sharps disposal in the state that you live in, go to the FDA’s website at: http://www.fda.gov/safesharpsdisposal.
  • Do not dispose of your used sharps disposal container in your household trash unless your community guidelines permit this. Do not recycle your used sharps disposal container.

Storing Purified Cortrophin Gel

  • Store vials of Purified Cortrophin Gel in the refrigerator between 36°F to 46°F (2°C to 8°C).
  • 1 mL vials: Throw away (discard) any 1 mL vials 6 months after first use or by the expiration date printed on the label, whichever occurs first.
  • 5 mL vials: Throw away (discard) any 5 mL vials 28 days after first use or by the expiration date printed on the label, whichever occurs first.
  • Write the revised discard by date in the space provided on the carton labeling.

Keep Purified Cortrophin Gel and all medicines out of the reach of children.

Distributed by: ANI Pharmaceuticals, Inc., Baudette, MN 56623

This Instructions for Use has been approved by the U.S. Food and Drug Administration.

Revised: October 2023

Instructions for Use

PURIFIED CORTROPHIN GEL

(Repository Corticotropin Injection USP)

40 USP units/0.5 mL and 80 USP units/mL

Single-dose prefilled syringe

For Subcutaneous Use Only

This Instructions for Use contains information on how to prepare and inject Purified Cortrophin Gel prefilled syringe.
Your healthcare provider should show you how to prepare and inject Purified Cortrophin Gel the right way before you inject it for the first time. Do not try to inject yourself until you have been shown the right way to give your injections by your healthcare provider.
Purified Cortrophin Gel prefilled syringe (see Figure A).

Figure A

Important information you need to know before injecting Purified Cortrophin Gel
  • Read all of this Instructions for Use carefully before using the Purified Cortrophin Gel prefilled syringe.
  • Purified Cortrophin Gel is given as an injection directly under the skin as directed by your healthcare provider.

    • Do not inject it into a vein or take by mouth.
  • Inject Purified Cortrophin Gel exactly as your healthcare provider tells you. Your healthcare provider will tell you where to give the injection, how much to give, how often, and when to give it.

    • You may need more than 1 injection based on your prescribed dose.
  • Do not use Purified Cortrophin Gel until your healthcare provider has shown you how to give the injection.
  • Do not use if the tamper evident seal is torn, loose, or not present.
  • Do not use the Purified Cortrophin Gel prefilled syringe if it has been dropped on a hard surface or damaged.
  1. 1. Collect your supplies
  • Use a clean, flat surface, such as a table.
  • You will need (see Figure B):

    • 1 Purified Cortrophin Gel prefilled syringe (see Figure A)
    • 1 alcohol pad
    • 1 cotton ball or gauze pad
    • 1 bandage (if needed)
    • Sharps container for throwing away used syringes and needles (see “Disposing of your used prefilled syringes and needles”)

Figure B

  1. 2. Preparing the prefilled syringe
  • Remove the carton from the refrigerator and place on a clean surface for 45 minutes to let the prefilled syringe warm up to room temperature 68°F to 77°F (20°C to 25°C) (see Figure C).

    • Purified Cortrophin Gel will be a solid gel when refrigerated and it needs to be warmed to a liquid gel before injecting.
    • Remove the prefilled syringe by the syringe body only. Do not remove the prefilled syringe by the plunger rod or needle cover.
    • Do not remove the needle cover while allowing the prefilled syringe to reach room temperature.
    • Do not warm the prefilled syringe in any other way. For example, do not microwave or heat on the stove.
    • Do not use the prefilled syringe if the gel in the syringe still appears to be solid.

Figure C

  1. 3. Check your medicine
  • Check the expiration date on the syringe label (see Figure D). Do not use if expiration date has passed.
  • Make sure that you have the right dose as prescribed to you by your healthcare provider. Your dose may require more than 1 injection.
  • Check that the liquid gel in the syringe is light amber (yellow) in color. Do not use if the gel appears cloudy or has particles in it. Throw it away (discard) and get a new syringe.
  • It is ready to be used when the medicine is a liquid gel and not a solid gel.

Figure D

  1. 4. Selecting an injection site
  • Wash your hands well and dry with a clean towel.
  • Choose an injection site on the stomach (abdomen) area or upper thigh (see Figure E).

    • Do not inject within 2 inches of the belly button (navel).
  • Do not inject in areas where the skin is red, swollen, irritated, inflamed tender, bruised, scaly, hard, or has scars or stretch marks.

Figure E

  • If someone else is giving you the injection, it can also be injected in the side and back of the upper arm (see Figure F).

