8 Ways to Make Psoriasis Self-Injections Easier

Staff
By Staff
5 Min Read

If topical medications haven’t been strong enough to control your psoriasis, your dermatologist may recommend a biologic, a type of drug that targets the part of the immune system responsible for triggering symptoms.

According to Adelaide Hebert, MD, a dermatologist with the University of Texas Health Science Center at Houston, these drugs are often more effective than topical medications.

The only catch: You have to inject them yourself, something that makes around 25 percent of people anxious — or downright terrified.

Whether you are new to injections or have done them regularly, these tips can help ease anxiety and lessen the pain.

8 Self-Injection Tips

Biologics are available as either single-use, prefilled syringes or auto-injectors. A prefilled syringe has a plunger and a visible needle, whereas an auto-injector is like a pen with a hidden needle. Either way, the following tips can give you some control over the process and make self-injections less stressful.

1. Let the Medication Come to Room Temperature

Injectable medications need to be stored in a refrigerator, but injecting cold medication can be uncomfortable. Try taking your medication out of the refrigerator 35 to 40 minutes ahead of time and letting it warm up to room temperature, says Dr. Hebert. Do not use anything to heat it up, such as in a microwave or on the stove.

2. Make It Routine

If you’re feeling nervous, try giving yourself the injection at the same time each day while sitting in the same spot. Turning the process into a ritual gives you more control over it, which can improve your confidence and lessen fears.

3. Numb the Skin

Applying an ice pack to the injection site will numb the area, which helps ease the pain. Keep the ice pack in place for about 15 minutes before you give yourself the injection — any longer and you may overly freeze the skin, which can lead to frostbite.

4. Relax Your Muscles

Injections tend to hurt more if your muscles are tensed.
If you’re nervous about giving yourself an injection, try listening to some calming music, taking a few deep breaths, or distracting yourself by talking to someone else.

5. Pinch the Skin

When you’re ready to give yourself an injection, experts recommend pinching the skin around the site with your fingers and then injecting the medication into the raised skin with your other hand.

If you’re using a prefilled syringe, you probably need to hold it at a 45-degree angle; if you’re using an auto-injector, you’ll hold it at a 90-degree angle. But always check the instructions for the specific medication you’re taking first.

6. Give Yourself a Massage

After you’re finished, gently rub the injection site with your fingers. This helps loosen the muscles and disperse the medication, which can help ease the ache.

7. Rotate the Injection Site

Once you’ve properly disposed of the needle or auto-injector, jot down where you gave yourself the injection (left thigh or right side of the stomach, for example). When it’s time for the next shot, pick a new spot. “There is some injury to the skin during the injection, so we like patients to rotate the site of the injection,” says Hebert.

If the area where the needle went in becomes red, itchy, or swollen, talk to your doctor. They may prescribe an anti-inflammatory ointment, such as a topical steroid, to soothe the skin, says Hebert.

8. Review Your Injection Technique With a Professional

Often, a healthcare professional will teach you the best techniques for self-injection before you begin injectable therapies. There are also online videos that demonstrate how to self-inject medications. If at any point you have questions, contact your doctor, who can review the procedure with you and answer any questions.

The Takeaway

  • Self-injecting biologic medications is daunting for some people with psoriasis, but there are ways to make the process easier.
  • To ease the discomfort, try letting the medication warm up, rotate the injection site each day, and stay relaxed.
  • As the process becomes routine, you’ll likely feel more comfortable about self-injecting.

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