If you inject with "pens" or "sure-click" ... | Arthritis Information

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I have never had a problem as you describe..

I do mine sitting down and in the abdomen. With my left hand I pinch up the skin and with the right I hold the pen firmly against the pinched skin then hit the button.

Hang on, correction............            I have had one pen fail and not inject the fliud thru the needle.
I got the prick but my skin got the fluid.
I took it back to the chemist, filled out a form and had the pen replaced for free.

It might be possible that you have struck two duds.
I use a syringe...  I was fearful of the   pens having read of others having some issues... and not having control over the meds going in.I hate the pens. I've switched back to the old fashion syringes myself. The main reason is because i think the pens shoot it in so fast it hurts like hell!! You can control the flow of the syringe better and FOR ME that makes a big difference.

 
As for your problem it sounds like you are not pressing the pen to your skin the entire time. Hold it firmly against the skin and do not pull it off until you see the yellow thing in the little window. When the pen snaps it's easy to sort of jump. Maybe you are moving it too soon or something. I also agree with you. If you are hearing it hit the floor; you are missing a large part of the dose. I'd switch back to the syringes since you're use to them anyway.
 
 
Thanks everyone.  I can't bring the pens back to the pharmacy because my insurance has this new-fangled thing to "save money" (I don't see how) by sending biologics through the mail via FedEx, in styrofoam coolers packed with ice packs.  I mean, how on earth does that save money?
 
Anyway, having heard some feedback from others that the pens are an iffy situation, I'll order syringes next time.
I use the sure click for enbrel and I have had the pens "lock" on me.  The nurse at enbrel said that it the surface is not just right (tight enough) the pen has a safety measure on it that won't let it "fire".Like MJ the only problem I have experienced with Enbrel SureClick is not having the safety mechanism held firmly against my skin.

The self-inject system was recommended because of the loss of flexibility in my thumbs. I can use the palm of my hand to trigger the injection on those days my thumbs are out of commission. At least on occasion I have to depend on Bob to inject the week's MTX.

Good luck on solving your difficulty. The mail-order pharmacy that I am contracted with told me that any time there was a problem not notify them and they would replace the faulty dose...
Thank you both for the additional feedback - Spelunker I will definitely contact the mail order place and let them know about the issue, maybe I can use the last pen in my fridge and get a replacement. 

In spite of two misfires - I swear I'm feeling better.  It could be all the Prednisone I'm on, but today I noticed my feet felt smaller and more functional - that was my first indicator Enbrel was working back in the glory days.
uuugggg- infusions are sounding better all the time if I go the biologic route. I know I can't jab myself with a syringe and I can see myself jumping at clicking pens...... I'm sure glad I'm not an insulin dependent diabetic! I'm sorry- I just think injections should be done by medical professionals! I know so many people do it....but I just don't think I can! Then I see a commercial on tv with a lady saying call this number so you can always have sterile catheters. I used to have to boil mine...etc... OMG they expect people to catheterize themselves!  What the heck is this world coming to? Like others I started off using the pens but quickly changed to prefilled syringes.  The delivery is easier and it's not nearly as painful.  I inject in my thighs versus the abdomen.  It's just easier for me.  Sometimes it takes trial and error to find what you're most comfortable with.  We're all different.  It's much easier for me to inject than have to make an appt., drive to the doctor's office and wait in the waiting room with people sneezing, coughing and spreading germs.  I'm really going to try and stay out of the doctor's office this winter.  LindyI inject with the sure click pens and have no problems with it except the safety mechanism. It is usually quickly resolved though. The only issue I have had is intense burning. If I leave it out for 20 min it doesn't burn as bad, but still burns. :( Hope you figure out what it is! You could do it Wannabe; or you could have your husband do it for you. My husband does my Humira and my B12's and it's not as difficult as it seems. We were a little nervous about it at first....but after 5 years now it's just routine for us.
 
