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Medical Forum / Diseases and Disorders / Arthritis / February 2005

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Help needed, new to Enbrel

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Sunny52 - 31 Jan 2005 22:04 GMT
Visit to RD was not good, liver function tests high (not sure how high,
but 53 was mentioned) and Sed Rate 113 - highest ever. RD wants me on
Enbrel ASAP.

I have injected Mtx before it became unavailable, but am not sure if
Enbrel injections are similar.
Can anyone give me some advice.  Nervous nellie here.

Thanks.

Bonnie
debbie m. - 31 Jan 2005 23:11 GMT
Bonnie,

There have been several on the newsgroup lately that have started on Enbrel
and getting very good results.  Maybe they will be along to help you with
questions.

debbie m.
http://www.angelfire.com/ga2/angels1/

> Visit to RD was not good, liver function tests high (not sure how high,
> but 53 was mentioned) and Sed Rate 113 - highest ever. RD wants me on
[quoted text clipped - 7 lines]
>
> Bonnie
Sunny52 - 31 Jan 2005 23:51 GMT
Thanks, Debbie.  I really hope my results are also good.

Bonnie
Harvey R. Stone - 01 Feb 2005 01:01 GMT
> Visit to RD was not good, liver function tests high (not sure how high,
> but 53 was mentioned) and Sed Rate 113 - highest ever. RD wants me on
[quoted text clipped - 7 lines]
>
> Bonnie

Hi Bonnie,,,  If you have done Methx, Enbrel will be a breeeeze for you.
Nothing to it.  Just keep it cool in you frig and shoot on a 45 degree
angle.  You will do fine.   I do.
Harv
Sunny52 - 01 Feb 2005 01:11 GMT
Hi Harv,

Thanks for the response.  Not to sound dumb, but should the same
methodology be used?  Pinching the skin, injecting into the muscle?
Doc was vague.

Bonnie
Harvey R. Stone - 01 Feb 2005 03:23 GMT
> Hi Harv,
>
[quoted text clipped - 3 lines]
>
> Bonnie

Hi Bonnie,,,,  Please do not make a big deal out of this or worry to much
about the shot.  We have people that have used Enbrel from the very
beginning trials and are still using it.
     I do not think it matters.   Some people us their stomachs leaving  a
2 inch ring around their navel where they can not shoot.  Believe me when I
say that some people can not even reach muscle there.
     I will say that some people have a small itchy place where they inject
for a couple of days.    I will not be vague.   Don't sweat the small
stuff,,,,, its the disease we have to worry about.

Harv
Sunny52 - 01 Feb 2005 12:55 GMT
"Don't sweat ­the small stuff,,,,, its the disease we have to worry
about."

Of course, you are right!  I need to remond myself of this from time to
time.

Thanks, Harv.
Sunny52 - 01 Feb 2005 12:56 GMT
"Don't sweat ­the small stuff,,,,, its the disease we have to worry
about."

Of course, you are right!  I need to remond myself of this from time to
time.

Thanks, Harv.
Ted - 01 Feb 2005 04:56 GMT
> Hi Harv,
>
> Thanks for the response.  Not to sound dumb, but should the same
> methodology be used?  Pinching the skin, injecting into the muscle?
> Doc was vague.

Enbrel comes with a rather extensive training package, including a
video, booklet, and live demonstration. Your doctor should give this to
you before you start Enbrel. The Enbrel injection is subcutaneous rather
than intramuscular, presumably a different methodology from
methotrexate. It's not difficult, especially if you're already taking an
injectable medication, but you shouldn't start until you've received the
training and are comfortable with the process. After that it's nothing
to worry about.

---
Non-spam e-mail: usenet{AT}tedsimages{dot}com
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Nann Bell - 01 Feb 2005 04:07 GMT
I never injected mtx, take the pills instead, but I have found the Enbrel
shots to be much easier than I expected from what I'd heard.  It does sting
less if you let it warm up for a few minutes first and if you inject slowly
over a few seconds, but otherwise the shots really aren't bad.  Then again,
maybe my opinion is tainted by years of allergy injections.

Signature

Nann
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Simply the thing I am shall make me live --- William Shakespeare

sue - 29 Jan 2005 17:44 GMT
Nann, if you let the alcohol on your skin dry completely before you inject,
takes about 10 seconds, there will be no sting.

Gloria

> I never injected mtx, take the pills instead, but I have found the Enbrel
> shots to be much easier than I expected from what I'd heard.  It does sting
> less if you let it warm up for a few minutes first and if you inject slowly
> over a few seconds, but otherwise the shots really aren't bad.  Then again,
> maybe my opinion is tainted by years of allergy injections.
Nann Bell - 02 Feb 2005 01:29 GMT
> Nann, if you let the alcohol on your skin dry completely before you inject,
> takes about 10 seconds, there will be no sting.
>
> Gloria

I do, there is still some sting while injecting but that's ok.  Heck, I've
done eyars of allergy injections in the past and they not only stung, but I
had some rather impressive reactions at times.  I can handle a bit of sting.

