1. Getting Started

If your doctor decides that you or a caregiver may give your injections at home, you should receive training on the right way to prepare and inject STELARA®. Do not try to inject yourself until you or your caregiver has been properly trained by a healthcare provider.

Please read the Instructions for Use and Medication Guide before injecting STELARA®.

Follow these safety considerations when self-injecting STELARA® :

  • Take your STELARA® injection kit out of the fridge
  • Check the expiration date
  • Do not shake STELARA® at any time because vigorous shaking may damage the product. If this happens, do not use it.
  • Do not use if the expiration date has passed. Instead, call your doctor or pharmacist, or you can call 1-800-JANSSEN for help.

2. Gathering Supplies

Gather the supplies you will need to prepare and give your injection. You will need:

  • Alcohol wipe.
  • Cotton ball.
  • Prefilled syringe.
  • Puncture-proof container (sharps disposal container).

3. Getting Ready To Inject

When you are getting ready to inject, follow these steps:

  • Find a room that’s comfortable where you have a flat and clean surface to lay out all your supplies
  • Check the carton to make sure that it is the right dose
  • You will either have 45 mg or 90 mg as prescribed by your doctor
  • If you receive two 45 mg prefilled syringes for a 90 mg dose, you will need to give yourself two injections, one right after the other
  • If you can’t remember your dose, call your doctor to double check
  • Hold your prefilled syringe with the covered needle pointing upward
  • Check to make sure the liquid is colorless to light yellow
  • It may have a few white or clear particles. This is okay.
  • Do not use the prefilled syringe if it is frozen, discolored, cloudy, or has large particles
  • If you have any questions about what is normal and what is not, call your healthcare provider or you can call 1-800-JANSSEN

4. Preparing The Injection Site

Make sure your injection site is properly prepared by following these steps:

  • Wash your hands with soap and warm water
  • Choose the injection site that is most comfortable for you
  • You can inject in 2 places: the top of the thigh or around the stomach, as long as it’s 2 inches away from your belly button
  • If a family member or friend is going to give you the injection, he or she can also use the outer area of the upper arms
  • Do not inject into an area that has stretch marks, psoriasis, scars or is tender, bruised, red, or hard
  • Clean your injection site with an alcohol swab
  • Do not touch this area again before giving yourself the injection
  • Make sure to wait until the area is dry before giving the injection, but do not fan or blow on the area

5. Giving The Injection

Now it’s time for the actual injection.

  • Each prefilled syringe has a needle guard to reduce the risk of accidental needle sticks after you inject
  • Pull the needle cover off and make sure the needle doesn’t touch anything before injecting
  • Do not touch the plunger while removing the needle cover
  • To pull the needle cover off, hold the body of the prefilled syringe with one hand and use your other hand to pull the cover straight off
  • If you see a drop of liquid at the end of the needle, don’t worry as this is ok
  • Do not let the needle touch any surface and do not use the prefilled syringe if it is dropped without the needle cover in place
  • To give the actual injection, hold the body of the prefilled syringe in one hand between your thumb and index finger
  • Do not pull back on the plunger at any time, including when injecting
  • Use your other hand to gently pinch the skin around the clean area and hold firmly
  • Use a quick motion to insert the needle at a 45-degree angle
  • Inject all the medicine by using the thumb to push the plunger down to the needle guard wings
  • After you inject the medicine, you may feel some tension and hear a click. This is normal.
  • Take the needle out, let go of your skin, and remove your thumb to allow the needle to retract
  • If you see a small amount of blood or liquid where you injected, this is normal
  • Just press a cotton ball over the injection site if needed, but do not rub
  • You can cover it with an adhesive bandage if you want

6. Disposal

  • In order to properly dispose of the used syringe, put it in a puncture-proof container (sharps disposal container)
  • Do not put it in the normal garbage or recycling
  • Learn more about safe disposal below

7. Important Considerations

  • For more information about safe sharps disposal, go to FDA.gov/safesharpsdisposal. Learn more about safe disposal below
  • Mark 3 months (12 weeks) from now on your calendar so you don’t miss your next injection

8. Recap

Follow these 5 important steps to help guide you while you are self-injecting:

  • Gather and inspect your supplies.
  • Use a prefilled syringe.
  • Clean the injection site with an alcohol wipe.
  • Inject the prefilled syringe at a 45-degree angle, pushing the plunger all the way down.
  • Throw away the used syringe in a puncture-proof container (sharps disposal container).
Important Safety Information

Thank You For Requesting The STELARA® Information Kit

You can now access your Information Kit electronically, and learn about what's possible with STELARA®.

You will also receive an e-mail within the next 24 hours that contains a link to your E-kit. Click on the link to build and read your E-kit at your convenience.

To ensure you receive timely information about STELARA® and plaque psoriasis, please add admin@info.janssenbiotech.com to your e-mail address book. In the meantime, explore our website to learn more about STELARA® and start taking advantage of all the resources available to you.

Watch the video above for step-by-step instructions on how to self-inject with STELARA®. By following these instructions, we hope you will feel confident self-injecting with the STELARA® prefilled syringe. If your doctor decides that you or a caregiver may give your injections at home, you should receive training on the right way to prepare and inject STELARA®. Do not try to inject yourself until you or your caregiver has been properly trained by a healthcare provider.

Disposal

All used syringes need to be disposed immediately in a puncture-resistant container (sharps disposal container) which should be kept away from children.

