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Re: Injection Question

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Hi ,

>But the

>prescription doesn't specify hydroxycobalamin or the concentration, and

>although he intended it to be used for a month, with the recent discussion

>about the safety of using smaller vials versus the larger bottle has me

>concerned. (I have MVP) So I'm not sure what to do.

I would talk to the pharmacist (unless your doc is easy to get on the

phone) and explain the situation. Ask if the prescription your doc wrote

will give you the concentration you need, and request that it be in small

vials (did someone say 10cc max? I can't remember...). If he says he can't

do what you want with the prescription you have, ask what your doc would

have to do differently in writing the prescription. Don't forget to ask

about whether or not it will by hydroxy! I think cyanocobalamin is sort of

the " default " b-12 usually, and that's the one no one likes.

>Second to that, I have no idea if the prescription includes the syringes and

>needles necessary for injecting, or how I go about getting those.

You will get syringes with your b-12, but be sure to make it clear that you

need them! If you don't know what size, ask the pharmacist what size you

need for the type of injections you will be doing.

>The doctor

>said that when I got the B-12, to bring it in to the office and they'd show

>me how to do the shots. I'm not sure if I'm also supposed to have the

>syringes at that time.

I would think that the doc's office would have the syringes, but if I were

you I would bring a few in just in case. They might not have the right size

needle or something, and this way you will be sure.

Good luck! Also, my experience has been that most pharmacists are really

nice, but once in a while you get a crabby one. If you have a pharmacy you

need to use because of your health insurance, but the guy there gives you a

hard time about the dosage or something, you can always call a different

pharmacy just to ask questions. Once I called every pharmacy in my hometown

to ask about a med I didn't now much about. ;-)

Corina

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  • 5 years later...

I see no problem laying on the bed but don't feel you need to pinch the skin.

The shot needs to be IM and yes aspirate to be sure your not in a vain.

Phil

don defevers <dd4459@...> wrote:

IS it o.k. to lie down on the bed on your belly to get shot in the glute. Also

do you have to pinch up the skin to put in needle or can you just go straighy in

the glute? Also do I have to aspirate the plunger before I inject? MY son does

the shot for me and it seems it would be easier to push the plunger down given

the T is so thick.

---------------------------------

Photos – Showcase holiday pictures in hardcover

Photo Books. You design it and we’ll bind it!

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Isn't one of the advantages of glutes (and ventroglutes) for injection that

there are no veins or nerves to hit in those areas?

If so, aspiration wouldn't be necessary, assuming you are accurate enough in

the site selection, correct?

> Re: Injection Question

>

>I see no problem laying on the bed but don't feel you need to

>pinch the skin. The shot needs to be IM and yes aspirate to

>be sure your not in a vain.

> Phil

>

>don defevers <dd4459@...> wrote:

> IS it o.k. to lie down on the bed on your belly to get shot

>in the glute. Also do you have to pinch up the skin to put in

>needle or can you just go straighy in the glute? Also do I

>have to aspirate the plunger before I inject? MY son does the

>shot for me and it seems it would be easier to push the

>plunger down given the T is so thick.

>

>

>

>

>---------------------------------

> Photos - Showcase holiday pictures in hardcover Photo

>Books. You design it and we'll bind it!

>

>

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If you shot T into a vein it can kill you so aspiration is nessary. I don't do

my shots with a big needle I use a 27g x 1/2 lg. and shot into my thy. Now

doing this you don't need to check to see if your in a vein.

Phil

Dave <daultman@...> wrote:

Isn't one of the advantages of glutes (and ventroglutes) for injection that

there are no veins or nerves to hit in those areas?

If so, aspiration wouldn't be necessary, assuming you are accurate enough in

the site selection, correct?

> Re: Injection Question

>

>I see no problem laying on the bed but don't feel you need to

>pinch the skin. The shot needs to be IM and yes aspirate to

>be sure your not in a vain.

> Phil

>

>don defevers

wrote:

> IS it o.k. to lie down on the bed on your belly to get shot

>in the glute. Also do you have to pinch up the skin to put in

>needle or can you just go straighy in the glute? Also do I

>have to aspirate the plunger before I inject? MY son does the

>shot for me and it seems it would be easier to push the

>plunger down given the T is so thick.

>

>

>

>

>---------------------------------

> Photos - Showcase holiday pictures in hardcover Photo

>Books. You design it and we'll bind it!

>

>

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I've hit both viens and nerves in the thigh in the past, with both T and B12

shots. I would definitely aspirate in thigh injections just to be safe.

My comment re in the glutes was in theory...I'd aspirate in the glutes too,

though it seems like nurses don't.

