IPED Administration

All injecting, regardless of the substance, carries a significant risk of serious infection and other implications including muscle damage and temporary paralysis

Never inject steroids or image enhancing drugs into a vein – it could kill you

Fresh, sterile equipment should be used for every injection

Sharing injecting equipment, water or vials introduces the risk of infection and blood
borne viruses (hepatitis B, hepatitis C and HIV)

Ensure you have the correct equipment, in sufficient quantities, including sharps bins,
from your local needle exchange prior to starting a cycle.

Needle exchanges should also be used to obtain good advice on safe injecting, and harm
reduction information

Dispose of all used equipment in sharps bins and return to the needle exchange regularly
for safe disposal

Locations for Intramuscular injections – for all oil or water based steroids – include the
upper outer quadrant of the buttock and lateral part of thigh. Rotate sites to avoid scar tissue
developing and aid the healing of injection sites. Injecting into the Deltoid (upper outer third
of the shoulder region) should be a last resort as the deltoid is a much smaller muscle and
therefore diffusion of the steroid is reduced and the risk of nerve and other damage is far
greater.

INJECTING INTO ANY OTHER SITES ON THE BODY IS NOT RECOMMENDED AS THERE IS A
GREATER RISK OF HITTING A NERVE OR BLOOD VESSEL AND GREATER RISK OF CAUSING
DAMAGE

 

Please click for information:

INTRAMUSCULAR INJECTION FOR ALL OIL AND WATER BASED STEROIDS

UPPER OUTER QUADRANT OF THE BUTTOCK

Do not inject more than 3ml into this site, 2ml is recommended where the muscle is less
developed

When injecting oil based steroids ensure the solution is at room temperature prior to administration,
either by holding the vial or ampoule in a clean closed hand for a few minutes or by holding
under a tap of warm NOT hot water.

Ensure all your equipment is laid out on a clean surface ready for use prior to administration,
this will include:

  • The 2ml syringe containing steroid solution with a sterile capped 23 gauge 11/4” blue
    needle attached
  • 1 x sterile swab
  • A sharps bin with the lid open
  • A clean tissue or cotton pad

 

Wash your hands thoroughly prior to administering the injection

The injection process:

  • Clean the injection site using a sterile swab and leave for 1 minute to dry
  • Relax the muscle you intend to inject into by transferring your weight to the other leg but
    ensure you are stable
  • Remove the cap from the needle and gently push up the plunger to expel air from the top
    of the syringe, a small droplet of solution will appear at the tip of the needle
  • Insert the needle at 90o. Ensure you leave a small part of the needle showing.
  • If it practical to do so, gently pull back the plunger to ensure that no blood enters the
    syringe – if blood enters the syringe, remove the needle/syringe and apply gentle pressure
    to the site using the clean tissue or cotton pad. Do not re-inject into this area – and discard the
    injection into a sharps bi
    n
  • Inject slowly – 10 seconds per 1ml of solution
  • Keep the syringe as still as possible as movement can cause the needle to tear the muscle
  • Carefully withdraw the needle and syringe and place into a sharps bin
  • Apply gentle pressure to the site using the clean tissue or cotton pad. Gently massage the
    area. Do not use a swab after an injection
  • Ensure all used equipment is placed in the sharps bin

 

IF ANY PAIN IS EXPERIENCED DURING AN INJECTION, REMOVE THE NEEDLE, APPLY
GENTLE PRESSURE TO THE SITE USING THE CLEAN TISSUE OR COTTON PAD AND DO NOT
RE-INJECT INTO THE AREA. SEEK MEDICAL ATTENTION.

LATERAL PART OF THE THIGH

Do not inject more than 3ml into this site, 2ml is recommended where the muscle is less developed

When injecting oil based steroids ensure the solution is at room temperature prior to administering, either by holding the vial or ampoule in a closed hand for a few minutes or by holding under a tap of warm NOT hot water.

Ensure all your equipment is laid out on a clean surface ready for use prior to administration, this will include:

  • The 2ml syringe containing steroid solution with a sterile capped 23 gauge 11/4” blue needle attached
  • 1 x sterile swab
  • A sharps bin with the lid open
  • A clean tissue or cotton pad

 

