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Harm Reduction Injection Complications FAQ and Mega Thread

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Artificial Emotion said:
Is it okay to use a short 25G detachable needle on a 1ml syringe for an IV injection or is this only really suitable for an IM injection?
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yeah it shouldnt be any problem, ive used a few 26g tips lately because i couldnt find any smaller detachable tips to attach to 3mL barrels - im shooting multiple mscontins. if youve got good technique you should notice the piercing mark gone within a day as well, its hard to avoid not having a tiny mark left with this big a gauge. i was quite suprised i didnt have an obvious track mark from using them multiple times(new needles, multiple injections) by following my bicep vein up since i was giving the crook of my elbow a break. i found it extremely easy to find the vein, much easier than even a 27g. just be a bit more careful when youre pulling the tip out though, its easier to cut or pierce your skin if you pull it out unsteadily and happen to brush up the area where youve just injected.
 
footclan said:
I just shot a mixture of heroin and oxy (micron filtered) into the back of my hand. I inserted very slowly, registered and pushed the plunger slowly. I applied pressure afterwards.

My hand swelled up and went red. Not massively, but moderately sized. Now I know part of it was a histamine reaction so I took 150mgs of benadryl, and while the redness went away, only some of the swelling went away. I'm curious as to why this happened or what's happening if I went slowly and registered properly. I shot into the right most vein on the back of hand and while its tiny, the area of swelling is about 1/3 of my hand. Is it possible I just suffer vein inflammation easier than others?

And guys I'm sorry for posting again for what may seem trivial but I'm a paranoid person and I'm shooting because I'm poor and hooked. I'm just waiting for my methadone Dr appointment.
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is there any pain around the site of injection? did you miss any of the shot in other words?

150mg of benadryl is a pretty high dose as well, do you have a tolerance to antihistamines? this could be part of the problem if the inflammation is simply from histamine release. because of your tolerance you mightnt be getting the full benfit of taking the benadryl.

good luck with getting onto the methadone as well:)
 
Eight0Eight said:
The thickness of the needle is pretty immaterial when shooting in the groin (to a point).

You just need a longer than normal pin - as the fem is located quite deep.

Hardcore fem shooters need the " long greens and blues" - which I hate, as they are not only only much longer, but also MUCH thicker. (I think 20 gauge is the "greens").

They leave such a big hole in your groin - that blood PISSES out after a shot. Much like an open wound.
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8o Sounds painful!

I'm glad I've never had to use anything larger than a 27g.
 
footclan said:
I just shot a mixture of heroin and oxy (micron filtered) into the back of my hand. I inserted very slowly, registered and pushed the plunger slowly. I applied pressure afterwards.

My hand swelled up and went red. Not massively, but moderately sized. Now I know part of it was a histamine reaction so I took 150mgs of benadryl, and while the redness went away, only some of the swelling went away. I'm curious as to why this happened or what's happening if I went slowly and registered properly. I shot into the right most vein on the back of hand and while its tiny, the area of swelling is about 1/3 of my hand. Is it possible I just suffer vein inflammation easier than others?

And guys I'm sorry for posting again for what may seem trivial but I'm a paranoid person and I'm shooting because I'm poor and hooked. I'm just waiting for my methadone Dr appointment.
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Some of it may leaked out, or you may have missed some. It could also be that while micron filtering the heroin (if you did do that) some of it broke down into acetylated morphines, etc, explaining the histamine rush part of the inflammation.

Is it painful? Burning, tingling, numb sensation?
 
If i have a tolerance to antihistamines,its small because I dont take them all the time. As far I as i know I hit the shot and didnt miss. I went really slow. I woke up today and its still there. No real pain around the site itself just the smallest pain around the swelling.
 
Captain.Heroin said:
8o Sounds painful!

I'm glad I've never had to use anything larger than a 27g.
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It's not painful just really fucking messy. And depressing.

