I have been on Bicillin a while and my butt is really starting to be very sore. I alternate dorsogluteal site (upper outer butt) and the ventrogluteal site (side below the hip).
Has anyone done the vastus lateralis site (front thigh towds the outer side)? The nurse said she could do it and it shouldn't hurt any more or less than the other sites. Anyone do this. I get 2 1.2 mu per week so I need place to rotate. I have been doing this a while now.
Thanks
Posted by robi (Member # 5547) on :
any ideas?
Posted by Melanie Reber (Member # 3707) on :
Hey Dearheart,
I know of several people who have done IM Rocephin in that area, but everything I have read advises against doing Bicillin there.
Sorry your touche is getting worn down. Maybe it is time for a short break to give it a chance to recover a bit?
Posted by hcconn22 (Member # 5263) on :
Just be careful if your getting sore from Bicillian. I stopped about 3 months ago because -- I believe that the Nurse came too close to a nerve, hit or nicked the nerve or I have developed scar tissue from the shots.
I have not been able to get out of bed much for 3 months now due to SEVERE Sciatic Pain.
Be careful.
Posted by robi (Member # 5547) on :
Thanks Melanie and hconn ........ I am sorta not wanting to stop the bicillin because I am seeing a slow yet positive response. I have a very skilled nurse administering but I know even then they can hit a nerve.
It seems the pain is more aching in the hip area than nerve type pain.
Has anyone do ne the tigh area? It kinda freaks me out but (no pun intended) I need a new spot.
Melanie can you direct me to "I have read advises against doing Bicillin there."
Thanks kids ...........
hr ......... hope you siatic pain clears up and thnaks for the warning
Posted by bejoy (Member # 11129) on :
The only thing I can suggest is to YouTube for videos on IM injections. There are many of them, and you could get some ideas. Then check it out to be sure with a doctor or lymenetters in the know.
Posted by keltyl (Member # 14050) on :
I just finished about 6 mos of bicillin shots, with no problems. I think I had a very good shot-giver. I got them in the muscle of my hip, rotating sides each time. I even got them 3x a week for awhile.
My doc prescribed emla cream I rubbed on the area 1 hr prior to injection, and I rarely even felt the shot.
Posted by tcw (Member # 15698) on :
I do not have any direct experience, but my understanding is that you run a larger risk of hitting both nerves and blood vessels in the VL area compared to the glute areas.
2cc is a large depot - I would expect it be a bit more painful there, but on the plus side it is easier to massage the area after the injection. If you are able, walking or other moderate exercise of the muscle after injection may help with pain.
Posted by Melanie Reber (Member # 3707) on :
Bicillin LA
Generic Name: penicillin G benzathine Dosage Form: injection
for deep IM injection only
WARNING: NOT FOR INTRAVENOUS USE. DO NOT INJECT INTRAVENOUSLY OR ADMIX WITH OTHER INTRAVENOUS SOLUTIONS. THERE HAVE BEEN REPORTS OF INADVERTENT INTRAVENOUS ADMINISTRATION OF PENCILLIN G BENZATHINE WHICH HAS BEEN ASSOCIATED WITH CARDIORESPIRATORY ARREST AND DEATH. Prior to administration of this drug, carefully read the WARNINGS, ADVERSE REACTIONS, and DOSAGE AND ADMINISTRATION sections of the labeling.
IF AN ALLERGIC REACTION OCCURS, BICILLIN L-A SHOULD BE DISCONTINUED AND APPROPRIATE THERAPY INSTITUTED. SERIOUS ANAPHYLACTIC REACTIONS REQUIRE IMMEDIATE EMERGENCY TREATMENT WITH EPINEPHRINE. OXYGEN, INTRAVENOUS STEROIDS AND AIRWAY MANAGEMENT, INCLUDING INTUBATION, SHOULD ALSO BE ADMINISTERED AS INDICATED.
Method of Administration
Do not inject into or near an artery or nerve.
Injection into or near a nerve may result in permanent neurological damage.
Inadvertent intravascular administration, including inadvertent direct intra-arterial injection or injection immediately adjacent to arteries, of Bicillin L-A and other penicillin preparations has resulted in severe neurovascular damage, including transverse myelitis with permanent paralysis, gangrene requiring amputation of digits and more proximal portions of extremities, and necrosis and sloughing at and surrounding the injection site. Such severe effects have been reported following injections into the buttock, thigh, and deltoid areas. Other serious complications of suspected intravascular administration which have been reported include immediate pallor, mottling, or cyanosis of the extremity both distal and proximal to the injection site, followed by bleb formation; severe edema requiring anterior and/or posterior compartment fasciotomy in the lower extremity. The above-described severe effects and complications have most often occurred in infants and small children. Prompt consultation with an appropriate specialist is indicated if any evidence of compromise of the blood supply occurs at, proximal to, or distal to the site of injection.1-9 (See PRECAUTIONS, and DOSAGE AND ADMINISTRATION sections.)
Quadriceps femoris fibrosis and atrophy have been reported following repeated intramuscular injections of penicillin preparations into the anterolateral thigh.
Administer by DEEP INTRAMUSCULAR INJECTION in the upper, outer quadrant of the buttock.
...
I think the general consensus is that using the thigh is too risky as far as hitting on or near a vessel or nerve.
![[Smile]](smile.gif)