> Re: Injection Question

>>

>>I see no problem laying on the bed but don't feel you need to

>pinch the

>>skin. The shot needs to be IM and yes aspirate to be sure

>your not in a

>>vain.

>> Phil

>>

>>don defevers

> wrote:

>> IS it o.k. to lie down on the bed on your belly to get shot in the

>>glute. Also do you have to pinch up the skin to put in needle or can

>>you just go straighy in the glute? Also do I have to aspirate the

>>plunger before I inject? MY son does the shot for me and it seems it

>>would be easier to push the plunger down given the T is so thick.

>>

>>

>>

>>

>>---------------------------------

>> Photos - Showcase holiday pictures in hardcover Photo

>>Books. You design it and we'll bind it!

>>

>>

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Dave,

This is off the topic but have you been helped by B12? I would do anything

to get more energy and suggested B12 to my dr but he hasn't prescribed anything

yet.

Dave

Dave <daultman@...> wrote:

I've hit both viens and nerves in the thigh in the past, with both T and B12

shots. I would definitely aspirate in thigh injections just to be safe.

My comment re in the glutes was in theory...I'd aspirate in the glutes too,

though it seems like nurses don't.

> Re: Injection Question

>>

>>I see no problem laying on the bed but don't feel you need to

>pinch the

>>skin. The shot needs to be IM and yes aspirate to be sure

>your not in a

>>vain.

>> Phil

>>

>>don defevers

> wrote:

>> IS it o.k. to lie down on the bed on your belly to get shot in the

>>glute. Also do you have to pinch up the skin to put in needle or can

>>you just go straighy in the glute? Also do I have to aspirate the

>>plunger before I inject? MY son does the shot for me and it seems it

>>would be easier to push the plunger down given the T is so thick.

>>

>>

>>

>>

>>---------------------------------

>> Photos - Showcase holiday pictures in hardcover Photo

>>Books. You design it and we'll bind it!

>>

>>

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You can get B12 off the shelf in any pharmacy

> Re: Injection Question

> >>

> >>I see no problem laying on the bed but don't feel you need to

> >pinch the

> >>skin. The shot needs to be IM and yes aspirate to be sure

> >your not in a

> >>vain.

> >> Phil

> >>

> >>don defevers

> > wrote:

> >> IS it o.k. to lie down on the bed on your belly to get shot in the

> >>glute. Also do you have to pinch up the skin to put in

> needle or can

> >>you just go straighy in the glute? Also do I have to aspirate the

> >>plunger before I inject? MY son does the shot for me and it

> seems it

> >>would be easier to push the plunger down given the T is so thick.

> >>

> >>

> >>

> >>

> >>---------------------------------

> >> Photos - Showcase holiday pictures in hardcover Photo Books.

> >>You design it and we'll bind it!

> >>

> >>

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Hi Nick

I thought all indictable were POM? I get my B12 ampoules on prescription and

have not tried to get OTC but assumed as the B12 is for injection that this

would be automatically classifies as POM?

Kind regards,

_________________________________________

Randle

_________________________________________

Re: Injection Question

> >>

> >>I see no problem laying on the bed but don't feel you need to

> >pinch the

> >>skin. The shot needs to be IM and yes aspirate to be sure

> >your not in a

> >>vain.

> >> Phil

> >>

> >>don defevers

> > wrote:

> >> IS it o.k. to lie down on the bed on your belly to get shot in the

> >>glute. Also do you have to pinch up the skin to put in

> needle or can

> >>you just go straighy in the glute? Also do I have to aspirate the

> >>plunger before I inject? MY son does the shot for me and it

> seems it

> >>would be easier to push the plunger down given the T is so thick.

> >>

> >>

> >>

> >>

> >>---------------------------------

> >> Photos - Showcase holiday pictures in hardcover Photo Books.

> >>You design it and we'll bind it!

> >>

> >>

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INJECTABLE B12....?

> Re: Injection Question

>> >>

>> >>I see no problem laying on the bed but don't feel you need to

>> >pinch the

>> >>skin. The shot needs to be IM and yes aspirate to be sure

>> >your not in a

>> >>vain.

>> >> Phil

>> >>

>> >>don defevers

>> > wrote:

>> >> IS it o.k. to lie down on the bed on your belly to get

>shot in the

>> >>glute. Also do you have to pinch up the skin to put in

>> needle or can

>> >>you just go straighy in the glute? Also do I have to aspirate the

>> >>plunger before I inject? MY son does the shot for me and it

>> seems it

>> >>would be easier to push the plunger down given the T is so thick.

