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Harm Reduction Injection Complications FAQ and Mega Thread

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Honestly that is the best news I could hear. I'm happy for you and that is the most mature responsible answer I've hear din awhile from someone scared of an IV mishap on bluelight. I know a lot of people don't want to hear the possibilities of what could go wrong in these kind of situations, but taking your own health seriously is a very responsible thing to do in these situations. No one want to go to the ER for IV complications, but ruling it out can be devastating.

It's great to hear it's getting better just keep an eye on it. If you can get yourself a felt marker and draw a circle around the area that's swollen where you injected so you can get a true & accurate view of whether or not the swelling is going down or not & check it every few hours. I know in are heads we go "yeah it looks like it's gotten better" even if we truly can't tell. If you do it this way you can actually see the difference when it is getting better & that way you can also calm yourself down when you visually see it really is going down.

Just keep a good eye on it ok? Like I said I did this same retarded thing with black tar heroin & It ended up being ok without any medical treatment and it was BAD. My hand swelled up like two to three times as big as it should be. I looked like mickey mouse.

it still looks goofy as shit and my stepdads b-day dinner is in an hour. im gonna wait till about 9 o clock and if it isnt better by then i am going to go. in reality i dont think the swelling has gone down but i have all the feeling in the hand, and its not really red or anything like that, no pain. what exactly causes it to swell up like that from shooting an artery?
 
it still looks goofy as shit and my stepdads b-day dinner is in an hour. im gonna wait till about 9 o clock and if it isnt better by then i am going to go. in reality i dont think the swelling has gone down but i have all the feeling in the hand, and its not really red or anything like that, no pain. what exactly causes it to swell up like that from shooting an artery?

you know what i just realized? the place where i was shooting up is right next to the place on your wrist you feel for a pulse. i forgot there was an artery right next to that vein. god i am fucking stupid. i have shot there many many times i am suprised this is the first time i hit it.
 
you know what i just realized? the place where i was shooting up is right next to the place on your wrist you feel for a pulse. i forgot there was an artery right next to that vein. god i am fucking stupid. i have shot there many many times i am suprised this is the first time i hit it.

Exactly and that is the number 1 easiest way to tell where an artery is. If you can feel any kind of pulse around and area or vein... it's an artery or there is an artery real close by. That's why it's very frowned upon to try to hit ANY of the veins in your wrist area and on your hands. They all have very near by arteries for a needle to easily slip into on accident.

The one time I shot into an artery that I was speaking about it was also in an area I had shot up into 100 times without a problem not thinking that there was an artery close by. I probably slipped through the vein just a little bit and I ended up in the artery right below it. It's just a real simple thing to do that you don't think about sometimes. Some areas greatly increase your chance of this happening though & the main one is the wrist, with the hands being a close second place.

At least you know now though and maybe you will leave your wrist alone for now on when IV'ing. It's a terrible spot, plus it's also a little more sensitive than other area & tends to hurt more. Also those are smaller veins which are a little easier to blow as well if your not careful.

I'm really glad I could help & be serious about the hospital too. If it doesn't dramatically improve soon please head down there and get everything checked out and taken care of. Arterial shots are no joke & something that you really do have to take seriously as it's one of the bigger risks involved in IV drug use.
 
in the leg

why do u say that? are you saying to IV by yourself is not easy? because i will admit its hard to pinpoint the location of a vein when you cant look directly at it... what about with assistance from a friend?

I say that because the veins in the legs are typically more likely to roll on you. They also don't heal as quickly, and you're more likely to miss or have solution leak out.

If you have assistance from a friend, that's the best way to do it. If you really are going to use your leg over your arm, or if you're IVing at all, you should know the difference between artery and vein blood.


That may end up saving you a world of hurt! Usually, the veins on the back of one's hand can be readily-accessed, that is the preferred location for hospital IV's. Be aware that smaller veins require a greater degree of skill to hit, so they're not something a newbie should try!

That's a less desirable area since the site won't heal as quickly. Most people shouldn't use their hands for injecting either. If you truly do know what you're doing, then you should be OK, but be careful. The veins and arteries get closer together when you get closer to the extremities of the body.

