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in-ter-feer'-on bay'-ta wun aye interferon beta-1a, prevent episodes, symptoms and slow the development, disability in patients with relapsing-remitting multiple sclerosis, ms, a disease in which the nerves do not function properly and patients may experience weakness, numbness , muscle coordination and problems with vision, speech, bladder control, interferon beta-1a has not been shown to help patients with chronic progressive ms, interferon beta-1a is a prescription drug, immunomodulators, not known how interferon beta-1a works to treat ms, interferon beta-1a intramuscular injection comes as a powder, mixed into a solution for injection, a prefilled injection syringe, this medication is injected into a muscle, usually once a week, the same day each week, best to give the injection around the same time, day on my injection days, usually, late afternoon, evening, use interferon beta-1a exactly as directed, interferon beta-1a controls the symptoms, ms, take interferon beta-1a, do not stop taking interferon beta-1a, will receive my first dose, interferon beta-1a in a physician's office, after, can inject interferon beta-1a myself , a friend, relative perform the injections, before you use interferon beta-1a myself the first time, read the written instructions, pharmacist to show you, the person who will be injecting the medication, inject it, always use a new, unopened vial, prefilled syringe and needle for each injection, never reuse vials, syringes, needles, throw away used syringes in a puncture-resistant container, kept out, reach, talk to a physician, pharmacist about, throw away the puncture-resistant container, can inject interferon beta-1a, in my upper arms, thighs, use a different spot for each injection, keep a record, the date and spot, each injection, the same spot two times in a row, do not inject into an area where the skin is sore, red, bruised, scarred, infected, abnormal in any way, to prepare interferon beta-1a powder for injection, remove the vial from the refrigerator, allow it to warm to room temperature for about 30 minutes before using, a heat source, hot water, a microwave to warm the vial, set up a clean, well lit, flat work surface, like a table, to collect all the supplies you will need, assemble these supplies: vial, interferon beta-1a, vial, sterile water, sterile syringe, sterile needle, blue micro pin, vial access pin, alcohol wipes and puncture-resistant container, check the expiration date on the vials, interferon beta-1a powder and sterile water, if the medication, sterile water is expired, is expired, call my pharmacist, wash my hands well with antibacterial soap, remove the caps from the vials, interferon beta-1a powder and sterile water, clean the rubber stopper on the top, each vial with an alcohol wipe, remove the small light blue protective cover from the end, the syringe barrel with a counterclockwise, toward the left, turn, attach the blue micro pin to the syringe by turning clockwise, toward the right, until, tight, do not overtighten, pull the micro pin cover straight off, without twisting, save the cover for later use, pull back the syringe plunger to the 1.1-ml mark on the syringe, firmly push the micro pin on the syringe down through the center, the rubber stopper, the sterile water vial, push down on the plunger, the syringe until it cannot be pushed down any farther, keep the micro pin, vial and turn the vial and syringe upside down, slowly pull back on the syringe plunger to the 1.1-ml mark, gently tap the syringe with my finger to make any air bubbles rise to the top, there are bubbles, slowly press the plunger in just enough to push the bubbles, not liquid, out, the syringe, make sure there is still 1.1 ml, sterile water, syringe, slowly pull the micro pin out, the sterile water vial, carefully push the micro pin through the center, the rubber stopper, the interferon beta-1a powder vial, pushing the micro pin through the vial stopper off-center can cause the stopper to fall into the vial, the stopper falls into the vial, that vial, get a new vial, continue to prepare my dose, slowly push down on the plunger until the syringe is empty, do not aim the stream, water directly on the medication powder, a forceful stream, liquid on the powder will cause foaming and make it difficult to withdraw the medication, without removing the syringe, gently swirl the vial until the interferon beta-1a powder is dissolved, do not shake, the solution should be clear to slightly yellow and should not have any particles, the vial if the solution is cloudy, has particles in it, is another color, turn the vial and syringe upside down, slowly pull back on the plunger, the syringe until, full to the 1.0-ml mark, bubbles appear, push the solution slowly back into the vial and try again, continue to hold the vial and syringe upside down, tap the syringe gently to make any air bubbles rise to the top, press the plunger in until the solution moves up to the top, the syringe and there is still 1.0 ml, solution left, syringe, pull the micro pin out, the vial, hold the syringe upright and carefully replace the cover on the micro pin, then remove the micro pin from the syringe with a counterclockwise, to the left, turn, attach the sterile needle for injection to the syringe by turning the needle clockwise, to the right, until, tight, throw away the blue micro pin properly, see below for injection instructions, to prepare a prefilled syringe, interferon beta-1a intramuscular injection, remove the prefilled syringe from the refrigerator and allow it to warm to room temperature for about 30 minutes before using, a heat source, hot water, a microwave to warm the syringe, check the syringe, sure, safe to use, the syringe should be labeled with the correct name, the medication and an expiration date that has not passed and should contain a clear, colorless solution filled to the 0.5-ml mark, the syringe is expired, the syringe contains a different amount, solution, the solution is cloudy, discolored, contains any particles, the syringe, phone my pharmacist, wash my hands well with antibacterial soap, hold the prefilled syringe upright, with the rubber cap facing up, remove the rubber cap by turning and gently pulling the cap in a clockwise, toward the right, direction, open