>> >>

>> >>

>> >>

>> >>

>> >>---------------------------------

>> >> Photos - Showcase holiday pictures in hardcover

>Photo Books.

>> >>You design it and we'll bind it!

>> >>

>> >>

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I don't know if it made a difference or not. Not enough of one to keep

using the stuff if it did. The medical folks say B12 injections are only

needed if you have pernicious anemia, and are a waste for the rest of us.

Diet doctors give it to people routinely, perhaps as a prophylactic to

malnutriotion(?).

You can buy the stuff directly on ebay or OTC in Mexico or Canada if not in

your state.

> Re: Injection Question

>>>

>>>I see no problem laying on the bed but don't feel you need to

>>pinch the

>>>skin. The shot needs to be IM and yes aspirate to be sure

>>your not in a

>>>vain.

>>> Phil

>>>

>>>don defevers

>> wrote:

>>> IS it o.k. to lie down on the bed on your belly to get shot in the

>>>glute. Also do you have to pinch up the skin to put in needle or can

>>>you just go straighy in the glute? Also do I have to aspirate the

>>>plunger before I inject? MY son does the shot for me and it seems it

>>>would be easier to push the plunger down given the T is so thick.

>>>

>>>

>>>

>>>

>>>---------------------------------

>>> Photos - Showcase holiday pictures in hardcover Photo Books.

>>>You design it and we'll bind it!

>>>

>>>

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You can get B12 in 1000 microgram pills off the shelf.

I used them when I was deficient. It restored levels after a while.

Now I take them occasionally just to keep my levels up

Best wishes

Nick

> Re: Injection Question

>

> Hi Nick

>

> I thought all indictable were POM? I get my B12 ampoules on

> prescription and have not tried to get OTC but assumed as the

> B12 is for injection that this would be automatically

> classifies as POM?

>

> Kind regards,

>

>

>

> _________________________________________

> Randle

> _________________________________________

> Re: Injection Question

> > >>

> > >>I see no problem laying on the bed but don't feel you need to

> > >pinch the

> > >>skin. The shot needs to be IM and yes aspirate to be sure

> > >your not in a

> > >>vain.

> > >> Phil

> > >>

> > >>don defevers

> > > wrote:

> > >> IS it o.k. to lie down on the bed on your belly to get

> shot in the

> > >>glute. Also do you have to pinch up the skin to put in

> > needle or can

> > >>you just go straighy in the glute? Also do I have to aspirate the

> > >>plunger before I inject? MY son does the shot for me and it

> > seems it

> > >>would be easier to push the plunger down given the T is so thick.

> > >>

> > >>

> > >>

> > >>

> > >>---------------------------------

> > >> Photos - Showcase holiday pictures in hardcover

> Photo Books.

> > >>You design it and we'll bind it!

> > >>

> > >>

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> INJECTABLE B12....?

Of course. If your B12 deficiency is pernicious anaemia ie from gut

(malabsorption from gut) then it is only by injections into your muscle that

you can get the B12 into your body. Didn't Dave post he injected both T and

B12 into his thigh? I do as well.

Re: Injection Question

>>> >>

>>> >>I see no problem laying on the bed but don't feel you need to

>>> >pinch the

>>> >>skin. The shot needs to be IM and yes aspirate to be sure

>>> >your not in a

>>> >>vain.

>>> >> Phil

>>> >>

>>> >>don defevers

>>> > wrote:

>>> >> IS it o.k. to lie down on the bed on your belly to get

>>shot in the

>>> >>glute. Also do you have to pinch up the skin to put in

>>> needle or can

>>> >>you just go straighy in the glute? Also do I have to aspirate the

>>> >>plunger before I inject? MY son does the shot for me and it

>>> seems it

>>> >>would be easier to push the plunger down given the T is so thick.

>>> >>

>>> >>

>>> >>

>>> >>

>>> >>---------------------------------

>>> >> Photos - Showcase holiday pictures in hardcover

>>Photo Books.

>>> >>You design it and we'll bind it!

>>> >>

>>> >>

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I realize you can be B12 pills in any drug store but I was interested in the

injectable B12. I understand that is only available by prescription...unless you

order from Mexico or some place like that.

Randle <peter_randle@...> wrote: > INJECTABLE B12....?

Of course. If your B12 deficiency is pernicious anaemia ie from gut

(malabsorption from gut) then it is only by injections into your muscle that

you can get the B12 into your body. Didn't Dave post he injected both T and

B12 into his thigh? I do as well.

Re: Injection Question

>>> >>

>>> >>I see no problem laying on the bed but don't feel you need to

>>> >pinch the

>>> >>skin. The shot needs to be IM and yes aspirate to be sure

>>> >your not in a

>>> >>vain.

