IM with a short, sharp needle.
I alcohol wipe the top of the MTX vial and then the area I will be jabbing and finally my fingertips.
*If you let the alcohol DRY it does not sting. If you DO NOT let it dry, it WILL sting!
I draw the dose and then firmly apply the needle straight in and inject slowly. I then sort of 'pinch/rub' the area to prevent any MTX from coming out the injection path and apply a bandaid.
I inject, working in a circle around my body, so each injection site has about 9 weeks between being used:
L upper arm, L middle-of arm, L hip area, L upper thigh, L middle-of thigh, R middle-of thigh, R upper thigh, R hip area, R middle-of arm, R upper arm.
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC. No remission. No improvement with Remicade. 5/2008 surgery, removal of 6" of left side colon. Dx changed to Crohn's. Remission for 8-9wks after surgery, symptoms returned after resuming 6MP. Changed maintenance med to Methotrexate (MTX) and had great results with IM injections. Nausea and symptoms returning with oral MTX. Switched back to IM injections and am slowly improving.