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Sunny52 - 01 Feb 2005 13:09 GMT
Thanks Nann and Ted.

I guess I'm always nervous before starting something new.  Wouldn't it
be nice if the arthritis drugs could be administered like the stop
smoking patches?!  Now, that's something even I could deal with.  lol
Bonnie
jenwilliams72@gmail.com - 02 Feb 2005 03:59 GMT
Hi Bonnie:
I was just prescribed Enbrel but I have not started it yet. I have,
however, given it frequently when I was still working as a nurse.
It is a simple injection, depending on your dose (25 or 50 mg usually)
it will either come as a pre-filled syringe (that is the 50 mg) or as a
bottle of powder with diluent that you inject into the bottle to make
the  solution and you then withdraw the contents from the bottle with
the needle included in the dose kit. It requires refrigeration but you
need to let the solution warm up in room temperature (naturally not in
hot water or microwave) otherwise the injection will be more
uncomfortable (burns).  The injection itself is just a simple
subcutaneous injection (sub-Q) which means the fluid is being delivered
to the layer of fat just under the skin. The needle given with the kit
is the newer short variety that makes placing the needle very easy, you
do not really need to be concerned with a precise 45 degree angle
(typical of a longer needle) with a short needle. But the information
that comes with the package or a talk with your nurse may be most
helpful.

Here is THE BEST though. If you go to the company website (Enbrel.com)
and click patient support services. Call the number (888-4Enbrel I
think)  when you call they will take your name and send you a whole kit
free of how to take the drug.
I just got mine and it included a detailed instruction manual, video,
placemat for preparing the meds (with detailed pictures of where to
place your tools) and a sharps container and a bunch of other things.
Now they are sending me a travel cooler for if I am going on vacation
and need to bring my meds.
Totally worth the 3 minutes I spent on the phone.
Hope this helps! Good Luck!
Sunny52 - 02 Feb 2005 13:34 GMT
Hi Jen

Thank you for the information.

I have been prescribed 50mg dosages, but I have not yet opened the box
to look at the syringes.  I found the website yesterday and called to
request the kit.  The nurse told me they do not recommend taking the
drug without first looking through the materials and watching the
video.  It should arrive next week.

Everyone has give helpful information.  I'm sure I can do this!
Good luck to you also.
Bonnie
jenwilliams72@gmail.com - 02 Feb 2005 04:02 GMT
Hi Bonnie:
I was just prescribed Enbrel but I have not started it yet. I have,
however, given it frequently when I was still working as a nurse.
It is a simple injection, depending on your dose (25 or 50 mg usually)
it will either come as a pre-filled syringe (that is the 50 mg) or as a
bottle of powder with diluent that you inject into the bottle to make
the  solution and you then withdraw the contents from the bottle with
the needle included in the dose kit. It requires refrigeration but you
need to let the solution warm up in room temperature (naturally not in
hot water or microwave) otherwise the injection will be more
uncomfortable (burns).  The injection itself is just a simple
subcutaneous injection (sub-Q) which means the fluid is being delivered
to the layer of fat just under the skin. The needle given with the kit
is the newer short variety that makes placing the needle very easy, you
do not really need to be concerned with a precise 45 degree angle
(typical of a longer needle) with a short needle. But the information
that comes with the package or a talk with your nurse may be most
helpful.

Here is THE BEST though. If you go to the company website (Enbrel.com)
and click patient support services. Call the number (888-4Enbrel I
think)  when you call they will take your name and send you a whole kit
free of how to take the drug.
I just got mine and it included a detailed instruction manual, video,
placemat for preparing the meds (with detailed pictures of where to
place your tools) and a sharps container and a bunch of other things.
Now they are sending me a travel cooler for if I am going on vacation
and need to bring my meds.
Totally worth the 3 minutes I spent on the phone.
Hope this helps! Good Luck!
Harvey R. Stone - 02 Feb 2005 13:14 GMT
And another nurse joins ASA....  Welcome, welcome and well said in helping
Bonnie.  If you are not all that new, it is my fault in being out for
awhile.    Better days are ahead for you in starting Enbrel.
Harv

> Hi Bonnie:
> I was just prescribed Enbrel but I have not started it yet. I have,
[quoted text clipped - 26 lines]
> Totally worth the 3 minutes I spent on the phone.
> Hope this helps! Good Luck!
 
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