>>> >> Phil

>>> >>

>>> >>don defevers

>>> > wrote:

>>> >> IS it o.k. to lie down on the bed on your belly to get

>>shot in the

>>> >>glute. Also do you have to pinch up the skin to put in

>>> needle or can

>>> >>you just go straighy in the glute? Also do I have to aspirate the

>>> >>plunger before I inject? MY son does the shot for me and it

>>> seems it

>>> >>would be easier to push the plunger down given the T is so thick.

>>> >>

>>> >>

>>> >>

>>> >>

>>> >>---------------------------------

>>> >> Photos - Showcase holiday pictures in hardcover

>>Photo Books.

>>> >>You design it and we'll bind it!

>>> >>

>>> >>

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Hi

This is the UK's info and it clearly states POM (Prescription-Only

Medicine). Just search the USA site for availability - dale might

state this.

Hydroxocobalamin (Non-proprietary)

Injection, hydroxocobalamin 1 mg/mL. Net price 1-mL amp = £2.46

Note

..

The BP directs that when vitamin B12 injection is prescribed or demanded

hydroxocobalamin injection shall be dispensed or supplied

Brands include Cobalin-H® , Neo-Cytamen®

_________________________________________

Re: Injection Question

>>> >>

>>> >>I see no problem laying on the bed but don't feel you need to

>>> >pinch the

>>> >>skin. The shot needs to be IM and yes aspirate to be sure

>>> >your not in a

>>> >>vain.

>>> >> Phil

>>> >>

>>> >>don defevers

>>> > wrote:

>>> >> IS it o.k. to lie down on the bed on your belly to get

>>shot in the

>>> >>glute. Also do you have to pinch up the skin to put in

>>> needle or can

>>> >>you just go straighy in the glute? Also do I have to aspirate the

>>> >>plunger before I inject? MY son does the shot for me and it

>>> seems it

>>> >>would be easier to push the plunger down given the T is so thick.

>>> >>

>>> >>

>>> >>

>>> >>

>>> >>---------------------------------

>>> >> Photos - Showcase holiday pictures in hardcover

>>Photo Books.

>>> >>You design it and we'll bind it!

>>> >>

>>> >>

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  • 4 weeks later...

Any reason you can't split the injections equally for each arm? Just asking.

Carol

asked:

i've just got a question. i'm on xolair 375 mg every 2 weeks. i've been

injecting myself since my 3rd or 4th dose TWO years ago! this past year i've

been doing it unsupervised (YEAH -- no " babysitters " to watch me in the drs

office!!).

when the xolair rep originally came to show us what to do, he set up my

injections as (2) 1.2 mL injections and (1) .6 mL injection. we roate injection

sites - both thighs, stomach and left arm.

when i inject the 1.2 mL of xolair into my arm, i get a bubble/bump,

probably the size of a quarter. its almost like my arm cannot absorb the xolair

as fast as i'm pushing it in (and trust me, its not fast -- its like jello going

in - LOL). the bubble goes away after 4-6 hours, i guess as my arm absorbs the

xolair. i don't get a bubble with the .6 mL injection into my arm. the other

injection sites go into fattier tissue, so i'm guessing that's why i don't get a

bubble there.

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i'm not sure why they can't be split. when the original rep from xolair came to

show the office staff how to mix it and everything, he said you do 1.2, 1.2 and

..6 . his reasoning was that there was 1.2 in each vial after it was

reconstituted. a few doses later, a xolair nurse came to show me how to mix

and inject it. she changed the orders to 1, 1, 1, but my dr wasn't fond of

someone coming in and just changing orders without talking to her (actually, it

was the office nurses who ran the crusade). we went back to the original doses

and its stayed like that ever since.

<shrug>

heather

Carol Corley <mybouvs@...> wrote:

Any reason you can't split the injections equally for each arm? Just asking.

Carol

asked:

i've just got a question. i'm on xolair 375 mg every 2 weeks. i've been

injecting myself since my 3rd or 4th dose TWO years ago! this past year i've

been doing it unsupervised (YEAH -- no " babysitters " to watch me in the drs

office!!).

when the xolair rep originally came to show us what to do, he set up my

injections as (2) 1.2 mL injections and (1) .6 mL injection. we roate injection

sites - both thighs, stomach and left arm.

when i inject the 1.2 mL of xolair into my arm, i get a bubble/bump,

probably the size of a quarter. its almost like my arm cannot absorb the xolair

as fast as i'm pushing it in (and trust me, its not fast -- its like jello going

in - LOL). the bubble goes away after 4-6 hours, i guess as my arm absorbs the

xolair. i don't get a bubble with the .6 mL injection into my arm. the other

injection sites go into fattier tissue, so i'm guessing that's why i don't get a

bubble there.