I just did a shot in the wrist with the usual dope, but after it registered and i pushed in, i suddenly got a burning sensation throughout my hand, so hot that i grabbed the water i was using and just poured it on my hand to stop the pain. it quickly went away but my hand began to swell like a balloon. it is only the side i injected it on, the other side of m y hand is fine. i feel like maybe i hit an artery or i may have missed and it caused pressure to stop blood flow or something, but i had barely shot any of it before i pulled the needle out. this is not normal missed shot swell though, and its been about thirty minutes. it doesnt hurt, but it is just grossly swollen. anyone know what this is and if i need to go to the hospital? i dont feel like getting arrested today

Go to the ER if you're still experiencing a swollen hand and pain. This is a sign you hit an artery and need immediate medical attention.

Don't take paraphanilia/drugs with you to the ER and you should be OK.
 
well i think my hand is better. i can close my fist and its not red anymore. still a good bit swollen though. aside from the size, its completely normal. no pain, full feeling and movement. i really am torn on this one but i think im gonna sleep on it and if it hasnt gone down significantly in the AM i will try the hospital. I dont mean to underestimate it but i really think if something was seriously potentially harmfil, my body would painfully warn me about it
 
well i think my hand is better. i can close my fist and its not red anymore. still a good bit swollen though. aside from the size, its completely normal. no pain, full feeling and movement. i really am torn on this one but i think im gonna sleep on it and if it hasnt gone down significantly in the AM i will try the hospital. I dont mean to underestimate it but i really think if something was seriously potentially harmfil, my body would painfully warn me about it

I know you THINK if something is wrong with you it should be painful but that simply isn't the case man I promise you. That is a very poor way to guage if you are ok are not. Your body is telling right now that you are not ok by the swelling, not by the pain. It is your body telling you "warning I am not ok" that is what the swelling is for & I know you want to use some kind of logic to talk yourself into thinking it's not that bad or serious but it IS a very serious situation.

You might be fine this time without medical attention, I said that many times but it is a complete gamble & if it happens again don't tell yourself "well just like last time it's not that painful so that is a sign it's not that bad and I won't need help" because that is completely wrong and how you WILL end up losing your hand It does not have to be painful for something to be completely wrong. There a lot of natural reactions your body produces to actually DULL pain when you've done serious damage to yourself. It's a natural defense mechanism your body has, & the swelling is actually your main sign that something is definitely not right.

TO be honest with you when I had this same problem the swelling was bad & it was only painful for the first few minutes after it happened. Then my hand went rather numb to pain & the swelling was the only sign that it was not ok & something was wrong. But get this, my hand even as swollen as it was, was back to normal within 3 hours of the incident happening.

If it was not gone by that point I would of been in with the Dr. I was already at the hospital 30 min after it initially happening but I was in the waiting room for over 3 hours & by that time is what back to normal for the most part so I left the ER. But I went directly there & bit the bullet because I know how bad an arterial hit can get & I wasn't going to chance losing a body part over waiting. It isn't worth it.

Please take what I've been saying all yesterday and today to heart though. I'm an RN and I work in an ER, I'm an IV opiate user, former heroin addict, I use IV dilaudid daily almost, & I'm truly trying to be unbiased and serious with you because I WANT TO HELP YOU. I wouldn't say crap to just scare you, I'm really a compassionate person & I know that being ignorant to what's wrong in these situations & trying to convince yourself it's going to get better on it's own can kill the window you have to fix the problem before it gets to the point of losing a limb over it.

It's a very real situation and it does happen more than anyone would like to believe. Crap I think there is even some examples off it in our case studies thread showing some arterial shots that resulted in losing limbs. If it isn't all the way down today & not swollen please go. Even if it looks a little better & has gone down a little bit you still need to go.

If it was going to be better & heal perfect on its own it should have done so within a few hours of the arterial shot. It might honestly still be fine on its own, it is totally a possibility but not a gamble that is worth taking i my opinion over a quick visit and check up at the ER. I promise you won't be arrested for it, period. Just don't bring drugs or syringes etc. to the hospital and you will be fine.

Please give me an update on your situation/condition as I am concerned and worried about you. If you lived in Idaho I'd seriously tell you the ER I worked in and make it so you could come to me specifically so I could reassure you that you will not be arrested for seeking treatment.

