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Started Clexane today- any tips

(31 Posts)
CaptainHoratioWragge Fri 24-Aug-12 17:12:29

I'm once a day injections for a clotting issue- any tips/ drawbacks etc about using it appreciated

Jemimapuddleduk Fri 24-Aug-12 17:16:28

hello, i am on fragmin which is similar.
I found my thighs (on the side) less painful than stomach. I have bruised pretty shockingly though. Tends to be better if you can do it on an evening and then lay still.
Good luck

HaveALittleFaith Fri 24-Aug-12 17:17:41

Go in at a 45 degree angle, hold it in place for at least 5 seconds after you push the plunger. Try to find somewhere with lots of fat!

My sympathies, I had it in hospital and it stung like made! Oh wiggle your toes as it goes in, it helps with the stinging!

Casmama Fri 24-Aug-12 17:18:06

Don't rub after you have injected or it bruises much worse and depress the plunger slowly as it is less stingy. Oh and change the site of the injection.

Jemimapuddleduk Fri 24-Aug-12 17:31:25

jeepers, i didn't know about holding it in place for 5 seconds. thanks faith, i had better start doing that. Is it to stop it leaking out?

HaveALittleFaith Fri 24-Aug-12 17:33:38

Yes it's to make sure it goes into the fatty tissue there speaks a nurse

Loislane78 Fri 24-Aug-12 17:37:47

Don't do it in the tummy, its absorbed fine anywhere so hips/thighs much better. As others have said, don't rub afterwards or inject near a bruise as you'll get a monster bruise!!!

Some needles are sharper than others too.

GL smile

MikeLitorisRings Fri 24-Aug-12 17:40:19

I had syringes that had weird springy things <techical term> on them. I found them so much easier to use.

I still bruised like hell though.

CaptainHoratioWragge Fri 24-Aug-12 17:52:18

Isn't MN great!
Thanks so much, everyone.
I did the first one today with the doc at the hosp, so I don't actually have to do one by myself until tomorrow....gulp smile

amybelle1990 Fri 24-Aug-12 17:53:13

Try not to rub it afterwards

BagofHolly Fri 24-Aug-12 20:31:08

Here's my patented method, after approx 700 clexane injections!

1) buy ice lolly
2) sit down
3) slide lolly under bit of tummy above hip, which would touch your thigh if you leant forward. (The overhang, for the more portly of us!)
4) leave for a good 4 mins
5) roll syringe between fingers to warm it a bit
6) grab big chilled lump of flesh and stick needle in firmly
7) press plunger briskly
8) needle will retract automatically with new delivery device, otherwise pull out quick
9) eat lolly.


CaptainHoratioWragge Fri 24-Aug-12 21:20:51

I like your thinking, Holly

I'm slightly worried that eating a lolly a day for the next 7 months might not go down with the consultant, though smile

PineapplePol Sat 25-Aug-12 04:27:34

It will sting and bruise but its not that bad really - or perhaps I have just got used to it. I'm on clexane now but have had fragmin in the past. My experience is fragmin is best in thighs. Clexane is best in fatty tissue around stomach. I tried clexane in thighs but bruises were awful and painful, especially when 4yr old DD wanted to sit on my lap! I find best place for clexane is the out towards the sides of abdomen as it bruises less (where love handles are - they have to have some use!). Good luck. It really isn't difficult and you soon get used to it.

PineapplePol Sat 25-Aug-12 04:30:11

PS. Just thought of something - be careful if you are injecting where your waist band will sit as the pressure of waist band can make bruising worse in same way that rubbing injection site will. Be prepared for every midwife and doctor to ask why you are so bruised!

CornishKK Sat 25-Aug-12 05:00:32

Inject in the fattest bit you have, I thought stomach would be awful (especially towards the end of my pregnancy) but it was fine - first time I've appreciated my pot belly/spare tyres.

If possible get the self contained units for injecting but if you get given the others they are not as bad as they look. If you are using the self contained units make sure the needle has automatically withdrawn before moving it (ouchy!).

My sister used a can of spray, sorry can't remember the name, to numb the area. She passed it on to me but TBH I didn't need to use it - I think her being extra skinny made it more painful for her.

Most importantly - it's not that bad honest!

Oh, I forgot it's also essential to big it up to your DH so that you can lie on the sofa and get given biscuits afterwards. grin

Thumbwitch Sat 25-Aug-12 05:14:48

Fatty areas above the groin but below the waist = best place for me. I've been using Clexane since got the +ve preg test (had to) and am utterly sick of it now, but have got better at it, mostly.

