MTX Injection Questions

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Bob - 20 Jul 2004 16:42 GMT

Hello everyone. I have been injecting MTX for a couple of months now and
have some questions for you more experienced MTX'ers.

1. How do you get that last little bit of MTX out of the bottle? I have
couple of bottles that are not quite empty but I just cannot bring myself
to throw them away. So, how do you get those last little bits of the
yellow stuff out of there? (I thought about wasting a syringe to suck it
out and then shoot it into one bottle)

2. I inject into the top of my thigh. How deep do you stick the needle? I
was going in about half of the needle width but last time I think I went
too deep because a tiny drop of blood came out when I finished.

Thanks in advance.

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R. Joanne Johnson - 21 Jul 2004 01:39 GMT

> Hello everyone. I have been injecting MTX for a couple of months now and
> have some questions for you more experienced MTX'ers.
[quoted text clipped - 10 lines]
>
> Thanks in advance.

Hi Bob, I have been injecting my MTX for almost 6 weeks now. But, before I
got my insulin pump, I took several shots a day of insulin and so had some
experience that way.

About the mdeicine remaining in the bottle, how much do you mean? If it is
enough to gather it all into one bottle, then fine gather and deposit from
each into one bottle then draw enough from the new bottle to make your
injection amount, place with the rest and then draw up all and inject.

As far as pushing that needle in, I always was taught with insulin that the
needle needs to go all the way in, not part way. I ws taught that without
that, you would not get the full benenfit of the insulin. So, with the MTX,
I amke sure it goes all the way in.

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Bob - 21 Jul 2004 12:54 GMT

> Hi Bob, I have been injecting my MTX for almost 6 weeks now. But,
> before I got my insulin pump, I took several shots a day of insulin
> and so had some experience that way.

The insulin pump must be a lot easier. Is it automatic or do you have to
monitor and control it?

> About the mdeicine remaining in the bottle, how much do you mean? If
> it is enough to gather it all into one bottle, then fine gather and
> deposit from each into one bottle then draw enough from the new bottle
> to make your injection amount, place with the rest and then draw up
> all and inject.

It looks like a little bit in the bottom of two bottles that might make up
3 cc or so. Just guessing. Friday is my injection day so I will just try to
get that last bit out of each bottle with the syringe and then transfer it
to one. Gathering is a good term

> As far as pushing that needle in, I always was taught with insulin
> that the needle needs to go all the way in, not part way. I ws taught
> that without that, you would not get the full benenfit of the insulin.
> So, with the MTX, I amke sure it goes all the way in.

Thanks Joanne. I was just worried that I had done something wrong on the
last one when I got a tiny drop of blood from the injection site. I had
never seen that before and thought I had gone into a vessel or something.
I know this is called sub cutaneous and I figured that meant under the
skin. I have been injecting about halfway down with the needle.

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Nann Bell - 21 Jul 2004 14:13 GMT

> Thanks Joanne. I was just worried that I had done something wrong on the
> last one when I got a tiny drop of blood from the injection site. I had
> never seen that before and thought I had gone into a vessel or something.
> I know this is called sub cutaneous and I figured that meant under the
> skin. I have been injecting about halfway down with the needle.

just a thought, thanks to the allergy shot thread. Those are definitely SC
shots and I have always gotten them from a nurse at an allergist's office.
Sometimes, they draw blood with these shots. In fact, on me, they often got
at least a bit of blood (I bleed very easily). They never worried about it,
said it's easy to nick a capillary on a SC shot. If you got more bleeding
than a drop or two, you might have gone deeper, but a couple fo drops isn't
much of a concern. (think how much a shallow scratch can bleed at times!)

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R. Joanne Johnson - 22 Jul 2004 12:29 GMT

Hi Bob,
The insulin pump is a lot easier but very far from automatic. I must change
the site every 3 days which involves filling a reservoir with insuin,
installing the cannula in the abdominal area. A very samll medical procedure
which gives me very big rewards! Anyway, after that , I do the math with
food (carbohydrates particularly) and program the pump to give me what I
need to cover the food. I have also set up basal rates for the 24 houjrs and
then the pump delivers that insulin over the time. I love it! So not
actually automatic but the next best thing.

Bob, don 't worry about the blood. Just emans you hit a small capillary (sp)
and really no harm. If you notice it as you begin the injection, move to
less capillary place. If after don't worry too much. but, to feel better
about it, just ask your doctor when you see him/her so that he (or she) can
explain it to you.

Bob, I do my injection on Friday, too. I will be coming up on my 6th
tomorrow. Here's wishing us all good results from this!

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>
> > Hi Bob, I have been injecting my MTX for almost 6 weeks now. But,
[quoted text clipped - 25 lines]
> I know this is called sub cutaneous and I figured that meant under the
> skin. I have been injecting about halfway down with the needle.

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Bob - 25 Jul 2004 02:02 GMT

> Hi Bob,
> The insulin pump is a lot easier but very far from automatic. I must
[quoted text clipped - 15 lines]
> Bob, I do my injection on Friday, too. I will be coming up on my 6th
> tomorrow. Here's wishing us all good results from this!

I think we are on about the same schedule with the MTX. I started on May
7th. I had a pretty good day yesterday and a good night last night. The
pain and swelling in my hands is definitely less.

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