The following strategies are recommended to minimise discomfort and reduce the risk of reactions: Injection technique optimisation: Allow the medication to reach room temperature before injectingremove the pen from the refrigerator 30 minutes prior to use Rotate injection sites systematically , using a different area each week (e.g., alternating between abdomen, thighs, and upper arms) Avoid injecting into areas with visible skin changes, bruises, scars, or stretch marks Use proper injection technique : place the pen at a 90-degree angle against the skin, press and hold until the injection completes, and hold for the full 10 seconds (or until you hear the second click) Ensure the skin is clean and dry before injectionuse an alcohol wipe and allow it to dry completely Upper arm injections should be given by a caregiver or another person [1] [4] Symptomatic relief measures: Apply a cold compress to the injection site for 1015 minutes after injection to reduce swelling and discomfort Avoid rubbing or massaging the injection site immediately after administration Over-the-counter antihistamines (such as cetirizine or loratadine) may help relieve itching if bothersome, though this should be discussed with a pharmacist or GP first Topical hydrocortisone cream (1%) may be applied sparingly for up to 7 days to reduce inflammation and itching
The combination may result in more severe or prolonged gastrointestinal symptoms, potentially leading to dehydration, electrolyte imbalances, or nutritional deficiencies if food intake becomes severely restricted
Jason Spector, chief of the division of plastic and reconstructive surgery at Weill Cornell Medicine and NewYork-Presbyterian/Weill Cornell Medical Center and a professor of surgery at Weill Cornell Medicine
doi:10.1097/GOX.0000000000001328 37Child AH, Gordon KD, Sharpe P, et al
Because the deltoid is a relatively shallow muscle mass compared to the gluteus, precise sizing is required to avoid striking the humerus bone