Figure F

  1. 5. Injecting Purified Cortrophin Gel
  • Clean the injection site with an alcohol pad (see Figure G). Allow to air dry.

Figure G

  • Hold the syringe by the body with one hand.

    • Do not move or pull back on the plunger.
  • Remove the needle cover with the other hand and throw it away (discard) (see Figure H).

    • Do not touch the needle.
    • Do not recap the needle.
    • You may see a drop of liquid at the end of the needle. This is normal.

Figure H

  • With one hand, gently pinch the area of the cleaned skin and hold it firmly (see Figure I).
  • Insert the needle into the pinched skin at a 45-degree angle (see Figure I).
  • Release the pinched skin and slowly push down the plunger until all the medicine has been injected.
  • Pull the needle out of the skin while keeping the syringe at the same angle.

Figure I

  • There may be a small amount of blood at the injection site. You can press a cotton ball or gauze pad over the injection site. Do not rub the injection site.
  • If needed, you may cover the injection site with a bandage (see Figure J).

Figure J

  1. 6. Disposing of your used prefilled syringes and needles
  • Throw away (discard) the prefilled syringe into an FDA cleared sharps container right away after use (see Figure K). Do not throw away (dispose of) your used needles and syringe in your household trash.

Figure K

  • If you do not have an FDA-cleared sharps disposal container, you may use a household container that is:

    • made of a heavy-duty plastic,
    • can be closed with a tight-fitting, puncture-resistant lid, without sharps being able to come out,
    • upright and stable during use,
    • leak-resistant, and
    • properly labeled to warn of hazardous waste inside the container.
  • When your sharps disposal container is almost full, you will need to follow your community guidelines for the right way to dispose of your sharps disposal container. There may be state or local laws about how you should throw away used needles and syringes. For more information about safe sharps disposal, and for specific information about sharps disposal in the state that you live in, go to the FDA’s website at: http://www.fda.gov/safesharpsdisposal.
  • Do not dispose of your used sharps disposal container in your household trash unless your community guidelines permit this. Do not recycle your used sharps disposal container.
Storing Purified Cortrophin Gel prefilled syringes
  • Store Purified Cortrophin Gel prefilled syringes in the carton provided in the refrigerator between 36°F to 46°F (2°C to 8°C).
  • Purified Cortrophin Gel prefilled syringes may be stored at room temperature between 68°F to 77°F (20°C to 25°C) for up to 24 hours.
  • Keep Purified Cortrophin Gel prefilled syringes in the carton until ready to use.
  • Throw away (discard) Purified Cortrophin Gel prefilled syringes right away after use or by the expiration date stamped on the syringe.
  • Keep Purified Cortrophin Gel and all medicines out of the reach of children.

Distributed by: ANI Pharmaceuticals, Inc., Baudette, MN 56623

This Instructions for Use has been approved by the U.S. Food and Drug Administration

Revised: February 2025

About this document

Source: FDA drug labeling via NLM DailyMed · Application number: NDA 008975 · View the label on DailyMed

Revision date stated in the text: October 2023

Found a mistake? Write to us via the contact page.

The information on this site does not replace the advice of a doctor or pharmacist.

Drug information for Purified Cortrophin Gel

Rx or OTC
Prescription (Rx)?
  • This drug is available only with a prescription from a licensed healthcare provider.
  • Rx
Drug class Adrenocorticotropic Hormone
Active ingredient Corticotropin 80 USP units/mL
Dosage form Injection
Route Intramuscular, Subcutaneous
Marketing status not in the current FDA NDC Directory
Company (applicant) ANI PHARMS
FDA approval NDA 008975New Drug Application (NDA) Approved June 16, 1954
Reference listed drug This is the reference listed drug (RLD) that generics are compared with.
Manufacturers 1 labelers list this drug on DailyMed
Packages (NDC)
Package
80 USP units/mL – 5 ml in 1 vial, multi-dose / 1 in 1 carton NDC 62559-860-15
80 USP units/mL – 1 ml in 1 vial, multi-dose / 1 in 1 carton NDC 62559-860-11
80 USP units/mL – 0.5 ml in 1 syringe, glass / 1 in 1 carton NDC 62559-861-35
80 USP units/mL – 1 ml in 1 syringe, glass / 1 in 1 carton NDC 62559-861-11

Source: FDA drug labeling via NLM DailyMed, data as of October 31, 2026. FDA data (DailyMed, Orange Book, Drug Shortages, enforcement reports). Not a substitute for the advice of a doctor or pharmacist.