Stupid Question about Humira - Pinching?

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SaraOnThisSite
Regular Member


Date Joined Feb 2006
Total Posts : 211
   Posted 7/28/2010 7:15 PM (GMT -7)   
So, this was the first time I had to give myself the Humira shot alone, without the nurse.  I had to give the 2 shots.  My question is, I completely forgot the first time to pinch!  What does the pinching do?  Is it not going to be as effective or something?  I mean, I think the medicine all went through and all, both pinching and nonpinching hurt like a *****, so I'm assuming everything is okay.  But I'm just paranoid since the directions clearly said to pinch skin...
 
25 year old female, diagnosed with Crohn's in 2002 after being misdiagnosed with Lyme Disease for a year.  Have been on Prednisone, Asacol, Entocort, Remicade, random antibiotics (cipro, flagyl, avalox, etc), and Mercaptopurine,  (even the lowest dosage was messing up my liver, argh) in the past.
 
Currently on Predisone and (finally!) just started Humira.


Stef17
Veteran Member


Date Joined Feb 2003
Total Posts : 1811
   Posted 7/28/2010 7:21 PM (GMT -7)   
You're fine. I think they just tell you to pinch to make sure that you get enough skin/tissue for the needle to inject into. I guess it could also help you avoid hitting any major veins or whatever, but I wouldn't sweat it.

Tara28
Regular Member


Date Joined Apr 2005
Total Posts : 362
   Posted 7/28/2010 8:33 PM (GMT -7)   
yep, it might make a differnce when you're super skinny, so they tell you to "make a platform" ie pinch an inch, to make sure it goes into fat tissue :)
33 years old, dx with Crohn's in 1998. Currently on :
Clofazimine 100mg daily,
Rifampin 600mg daily, and Clarithromycin 2 tabs daily
and Cipralex 10mg/day for anxiety.
Hydroxyzine, percocet, Ativan as needed.
5g pharmaceutical grade Omega 3's, 1000IU's Vitamin D3 daily
2 Perianal fistulas, and 1 more suspected. Crohn's only at end of colon, cecum. Remi, Asacol, Salofalk, Imuran, Humira did nada. Built immunity to long-term Cipro use, which also induced panic attacks.


Sniper
Veteran Member


Date Joined Feb 2004
Total Posts : 6518
   Posted 7/29/2010 5:39 AM (GMT -7)   
I dont know about Humira, but I use insulin and the point of pinching is to get it into fatty tissue and not muscle. I have enough belly to not have to pinch but if your thin that may be why they want you to . I pinch if I use the upper arm or thigh for the injection site. Also if you use the stomach stay about 2 inches away from the navel as there are lots of nerves there and more chance of it hurting. Hope this helps.
If we would read the secret history of our enemies,we would find in each mans life sorrow and suffering enough to disarm all hostility.


dunny2
Veteran Member


Date Joined Jan 2007
Total Posts : 3200
   Posted 7/29/2010 10:44 AM (GMT -7)   
Yep, the pinch is so it goes into the subcutaneous layer,ie; just under the skin. If it goes into a muscle it
would be more quickly absorbed. But please don't worry too much, the needles are quite small especially
if you're using the pen, i don't think you've done any damage whatsoever. Just remember to pinch next
time, it actually will hurt less when you pinch, because you're not going so deep. Gotta be a bonus!!!
Vicky

Too many years with CD
Two bowel resections, several obstructions.
Fibromyalgia and recently diagnosed with chronic pancreatitis and lupus.
B12 Shots bi-weekly

Laughter is the brush that sweeps the cobwebs from our hearts...


SaraOnThisSite
Regular Member


Date Joined Feb 2006
Total Posts : 211
   Posted 7/29/2010 11:38 AM (GMT -7)   
Haha okay thanks, I was getting worried about not following the rules! I'm not skinny, so I guess at least I don't have to worry about that, haha. I did it in my thigh. (Does anyone know why it's the front of my thigh...my EMT friends all thought you would have to do it on your side, but the humira instructions specifically say front)

The second one I pinched, so at least it was just the first one I forgot about. I know it goes in and everything, and you can tell because of when the yellow part comes down, but its still such a foreign concept to me that I am getting medicine by doing this. I guess I'm just so used to daily pills. And now the fact that yes, I'm giving myself the shot but I can't actually see the medicine going through or anything. I don't know. Today I'm starting to wean off the prednisone I'm so so nervous! :/

Thanks for the replies! :)
 
25 year old female, diagnosed with Crohn's in 2002 after being misdiagnosed with Lyme Disease for a year.  Have been on Prednisone, Asacol, Entocort, Remicade, random antibiotics (cipro, flagyl, avalox, etc), and Mercaptopurine,  (even the lowest dosage was messing up my liver, argh) in the past.
 
Currently on Predisone and (finally!) just started Humira.


Sniper
Veteran Member


Date Joined Feb 2004
Total Posts : 6518
   Posted 7/29/2010 12:52 PM (GMT -7)   
The side of the thigh would have more fat than the front. Too much is not as good as just enough, thats why the buttocks is the least best place, for insulin anyway, and maybe why they want it in the front of the thigh. I still like the belly more but sense I cant keep injecting the same place over and over I go from belly to thigh or back of the upper arm. I keep track by dividing my body into a morning side and evening side .
If we would read the secret history of our enemies,we would find in each mans life sorrow and suffering enough to disarm all hostility.


Sunaddict
Regular Member


Date Joined Jun 2009
Total Posts : 354
   Posted 7/29/2010 1:05 PM (GMT -7)   
SaraOnThisSite said...
So, this was the first time I had to give myself the Humira shot alone, without the nurse.  I had to give the 2 shots.  My question is, I completely forgot the first time to pinch!  What does the pinching do?  Is it not going to be as effective or something?  I mean, I think the medicine all went through and all, both pinching and nonpinching hurt like a *****, so I'm assuming everything is okay.  But I'm just paranoid since the directions clearly said to pinch skin...

I'm doing my injection tonight!! :(
But seriously don't stress yourself over it hun!! you'll be ok as long as it all went in (even if a drip or 2 didn't or if you had a little leak) your still ok and good to go.
I'm skinny and it def helps for the stomach to make the pinch, but I don't make the pinch when it's time to do them on my legs..my nurse told me if you don't need to pinch, then don't. Legs you shouldn't worry about hitting anything (vains..) but the stomach make sure your 2 cm away from ur belly button. You'll be fine!!
P.S use an ice pack 30 mins before injection, makes a huge differece...yes still hurts like a freak W*ore but still helps, if it still hurts after the shot , re put the ice back for another 5-10 mins)
Good Luck!!!!!

Tara28
Regular Member


Date Joined Apr 2005
Total Posts : 362
   Posted 7/29/2010 8:05 PM (GMT -7)   
Sara, even tho the nurses say it hurts way more on the belly, they are wrong (imo).
IME< whenever i've injected in my thigh it's stung like a beach... and only slightly uncomfortable in the belly..I do it kind of halfway between love handles and belly button, changing sides with each shot.
33 years old, dx with Crohn's in 1998. Currently on :
Clofazimine 100mg daily,
Rifampin 600mg daily, and Clarithromycin 2 tabs daily
and Cipralex 10mg/day for anxiety.
Hydroxyzine, percocet, Ativan as needed.
5g pharmaceutical grade Omega 3's, 1000IU's Vitamin D3 daily
2 Perianal fistulas, and 1 more suspected. Crohn's only at end of colon, cecum. Remi, Asacol, Salofalk, Imuran, Humira did nada. Built immunity to long-term Cipro use, which also induced panic attacks.

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