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Intramuscular injection

IM injection · shot in the buttock · injection in the arm · muscle shot

Medicine is injected into a muscle with a syringe, usually in the buttock, thigh, or upper arm. From the muscle, it quickly gets into the blood.

When a medicine only comes as an injection, or needs to work faster than a tablet.

⏱ Duration: usually 2 to 5 minutes

Be sure to tell your doctor

How to prepare

  • Prescription. Injections are given only as prescribed by a doctor. If you bought the medicine yourself, bring it and check the expiry date.
  • Clothes. Wear comfortable clothes so the injection site is easy to reach.

What to bring

  • Your doctor's prescription
  • The medicine and syringe, if you were asked to bring your own

How it goes

  1. The nurse checks the medicine and dose against the prescription
  2. You lie on your stomach or bare your upper arm
  3. The skin is wiped with an alcohol pad
  4. The needle goes in quickly, and the medicine is injected slowly
  5. The needle is removed, and the spot is pressed with a pad

What you'll feel

  • The needle prick: a quick, sharp pain
  • While the medicine goes in, you may feel pressure or burning. It depends on the medicine
  • Relax the muscle. It hurts less that way

Afterwards

  • The spot may be a little sore for a day or two
  • If it is your first injection of a new medicine, you are usually asked to wait 15 to 30 minutes at the clinic
  • Do not rub the spot hard, unless the nurse says otherwise

Contact a doctor straight away if

  • Trouble breathing, a swollen face or lips, a rash all over, or weakness right after the injection: tell the staff right away or call emergency services
  • The injection site is red, hot, or swollen, or you have a fever

Common questions

Why is there a lump after an injection?

Sometimes the medicine is absorbed slowly, or a tiny blood vessel is hit. If the lump hurts, gets red, or grows, show your doctor.

Can I give myself an injection at home?

Some injections are given at home after training. A doctor or nurse should show you how and where to inject.