Bicillin LA 1.2 Injections – Helpful tips for new users

17 Dec

Welcome to the world of Bicillin Injections!

You may have Lyme disease or you may use Bicillin for other reasons but there are a few tings you need to know before injecting. I learned by trial and error and word of mouth by pros.

The first injection I received was at the doctor’s office. The nurse took the shot straight from the refrigerator (cold) and injected it in my buttocks. The only tip I got from the nurse was to use the scratch method, where you scratch the area as you push on the plunger. I was also told to use an ice pack. I felt a little lost when I had to do my first injection. These are the things that help me and gave me a little less pain the following days after injection.

Injection tips and how to inject

**Before you begin make sure you have these items handy: alcohol prep pad/ rubbing alcohol, gauze or sterile pad, band-aids, syringe out of refrigerator for 1-2 hours, needle, and wash your hands thoroughly. It is a lot less painful and easier if you have a friend, nurse, spouse, or family member do the actual injection.

1) Go to the store and buy a therma pad/heat pad that you can warm your buttocks up with before the injection. I bought one at a local pharmacy and it is microwavable. (You can Ice the area but the heat is better)

2) Take the syringe full of the pre-loaded Bicillin out of the refrigerator at least a good hour to two hours before the injection.

3) Roll the syringe around in your hands and with your fingers to warm the thick goo inside. This will help when you get rid of the air bubbles and help the injection go in faster.

4) Shake the syringe with some force to help push the air bubbles to the tip of the syringe (if possible).

5) Unscrew the cap from the syringe and take your needle out of the package and screw it on to the tip of the syringe until tight. Then try to push the air bubbles out of the syringe while trying not to waste any Bicillin.

6) Locate the upper quadrant area. Dorsogluteal Muscle: This is the large muscle in the backside. Divide one buttock into quadrants, halfway down the middle and halfway across. You will always want to give the injection in the outer, upper quadrant, almost toward the hip. Here’s a nice picture of what the area should look like:

7) When you locate the area take an alcohol pad or rubbing alcohol on a gauze/ cotton ball and rub the whole buttocks quadrant area. Do not touch the area after prepping with anything.

8) Standing or laying down, you choose. You may choose to inject while standing up and if so put all of your weight on the opposite side of the butt cheek you are using for the injection. Stand on right leg if injecting into the left buttock and so on. The best method is to lay down flat and relax your buttocks as much as possible. Standing up seemed to cause more pain for days and a hematoma one time.

9) Take the syringe w/ needle and press the lock switch down to release the guard from the needle tip. Pull the cap off and be careful the needle is really sharp. Aim the needle at the area you have marked and pull your skin apart with your finger to tighten the skin. Now you can choose to dart the needle in quickly or I prefer to stick it in slowly and work the needle down. Once the tip is in you cannot really feel the needle going into the muscles tissue. You want the syringe to be straight up and down (90 degrees – picture) and not in any angles.

10) Most important step: Aspirate!!!  Aspirate at the injection site (while syringe and needle are within the muscle) by holding the barrel of the syringe with the non-dominant hand and pulling back on the syringe plunger with the dominant hand. If blood appears in the syringe, it is an indication that a blood vessel may have been punctured. The needle and syringe should be immediately withdrawn and a new injection prepared. If no blood is aspirated, continue by slowly injecting the medication at a constant rate until all medication has been delivered.

11) If you do not find any blood after aspiration then continue with the injection. The Bicillin injection takes on average 3-5 minutes to inject all of the Bicillin into the muscle. It is a slow process. The harder you push down on the plunger the more painful. Slow and steady works best. You can try the “scratch method” which is just scratching with one hand next to the needle in the skin to fool your brain about the pain. It doesn’t help much but that was my nurse’s tip.

12) Do not rush the injection even if you fear needles because you will have a knot in your buttocks and it will sting more. Make sure all of the Bicillin is out of the syringe. Now you can chose to pull the needle out quickly or take it out slowly. I like to pull it out quickly. It is common to see blood squirting out of the injection hole or you may see Bicillin coming out. Take a gauze and pad the area. Hold the gauze on until the bleeding stops and put on a band aid.

13) Take your syringe w/needle and put the needle cap back on and pull the lock lever up to lock the cap. Put the syringe in a safe plastic box such as a Sharps container. You can but them at Coscto, Amazon…etc from $5 on up. Here’s the Amazon link:

14) Now you want to walk around a little to work the muscles. It is best to reheat your heating pad and apply it to the injection area for a while. Then massage the area to work out the kinks or knots you may feel, this is just the thick Bicillin in the muscle tissue. If you have a large knot this may be a hematoma and you may want to call your doctor if it is bothering you or lasts for days.

15) You may have no pain at all the next day after the injection or it may hurt like a son-of-a-gun. I have had one painful injection and that was from following doctors advice such as icing the area, standing and doing the injection by myself. I shake and have tremors so the needle was moved around too much when I did it on my own. Again it is best to have someone inject for you. If you follow these steps you should be fine and you will be a Bicilin injecting pro in no time.

Note: I may have missed some steps or things to so but it is really late 04:30am and my Lyme brain is very forgetful. Feel free to add on to the tips by commenting or letting me know what to edit. Thanks you for your understanding and happy injecting.



8 Responses to “Bicillin LA 1.2 Injections – Helpful tips for new users”

  1. shirley July 25, 2012 at 10:18 pm #

    Just wonder if the bicilin injections helped your lyme? I have had it for 10 years…only recently getting the lyme arthritis…trying to figure out what to do next

    • 49erBry July 29, 2012 at 1:35 am #

      It did nothing for my Lyme but I do know 1-2 who say it may them go into remission. You could try it but choose getting the shots from a nurse. Rocephin injections are another option butt most insurance fails to pay for the lidocaine to make the shot less painful so make sure you get the lidocaine mix. Best of luck to you and your healing.

  2. Dennis January 16, 2013 at 7:12 am #

    I am on my 6 month regime of Bicillan IM injections and for the first time in nearly 5 years I feel my diagnosed Lyme disease is in remission. I take the injection 3x per week in addition to oral medication and I ALMOST feel like my old self; so far, it has worked for me.

    • 49erBry January 17, 2013 at 1:02 am #

      That’s great new Dennis, glad it has helped. Hope you continue to stay on that progressive course.

      • rominalifehappens July 17, 2014 at 9:27 am #

        Wondering if insurance covers a nurse to come over. Afraid of the blood in the needle happening.

      • 49er Bryan July 19, 2014 at 12:21 am #

        I’m not sure about nurses for injections but you may ry the company that ships your injections and see if they partner with a nurse service. I use community health services with my IVIG infusions and the nurse comes to give me my infusion once a month. No idea what her cost is but I pay $500 month for the infusion package.

    • rominalifehappens July 17, 2014 at 9:26 am #

      Dennis, did you do it yourself or a nurse?

  3. Judy Chan August 15, 2014 at 6:56 pm #

    Thank you for posting instructions on how to give a Bicillin injection. Your advice was really helpful.

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