Pen or syringe: HI Guys After some input in regards to... - NRAS

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Pen or syringe

Kyriew profile image
39 Replies

HI Guys

After some input in regards to methotrexate injections. I received a from today to fill in so I can start my jabs. one of the questions is in regards to which style I would like. On offer is the pen or the syringe. My thinking is that the pen is easier. I am assuming it is like an epipen which I have used in the past (not on my self)

What are you thoughts those of u that use this form of treatment?

Thanks in advacne

xx

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Kyriew profile image
Kyriew
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39 Replies
nomoreheels profile image
nomoreheels

The pen is easier if you have reasonable strength in your fingers (I don't), not only to inject but to take the needle cover off. But if I had the choice I'd go back to syringes, not only because of the issues above but because I could determine how fast the needle pierced my skin. I can't remember ever bruising when I was using syringes but I have many times with pens.

I think you'll find the majority of replies you receive will be in favour of pens but I think you'll only know by trying them out so maybe opt for the pens first & if you have difficulties request your script is changed to syringes.

I hope you find either/or better than tablets. Are they reducing your dose slightly?

Matilda_1922 profile image
Matilda_1922 in reply to nomoreheels

I use metro pen but I have a lot of difficulty using it. My partner has to do it for me.

nomoreheels profile image
nomoreheels in reply to Matilda_1922

Metoject pen Matilda? It's often difficult for me to do too as my hands are very stiff in the mornings & lack of strength doesn't help either. The syringe plungers don't need the same strength, they're far easier. If you'd prefer to try yourself maybe you could ask if it's possible to change to syringes? We all know any bit of independence is important, is for me anyway!

Matilda_1922 profile image
Matilda_1922 in reply to nomoreheels

Thank you Nomoreheels ( I do like your name).

I’m going to ask if I can have the syringe type but looking at cost it looks like they are more expensive. In the day and age with costs I doubt they will change over.

I would really like to stop methotrexate as I am quite unwell for a couple of days days following methotrexate and need to take an anti emetic to ease the symptoms.

I drink loads of water and don’t have any alcohol as this increases the nausea.

Have a lovely day

nomoreheels profile image
nomoreheels in reply to Matilda_1922

Depending on which drug company makes them the syringes in the UK are either slightly cheaper or slightly more expensive (only by pence or a £) but you're in the US aren't you?

I fell iffy for a day after, sometimes two when I've had a dose increase which I have recently. I'm also taking an antiemetic at the mo. But, if it keeps you pretty well controlled & are you can get on well with things for the remainder of the week it's copeable, that's the way I view it anyway, rightly or wrongly!

Drinking plenty of water helps, I don't drink alcohol either, it doesn't like me!

Matilda_1922 profile image
Matilda_1922 in reply to nomoreheels

Hi

I live in Essex UK

I have an appointment with rheumatologist in 2 weeks and will ask to stop methotrexate and if not I will ask for syringes instead.

nomoreheels profile image
nomoreheels in reply to Matilda_1922

I'm sorry, I don't know why I thought you were in the US. I hope your Rheumy is sympathetic, after all only you know how it makes you feel.

Kyriew profile image
Kyriew in reply to nomoreheels

Thanks. I am staying on the same dosage of 25mg. The tablets are fine with me but not controlling my RA as well as my consultant would like. xx

nomoreheels profile image
nomoreheels in reply to Kyriew

I hope injections make the difference & you become better controlled.

I preferred pen (metoject) because you literally couldnot feel it when pressed against skin and could use palm or heel of hand to press top down if fingers bad. Never tried syringe.

Kyriew profile image
Kyriew in reply to

Thanks

Gnarli profile image
Gnarli

I've only had the pen and sometimes the needle cover is very hard to take off but I don't feel a thing and have never bruised.

Kyriew profile image
Kyriew in reply to Gnarli

Thanks x

MagsLough profile image
MagsLough

Pen. All day long 😄

Kyriew profile image
Kyriew in reply to MagsLough

Thanks x

girli1111 profile image
girli1111

Definitely recommend the pen.... I’ve only used syringe for other med, which was heparin, and at times found that quite painful. In a year of weekly use I have not experienced any pain or bruising when using the metaject pen, it’s so simple to use.

