Name of the Procedure:

Common Name: Injection of romosozumab Medical Term: Injection, romosozumab-aqqg, 1 mg (HCPCS J3111)

Summary

Romosozumab is an injectable medication used to treat osteoporosis by increasing bone density and strength. It is administered by a healthcare professional through a subcutaneous injection.

Purpose

Romosozumab is primarily used to treat osteoporosis, particularly in postmenopausal women who are at high risk for fractures. The goal is to strengthen bones and reduce the risk of fractures.

Indications

• History of osteoporotic fracture
• Multiple risk factors for fracture
• Failure or intolerance to other osteoporosis treatments

Preparation

• No specific fasting or dietary restrictions
• Inform the healthcare provider of all current medications and allergies
• Blood tests may be conducted to assess calcium levels

Procedure Description

1. The patient is positioned comfortably.
2. The injection site (usually the abdomen or upper thigh) is cleansed with an antiseptic.
3. Romosozumab is administered via a subcutaneous injection.
4. The procedure does not typically require anesthesia or sedation.

Duration

The actual injection takes only a few minutes, but the entire appointment may last around 30 minutes for preparation and observation.

Setting

The procedure is typically performed in an outpatient clinic or a physician's office.

Personnel

• The injection is administered by a trained nurse or healthcare professional.
• A physician may be present to oversee the procedure.

Risks and Complications

• Common risks: mild pain or redness at the injection site, headache, joint pain
• Rare risks: allergic reactions, cardiovascular events such as heart attack or stroke

Benefits

• Increased bone density
• Reduced risk of fractures, often noticeable within 12 months

Recovery

• Minimal recovery time is needed
• Patients can typically resume normal activities immediately
• Follow-up appointments are essential to monitor bone density and overall health

Alternatives

• Other osteoporosis treatments such as bisphosphonates, hormone replacement therapy, or lifestyle modifications (diet and exercise)
• Each alternative varies in efficacy, side effects, and patient suitability

Patient Experience

• The injection procedure is generally quick and involves minor discomfort at the injection site.
• Pain management can be addressed with over-the-counter pain relievers if necessary.
• Most patients experience little to no downtime and can return to their daily routines on the same day.