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    Old 11-15-2005, 09:15 AM   #1
    ThinBones
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    Forteo.....and bruising...question

    I have been on Forteo since last March. I went thru all the adjustments as most of us have and it is fairly routine now. I sometimes have no pain with the injections and sometimes it burns, etc. But, this has been the usual so I don't worry about it. I only use my abdomen. I noticed last night that I had several small bruises that seemed to appear all at the same time and I was wondering if this has happend to anyone else. I do have some bruising on occasion but I now have around five and it just seems odd. I feel like I use the same technique and areas and wondering if I should change my injection site. Thanks!!!

     
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    Old 11-15-2005, 04:21 PM   #2
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    Re: Forteo.....and bruising...question

    Quote:
    Originally Posted by ThinBones
    I have been on Forteo since last March. I went thru all the adjustments as most of us have and it is fairly routine now. I sometimes have no pain with the injections and sometimes it burns, etc. But, this has been the usual so I don't worry about it. I only use my abdomen. I noticed last night that I had several small bruises that seemed to appear all at the same time and I was wondering if this has happend to anyone else. I do have some bruising on occasion but I now have around five and it just seems odd. I feel like I use the same technique and areas and wondering if I should change my injection site. Thanks!!!
    This has happened to me too. Most of the time, I have no bruises. Once, I looked at my belly and saw a line of them. Last week I had one black and blue mark but nothing else, and I also use my abdomen almost all of the time. I also get the burning sometimes and sometimes not, just like you.

     
    Old 11-15-2005, 05:26 PM   #3
    CrohnieToo
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    Re: Forteo.....and bruising...question

    What size needles are you both using? Just out of curiosity. I've only been on Forteo about 3 months now and haven't experienced any bruising .... yet. However, I am on warfarin so I'm sure my "turn" is coming eventually.

    My drug store originally sold me Leader brand 31 guage, 5/16" pen needles. I freaked out at first since the sample pen needles were 31 guage but 3/16" long because I knew I was going to have to give some of my Forteo injections in my abdomen. Those Leader brand 5/16" needles were something like $9 a 100. The BD Ultra Fine III 31 guage, 3/16" pen needles were $32 as I remember but I just paid $36 for the second box of 100. I use the 5/16" in my thighs but am still too chicken and so use the 3/16" in my abdomen.

    Last edited by CrohnieToo; 11-15-2005 at 05:32 PM.

     
    Old 11-15-2005, 07:02 PM   #4
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    Re: Forteo.....and bruising...question

    I'm using the BD 31 g X 5/16". I don't mind the length of the needle but do mind how thick in diameter it is. Is 31 g thicker than 30 guage? I'm lucky because my insurance pays 100% for all my needles and the pen.

    I get some bruising from time to time. A few weeks ago I had several days of bruising. I wonder if it's just because once there's a bruise and you inject close to the area, that it causes further bruising. The nurse told me to rotate the area of the injections so I assumed going from the left side to the right of the abdomen was good enough. I haven't tried using the thigh at all and don't plan to, I think it would hurt more due to the muscles in my leg.

     
    Old 11-16-2005, 09:16 AM   #5
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    Re: Forteo.....and bruising...question

    I use the 3/16" 31g needles. I believe that 31g is smaller (less thick) than 30g. My understanding is the bigger the gauge the smaller the needle. It's funny the ideas we have. Most of you are using the abdomen and think the thigh would hurt more. I've only used the thigh so far and am apprensive about using the stomach as I fear it would hurt more!!

    I don't ususally have bruising, although I quite often have a red mark which goes away after a while and I have drawn blood a few times. Sometimes it does sting and sometimes I hardly feel it. Recently, though, I had a good sized bruise which didn't disappear for a week or more. It was kind of freaky because I could see the bruise develop as soon as I stuck the needle in. I'm not aware that I did anything differently to cause it.

     
    Old 11-16-2005, 06:44 PM   #6
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    Re: Forteo.....and bruising...question

    I use the B&D shorter needle. Can't imagine using anything longer. I'm way too much of a needlephobe for that. I never checked the price. I get reimbursed for most of what I spend on Forteo and, I guess, the needles from my insurance but even if it doesn't cover the needles, I'm spending money for that!

     
    Old 11-17-2005, 02:25 AM   #7
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    Re: Forteo.....and bruising...question

    You know, that is one thing that kinda surprised and then bugged me, that my insurance doesn't pay for the needles for injections. Now, tell me, if injectable B12 is scripted, or injectable Forteo, or injectable insulin, for that matter, HOW in the devil am I gonna use these medications if I DON'T have the needles and/or syringes for them????? At least these medications that come with the pens, the insurance is stuck paying for the "syringe"! I don't blame them for not wanting to pay the price that BD wants for their mini-pen needles when Leader brand makes the same thing, same guage, only 5/16" instead of 3/16" long for 1/4 the price tho. Several weeks ago RiteAid had Leader brand needles as well as BD brand needles at the pharamacy, I saw them there. This past week RiteAid had only BD brand and told me that they only handle BD brand now. Hmmmm. Easier & better markup than Leader???

