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Barry.....When I first started useing the MTX shots my hubby was trained to give it to me in the hip with looonnnggg needles. But I changed ruhmys and he told me to use insulin needles and put it just under the skin in my belly. So this is the way I do it. I am not always sure I get it just under the skin though. God Bless, BJ

[ ] Injection sites

Hi, Group,I have been noticing that there have been a number of postings regardingbruising from Enbrel and MTX injections. The suggestion has been made topinch the tissue and give the injection into the pinched area. This hasprompted a question: Are Enbrel and MTX injections intended to be given"sub-Q" (subcutaneous - just under the skin but above the layer ofmuscle) or I/M (intra-muscular - into the layer of muscle)? As theabsorption rate of the skin, the fat layer and the muscle are all quitedifferent, this would seem to make a significant difference in theeffectiveness of the injection. Anybody Know?BarryThis e-mail created with 100% recycled electrons

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Hi Barry,

From the length of the needle in the Enbrel kit, it is just for under the

skin and not intramuscular. I give those in my upper thighs. I do pinch the

skin up but I release it as soon as the needle is in. I think the angle is

part of the bruising... The MTX is also given with a small insulin needle

and is for under the skin not in the muscle. I give those in my tummy. Hope

this helps...

D in MN

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--- Barry Schneider <beesnees@...> wrote:

> Are Enbrel and MTX injections intended to be given

> " sub-Q " or I/M?

Everyone takes Enbrel SubQ. I was told to take MTX

SubQ as well, but one of the people on the About.com

chat told me he was instructed to take MTX IM. I

follow my doctor's specific instructions and take it

SubQ.

, North Jersey Highlands

raharris@...

__________________________________________________

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In a message dated 02/26/2001 11:19:28 PM Eastern Standard Time,

sdcreate@... writes:

<< I think the angle is

part of the bruising... >>

I agree - but also, I was told this for allergy shots so I don't know about

MTX or Enbrel but it seems reasonable - after you are in the skin, draw BACK

on the syringe a little before injecting. If you get blood return, you are

in a capilary and should probably restick to avoid bruising. - Just a thought

-

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I'm seeing several of you saying your dr gives you the injections.

qustions, were you asked to do this yourself and you chose not to, did

the dr just schedule you to come in for these, and what is the cost for

this? i assume it is weekly?

nanc

ediemosback@... wrote:

My dr gives me my mtx and its intra muscular.

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Nanc,

I may eventually self inject, but have chosen to have my rheumy give them to

me. I do get them once a week. He bills my insurance company and I pay my

co-pay. We wanted to make sure the injections were working before I went off

on my own and did the injections.

Edie

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  • 1 year later...

If I have help, I use shoulders or hips. I can't reach those sites

well on my own. If by myself, I use quads. I use a smaller gauge

(smaller than 21) for shots in the rear.

Brad

> Where is the best place to give yourself Test shot. I use both hips

> and both shoulders. 23g 1 " in shoulder and 21g 1.5 " in butt.

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> Where at in the quads? if while sitting you split your leg length

> ways and then in the middle where do U give the shot and with what

> size needle?

I am using a 1 inch 23 gauge needle. You could probably use a

smaller gauge if you are patient enough. It would take longer to

push the oil through a smaller gauge needle.

I would inject on the outside rather than the inside and closer to

the knee rather than further from it. I have, however, injected

rather high (3/4 of the way up) without ill effect.

There is a description in message 3665 that you may find helpful.

Brad

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