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Misc Is anyone else injecting via IV as prescribed?

HdoubleODeezy said:
Haven't IV'd anything since.. I BEAT THE NEEDLE! That little prick ;) lol.
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I wish I could say the same :)
I think I'm going to be injecting for a long time, hopefully some of the stuff currently being researched means I won't be IVing for too many years though.
 
The iv was for breakthrough pain....
Don't see how it differs as it is another situation where someone is prescribed something for iv, and in the pretty unique situation morphine if I'm not mistaken. Nasal sprays would be so much easier in my opinion though.
 
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I remember working with an old school nurse. She received an order to give an antibiotic IV. I loved this woman, but she was really lazy. Since she knew how to do it, she just mixed a big old syringe of it, and mainlined it to the guy. She didn't feel like dicking around with the whole IV site start thing. Left that for the dayshift nurses to do.
LOL.
 
BlueIV said:
A plasma product.
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What kind? Like Immunoglobulin needs infusion... I'm curious what you've got.



Very few things are prescribed for you personally to IV as far as I know. Most would be things you inject into a port, which really isn't the same thing as having to hit a vein, or muscle.

Autoinjectors for anaphylaxis, insulin? B12 maybe? Can't think of much more.
 
sekio said:
you will never find a doctor prescribing morphine for self injection that's for damn sure

most injectable drugs are peptides and other biologicals (antibodies, intereferons, etc) that are vital to restore normal biological functions in individuals who need them and cannot be effectively dosed otherwise due to poor absorbtion, poor bioavailibility etc.
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That's not accurate. My mother in law had stage 4 breast cancer, and was prescribed morphine that she was to administer via IM injection. She got through it and has been in remission for several years. She actually still has some of the morphine, but hasn't offered me any, unfortunately ;)
 
lolwhatzdrugs said:
What kind? Like Immunoglobulin needs infusion... I'm curious what you've got.



Very few things are prescribed for you personally to IV as far as I know. Most would be things you inject into a port, which really isn't the same thing as having to hit a vein, or muscle.

Autoinjectors for anaphylaxis, insulin? B12 maybe? Can't think of much more.
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It's rare, so I don't really want to share what it is publicly. A port may be a possibility in the future, but I'm hoping I can stick with the regular IV and sub cue will be available before I have too much trouble with my hands & arms.
 
BlueIV said:
It's rare, so I don't really want to share what it is publicly. A port may be a possibility in the future, but I'm hoping I can stick with the regular IV and sub cue will be available before I have too much trouble with my hands & arms.
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I looked; I'm pretty certain I know anyway. There are very few plasma derived drugs, and even fewer they let you inject yourself with.

Someone close to me gets IVIG, but it has to be infused (every 5 weeks) by a registered nurse.


Isn't a port safer? If you keep it clean and sterile and cover it with special tape while showering.

And FYI IV is subcutaneous as well as IM (it means: "situated or applied under the skin.") A TB test would be probably epidermal, or dermal (into the epidermis, or dermis). edit or I'm just stupid and it means under the epidermis/dermis only, and not into the vein or muscle
 
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I don't really mind people knowing, I just don't want it showing up in a search - I just feel uneasy with someone coming here because they searched the specific drug, it's too small of a world that way :)

No a port isn't seen as safer, there are risks to a port and a general consensus from the specialists treating this disease seems to be to go with the veins for as long as they work for home infusions.

When people refer to subcutaneous injections, they usually aren't referring to IV injections. There's progress being made that way, hopefully before I need a port.
 
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BlueIV said:
I don't really mind people knowing, I just don't want it showing up in a search - I just feel uneasy with someone coming here because they searched the specific drug, it's too small of a world that way :)

No a port isn't seen as safer, there are risks to a port and a general consensus from the specialists treating this disease seems to be to go with the veins for as long as they work for home infusions.

When people refer to subcutaneous injections, they usually aren't referring to IV injections. There's progress being made that way, hopefully before I need a port.
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Not too informed on ports (Or apparently SC injections.....so they're an injection into the space below the dermis but not into veins/muscle hmph).


What has to change to make a drug which usually has a ROA of IV into being acceptable for SC admin?
 
The volume being injected can't be as large, but the bioavailability tends to go down so it needs to be much more concentrated so the dose can actually be increased. I don't know what can be done to improve the bioavailability.

Once that's done it still needs to be tested to make sure it's safe, and effective.

One of the common locations for SC injections is the belly, and insulin can be done this way.
 
I don't know if any of you have had a family member either beat or pass from cancer: but we were given the array of IV meds, including morphine, to give to our family member as prescribed. This happened once we took her out of hospital care and began home care.

We were based outside of the USA, in Egypt. So I'm not sure how common it is to be given an option for home care in the states, let alone allow the patients' spouse to do the prescribed IVing.
 
dude they send people home from the hospital all the time with PICC lines leading to your deep circulatory system and have the patients care for them themselves and do IV meds themselves daily(like if someone is on a 30 day course of IV antibiotics), it's very common, this process includes showing them basic clean protocols/sterilization and using normal saline and heplock syringes to keep all the lumens clear every day.

If you can train patients or family caregivers to handle peripheral central lines or just plain central lines, you can train them to safely load and plunge a syringe.
 
In regards to my post; I'm specifically referring to IV self administration of controlled substances in the home setting. IE schedule II prescriptions like morphine.
 
I don't have any personal experience, but from the people I do know who had short-term IV therapy, they all get a home nurse. All of the hospitals here have home IV programs that involves a nurse, and there's no out of pocket costs. Unfortunately, I don't qualify for when I have issues, it's just to the ER for me. 8(
 
As far as I know "take home" e.g. painkillers for IV usage are usually only ever seen in pallative care settings.
 
^even so, doctors would be more inclined to prescribe an IR liquid solution right? Unless said patient had a qualifies nurse to administer each IV.

I ask because when my grandad was in his last days of leukemia he had bottles of oramorph but a nurse on hand if an IV was required.
 
sekio said:
you will never find a doctor prescribing morphine for self injection that's for damn sure
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In England it's rare but it has happened that patients have been given diamorphine to IV at home as a form of harm reduction, its rare as it's usually prescribed but you have to inject at a supervised site, although you still inject yourself.
 
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