does anyone else do b12 injections at home? question...

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dustspeck
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Date Joined Sep 2007
Total Posts : 565
   Posted 8/3/2009 6:17 PM (GMT -7)   
ok, so last month i did my first b12 injection under the watchful eye of an rn. she said i did very well and honestly i didn't have a problem injecting myself. i was nervous at first but it really is much better than paying $25 per injection at the office.

so, my question is this. do i pull the syringe back first before sticking the little bottle of b12 then push the air out into the bottle and then pull back on the syringe to suck up the liquid? i believe i remember the nurse saying this will help get most of the liquid out. unless i got it backwards somewhere?

thanks and i hope this all finds you well.

in other news, i have been so on and off with different illnesses i am going to see if my gi will come down on my 6mp. i can't fend off anything! so far this year i have had a flu, another uti, salmonella poisoning, another week long illness after my bunion surgery. SO done. also seem to be in a flare of some sort the past month or so. experiencing pain with no rhyme or reason, increased bathroom trips, UGH. (so maybe i won't even be able to come down on 6mp?) in other other news, i have a sweet new man in my life who is not even remotely bothered by my sickness :D he keeps me smiling!
.: stephanie :.
34 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, trazodone, iron, calcium, folic acid, b12 injections at home & some other vits

currently in remission! :D


pillpopper
Regular Member


Date Joined Jan 2009
Total Posts : 209
   Posted 8/3/2009 6:50 PM (GMT -7)   
I just pop the membrane with the needle and draw it out...
I don't know why, but I love the smell of those alcohol pads,
ahh its the little things in life...
B-12injections,Pentasa,Loperamide,Entocort,6mp,Hydrochlorothiazide,8 week
Remicade,vitamin-D,Terbinafine,
Remission since surgery
and 8-week Remicade.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 8/4/2009 6:53 AM (GMT -7)   
I get my shots biweekly at the nurses clinic. Lucky for me its free.
Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

HabsHockeyFan
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Date Joined Jan 2006
Total Posts : 3130
   Posted 8/4/2009 8:50 AM (GMT -7)   
I put the syringe in the bottle, then draw back. then flick to move any air bubbles to top, then depress some to remove air.
The best way to keep air bubbles to a minimum is to draw back SLOWLY when filling. Oh and make sure the needle tip is in the liquid....I accidentally was drawing in from the open air in the bottle.

My shots were only $9 at the RN, but the need to go there versus doing at home was my savings and convenience benefit.

ps my 80 year old dad gives himself B12 injections too...he does them in his tummy which I can not bring myself to do yet....my thighs will just have to live with the bruises I give them :-)
Dx'd '90 (emergency rupture), symptoms ignored long before that, '03 fistulas and bad flagyl reactions, B12 weekly, Pentasa [until I surrender to the bigger meds]
I'm riding on the escalator of life....


Zanne
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Date Joined Apr 2005
Total Posts : 3763
   Posted 8/4/2009 1:08 PM (GMT -7)   
My sister, an RN, taught my husband to give the shots to me. She did tell him to draw air into the syringe before putting it into the vial of B12 then push the air into the empty space in the vial and draw the needle down a bit into the liquid, draw the syringe back down and the B12 will flow into the vial. I actually do all the prep stuff and my husband just does the stick. My shots were covered by insurance, but I would rather pay for the Rx than drive to the doctors office for the shot. It costs less than a $1 for each shot and with the cost of gas I'm sure I'm on the winning end of this one.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 8/5/2009 4:12 AM (GMT -7)   
I'll have to ask my GI to let me do my own.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications: Asacol, Precription Folic Acid, Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Protonix,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.


dustspeck
Veteran Member


Date Joined Sep 2007
Total Posts : 565
   Posted 8/5/2009 6:59 PM (GMT -7)   
thanks for the advice everyone. saturday should go off without a hitch :)

yeah, i don't know about shots to the stomach. i am sticking (pun intended) to my thighs :D
.: stephanie :.
34 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, trazodone, iron, calcium, folic acid, b12 injections at home & some other vits

currently in remission! :D


eljay1066
Veteran Member


Date Joined Jan 2003
Total Posts : 3166
   Posted 8/7/2009 12:57 PM (GMT -7)   
I was so lucky when I needed the B12 shots. At the time I had no insurance (I know, a big no-no for us) because I was working as a nanny. That was a stress-free job, the only one that I could handle at the time. There's nothing more therapeutic for me than baby's hugs! Anyway, I was lucky because the children's father was a doctor who helped me apply to the drug company to get the medicine without charge (hardship case.) It went right to his home, and he gave me the shots.

