Mastering the Self-Injection: Autonomy and Confidence in Your Treatment

Living with polymyalgia rheumatica (PMR) is a journey. Many people with PMR take daily steroids to manage their condition. However, for some, steroids are not an option, or their PMR symptoms return. For those people, other medicines in the form of injections may work better to manage their condition.^1,2

The US Food and Drug Administration (FDA) approved a drug called sarilumab (Kevzara). This medicine is for people who cannot tolerate steroids or for whom steroids have not worked to manage their PMR symptoms. This medicine blocks a substance in the body that causes swelling. You take this medicine as a shot every 2 weeks. It may help you feel better with a lower dose of steroids.^1,2

Empowerment through self-injection

Injection schedules help your body keep a steady level of medicine. Doctors call this a "steady-state" therapy.

Injections can also help you manage your symptoms with more ease. Giving yourself an injection once every 2 weeks can offer you more lifestyle freedom. This independence is a powerful part of your treatment.

Self-injection steps

Giving yourself a shot may feel scary at first. Follow the steps below to make it easy. These steps focus on your comfort and safety:³

1. Take the medicine out of the fridge.
2. Let it sit for 30 to 60 minutes. This allows it to reach room temperature. Cold medicine can sting more than warm medicine.
3. Wash your hands with soap and water.
4. Choose a spot on your belly or thigh.
5. Clean the skin with an alcohol wipe.
6. Use the "pinch-and-press" technique. Pinch a fold of skin with one hand.
7. Press the needle into the skin quickly.
8. Push the plunger down slowly.
9. Throw the needle away in a sharps container.

You should rotate your injection spots. Do not use the same spot 2 times in a row. This helps your skin stay healthy and soft.³

Tools to help you manage your PMR

You do not have to manage your care alone. Many tools can help you stay on track. Digital injection trackers can be very helpful. These apps send alerts to your phone. They help you remember your 2-week schedule. You can also use a paper calendar if you prefer.

Sharps disposal programs are another great resource. They give you a safe place for used needles. Most areas have free programs for this.⁴

You can also look for co-pay assistance tools. These tools help lower the cost of your medicine. They make it easier to start and stay on your plan. Your healthcare team can help you find these resources. Using these tools lowers the barrier to your success.⁴

Dealing with injection anxiety

It is normal to feel nervous about injecting yourself with medicine. Many people see mild reactions at the injection site. You might see a bit of redness or itching. You might also see a small bump. These reactions are common and not concerning. They often go away in 1 or 2 days.^5,6

You should still watch how your body reacts. Talk to your doctor if you feel worried. They can give you more tips for comfort. Knowing what to expect helps reduce your anxiety. It makes the process feel like a normal part of your day.^5,6

Call your doctor if you notice these signs:²

• A fever or chills that will not go away
• Severe pain at the injection site
• A rash or hives on other parts of your body
• Trouble breathing or a tight feeling in your throat

Mastering self-injections gives you autonomy

With practice and support, you can manage PMR with confidence and ease. Talk to your healthcare team about your self-injection options. You have the power to take charge of your health.