Ensure patients have access to, or are using, clean sharps.
That they are not contaminating or sharing ampoules
Where possible, IPED use should be minimal
Advising against very large doses
Challenging behaviours for which there is no evidence base
Checking injection technique is safe
Advising patients how to access healthcare if becoming unwell
Regular health monitoring
Signpost to needle exchanges or facilities where suspect IPEDs can be checked against databases or undergo testing
Careful discussions around reducing use or cessation following ECG changes or abnormal blood results
Exploring reasons for IPED use, such as occupational factors, image or sexual function.