Most people are nervous about the first injection and then surprised at how easy it actually is. The KwikPen is designed for self injection at home. The needle is short and fine, the dose is pre measured, and the whole process takes under a minute once you have done it a few times.
This page covers the technique, sites, storage, and what to expect.
Before You Start
You will need:
- The KwikPen for the current week's dose
- An alcohol swab (optional but helpful)
- A sharps container or similar safe disposal bin
Check the pen:
- Correct dose for your stage of treatment
- Not expired
- Solution is clear and colourless (cloudy or discoloured solution means do not use it)
- Pen has been stored properly
Where To Inject
Three approved sites:
- Abdomen. The most common site. Avoid the 5 cm area immediately around your belly button. Pinch up some skin and inject into the fatty layer.
- Front of the thigh. The middle outer area of the upper leg.
- Back of the upper arm. Tricky to do yourself. Usually requires someone else to inject if using this site.
Most people choose the abdomen for convenience. Rotate the exact spot from week to week, moving at least 2 cm from the previous injection site, to avoid skin reactions or lumps.
The Step By Step
1. Take the pen out of the fridge 15 to 30 minutes before
Letting it warm to room temperature makes the injection more comfortable. Do not warm it artificially (microwave, hot water).
2. Wash your hands
Soap and water. Dry properly.
3. Inspect the pen
Check the dose, the expiry, the solution. Remove the cap. Do not remove the needle cover until just before injecting.
4. Choose and prepare the site
Clean the skin with an alcohol swab if you have one and let it dry. Skin must be dry before injecting (wet alcohol stings).
5. Remove the needle cover
Remove just before injection. Once exposed, do not let the needle touch anything.
6. Pinch up skin (optional)
If you have lean tissue, pinching up a fold of skin helps direct the needle into the fatty layer.
7. Press the pen against the skin
Hold the pen flat against the skin at a 90 degree angle. The pen will not work unless pressed firmly against the skin.
8. Press and hold the injection button
Keep pressed until you hear a click and the dose counter returns to zero. This usually takes around five seconds. Keep the pen against the skin for the full count to ensure the full dose is delivered.
9. Remove the pen straight out
Pull the pen away at the same 90 degree angle. A small drop of blood at the injection site is normal. Press gently with a clean tissue if needed. Do not rub the site.
10. Dispose of the pen safely
Used pens are sharps waste. Put them in a sharps container. If you do not have one, an empty plastic bottle with a screw lid works as a temporary measure. Most pharmacies accept full sharps containers back for disposal.
Ready To Start
An online consultation provides the prescription. Your pharmacy will dispense the pen and walk you through any in person questions.
Start ConsultationHow To Store Mounjaro
Refrigerated
Between 2 and 8 degrees Celsius. Most home fridges sit in this range, but not the freezer compartment and not in the door (temperature varies more there). Do not freeze. If a pen freezes accidentally, discard it.
Room temperature
An individual pen can be kept at room temperature (below 30 degrees Celsius) for up to 21 days. After that it must be discarded even if not used. Once warmed to room temperature, do not return to the fridge.
Travel
For trips, an insulated travel pouch or a small cooler bag keeps pens within range. Avoid direct sun and hot car interiors. For long flights, refrigerated transit packs are widely available.
Side Effects At The Injection Site
Most people have no site reaction at all. Some experience:
- Brief redness or itching
- Small bruise
- Mild tenderness
These usually resolve within a day or two. Rotating sites prevents repeated reactions in the same spot. If a site develops persistent redness, swelling, or a hard lump, mention it at your follow up.
Common First Injection Worries
'What if I press the button before the needle is in the skin?'
The pen will not deliver unless pressed firmly against skin. The button is designed to lock until contact is made.
'What if I let go too soon?'
Watch the dose counter. It returns to zero when the full dose has been delivered. If you let go before then, partial dose has been given. Speak to your pharmacist for guidance, but do not inject again to 'top up'.
'What if it bleeds a lot?'
Press gently with a tissue. Bleeding usually stops within a minute. Significant bleeding is unusual and worth flagging if it happens repeatedly.
'What if I inject in the wrong place?'
The abdomen, thigh, and upper arm are all fatty tissue and forgiving of minor variation. Avoid injecting into bony areas, the muscle, or directly through scars or stretch marks.
Related Reading
Frequently Asked
The abdomen (avoiding the 5 cm area around the belly button), the front of the thigh, or the back of the upper arm. Rotate sites to avoid skin reactions in the same spot.
The needle is very fine and most people describe it as a brief pinch rather than pain. Some injections you barely feel at all.
Many people find it more comfortable to let the pen warm to room temperature for 15 to 30 minutes before injecting. Cold solution can sting slightly.
Refrigerated between 2 and 8 degrees Celsius. Do not freeze. After first use of an unrefrigerated pen, it can be kept at room temperature (below 30 degrees) for up to 21 days but must not be returned to the fridge.