the needle package and attach the needle to the syringe by firmly pressing it onto the syringe and turning it a half-turn clockwise, toward the right, be sure to attach the needle tightly so medication will not leak, to inject an intramuscular dose, interferon beta-1a, set up a clean, well-lit, flat work surface, a table, to collect all the supplies you will need to inject my medication, assemble these supplies: prefilled syringe, sterile needle, alcohol wipe, gauze pad, adhesive bandage, puncture-resistant container, use a new alcohol wipe to clean the skin, spot where you will inject interferon beta-1a, pull the protective cover straight off the needle without twisting, use one hand to stretch the skin out around the spot where you will inject the medication, use my other hand to hold the syringe like a pencil, use a quick motion to stick the needle, skin at a 90-degree angle, straight up and down, push the needle through the skin and into my muscle, let go, the skin and use that hand to gently pull back slightly on the syringe plunger, see blood come into the syringe, pull the needle out, the injection spot and put pressure on the spot with a gauze pad, will need to replace the needle with a new needle, choose a new spot for injection, no blood comes into the syringe, slowly push the syringe plunger down until the syringe is empty, hold a gauze pad near the needle at the injection spot and pull the needle straight out from the skin, use the gauze pad to apply pressure to the spot for a few seconds, rub gently in a circular motion, there is slight bleeding at the spot, wipe it off with the gauze pad, apply an adhesive bandage, throw away the used syringe and needle properly, after 2 hours, check the injection site for redness, swelling, tenderness, redness, swelling, tenderness that does not go away in a few days, is severe, before using interferon beta-1a, allergic to interferon beta-1a, any other interferon product, any other medications, human albumin, natural rubber, latex, vitamins, nutritional supplements, herbal products you are taking, be sure to mention, acetaminophen, tylenol, antidepressants, azathioprine, imuran, cancer chemotherapy medications, carbamazepine, tegretol, chloramphenicol, chloromycetin, cholesterol-lowering medications, statins, cyclosporine, neoral, sandimmune, gold compounds, auranofin, ridaura, aurothioglucose, solganol, heparin, iron products, isoniazid, inh, nydrazid, medications for acquired immunodeficiency syndrome, aids, human immunodeficiency virus, hiv, methotrexate, rheumatrex, niacin, nicotinic acid, penicillamine, cuprimine, depen, phenytoin, dilantin, phenytek, rifampin, rifadin, rimactane, sirolimus, rapamune, sulfa antibiotics, sulfamethoxazole, bactrim, septra, sulfisoxazole, gantrisin, thyroid medications, tacrolimus, prograf, a physician may need to change the doses, monitor you carefully for side effects, drink, ever drunk large amounts, alcohol, ever had aids, hiv; an autoimmune disease, a disease in which the body attacks its own cells; ask a physician, unsure, this type, disease, blood problems, anemia, low red blood cells, easy bruising, bleeding; cancer; depression, difficulty falling, staying asleep, mental illness; seizures, heart, liver, thyroid disease, pregnant, plan to become pregnant, when breast-feeding , become pregnant while using interferon beta-1a, surgery, dental surgery, using interferon beta-1a, ask a physician about the safe use, alcoholic beverages, using interferon beta-1a, alcohol can make the side effects from interferon beta-1a worse, flu-like symptoms, headache, fever, chills, sweating, muscle aches, upset stomach , vomiting, tiredness that last for a day after my injection, a physician may tell, inject my medication at bedtime and take an over-the-counter pain and fever medication to help with these symptoms, symptoms usually lessen, go away over time, talk to a physician if these symptoms last longer than the first few months, therapy, they are difficult to manage, become severe, a special diet, a physician tells you otherwise, continue my normal diet, inject the missed dose, do not inject interferon beta-1a two days in a row, do not inject a double dose to make up for a missed dose, return to my regular dosing schedule the following week, call a physician if you miss a dose and have questions about what to do, what side effects can this medication cause, interferon beta-1a, side effects, symptoms are severe, tight muscles, weakness, stomach pain, eye problems, runny nose, dizziness , lightheadedness, toothache, joint pain, hair loss, bruising, pain, redness, swelling, irritation, place you injected interferon beta-1a, some side effects can be serious, symptoms are uncommon, depression, thoughts, hurting myself , feeling very emotional, seeing things, hearing voices that do not exist, hallucinating, seizures, swelling, the face, throat, tongue, lips, eyes, hands, feet, ankles, lower legs, trouble breathing when lying flat in bed, increased need to urinate during the night, decreased ability to exercise, excessive tiredness, energy, appetite, unexplained weight gain, chest pain , tightness, fast, irregular heart beat, swelling, hands, feet, ankles, lower legs, numbness , burning, tingling, pain in hands, feet, painful, difficult urination , unusual bleeding, bruising, pain, upper right part, the stomach, yellowing, the skin, eyes, dark brown urine, pale skin, feeling cold, hot all the time, sore throat, cough, other signs, infection, hives, skin rash , itching, difficulty breathing , swallowing, hoarseness, interferon beta-1a, other side effects, any unusual problems while taking this medication, don't switch containers, tightly closed, keep away from kids, store the prefilled syringes and vials, refrigerator, do not freeze, a refrigerator is not available, can store the vials, interferon beta-1a at room temperature, away from heat and light, for up to 30 days, always use vials, powder within 6 hours after you mix them with sterile water and use prefilled syringes within 12 hours after you take them out, the refrigerator, throw away mixed vials, syringes after this time has passed, drug disposal, emergency/overdose, overdose, the victim has collapsed, is not breathing, a physician will order certain lab tests, body's response to interferon beta-1a, avonex