Later I moved and my new doctor wanted blood tests done first. It turns out my levels had retuned to normal, and I haven't needed it since. My family doctor checks at least once a year, and I'm still okay in that respect
Take care. Lois

dustspeck
Veteran Member


Date Joined Sep 2007
Total Posts : 565
   Posted 8/8/2009 8:46 AM (GMT -7)   
first unsupervised b12 injection did not go as well as my first rn instructed injection. i bounced the needle of my skin about 3 times before i got it in! and this one kind of hurt, could it be because i had the needle on an angle rather than up straight? or does it not matter?
.: stephanie :.
34 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, trazodone, iron, calcium, folic acid, b12 injections at home & some other vits

currently in remission! :D


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 8/8/2009 10:23 AM (GMT -7)   
Probably the needle was just getting a bit dull from the previous "sticks".

I was on B12 injections once a week for over a year. I did them myself. Since I was also doing daily Forteo injections I "stuck" w/just the thigh injections for the B12. The needle was a tad longer and a tad larger than the needle for the Forteo.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


dustspeck
Veteran Member


Date Joined Sep 2007
Total Posts : 565
   Posted 8/8/2009 12:26 PM (GMT -7)   
since i am doing injections once a month i am discarding needles after 1 stick so this was a fresh one. maybe i wasn't squeezing the muscle in my leg hard enough? my leg actually felt a little sore when i went out earlier :/ oh well, i will try again next month!
.: stephanie :.
34 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, trazodone, iron, calcium, folic acid, b12 injections at home & some other vits

currently in remission! :D


ski bum
Regular Member


Date Joined Jan 2007
Total Posts : 451
   Posted 8/8/2009 9:56 PM (GMT -7)   
Are vit B12 shots given subq or IM?
50 y/o F. CD dx'd Aug 05. Initially on Pentasa, then Imuran 125 mg. Started Humira (very reluctantly) on 10/24/07. Ileocolectomy 4/08. Back on Pentasa as maintenance.


oldcrohnie
Regular Member


Date Joined Feb 2007
Total Posts : 123
   Posted 8/9/2009 11:31 AM (GMT -7)   
I give myself B12 injections in the thigh. When I stuck myself last week, I must have hit a vein or nerve - felt a pain shoot up my calf, and
couldn't press the syringe, so I pulled it out and blood squirted! It took me 3 maore days to have the nerve to try again. Has this ever happened
to anyone? Should I be really sqeezing the thigh muscle when injecting?
30+ years with Crohn's - 3 resections, abcess, fistula
 


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 8/9/2009 12:04 PM (GMT -7)   
I was not taught to squeeze the muscle. Just to stick it in. But, its actually my husband who does the injecting and he does it in my arm. My sister, an RN, told him to do it like he was playing darts. 1,2,3... So the first time he did it without her there, he did it really hard and actually went so far in he hit bone. That one hurt! He says that sometimes the skin has more tension in it than at other times. Sometime my arm hurts for a few days after and sometimes it doesn't, and sometimes it bruises and other times not. Who knows. Oh and for who ever asked, its IM not SubQ.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/9/2009 1:35 PM (GMT -7)   

Hey Everyone,

Kitt here........the traditional approach to treatment consists of Sub-Q injections of cyanocobalamin (B12).

Also Zanne is right on the injection of air into the vial first. Pierce the rubber stopper in the center with the needle tip and inject measured air into the space above the solution.

Good Luck all.

Kitt

 

 


 

Kitt,
Moderator: Osteoarthritis, GERD/Heartburn
Anxiety/Panic, & Depression
*~*
http://www.healingwell.com/donate *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
Not a mental health professional of any kind


frogeleita
Regular Member


Date Joined Jul 2009
Total Posts : 342
   Posted 8/9/2009 1:59 PM (GMT -7)   
i am not sure...being that you are injecting yourself..i would suggest you just call the nurse..their has to be someone who can answer that for you...better safe than sorry!

HabsHockeyFan
Veteran Member


Date Joined Jan 2006
Total Posts : 3130
   Posted 8/10/2009 5:24 AM (GMT -7)   
Hey dustspeck. It is possible you dulled the needle. My father being the most frugal (ok he's cheap and he taught me too) wanted to reuse his needles. The doc told him the needle would be dull and cause pain after one jab. I know that when i have a "chicken" day on the injection and flub it a few times, it hurts when i finally get it in. You can actually see the needle is duller when you look.