I MUCH prefer doing it at home than having to go to the doctors office. When they started me on B12 they wanted me to come in and get it. I talked them into just letting me do it at home since we were already doing the Humira and knew how to do it.  It sure saves me a lot of money. I'm sure they'd want their co-pay everytime I walked in the door over there and to do them at home is really simple.
 
My husband does mine.....but I have done the Humira before when he was sick. You do get use to it.....and once you realize how much better it makes you feel; it's well worth it!
Thanks for the vote of confidence Lovie! How much do you want to make a bet that one day it will be me offering support to other fearful novice injectors telling them- I thought I could never do it! I thought it would be really awful but I did it and it's OK. Sometimes the fear of the unknown keeps you paralyzed from moving forward. I'm a pretty adaptable tough cookie. I should be alright.It's a pretty good bet my friend. I put it off for about a year after my doctor first gave me the information on three different biologics. I didn't want to do it. It just sounded too serious and "My" RA just wasn't that serious! (in my mind anyway) After about a year I gave in and my only regret was waiting so long. I have never had medication spill on the floor, but I have been guilty of not pressing the pen hard enough against my skin. Then the pen mechanism jammed and my enbrel was trapped inside for all eternity...I had one shot dribble down my leg.   I wasn't paying attention when I hit the button and automatically pulled back when it inserted.   
 
Leila - I've had your problem too many times lately.  It's very frustrating. I think I'm pushing down hard enough, but it just doesn't want to release.   I've been on enbrel for 2 years now, so not sure why I'm messing up.
 
Cathy
so what do you do if you "mis-fire" do another shot or miss your dose? You should be able to get a replacement free-of-charge from the manufacturer. cathy, I've had the pen jam a couple times recently, but I never had this problem before. Are the newer pens faulty, or have we just gotten lamer?

Wanna b. - I just can never tell if I've gotten a teeny bit of medicine or none at all. So I just figure I've given it my best try and wait till next week. WanttobeFree - self injecting is not that bad.  I had the same fears - I HATE shots - but the pain got to be so bad, and seeing my joints deform before my eyes and beginning to wonder about my having a productive future - my mind slowly started to change and finally I demanded an Enbrel script from my doc.   He showed me how to mix and inject in his office, and I did them at home with little or no problems for years.  I found the top of thigh and the fleshy part of hip where you can pinch an inch to be the most comfortable.  My husband would also inject into my tricep fat which was BEST - there must be less nerves back there because I'd never even feel them!
 
Update:  I took yesterday off and spent over an hour on the phone with Caremark (mail order pharmacy) and then Humira.  They're sending a FedEx box for me to send the pen back so their engineering dept. can examine it; they logged my statement into their database; I spoke with a quality control person and a nurse and an intake operater. SHEESH no wonder these meds cost so much it takes an army of personnel to fix one pen misfire. 
 
Now all I have to do is wait for my flake rheumatologist to make an appearance at the office and return my call to see if I really need another dose, since Humira says I seem to have gotten a partial dose. 
 
Thanks for the support everyone.
I wanted to also reassure people, I also HATE needles, the Sure clicks, are great..
 It IS impt to really press down on the skin.. bodack in the adomen, my tummy, noo way, lol
I do it on my legs, alternatively each week.
 
Also, remembering that Humeria costs 800 per shot
and Embrel 1500.. yes FIFTEEN HUNDRED.. ONE SHOT= SIX THOUSAND A MONTH!
faint..
 
makes one do it right, lol.. I tried humeria, and didn't know the price and screwed up.. once i learned the price.. ..made myself do it thru...
 
I'm now on Embrel, this is how I look at, diabetics have to stick themselves, inject several times a day.. ugh
 
This is once a wk, I do it before bed, LEAVE IT OUT FOR AT LEAST AN HR,
 take Valium and sleep meds, .. put a bandage on and off to sleep.
 
