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doi: 10.1007/s12325-019-01101-6

Push the plunger in again sending the medicine back into the vial and start over) To give the injection point the needle directly towards the skin Pinch the skin between the thumb and forefinger, on your abdomen for example With a smooth motion, inject the needle through the skin between the skin and muscle below Once its in, shift your thumb to the plunger and slowly push the plunger all the way in count to 3 to make sure the syringe is completely empty Set the needle aside You may need a cotton ball and an adhesive bandage for any bleeding Do not try to recap the needle Insert the used needle into a sharps container (if you dont have a ready-made sharps container, you can make one with a jar or bottle with a screw-on cap

While a causal relationship has not been established, patients with depression or other psychiatric conditions should be monitored for changes in mood or behavior, particularly during the initial weeks of treatment or following dose adjustments