For me, now at 33w, there is less loose flesh around my belly so I can't pick a roll of it up any more. I prod the area first to see how reactive it is - the numb-er the better. I then free up the plunger, by pushing it just enough to move it while the cap is still on the needle, then bringing it back to its start point. Make sure the bubble is at the top of the syringe.
The needle goes in at 90 degrees, up to the shank - depress plunger slowly and then I ease the needle out. Mostly this results in a small purple dot.

If, however, on entry, it starts to REALLY hurt, I stop, take it out and go elsewhere - I've either hit a blood vessel (messy) or something other than fatty tissue (bruisey).

If you don't push the needle all the way in, it hurts FAR FUCKING WORSE - DH used to only put it halfway in, apparently (I couldn't watch) and do the plunger quickly - I used to get the 5-10second afterburn, that had me hopping around sometimes. SO much better now I've taken control of it myself, some days it doesn't even hurt at all.

Some syringes are blunt as fuck. I tend to persevere but some people just dump these ones and use a sharper one.

hzgreen Sat 25-Aug-12 07:28:03

after 6 months i still haven't mastered the techinque but i will forge on with advice anyway;

Stay at least 5 cms from your belly button because it is way sensitive around that area.
pinch the skin for at least 45 seconds and pinch hard.
go in quick with the needle, if you're too tentative it hurts more.
i inject just before bed so that if i mess it up and it hurts i can have a little lie down
get/demand sympathy from from OH, show bruises if necessary
forward midwife that you are on Clexane so that when she examines you she doesn't get a shock and become immediatley suspicious of OH

i've botched a couple of injections but mostly it has been ok, interestingly i seem to bruise worse with injections that don't hurt...

CaptainHoratioWragge Sat 25-Aug-12 08:44:59

Thanks everyone,
OK sorry if this is a stupid question but...

My syringes are the ones with the springy release thing....

Do i put the needle in, press the plunger down, wait 5 seconds whilst pushing it down and then pull the needle out

OR put the needle in, press the plunger down, release my hold on the plunger and then wait 5 second before pulling away

When i tried to pull mine out the needle was still in me, so i'm wondering if its because i was still holding down the plunger for those 5 seconds, so it didn't retract itself, or if you have to hold the plunger for the 5 seconds to make sure all the medicine goes in

HaveALittleFaith Sat 25-Aug-12 09:03:56

I'm trying to think what I do! I keep my thumb on the plunger, the clexane is delivered then the spring releases and I pull it back (I think)!

BagofHolly Sat 25-Aug-12 13:06:18

You don't have to do anything for 5 seconds - once it's in, it's in, and that's why the plunger springs back out once youve pushed it down. And it should be done at 90 degrees to the skin.

PicaK Sat 25-Aug-12 13:13:23

I started clexane this week and whilst I found the injections a doddle (cos doing ivf and they were v fiddly) I have been a bit fed up about it.

Thinking about horrified midwives and demanding sympathy from DH being an integral part of the process has made me smile! Thank you.

Loislane78 Sat 25-Aug-12 13:49:33

The main issue for me was having to repeatedly explain the bruising to MWs if I saw a different one (usually the case) and they hadn't read my notes; "how have you done this, is everything ok at home", although I realise they ask everyone smile

4kidsplusbump Sun 26-Aug-12 08:56:06

Hi everyone - I'm also on clexane. 30 weeks now, and have been on them for about 4 weeks. Haven't been doing very well with these injections and there have been some mornings when I just can't seem to get the needle in and have have to admit I have given up a couple of times confused

Does anyone know if being on these makes any differences to the actual birth? I didn't think to ask the consultant when I was put on them, and not seeing them again until I'm 36 weeks!

hzgreen Sun 26-Aug-12 17:09:17

according to my consultant it shouldn't make any difference to the the birth, i just need to not inject once labor starts. apparently the clexane only stays in your system for about 12 hours so by the time delivery happens it should be ok but i really haven't researched it much. can you try to get an earlier appointment with your consultant?

it took me a while to get to grips with the injections and found that if i was too tentative when sticking the needle in it really bloody hurt so now i just take a deep breath and plunge the needle in quick and mostly it's fine. after two mc's i couldn't risk missing an injection.

CaptainHoratioWragge Sun 26-Aug-12 19:31:18

Hello all, well i've had two days of injecting now so i feel less scared about it all.

The tips really helped, especially not to rub the area, the first days injection i did with the doc has a massive bruise, the two i've done with MN advice are much better!

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