I also did find that an angle hurt more than straight in. And I don't really squeeze the flesh anymore. i lay my hand on my thigh like a frame with my thumb and fingers and inject between.

Thanks everyone on the note about injecting air into the vial....I have to use that now
Dx'd '90 (emergency rupture), symptoms ignored long before that, '03 fistulas and bad flagyl reactions, B12 weekly, Pentasa [until I surrender to the bigger meds]
I'm riding on the escalator of life....


dustspeck
Veteran Member


Date Joined Sep 2007
Total Posts : 565
   Posted 8/10/2009 5:55 PM (GMT -7)   
ah ha, good advice! thanks habs :) i wonder if i dulled the needle because i had to pull the needle out of the rubber top and get rid off a huge air bubble and then stuck it back in. i will definitely stick with the needle straight up. thanks again!
.: stephanie :.
34 y/o female diagnosed 8/8/7 with crohn's of the terminal ileum w/ stricture/scarring
meddies: 6mp, trazodone, iron, calcium, folic acid, b12 injections at home & some other vits

currently in remission! :D


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 8/10/2009 6:58 PM (GMT -7)   
Filling the syrinige w/air and then injecting the air into the bottle displaces some of the B12 and the syringe actually starts pulling the B12 out on its own. Of course you have to finish the job to get the correct dose into the syringe.
 
Flicking the syringe w/your fingertip drives any air bubbles to the tip of the syringe. You then push the stopper for a small drop of the B12 to bubble on the tip of the needle to remove those air bubbles.


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

Post Edited (CrohnieToo) : 8/10/2009 8:01:10 PM (GMT-6)


lao3610
New Member


Date Joined Nov 2013
Total Posts : 2
   Posted 11/25/2013 11:45 AM (GMT -7)   
I'm a nursing student and have given many injections. You can push the air in first. The purpose of that is it will increase the pressure in the vial and make drawing up the medicine easier. The syringe will pull back almost on its own. You don't HAVE to do this but it does make drawing up the medicine easier sometimes. Sometimes I pull back more than the recommended dose, flick the syringe with fingers or against the edge of a table and then push the excess back in to get the correct dose. This will help get those pesky little air bubbles to the top and then get injected back into the vial.

As far as giving in your stomach. Your stomach is considered a SubQ injection which means the injection will go into your skin so please make sure you are using the right size needle and the correct angle. For SubQ you would use a 1/2 inch needle and depend on your size go in at a 45 degree angle. If you are larger and have more fat then go in at a 90 degree angle. For IM you want the injection to go into your muscle. You go in at 90 degrees and use a one inch needle. Please talk to your nurse or Dr. about which type of injection to do and make sure you have the correct needle size and are injecting at the correct angle. Again some of this will depend on your size. What I have given are for the typical size adult. Again always be careful about asking how to inject yourself online. It is always ask to ask a Dr. or nurse and have them demonstrate and make sure you are doing it correctly.

Also, please make sure you are disposing of needles into a biohazard container. You can get them at Walgreens for 6 bucks and provides a label instructions on where to send the used needles. Do NOT throw used needles into the garbage.

Post Edited (lao3610) : 11/25/2013 11:50:05 AM (GMT-7)


lao3610
New Member


Date Joined Nov 2013
Total Posts : 2
   Posted 11/25/2013 11:54 AM (GMT -7)   
HabsHockeyFan said...
Hey dustspeck. It is possible you dulled the needle. My father being the most frugal (ok he's cheap and he taught me too) wanted to reuse his needles. The doc told him the needle would be dull and cause pain after one jab. I know that when i have a "chicken" day on the injection and flub it a few times, it hurts when i finally get it in. You can actually see the needle is duller when you look.

I also did find that an angle hurt more than straight in. And I don't really squeeze the flesh anymore. i lay my hand on my thigh like a frame with my thumb and fingers and inject between.

Thanks everyone on the note about injecting air into the vial....I have to use that now




OMG PLEASE do not ever reuse needles that others have used. You are playing with fire. Even if it's you family member, best friend, anyone!!! Also make sure you are NOT throwing used needles into the garbage. when injecting into your thigh, it is correct to not squeeze the skin. Actually do the opposite. It will hurt less and ensure you are actually getting into your muscle.
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