@vagirl57 same with me no instructions. Show up and stick out arm. I had my first reclast infusion today at Illinois bone and joint. I prepped with 64 0z of water before infusion, 1 Zyrtec, and 2 extra strength Tylenol. Praying it works with no side effects!!!! They were great at infusion center had a slow drip and saline flush once infusion was completed..