methotrexate leaking from metoject pen: any advice... - NRAS

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methotrexate leaking from metoject pen

Trees17 profile image
16 Replies

any advice please???

I started the injection this morning but once it had clicked and the needle had dropped down, all the methotrexate was suddenly pooled at the base of the pen, on my leg.

I quickly removed it, mopped it up and washed. The needle had punctured my skin but I don’t think any of the meds had gone in. Should I do a new injection? I don’t think the nurses are in today.

Has this happened to anyone else?

Thanks.

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Trees17 profile image
Trees17
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16 Replies
springcross profile image
springcross

That happened to me once and it was a Saturday. I didn't think any of the MTX had gone in either and didn't know what to do, so rang the nurse's helpline on the Monday morning and was told not to inject another one just in case some had gone in but to leave it until the following week. I would wait until you speak to your rheumy nurse and get advice from her/him.

Trees17 profile image
Trees17 in reply tospringcross

Thanks for your advice. Do you know what went wrong?

springcross profile image
springcross in reply toTrees17

I assumed it was a faulty pen - the nurse said it happens sometimes. Make sure you speak to your rheumy nurse to let them know.

Trees17 profile image
Trees17

Thanks. Yes I’m waiting to hear back from her.

KittyJ profile image
KittyJ

no don’t inject again as you don’t know how much has gone in. Pens can be faulty, it happens every now and then, , let the supplier know so they can monitor the batch. Make sure you’ve cleaned up and disposed of everything correctly as mtx is cytotoxic.

AgedCrone profile image
AgedCrone

Ask your pharmacist…they will know.

Trees17 profile image
Trees17

Thanks for all your replies. The pharmacist was helpful in that he was going to report it to Metoject. I’m waiting to hear from the nurse. I didn’t do another injection.

GinnyE profile image
GinnyE

Just a thought, but do make sure you keep the contact, with the plastic end still in total contact with your skin, for about ten seconds after the click. I know it can jump out too soon if you don't keep it held down.

AlleyJ profile image
AlleyJ

I had this happen, and was asked for the serial number on the pen and box, apparently they need these to keep a log of faulty batches, so if you can keep it handy for when you ring

Chris_O profile image
Chris_O

Hi. I recently had a metoject pen malfunction on me. I took the pen out of the box, and prepared myself for the injection, when I took the yellow top off all of the liquid sprayed out. I took the pen back to the chemist and got a replacement, I hope that they reported it the manufacturer? I’m guessing that there has been some manufacturing defect.

Chris_0

wilbertjellyfish profile image
wilbertjellyfish

Did you have to use your cytotoxic spill kit??? I'd agree with the advice don't inject again as an overdose would not be good.

Amb1xkr profile image
Amb1xkr in reply towilbertjellyfish

what is a cytotoxic spill kit? I’m

On methotrexate injunctions but not heard of that?

Amb1xkr profile image
Amb1xkr in reply toAmb1xkr

meant methotrexate injections!! Rheumy in my texting thumbs lol.

wilbertjellyfish profile image
wilbertjellyfish

When I got my injections I got a cytotoxic spill kit in case of spillage..it's gathering dust under my bed. I was thinking you might have gotten use out of yours. 😂

Happy5 profile image
Happy5

Not had it happen to me recall the nurse saying to check the needle case etc before injecting, but not always obvious if faulty. Why we're asked to keep a record of (batch number etc) the injection we used.

I had a vomiting reaction one time same day as my injection they fed back batch info, but we never were sure what caused my vomiting that day.

nomoreheels profile image
nomoreheels

When I’ve had duff pens they've just not released so I’ve just used another pen. If you're unable to be informed what to do by your team then wait until next week to inject again as yours malfunctioned & liquid was released, you may be over-dosing, as in injecting an extra dose to your normal mg, not overdose. 

Dispose of whatever you used to clean up carefully & put into a bag within a bag, & if any spilled onto carpet thoroughly clean with carpet cleaner, especially if you have any pets who could lick the area. Dr Beckmans is useful in such situations.

You can take the demic one & it's box back to the chemist who supplies them, they should replace it for you.

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