Why are Juniper lying?

[Tipofthecattoes]

There is more than enough left for a 4th dose. I measure it out with a syringe and then there’s often some left over after that too.

I know why they’re lying - to make more money. But it’s not correct.

Pharmacies cannot advise outside of prescribing guidelines.

They will not advise on 5th doses, or adjusting doses by click counting. Not worth risking their business for.

What type of syringe do you use to get the extra dose out and how do you do it?

They are not lying to make more money. They can only prescribe under guidelines which is 4 doses.

Google 1ml 8mm 32G syringe and buy from a medical supplier (not amazon).

Or if you want a shorter needle, buy a luer lock syringe and separate needles (most of the same medical suppliers will sell these too)

You insert the syringe needle into the red seal where you normally insert the pen needle and withdraw the liquid, prime syringe to get rid of air and ensure accurately measured, then use the syringe to inject.

A full dose is 0.6ml.

The old pens used to have just a little extra in

I know that extracting the left over liquid or so called ‘golden dose’, is completely normalised in these boards, but it’s outside of your prescription, and not advised. As long as you know that, and are not risk averse, it’s your shout.

Thank you very much. I threw my 2.5 one away without realising. I just had my first 5mg dose so will get some in advance. I really appreciate your response.

I get that. But they specifically emailed me today with this. Which is a lie. Not a question I posed to them

What risks are you wanting to highlight

For clarity. They emailed me this today, presumably because I am nearing my 4th injection.

It is a lie.

There is usually at least 0.8ml left which is over a full dose.

Why do you care?

use it if you want, or don’t. It’s that simple.

It’s not really a lie though, they can’t guarantee how much is in there. It depends how much comes out when you prime and can vary.

Yes this and also re risks upthread - you are effectively taking a double dose every 4 weeks which you don’t know how your body will react to. There is also the question of expiration of the medicine.

@TY78910people generally use the remaining medication for a 5th dose, not a double dose on the 4th week. The medication has a 30 day life time once used. Doing 5 doses from the pen, one a week, easily fits into that 30 days. So no issue with expiry.

The risk of getting the dose wrong. The increased risk of infection from the needle.

This may very well not apply to you, if you understand what you are doing, get the maths right (know the difference between ml and mg, for example - someone didn’t), get high grade needles from a medical supplier and not Amazon etc.

But there are plenty of people on here who don’t. You’ve only got to read the boards.

I’m risk averse when it comes to powerful drugs, and I wouldn’t want to put myself in a position of being off label if I got sick. I’m sure the risks are really tiny. I just don’t want to take them. You do. That’s all.

I have seen people asking where to put their cheap Amazon needle to draw the liquid out becsue they don’t even understand how the pen works when they use it correctly - if they did they would know exactly where to put the needle. If people don’t understand the basic concept of it, they really shouldn’t be messing about with it.

i have also seen people who genuinely think the liquid left in the pen is not the same as the stuff they put in their body for the previous 4 weeks. I mean come on, how could anyone believe this?

not everyone is as able to understand information given, it’s not their fault, but messing with stuff you don’t understand can be dangerous.

They are just trying to discourage misuse of the pens outside of the prescribing guidelines. It is not up to them to know the details of pen misuse.

Not sure if you are trying to discredit them somehow, or brag about a gotcha/that you know better? Does it really matter? You are really overthinking this.

Why on earth would you be taking a double dose?

Trying to brag? About what?

No, I’m just annoyed that they are emailing a specific email to tell me the pen won’t be sufficient for another dose when almost all the times, it will be. It’s what I do every month and have done for 8 months. It’s always been over the 0.6ml needed.

I understand they can’t be encouraging, or even looking like they tolerate people doing so, but they don’t need to send a specific comms asserting an untruth. This is purely about maximising their profit by lying

They aren’t lying though. The SPC from the manufacturer states the pen has 4 doses. What do you want them to say?

It’s not about maximising profits it’s about patient safety

How are they maximising their profit? You take the extra dose - have a think…

They are lying though. They are specifically and clearly saying there will not be enough left in the pen for a full dose, when they know that there will be. I understand what you're saying OP.

They are maximising their profit by discouraging people to make a pen last 5 weeks by taking the extra dose. Obviously they make less money if people order every 5 weeks instead of every 4. You have a think about it.

What they mean is that there isn't guaranteed to be enough for another dose, and they have worded it overly strongly in order to dissuade people from using the pen in a manner it isn't intended for and that they could never recommend or even suggest. We all know that.

If you think they are lying liars, then change providers or don't use them if you were thinking of changing to them. Write them an email telling them of their inaccuracy if you like. What is the point of discussing it here, when we all know what the case is? Or if you don't, it's easy to find out from the very many mentions on all the threads here about this.

The bottom line is that they are not and will never suggest to use the leftover medication as an additional dose, because it involves using the pen in a way that it is not meant to be used. The way they've phrased it might raise an eyebrow, that's all.