Wash your hands thoroughly prior to administering the injection

  • Clean the injection site using a sterile swab and leave to dry for 1 minute
  • Relax the muscle you intend to inject, preferably by sitting down
  • Remove the cap from the needle and gently push up the plunger to expel air from the top of the syringe, a small droplet of solution will appear at the tip of the needle
  • Insert the needle at 90o, ensure you leave a small part of the needle showing
  • Gently pull back the plunger and check that no blood enters the syringe. – if blood enters the syringe, remove the needle/syringe and apply gentle pressure to the site using the clean tissue or cotton pad. Do not re-inject into this area – and discard the injection into a sharps bin
  • Inject slowly – 10 seconds per 1 ml of solution
  • Keep the syringe as still as possible as movement can cause the needle to tear the muscle
  • Carefully withdraw the needle and syringe and place into a sharps bin
  • Apply gentle pressure to the site using the clean tissue or paper towel, gently massage the area to disperse the solution. Do not use a sterile swab after an injection
  • Ensure all used equipment is placed in the sharps bin

 

If any pain is experienced during an injection, remove the needle, apply gentle pressure to the site using the clean tissue or cotton pad and do not re-inject into the area. Seek medical attention.

DELTOID - UPPER OUTER THIRD OF THE SHOULDER

Injecting into the shoulder region should be a last resort as the deltoid is a much smaller
muscle and therefore diffusion of the steroid is reduced and the risk of nerve and other
damage is far greater

Do not inject more than 2ml into this site, 1ml is recommended where the muscle is less
developed

When injecting oil based steroids ensure the solution is at room temperature prior to administering,
either by holding the vial or ampoule in a closed hand for a few minutes or by holding under
a tap of warm NOT hot water.

Ensure all your equipment is laid out on a clean surface ready for use prior to administration,
this will include:

  • The 2ml syringe containing steroid solution with a sterile capped 23 gauge 1” or 11/4”
    blue needle attached
  • 1 x sterile swab
  • A sharps bin with the lid open
  • A clean tissue or cotton pad

 

Wash your hands thoroughly prior to administering the injection

  • Clean the site using a sterile swab and leave to dry for 1 minute
  • Relax the muscle
  • Remove the needle cap and gently push up the plunger, expelling the air, until a drop of the
    solution appears at the end of the needle
  • Insert the needle at 90o ensure you leave a small part of the needle showing
  • Gently pull back the plunger and check that no blood enters the syringe. – if blood enters the syringe, remove the needle/syringe and apply gentle pressure to the site using the clean tissue or cotton pad. Do not re-inject into this area – and discard theinjection into a sharps bin -
  • Inject slowly – 10 seconds per 1 ml
  • Keep the syringe as still as possible as movement can cause the needle to tear the muscle
  • Carefully withdraw the needle and put in the sharps bin
  • Apply gentle pressure to the injection site using a cotton pad or tissue and massage the
    area to disperse the solution. Do not use a sterile swab after an injection
  • Place all used equipment in the sharps bin

 

IF ANY PAIN IS EXPERIENCED DURING AN INJECTION, REMOVE THE NEEDLE, APPLY
GENTLE PRESSURE TO THE SITE USING THE CLEAN TISSUE OR COTTON PAD AND DO NOT
RE-INJECT INTO THE AREA. SEEK MEDICAL ATTENTION.

SUBCUTANEOUS INJECTION FOR ALL POWDER/WATER SOLUTIONS – NOT FOR OIL OR WATER BASED STEROIDS

LOWER ABDOMINAL AREA BETWEEN SKIN AND MUSCLE

Do not inject more than 1ml into this site

Ensure all your equipment is laid out on a clean surface ready for use prior to administration,
this will include:

  • The fixed 1ml – 27, 29 or 30 gauge needle and syringe with solution for injecting
  • A sterile swab
  • A sharps bin with lid open
  • A clean tissue or cotton pad

Wash your hands thoroughly prior to administering the injection

  • Clean the site using a sterile swab and leave to dry for 1 minute
  • Remove the needle cap and gently push up the plunger, expelling the air, until a drop of
    the solution appears at the end of the needle
  • Pinch the area to be injected and insert the needle at 900 (or 450 if you have low levels
    of body fat in the area)
  • Leave a small part of the needle showing
  • Inject slowly – 10 seconds per 1ml
  • Keep the syringe as still as possible as movement can cause the needle to damage the
    area
  • Carefully withdraw the needle and put in the sharps bin
  • Apply gentle pressure to the injection site using a cotton pad or tissue and gently
    massage. Do not use a sterile swab after injection
  • Place all used equipment in the sharps bin


IF ANY PAIN IS EXPERIENCED DURING AN INJECTION, REMOVE THE NEEDLE, APPLY
GENTLE PRESSURE TO THE SITE USING THE CLEAN TISSUE OR COTTON PAD AND DO NOT
RE-INJECT INTO THE AREA. SEEK MEDICAL ATTENTION.

 

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