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There is no medical or pharmaceutical reason you can't split your injections

into 1, 1 & 1. The head pharmacist at Genentech thought it would be easier for

'lay' people (non-medical persons) to use up and entire vial instead of stopping

at the 1cc mark, and half of the third vial. Educated people (even children)

can see the 1cc mark on the syringe. If it is easier for you to do 1,1,1 there

is no reason you shouldn't. If the 1.2 cc gives you a bubble or lump, I suggest

the 1cc three times to help avoid it. Certainly speak to your physician and

tell him why you want to do the 1,1,1. I am sure he shouldn't have a problem.

It all adds up to the same dose and makes you more comfortable.

Pat

---------------------------------

Relax. virus scanning helps detect nasty viruses!

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  • 4 months later...
Guest guest

I tried once to give myself a shot in the stomach and I couldn't even get it to

go

in, it was way too tough for me. I inject exclusively in the thighs and find it

goes in much easier. Of course, nothing stops the burning, I am just talking

about the ease of injecting.

>

> So far I have gotten 3 Humira shots, all in my abdomen, rotating sides

> back and forth. The dvd that came with it said that you can use legs

> too and should preferably rotate to all four spots. Anyone use their

> thigh? Does it hurt any worse than the tummy? I have plenty of fat to

> pinch on my stomach, just seems like the leg would hurt worse, my

> imagination or fact?

>

> Thanks

>

>

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Guest guest

Thanks Marcia. Now I just have to be brave enough to actually do it

myself. So far I've had my father in law (who is a dr) do my

injections. But, I need to get over that initial fear and do it

myself :)

So far I have

gotten 3 Humira shots, all in my abdomen, rotating sides

> back and forth. The dvd that came with it said that you can use

legs

> too and should preferably rotate to all four spots. Anyone use

their

> thigh? Does it hurt any worse than the tummy? I have plenty of fat

to

> pinch on my stomach, just seems like the leg would hurt worse, my

> imagination or fact?

>

> Thanks

>

>

>

>

>

>

> __________________________________________________

>

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Guest guest

I might just try that ice on the thigh if I get brave enough to try

it~ I've been leaving my syringes out about 1/2hr to warm up, not

sure if it helps or not though :)

>

> I put an ice pack on the location I will inject in for about 15

minutes

> prior to get numb pretty deep in the skin. I also leave the Humira

out of the

> fridge for that 15 minutes to warm up a bit. The number I am and

the warmer it

> is the less it hurts. And then I place the ice pack directly back

on it for

> probably 5 more minutes and it's smooth sailing from there.

>

>

> ._.-'¯(_._.-'¯(_ ._.-'¯(_._.-'¯(_

> Enjoying the Dog Days of Summer!

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Guest guest

,

Thanks for that info. That is my biggest fear with actually giving

the shot myself. I'm afraid that as soon as I hit skin I'm going to

instinctively pull backwards-

I've had three shots so far and so far I've been too chicken to do

them myself. But the next one I am determined to try it, and think

I'm going to try the thigh, more of a direct hit :)

> >

> > So far I have gotten 3 Humira shots, all in my abdomen, rotating

sides

> > back and forth. The dvd that came with it said that you can use

legs

> > too and should preferably rotate to all four spots. Anyone use

their

> > thigh? Does it hurt any worse than the tummy? I have plenty of

fat to

> > pinch on my stomach, just seems like the leg would hurt worse, my

> > imagination or fact?

> >

> > Thanks

> >

> >

>

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Guest guest

Tracie I do humeri and MTX injections, really Now i would rather do a shot myself than have someone else do it! I went rheumy Tuesday and she wanted me to have a MTX shot, I took the needle from the nurse and id it, Really after that first time it is not so bad, and yes it does help to let it come to room temp. in WIi_live_in_slippers <bart.tracy@...> wrote: Thanks Marcia. Now I just have to be brave enough to actually do it myself. So far I've had my father in law (who is a dr) do my injections. But, I need to get over that initial fear and

do it myself :) So far I have gotten 3 Humira shots, all in my abdomen, rotating sides > back and forth. The dvd that came with it said that you can use legs > too and should preferably rotate to all four spots. Anyone use their > thigh? Does it hurt any worse than the tummy? I have plenty of fat to > pinch on my stomach, just seems like the leg would hurt worse, my > imagination or fact?> > Thanks> > > > >

> > __________________________________________________>

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