     
    Old 11-17-2005, 08:18 AM   #8
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    Re: Forteo.....and bruising...question

    ChronieToo,
    Did your insurance deny paying for the needles? You can file a grievance with the insurance company. Obviously, you can't use the medication without them. Is your medication sent by mail? Mine is and they include the needles in the package.

     
    Old 11-17-2005, 08:35 AM   #9
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    Re: Forteo.....and bruising...question

    I get Forteo from a mail-order pharmacy and they supply the needles and alcohol swabs at no extra charge. They will also supply a sharps container. You're right, it only seems logical that they should provide the needles since the medication is useless without them.

     
    Old 11-17-2005, 03:42 PM   #10
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    Re: Forteo.....and bruising...question

    I could get the Forteo via mail order - but I'm more comfortable getting it from my local pharmacy. My local pharmacy is the one who says insurance won't pay for the needles. I'm not comfortable getting any meds that must be refrigerated via mail order. (Trusting soul, aren't I?? - not!)

     
    Old 11-17-2005, 06:39 PM   #11
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    Re: Forteo.....and bruising...question

    ChronieToo,
    I felt that same way as you did about getting the pen mail order but the insurance company refused to pay unless I did. My reason was different than yours and was about the fact that I'm working during the day. So I arranged for a special Sat. delivery. So far they are willing to pay the extra money and do it that way.They did pay for the needles that I picked up at the local pharmacy previously.

    It's really turned out to be much more convenient. The Seciality pharmacy sends the pen, needles, and sharps container. It's all sent in a really sturdy ice chest with the reusable ice blocks. I'm getting a big collection of these handy coolers! It's transported via refrigerated transport because I called and asked. I haven't had any problems yet. If you think about it, whomever delivers to the local pharmacy could be letting the pen get too warm or frozen, you just don't know. I kind of worried that the local pharmacy didn't refrigerate the box immediately sometimes, you just don't know. Your privacy can be maintained also as you don't have to stand in line with your neighbors picking up the medication. You might want to give it a try.

    When my pen got crystals in it a few weeks ago, I contacted Eli Lilly and they gave me a card to get a replacement pen. The speciality pharmacies don't accept those cards so I had to order through the local pharmacy. When I went to pick it up the pharmacist said that it was too expensive and they couldn't order without guarantee of payment. I got some uninformed pharmacist as the pen was already in the refrigerator and just had to have someone else go back and find it. Fun times at the pharmacy.

     
    Old 11-18-2005, 08:56 AM   #12
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    Re: Forteo.....and bruising...question

    Like Taape, my insurance company required that I use the mailorder pharmacy after the first three months on Forteo. They ship it overnight delivery in a styrofoam chest with several ice packs. Those ice packs are the best I've ever seen; they stay frozen for a long time. It's worked out pretty well for me. I have it delivered to my office as I was concerned about it sitting on my front porch in the summer heat we have here. I asked about Saturday delivery but they said they couldn't do it. For the first three months supply that I got at the local pharmacy the insurance company only paid $2-$3 toward the needles which cost me about $30.00 for the BD small needles, but the mailorder pharmacy supplies the needles, alcohol swabs and sharps container. It really doesn't make any sense why they don't supply them at the local pharmacy.

     
    Old 11-22-2005, 06:32 AM   #13
    ThinBones
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    Re: Forteo.....and bruising...question

    Thanks for your replies, I use the short, short needles, I got the longer ones by mistake and could not believe, even though they are also small, how big they looked. I also had to pay last time which does seem weird. Glad to know that it is common to have intermittant bruising and burning, etc. So nice to be able to communicate with other on Forteo, otherwise I would have had many more questions for the MD. Thanks!!!

     
    Old 12-13-2005, 12:52 PM   #14
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    Re: Forteo.....and bruising...question

    I have 5 or 6 bruises now. Sometime when I prime the needle, it doesn't push out any medication, so I do it again. Sometime I have to do that 3 or 4 times before any medication is released. How do you know the real injection actually releases medication. I wonder if that has anything to do with bruising.

     
    Old 12-13-2005, 06:18 PM   #15
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    Re: Forteo.....and bruising...question

    Whitewolfee,
    Sometimes when I do the priming hardly any medication comes out also but it seems that when the dial gets on 2 that the medication does come out. I've tested a pen that I was returning because the medicaton wasn't clear before I returned it to see how much medication comes out or doesn't. I guess we'll never know for sure if the exact right amount of medication is coming out of the needle. If the plunger doesn't move after several injections then maybe no medication is coming out. I don't think the bruising would have much to do with how much medication is coming out of the needle. If you continue to have problems call Eli Lilly and report it.

     
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