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We train patients who are starting methotrexate injections to self-inject at home.

What do Methotrexate injections involve?

Patients are seen face to face and shown how to use the injection pens, using a demonstrator pen. These pens are pre-filled and have needle-safe guards. In the clinic, patients are taught how to safely handle, administer and dispose of the pens and deal with spillages. When ready, patients self-inject their first dose in clinic under supervision.

The current brand used in the hospital is Metoject. You can see more information about this here:

Link: https://metoject.co.uk/patient/

Link: https://nras.org.uk/resource/methotrexate/

Nordimet is another brand in the UK, though not currently stocked in the hospital:

https://nordimet.co.uk/patient/

Methofill is not recommended as it requires a larger sized bin, which current local waste disposal in the community does not support.

http://www.methofill.co.uk/patient

Referral and appointments

New patients are referred from members of the Rheumatology team.

I work every Tuesday, Wednesday and Friday in Rheumatology and in pharmacy on Thursday as part of the ward based pharmacy teams.

Contact

Rheumatology Department
Aconbury West
Worcester Royal Hospital
Charles Hastings Way
Worcester
WR5 1DD
Tel 01905 760461 (Rheumatology helpline)