Be safe, you have people here who are supporting you that care about your situation. But it's really hard to care about someone who won;t take the initiative to be serious and care about there self. I swear to myself everytime this happens on here & someone asks for advice, then doesn't like what you tell them so they don't take it seriously that I'm not going to waste my breathe next time. but I always do because I care about people too much. But it is frustrating because people make these posts and just want to here "Hey your going to be fine man, it happens all the time and nothing bad ever comes from it. You don't need to go to a Dr. dude, yeah right!"

When that simply isn't the case with most IV complications, & seriously arterial hits are way up on the top of the list of serious IV complications that can have devastating results or can heal on there own with no damage. They are a huge gamble & there is never a "medium" with them. Arterial hits either go away and are fine or end up losing your limb. It's a gamble I simply can't take & you shouldn't either.

Sorry this is long but like I said I really do care & want to help you because I've been in your same situation. Arterial hit and all, plus i get first hand views professionally of these types of problems & there outcomes. If you would like you can even PM me & we can talk privately, I'd even look at some pictures of your arm if you can take them & let you know how it looks. How bad is it still swollen truly?
 
First missed shot

Hello everyone. I have been IVing heroin for about 3 months and about 10 minutes ago I missed my first shot. It is sitting under the skin in my hand -a raised white bump- its is swollen about 5 mm off my skin. I was wondering how long this will take to go away, and if you can possibly form an abcess from missing a shot only once. Also, should I rub it gently away, or just leave it to sit?

By the way, It is powdered heroin, does not smell acetic, is quite pure -subjectively of course- and I sterilized my hand, the spoon, clean cotton... I shoot as clean as I can.
Any information would be helpful.
 
Don't rub it at all.

Get a towel, soak it in lukewarm/hot water. As hot as can be without burning your skin. Then, apply to the area and hold firmly. This is called a heat compress, and is what you should do when you miss a shot.

You "can" get an abscess from missing just once depending on how bad it was, did you just miss part of your shot or the whole thing?

Overall, see if it gets bigger or smaller over time. The lack of pain is also a good sign you're probably going to be OK. Keep the injection site wet (and not dry) - this will help speed up the recovery. After you've used the heat compress, give it a few hours/half a day to a day and see if it's better or worse. If it's getting better, I'd ride it out.

-> IV Complications Mega Thread
 
I injected about 10cc +/- 2cc of nuetral tasting (not basic or acidic) solution. It wasnt base heroin though because everyone around my area IVs it without adding citric acid. I say this because I am wondering if it damages your epidermis/blood vessels more if its acidic?

Thank you for the advice. It doesnt hurt so much now, and the swelling has gone down considerably. I am taping a wet towel to it and am going to switch my arms when i shoot again.
 
i just started iving this past week. been real safe about it making sure everytime i inject i clean the site w/alcohol pads or soap and water, use new sterile needles, cotton, etc. i just fucked up though. totally forgot to clean my arm/injection site with alcohol or soap. i hit the vein good (hurt a bit more than normal going in, but maybe thats in my head now that i think back) pulled back and registered blood, couldnt get the tourniquet off for a solid minute, so my friend cut it off while the needle was still was in. shot it. a dime sized bump formed ahead of the shot (closer to my body) on my arm as i shot. took toilet paper and massaged the bump, and it actually went away through massaging. but for the next five to ten minutes my forearm got really numb behind the injection point (closer to my hand). left after the five to ten min. since im new at this im freaking out bc afterwards i realized i didnt clean the injection site and maybe thats why the numbness and the bump came? could the bump have come bc after i rejistered it took me a long while to get the tourniquet off? or bc the needle moved in and out a bit after registering and before i could get the tourny off (maybe slipped out of the vein a bit)? any idea people? im really nervous i didnt clean the site first. it doesnt really look bad now and the numbness has left. but i work a physical job and sweat all day. there was probably a lot of bacteria on my arm. how much should i worry about this? what could happen?


edit... 20-30 min later... little bit of numbness ahead of injection site (earlier it was on my forearm, behind the shot, so now its on the other side). not that intense but obviously im still worried. i naturally worry a lot about shit. it doesnt look bad though
 
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I managed to hit my Femoral artery twice last week - one after the fucking other !!

After the swelling in my legs went down, I noticed the injection sites both looked angry and puffy, so off to A&E I went.

Suprisingly, they didn't seem to think it was an issue at all - and where slightly bemused as to why I was even there wasting their time.

