ard
◦scarred or where you have stretch marks
•If you have psoriasis, do not inject directly into any raised, thick, red or scaly skin patches or lesions on your skin.
•Do not inject through your clothes.
Prepare the Injection Site
10. Wipe the injection site with an alcohol prep (swab) using a circular motion.
•Do not touch this area again before giving the injection. Allow the skin to dry before injecting. Do not fan or blow on the clean area.
Preparing the Humira Pen
11. Do not remove the gray cap (Cap # 1) or the plum-colored cap (Cap # 2) until right before your injection.
12. Hold the middle of the Pen (gray body) with one hand so that you are not touching the gray cap (Cap # 1) or the plum-colored cap (Cap # 2). Turn the Pen so that the gray cap (Cap # 1) is pointing up. See Figure E.
Figure E
13. With your other hand, pull the gray cap (Cap # 1) straight off (do not twist the cap). Make sure the small gray needle cover of the syringe has come off with the gray cap (Cap # 1). See Figure F.
14. Throw away the gray cap (Cap # 1).
Figure F
•Do not put the gray cap (Cap # 1) back on the Pen. Putting the gray cap (Cap # 1) back on may damage the needle.
•The white needle sleeve, which covers the needle, can now be seen.
•Do not touch the needle with your fingers or let the needle touch anything.
•You may see a few drops of liquid come out of the needle. This is normal.
15. Remove the plum-colored cap (Cap # 2) from the bottom of the Pen by pulling it straight off (do not twist the cap). The Pen is now activated. Throw away the plum-colored cap.
•Do not put the plum-colored cap (Cap # 2) back on the Pen because it could cause medicine to come out of the syringe.
The plum-colored activator button:
•Turn the Pen so the plum-colored activator button is pointed up. See Figure G.
Figure G
•Do not press the plum-colored activator button until you are ready to inject Humira. Pressing the plum-colored activator button will release the medicine from the Pen.
•Hold the Pen so that you can see the window. See Figure H. It is normal to see one or more bubbles in the window.
Figure H
Position the Pen and Inject Humira
16. Position the Pen:
•Gently squeeze the area of the cleaned skin and hold it firmly. See Figure I. You will inject into this raised area of skin.
Figure I
17. Place the white end of the Pen straight (at a 90º angle) and flat against the raised area of your skin that you are squeezing. Place the Pen so that it will not inject the needle into your fingers that are holding the raised skin. See Figure J.
Figure J
18. Inject Humira
•With your index finger or your thumb, press the plum-colored activator button to begin the injection. Try not to cover the window. See Figure K.
Figure K
•You will hear a loud ‘click’ when you press the plum-colored activator button. The loud click means the start of the injection.
•Keep pressing the plum-colored activator button and continue to hold the Pen against your squeezed, raised skin until all of the medicine is injected. This can take up to 10 seconds, so count slowly to ten. Keep holding the Pen against the squeezed, raised skin of your injection site for the whole time so you get the full dose of medicine.
•You will know that the injection has finished when the yellow marker fully appears in the window view and stops moving. See Figure L.
Figure L
19. When the injection is finished, slowly pull the Pen from your skin. The white |
