An error I forgot about.

[WIZARD6787]

A few months back I used a multi use vial after not having used it for an unknown time.

I have sense come to understand that once the vial is open one should either use it up or throw it away. I use 90 days as my maximum length of time to use a vial once it is opened or mixed. I take tape and write the date I want to throw it away.

What happened is I developed redness, tenderness and minor swelling. I assumed it was a one off until I had 3 +- injection sites that were like this. I stopped using that vial.

I keep my vials wrapped in tin foil and check the needle for discoloration. I took the tinfoil off the vial and there were 'clots' in the bottom of the vial that disappeared when I shook the bottle. Same thing the next day.

I had planned on writing about this experience one it was over and the redness etc. resolved. Then forgot.

It took about three days to resolve. I do not know if it was that bacteria had grown or that the cobalamin had come out of solution so I was injecting a very high amount. I expect my 90 day maximum use has eliminated the problem.

[helvella]

Just pointing out this USA advice:

If a multi-dose has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial.

cdc.gov/injectionsafety/pro...

[WIZARD6787 in reply to helvella]

Thank you for that!!. It is appreciated

I will change my use to 28 days after use. I at this time use 20 ml vials. With my current injection rate that will not be an issue.

[Jillymo in reply to WIZARD6787]

Be cautious the last thing you want to do is inject bacteria into your body. I use the one off dosage vials that are disgarded after use - much easier ' if ' you can obtain them.

[WIZARD6787]

The last thing I want to do is continue to suffer from B12 deficiency. The bacterial risk is one I take.

Multi-use vials are much easier to use.

[FlipperTD in reply to WIZARD6787]

Bacterial risk is very much more acute than the chronic B12 issue. [IMHO].

Be safe.

[WIZARD6787 in reply to FlipperTD]

You might be correct in your opinion. I would question if it was humble. : )

It is not applicable to the risks of infection from self injection. Note: The problem of using a multi use vial after not using it for a period of time is solved.

[Jillymo]

If your prepared to take the risk of infection what was the point of your post? Infection is a very high risk to take which could set you back.

Take care

[WIZARD6787 in reply to Jillymo]

I was not indicating that I would take the risk of using a multi-use vial after a time period of not using it. I now have the information shared that originated from the CDC and will act as I see fit.

I am comfortable with my knowledge and evaluation of the risks of self injection. General infection issues are not applicable to this specific problem which was easily solved.

[Jillymo in reply to WIZARD6787]

Am I miss interpreting your post ?

You were using the same vial for 90 days.

Red inflammed lumps at the injection point.

Foreign objects seen in the vial ?

I think most of us would rather you stayed safe rather than you take risks.

Once again with the best intention I urge you to be careful.

[WIZARD6787 in reply to Jillymo]

Problem is solved.

I am a big boy. I know how to evaluate my risks. I also know I do not evaluate for anyone else.

I reread my post and it is a clear description of what I experienced. Perhaps read the post again?

[Jillymo in reply to WIZARD6787]

I was only trying to advise to keep you safe - obviously in this case not appreciated.

Even big boys are at risk of infection ! ! !

Stay safe.

[Jillymo in reply to Jillymo]

It is always wise to get the correct information 'before' you start self injections.

If your happy with taking such risks thats fine.

Have a nice day.

[WIZARD6787 in reply to Jillymo]

Unfortunately, I am not perfectly informed. Nor do I think anyone else is.

[Myanna23 in reply to Jillymo]

jillymo, I agree with your concern, I was also very alarmed, hearing someone taking such risks, if God forbid, a really bad infection was to acur and cause ill heath or worse,GP,s everywhere would be calling for a ban on si!

[Varna1968]

“ Just A Thought “. Big Boy or not. It has been my experience in life that Single Minded People will never comprehend the wisdom of seeking a second opinion. I’m sure Jillymo was only trying to assist you. It appears you intend to self medicate as you see fit. That of course is entirely your decision. I accept that you think you know what’s right. Also it’s your mind and your body, so do to it what you will. Finally, I have read before that you do your own research and experiments and this determines how you progress on your journey. I genuinely wish you well. Still not sure why you post in general if you already know all the answers.

[Nackapan]

I think in a clinic ituation the vial would be only used for one day. Does it not say on the box how long it's safe to use once opened. ?

[WIZARD6787 in reply to Nackapan]

Thank you for you reply it is appreciated.

CDC guidelines for a clinical situation.

If a multi-dose has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial.

The issue is solved. Never was a major issue. I only posted to increase the knowledge base. Nice that helvella also added to my knowledge base.

The post took a unfortunate turn into comments about personal fears of injections as far as I can tell. I do not share those fears and use information to make my decisions about risks of injecting.

Ironically I have a degree in Safety Studies and use that education to evaluate risks.