Afraid of needles? You're not alone. Fortunately, PEGASYS injections occur only once a week and are subcutaneous (into the layer of fat under the skin), not intramuscular (deeper penetration into muscle tissue). If you can learn to pierce your skin with the needle quickly, subcutaneous injections can be given with little pain.
Don't give up if you feel that "I just can't do this!" Your healthcare team can help you practice or even give you the shots themselves. Also remember that the PEGASYS 24-hour nurse support line is available to you at any time. Just call 1-877-PEGASYS (1-877-734-2797; Prompt #2). Fear of the needle is common, and the nurses on the hotline are very familiar with coaching patients through the difficult first few injections. A family member or friend may be able to help as you overcome your fears. Use your support system!
It's common to be concerned about injections, but with the support of your healthcare team—and with the knowledge and practice you are gaining over time—you may find that injecting your weekly therapy will get easier for you. These injections are part of an active plan to get and stay healthy. Each one brings you closer to completing your hepatitis C treatment.
Some General Injection Tips
With your non-syringe hand, pinch a portion of skin and underlying fat from the area you would like to use. Recommended sites include the stomach and thighs, as described below.
- Stomach area: can be a good site if you have enough flesh to pinch well; don't inject directly into your navel or waistline.
- Thighs: can be used by most people.
Think of the syringe as a dart—hold it loosely in your first three fingers as if you are about to let go of it. The object is to get through the skin rapidly—almost popping it into the site. Pain comes from pushing the needle through the skin rather than letting the needle penetrate the skin on its way to the fat layer.
- Holding loosely, start from a distance of about 4 inches from the target site.
- Plunge the needle at an angle of 45 to 90 degrees (relative to your skin) with a quick motion.
- When you pull the needle out, do so at the same angle it entered (don't twist or turn it).
Some healthcare professionals suggest practicing on oranges; others encourage their patients to practice with the needle cover on to get the speed and angle right. Ask your team for advice.
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