Yes, its helping w/ the joint pain, .. i still have a helper and do nothing..
right now my biggest thing is dealing w/ ra & bipolar and fibro exhaustion!!
 
but for this post, I like the pens, 15 seconds, its over.. to bed.. no biggie.. and its helping.. no morning stiffness. .. wow..
[QUOTE=Whispered] faint..[/quote] There are several sites online that list prices for Enbrel such as this one that compares prices from several online pharmacies: http://www.pharmacychecker.com/Pricing.asp?DrugName=Enbrel&DrugId=25308&DrugStrengthId=98311 After I read your post, I called the mail-in pharmacy that my insurance is contracted with, and was told that the full price, not the insurance negotiated price, of Enbrel and Humira are within a few dollars of one another per injection. Per injection, full price, is 1 USD.

Are you sure the
[quote]FIFTEEN HUNDRED.. ONE SHOT= SIX THOUSAND A MONTH![/quote]
price you quoted is correct? ,500 USD/month would be more in-line with currently available prices. I admit to being more than a bit shocked at the ,500 USD/shot you and/or your insurance are being charged!

Both medications are expensive, without a doubt, but according to a bit of research ,000 USD/month is just a bit overpriced even without an insurance negotiated discount.

For comparison, this is the Humira comparison url: http://www.pharmacychecker.com/Pricing.asp?DrugName=Humira+Pen&DrugId=62921&DrugStrengthId=116249
hi, yep thats what medicare/ caid charges my Dr.. i was shocked too and made them repeat it several times, and yes thats how much it costs..for me.. luckily i have insurance..
  Ca has notriously high medical prices..
 
ahhh thks for the tip, under the arm :)
[QUOTE=Whispered]hi, yep thats what medicare/ caid charges my Dr.. i was shocked too and made them repeat it several times, and yes thats how much it costs..for me.. luckily i have insurance.. I agree with Spelunker, sounds like the good doctor is making a tidy little profit .... ?

When I get my biologics, the script attached shows the full cost and my copay.  When I was on Enbrel, the full cost shown (before insurance and co-pays) per  month (8 injections) was ,200.
Green~Tara2009-10-15 10:54:12 [QUOTE=Whispered]hi, yep thats what medicare/ caid charges my Dr.. i was shocked too and made them repeat it several times, and yes thats how much it costs..for me.. luckily i have insurance.. guys, i appreciate your concern.. and i really am not going to address it again, lol.
 This is CA!!!
Notoriously high medical prices.. even my vets meds, cost 2-3x more here.
 
When I had tried, Rituxan, it was 15,000.. Yep Fifteen Thousand!!
 the 2nd time, my body couldn't handle it and i had to watch it being poured down the drain... it was horrible, bc it did help.. and i really wish it could have at least helped someone else, but yes.. its 1500 A SHOT. for embrel and FIFTEEN THOUSAND, , for just one dose of Rituxan...
the end.. and i like my dr and staff..
and yes, its crazy and insane... but such is life and this disease!!
 
ohh the armpit.. nooo, nooo, not long enough.. for me anyway. i wish!
anyone else take valium, after their shot and sleep meds?
As a taxpayer I don't think potential waste, fraud or abuse of the system as something to LOL about. I have been on Enbrel for 5 months. I do the sureclick and my biggest issue is the burning. Feels like a really bad bee sting to me. A small price to pay for how much it has saved my life. I haven't felt this good in years.
I was shocked to see how much it costs, but not entirely surprised. Pharmacutical companies are making a fortune.
 
I agree Deb, when I was on Enbrel the first few years they were always sending me calendars and big packets of information I already knew in the mail.  I would write and request that they reduce the cost by stopping the big mailings and never got a response.  But, I did get good relief for a long time on it. Yeah, I got a letter (with a packet) of info telling me I could qualify for a program of 6 months no copay at all and after that it would be ...Oh by the way, Massachusetts residents don't quailify. Hello, did they not look at the address they sent it to!
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