After using one of those things just twice - it really depressed me, and promised myself to never use one again - regardless if I'm sick or not.
 
A tiny bit tingly but no real pain. I think you may be right about the micron filter and the h. When I dont use a micron filter on it I dont have nearly as bad a reaction.
 
I hate to sound like the broken record, repeating everyone... but... you can be severely disabled in that arm, or possibly lose your arm if you do not seek medical attention as soon as possible!

This it not something to debate. Notice every post is serious and recommending the same thing. Don't waste time! Get to the ER now!

Chris
 
My brother says it looks alot better than it did yesterday. I can start to see the veins again.
I shot H (no micron filter) into my right arm awhile ago. A little hardish bump appeared. Its the same type as when I thought I may have phlebitis. I know it'll go away but it can't always be the histamine reaction. I go really slow, pressing the plunger and everything.

Could it be that my body just reacts badly to trauma? I've just been taking alot of advil lately to combat it.
 
^can you post a photo at all?

id advise you to find somewhere else to shoot. hands are a pretty bad spot to be regularly injecting in. the complications youre having are a prime example why you should avoid there.

try the crook of your elbow or forearms

describe the bump a bit more? is it a missed shot bump or what?
 
I tried my hand just for the sake of rotating sites. It was the first time injecting there. I got a vein map from the needle exchange and it just said it do it slowly because it'll hurt.

If I posted a pic of my hand you wouldn't notice a difference. Its been shrinking slowly since last night. It looks pretty much normal, the veins are just abit harder to see than the other hand. It is a tiny bit sore. As for a missed shot in my hand, I'm 99% it didn't miss. I saw the blood rush in, I didn't move the needle, I depressed the plunger and removed it slowly and I felt a rush consistent with the amount I did.

As for the bump on m arm, it was raised and red and fairly hard, so I applied a warm cloth with water and took 50mg of benadryl. Its gone down since I posted and I knew it would, but its sort of hard. Its kinda like what I described before as a "cord" when I was concerned about phlebitis, except circular. Its possible that some of the shot missed because I don't get this reaction everytime, but it has happened more than a couple. Again, the first time I experienced this I did miss a shot of dilaudid and I believe I may have gone through the vein, and while I can still feel the "cord" there, it's alot softer and the ultrasound was fine.

Maybe I was missing more shots than I had thought. I'm not as concerned about it as I was since I originally saw the Dr and he said it looked superficial and the ultrasound confirmed it. I try to be as sterile and safe as possible so when stuff like this happens even when I know I hit the vein, I'm left wondering why.

I think it was Capt. Heroin who said maybe it leaked out. Maybe the needle just barely poked through the vein on my hand...I don't know.
 
^yeah thats what i thought as well, its possible youve pierced through the vein and some of it has leaked out. its possible youre just being overly paranoid about things, but i dont blame you because its a different game when youre in the IV League. if missing part shots is what youre doing wrong then maybe start practicing a little more with some saline/bacteriostatic solution and fresh needles on the sites you usually rotate around.
 
do you really have to ask what you should do if you have a baseball sized lump on your arm?


i mean, even if you didnt shoot heroin and you had this issue it would be more than hospital-worthy....
 
This is a pretty old post by now... I'm sure if this person did or did not go to the doctor after a full 20 hours telling them to go now will do no good....

I hope this person was smart and went to the ER, but Honestly I don't think this requires any more attention unless the OP comes back telling us what happened.
 
artery vs. vein

Hi there - member for awhile but first post. Sometimes I'll register and it's dark blood, pretty sure it's a vein. But when I push on the plunger the area (usually arm) will go numb, swollen and puffy. I stop immediately and usually throw away the shot (total waste but it's so crimson dark it's hard to use again). This usually happens in the big crook of my right arm.

Did I hit an artery? Is it a bad reaction? Do I have a blocked vein so the stuff is going back down the vein? Does the happen to anyone else? Thank you in advance for your input.
 
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