They said if there is a next time, to wait a couple more days until coming in and even then try and see my G.P first instead! They just gave me a couple ibuprofen then sent me home.
 
can someone tell me if this looks normal? i get this weird bubbled up rash kinda thing on my inner arm whenever hitting in a specific spot in my left cephalic vein...i definitely havent missed any shots but it makes me slightly concerned. if this is against the rules at all feel free to take it down.

xd5j51.jpg
 
Could be an infection, a clot, who knows.

Does it hurt? Is it warm? Is it getting better? Use hot compresses and ibuprofen. If it doesnt start to get better in a day or so goto the hospital, in fact my advice would be to goto a county hospital or whatever free clinic you have in your area and get it checked out ASAP.

I made the mistake of letting something similar happening from an infection in my hand, it turned into something very serious, I became septic, I had infections all throughout my body, and was on IV antibiotics. I was in and out of hospital beds for several weeks.
 
hmm, well nobody responded to my nervous questions from last night, maybe thats because i was worrying too much about nothing. i was just trying to be as responsible as possible and fucked up on cleaning my arm, so i got really worried. but i called a local needle exchange today, basically just a grassroots one where its a guys cell phone you can call anytime. we talked for a good half hour about a lot of things concerning responsible iving and tips and tricks. he said i shouldnt be too worried about my dirty shot, since everything else was sterile, and that its reusing needles and getting in contact with others blood, or just the chronicity of dirty shots/ irresponsible prep that usually causes infection or disease. what a great guy. huge asset to the city of chicago. he was willing to talk for as long as i needed (at five oclock on a saturday) and give me all the advice he could about responsible use. his hours for exchange are by appointment, just call him up and he'll meet you and give you whatever you need, cottons, tins, needles, tourniquets, alcohol swabs, and naloxone. there are good people in this world. as far as the numbness, he said that it could be that the dope was cut with coke, that its common practice in chicago and is the number one cause of overdose here.
 
damn im sorry i wasnt around last night to console you a bit. thats great to hear about the phonecall you made, im glad you found solace in that. thats interesting that the guy hands out nalaxone as well...

looking at only that picture it is hard to guess what may have been wrong, you didnt give us any description either.

how is the are today? has it improved?
 
I managed to hit my Femoral artery twice last week - one after the fucking other !!

After the swelling in my legs went down, I noticed the injection sites both looked angry and puffy, so off to A&E I went.

Suprisingly, they didn't seem to think it was an issue at all - and where slightly bemused as to why I was even there wasting their time.

They said if there is a next time, to wait a couple more days until coming in and even then try and see my G.P first instead! They just gave me a couple ibuprofen then sent me home.

dude, please get some help. stop using needles temporarily at lease. try plugging your doses. you really need to consider ORT

thats really sad to hear that, especially the stuff coming form the hospital. i really hope you find what you need.
 
mine just appears for about thirty minutes after i hit a small stretch of vein in my left arm, it doesnt hurt at all kinda itches a little but not significantly
 
Ok a little background info first, I've been shooting for roughly 2 months now and decided to give it up so I started subutex. Unfortunately I gave in to my weakness and tried shooting the sub last night in the crook of my right arm. As this was my first time shooting sub and knowing the dangers of injecting pills, I was skeptical anyway.

This morning I woke up and there was a small, red spot (around the size of a dime) with a pin-head sized pocket of puss about a half inch, directly to the left, from the injection site. Anyone know what might cause this, or is this something I should be worried about? I know I didn't miss, but I'm worried that it could be some sort of infection starting up. I try to be as clean as possible.

I've been putting mupirocin (perscription antibiotic creme) on it and I'm not sure if that is helping since it's only been a day.

Thanks in advance for any responses.
 
^is there any pain at all? and are you sure its puss? a better description would be easier for us. if it continues to persist or grow and strikes up some bad pains then definitely keep an eye on it and seek medical attention asap if it does start to get out of hand.

id be putting a hot compress on it at the least and applying the ointment as youve been doing. i dont know what else to suggest at this point.

i know sometimes after ive injected i have a tiny bump raised where the needle has pierced the skin, it sticks around for a day or two at the longest though its not really recognisable what it is unless youre familiar with IVing. i especially get it from 31g needles. its probably because ive really abused the fuck out of this vein over the alst couple of weeks and the skin is starting to touchen up around that area.
 
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