Learning how to give an injection at home can feel intimidating at first, but with the right guidance, it becomes a manageable part of your care routine. At Olympia Pharmacy, we’re here to support you every step of the way.
This page includes a complete video tutorial on how to give a subcutaneous (subQ) injection, along with clear written instructions to follow at your own pace. You’ll also find tips on needle size, medication storage and preparation, as well as answers to common questions about home injections.
Instructional Video: How to Inject a Subcutaneous Shot
Learn how to safely administer a subcutaneous (under the skin) injection at home with guidance from Dr. Kate Campbell, Director of Pharmacy at Olympia Pharmacy.
Step-by-Step: How to Give a Subcutaneous Injection
Before You Begin
✔ Inspect your medication upon arrival
✔ Read the vial label carefully for storage instructions and expiration date
✔ If you have any questions, contact your doctor or the pharmacy before use
What You’ll Need:
✔ Medication vial with prescription label
✔ Alcohol swabs
✔ U-100 insulin syringe
✔ Sharps container for disposal
Step 1: Choose an Injection Site
You can inject subcutaneously in one of three areas:
✔ Upper Arm – back of the arm, halfway between shoulder and elbow
✔ Abdomen (Belly) – below the ribs, above the hip bones, at least 2 inches from the navel
• Attach a fresh needle to your syringe if not pre-attached
Step 3: Load the Syringe
• Puncture the rubber stopper and draw the prescribed dose
• Keep the vial upright at a 90° angle
• Use the top edge of the plunger stopper to measure the dose accurately (e.g., 10 units = 0.1 mL)
Step 4: Clean and Pinch the Skin
• Sanitize the chosen injection site with a fresh alcohol swab
• Use your non-dominant hand to gently pinch 1–2 inches of skin
Step 5: Inject the Medication
• Hold the syringe like a pencil
• Insert the needle at a 90° angle in one steady motion
• Push the plunger down slowly to deliver the full dose
Step 6: Remove and Dispose
• Remove the needle gently and dispose of it in a sharps container
• Apply light pressure with a clean swab if bleeding occurs
• Massage the area lightly if needed
Storage & Preparation Tips
• Storage Conditions: Always check your vial label for storage instructions.
• Needle Size: U-100 insulin syringes with short, thin needles are ideal for subcutaneous injections.
• Avoid Reuse: Always use a new syringe and needle for each injection.
Safe Needle Disposal Guidelines
Properly disposing of used needles, syringes, and sharps is essential for your safety and the safety of others. Follow these steps to handle used injection materials responsibly:
Use a Sharps Container
Always place used needles and syringes in a FDA-cleared sharps disposal container. These containers are typically made of puncture-resistant plastic with a tight, leak-resistant lid.
Do Not:
• Do not throw loose needles in the trash or recycling bin
• Do not flush needles down the toilet
• Do not recap, bend, or break used needles
What if I Don’t Have a Sharps Container?
If a proper container isn’t available, use a heavy-duty plastic container (like an empty laundry detergent bottle). It must be puncture-resistant, leak-proof, and have a secure, screw-on lid. Be sure to clearly label it “Do Not Recycle – Sharps.”
Disposal Options
Once your sharps container is full, you have several safe disposal options. Many local pharmacies offer sharps disposal services, so check with yours first. You can also contact your local health department to find designated drop-off sites or community disposal programs in your area. In some cases, a mail-back sharps disposal service may be available and convenient for home use.
Q: What’s the difference between subcutaneous and intramuscular injections?
A: Subcutaneous (subQ) injections go into the fat layer under the skin, while intramuscular (IM) injections are delivered directly into muscle. SubQ uses shorter, finer needles and is generally less painful.
Q: Does a subcutaneous injection hurt?
A: Most people report only mild discomfort. You may feel a small pinch or sting during the injection, but it should not be painful. Letting the medication come to room temperature and relaxing the injection area can help minimize discomfort.
Q: Can I reuse syringes?
A: No. Always use a fresh syringe and needle to prevent infection and maintain medication potency.
Q: What if I hit a blood vessel or see bleeding?
A: Light bleeding can happen. Apply pressure with a swab. If you experience unusual pain, swelling, or persistent bleeding, contact your doctor.
Q: Can I inject in the same spot every time?
A: It’s best to rotate injection sites to avoid irritation, bruising, or tissue buildup. For example, if you use your abdomen one day, try the thigh or opposite side of the abdomen next time.
Q: What happens if I accidentally inject into muscle instead of fat?
A: Subcutaneous injections are meant for the fatty layer just under the skin. Injecting too deeply may reduce how well the medication works or cause discomfort. Always pinch the skin and use the correct needle size to help ensure proper placement.
Q: How do I know I gave the full dose?
A: Make sure the plunger is fully pressed down before removing the needle. The syringe should appear empty, and there should be no resistance as you inject the medication.
Q: What if I see air bubbles in the syringe?
A: Tiny air bubbles in subcutaneous injections are usually harmless, but you can gently tap the syringe and push the plunger slightly to remove air before injecting. Never try to remove large air pockets while the needle is inserted.
Q: How should I store my medication?
A: Always follow the storage instructions on your vial’s label. Many medications require refrigeration, but some may be stored at room temperature for a limited time. If you’re unsure, contact your pharmacist.
Still Need Help?
Have questions about your injection technique or prescription? Our pharmacy team is happy to help.