Kyriew profile image
Kyriew in reply to girli1111

Thanks x

Fra22-57 profile image
Fra22-57

Just started another biologic so opted for pen which got on ok with.have used this type before but these are more chunkier.you can use both your hands together so good as I struggle with mine and I inject into top of thigh.

I have had to use syringe before with heparin and was dreading it.My husband was too queamish to help so I had to do it and was relieved to find did ok. Thought it would kill bit didn't hurt at all pushing needle through pinched skin but of course you have to watch it whereas the pen you don't see this bit.

Kyriew profile image
Kyriew in reply to Fra22-57

LOL My husband was an army meds so doubt it would be a problem for him. x

Uga35570 profile image
Uga35570

Hi have used both as no option when I first started. Now epipen as my rheumy said that syringes have been faised out and would therefore be out of date perhaps beware!!

Kyriew profile image
Kyriew in reply to Uga35570

Interesting. I have been given the option

Pulfs profile image
Pulfs

Use metaject which has a large head that fits in palm of hand so easy to push and use x

Kyriew profile image
Kyriew in reply to Pulfs

Thanks x

Kyriew profile image
Kyriew

Thanks everyone for your input. I will go for the pen and see what happens. xx

mickeysmom34472 profile image
mickeysmom34472

Hi, I have used the methotrexate pen and it worked beautifully for me. Unfortunately, it was just a months trial. once a week and I could not afford the injections, even with insurance. I never had any problems with it causeing pain or anything.

Kyriew profile image
Kyriew in reply to mickeysmom34472

I take it your outside UK. Thats a shame what are you taking now. x

mickeysmom34472 profile image
mickeysmom34472 in reply to Kyriew

yes I am from the US. The Arava (Leflunomide 10mg) and it seems to be helping. Have to get blood tested in a couple of weeks to see how it is affecting my body; I am sad that here in the US patented meds are so expensive

Kyriew profile image
Kyriew in reply to mickeysmom34472

Yeah it must be really hard especially if your on more than one medication. I have to take 7 different tablets everyday.( I have other issues as well as RA ) Luckily we have the NHS here and can buy a pre pay certificate which means you can get any number of medications for £10.00 a month or the cost would be around £80 per month. Which obviously makes a big difference and there is talk that RA might be put on the free list at some point. But its doubtful it will happen Still we are better of then most

xx

mickeysmom34472 profile image
mickeysmom34472 in reply to Kyriew

wow! Those pens would cost me up to $800 a month! That's with medicare!

nomoreheels profile image
nomoreheels in reply to mickeysmom34472

Why is it that there is such a big price difference between the US & the UK? I don't get it. I wonder if this is why many who are members here are against 'big pharma' & after non medical 'cures'? Even if we didn't have prepayment prescriptions the cost, if they could be bought over the counter, of the ones I'm prescribed, Metoject, would be £15.56 per pen, that would be £62.24 per month. Prices start at £12.87 for a 7.5mg pen through to £16.56 for a 30mg pen. It doesn't add up does it?

Kyriew profile image
Kyriew in reply to mickeysmom34472

WE are so lucky here in the UK. People knock the NHS but they would be far worse off without it. The media only focus on the bad bits of the system but in actual fact it is an amazing service.

SLEepyhead123 profile image
SLEepyhead123

I found the injections really easy to use on my stomach. Very little discomfort and never any bruising. Needle now retracts back into syringe after use. Good luck with what you choose.💜

Kyriew profile image
Kyriew in reply to SLEepyhead123

Thanks x

beeckey profile image
beeckey

The pen for me every time time.They changed me over without any notice so just as well.Picked them up at the pharmacy and nobody said they had been changed lucky they are quite straight forward.

Kyriew profile image
Kyriew in reply to beeckey

Thanks x

JEM95 profile image
JEM95

I started with syringes but moved on to Metoject pens.

Both are far easier to do than I imagined at the outset!

If I have a preference it’s for Metoject - with syringes I always used to feel a bit funny sticking the needle in,even though it didn’t hurt. The thought is worse than the action!

The Metoject pen is easy. I have bruised using both, not sure one causes bruising more than the other.

Subcut MXT is infinitely better than tablets! x

Kyriew profile image
Kyriew in reply to JEM95

Thanks x

I prefer the pen. However my hands aren't too bad so I can use it fine. Metoject I didn't feel at all. I'm now on benepali and I do feel it, but it's Ok.

Kyriew profile image
Kyriew in reply to

Thanks x

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