es rise to the top of the syringe. Slowly push the plunger up to force the air bubbles out of the syringe.
Gently place the prefilled syringe with the window flat on your clean working surface so that the needle does not touch anything.
Selecting and preparing the injection site
Choose an injection site. Four recommended injection sites for Neulasta® are:
The outer area of the upper arms
The abdomen, except for the two inch area around the navel
The front of the middle thighs
The upper outer areas of the buttocks
Image from Drug Label Content
Clean the injection site with an alcohol swab.
Image from Drug Label Content
Injecting the dose of Neulasta®
Pick up the prefilled syringe from your clean flat working surface by grabbing the sides of the needle guard with your thumb and forefinger.
Hold the syringe in the hand you will use to inject Neulasta®. Use the other hand to pinch a fold of skin at the cleaned injection site. Note: Hold the syringe barrel through the needle guard windows when giving the injection.
Image from Drug Label Content
Holding the syringe like a pencil, use a quick “dart-like” motion to insert the needle either straight up and down (90 degree angle) or at a slight angle (45 degrees) into the skin.
Image from Drug Label Content
After the needle is inserted, let go of the skin. Pull the plunger back slightly. If no blood appears, slowly push down on the plunger all the way, until all the Neulasta® is injected. If blood comes into the syringe, do not inject Neulasta®, because the needle has entered a blood vessel. Withdraw the syringe and discard it in the puncture-proof container. Repeat the steps to prepare a new prefilled syringe and choose and clean a new injection site. Remember to check again for blood before injecting Neulasta®.
Image from Drug Label Content
When the syringe is empty, pull the needle out of the skin and place a cotton ball or gauze over the injection site and press for several seconds.
Image from Drug Label Content
Use a prefilled syringe with the needle guard only once.
Activating the Needle Guard after the injection has been given
After injecting Neulasta® from the prefilled syringe, do not recap the needle. Keep your hands behind the needle at all times. While holding the clear plastic finger grip of the syringe with one hand, grasp the blue needle guard with your free hand and slide the blue needle guard over the needle until the needle is completely covered and the needle guard clicks into place. NOTE: If an audible click is not heard, the needle guard may not be completely activated.
Image from Drug Label Content
Image from Drug Label Content
Place the prefilled syringe with the activated needle guard into a puncture-proof container for proper disposal as described below.
Disposal of prefilled syringes and needle guards
You should always follow the instructions given by your doctor, nurse, or pharmacist on how to properly dispose of containers with used syringes and needle guards. There may be special state and local laws for disposal of used needles and syringes.
Do not throw the container in the household trash. Do not recycle.
DO NOT put the needle cover (the cap) back on the needle.
Place all used needle covers and syringes in a hard-plastic container with a screw-on-cap, or a metal container with a plastic lid, such as a coffee can, labeled “used syringes”. If a metal container is used, cut a small hole in the plastic lid and tape the lid to the metal container. If a hard-pla |