There are many ways to safely dispose of your used syringe if you do not have a puncture-resistant container (sharps disposal container), including:

  • Using a drop box at your doctor's office, clinics, local pharmacies, or health departments
  • Finding a household hazardous waste collection site
  • Participating in a syringe and used needle exchange program

Do not throw away used syringes or a sharps disposal container in your household trash.

STELARA® Also Offers A Safe Returns® Program:

Once you have finished injecting your quarterly dose of STELARA®, you’ll want to immediately and safely dispose of your used syringe. Safe Returns® is a unique service for people being treated with STELARA® that lets you:

  • Properly and easily dispose of your used syringe after injecting
  • Sign up at no additional cost to you

For more information about safe sharps disposal and for specific information about sharps disposal in the state that you live in, go to the FDA’s website at: FDA.gov/safesharpsdisposal.

How Safe Returns® Works

When you sign up, you’ll receive a Safe Returns® package in the mail that includes a plastic sharps disposal container that can hold your STELARA® used syringes for a year.

After each injection, place the used syringe in the container and put the lid firmly back in place.

When your container is full, contact StelaraSupport™ and we’ll send you a postage-paid mail-back box, a new disposal container, along with everything you need to properly and easily dispose of your filled container.

Enroll

Click here to fill out the Safe Returns® form.

After you’ve been trained to give yourself an injection by a healthcare professional, you may still have additional questions. You can talk one-on-one with a skilled nurse that can help answer questions about:

  • Giving yourself an injection at home with STELARA®
  • Your prefilled syringe
  • Preparing your injection site prior to self-injecting
  • Properly disposing of your used syringe
  • Safety information about STELARA®
  • Dosing

You can get answers to your questions about self-injection or about STELARA® from a nurse in the comfort of your own home by computer or phone.

Visit With A Nurse On Your Computer With RN Live Link®

You can watch online as a StelaraSupport™ nurse walks you through the injection process while you talk to each other over the phone. RN Live Link® is available 7 days a week, from 8:00 AM to 11:00 PM ET.

Get Started

Talk To A Nurse By Phone

If you prefer a phone conversation, our nurses are available 7 days a week to answer your questions about the injection process.

Call StelaraSupport™ at 1-877-STELARA (1-877-783-5272).

Please read the Important Safety Information below, the Instructions for Use , and the Medication Guide for STELARA® to learn more about these and other risks for STELARA®. Discuss any questions you have with your doctor. You may also watch the Important Safety Information video in the sliding menu above for more safety information.

The first step in self-injecting is for you and your doctor to decide if self-injection is right for you. If your doctor decides that you or a caregiver may be able to give your injections of STELARA® at home, you should receive training on the right way to prepare and inject STELARA®. Do not try to inject STELARA® yourself until you have been shown the right way to give the injections by your doctor or nurse.

Other supplies that you need include an antiseptic wipe, cotton balls, or gauze pads and a puncture-resistant container (sharps disposal container). You can pick up the antiseptic wipes, cotton balls, and a puncture-resistant container (sharps disposal container) at your local drug store.

Use STELARA® exactly as prescribed by your doctor. If your doctor decides that you or a caregiver may give your injections at home, you should receive training on the right way to prepare and inject STELARA®. Do not try to inject yourself until you or your caregiver has been properly trained by a healthcare provider. You will have to go to your doctor’s office for your first injection so your healthcare professional can show you how to use a prefilled syringe. After that, you can start injecting yourself.

Check the package to make sure that it is the right dose and check the expiration date on the prefilled syringe and carton to make sure it has not passed. You want to make sure the prefilled syringe is not damaged and that the liquid inside is colorless to light yellow. Do not use if it is frozen, discolored, cloudy, or has large particles. Do not shake the prefilled syringe at any time. Hold your prefilled syringe with the covered needle pointing upward to check.

If you see a small amount of tiny particles that are white, or that you can see through, don’t worry, that is okay.

Do not use the prefilled syringe if the liquid looks frozen, discolored, cloudy, or contains large particles. If you have any questions about what is normal and what is not, call 1-800-JANSSEN (1-800-526-7736).

You can inject in several places. It is recommended that you inject in your thighs or stomach area. If you choose your stomach, stay 2 inches away from your belly button.

If possible, do not inject into an area that is tender, bruised, red, or hard.

If your doctor decides that a caregiver or a friend may give your injections at home, he or she should receive training on the right way to prepare and inject STELARA®. He or she should not inject you until trained by a healthcare provider.

Put the used syringe in a puncture-resistant container (sharps disposal container) right away after use. Do not throw away loose syringes in your household trash. Follow your community’s guidance for the right way to dispose of your sharps container. Always keep the sharps disposal container out of the reach of children.

You can talk to a nurse one-on-one using the RN Live Link®. When you dial in, a nurse will answer the call and help you with any questions you may have about self-injection or about STELARA®.

RN Live Link® is available 7 days a week, from 8:00 AM to 11:00 PM ET or you can call StelaraSupport™ at 1-877-STELARA (783-5272).

You may also watch our self-injection video included in your Starter Kit or you can find our self-injection video on our YouTube channel: PsoriasisMatters.

When you receive your STELARA® dose, make sure to immediately store your prefilled syringe in the refrigerator until you are ready to use it. Do not freeze or shake the prefilled syringe and keep it in the carton to protect it from light.

Once you have the needle uncapped, make sure that you do not let the needle touch any surface and make sure that you don’t use the prefilled syringe if it is dropped without the needle cover in place. Do not handle the needle cover if you are allergic to latex.

After you’ve cleaned the injection spot with an antiseptic wipe, use the hand that is not holding the prefilled syringe to pinch the skin just outside of the cleaned area and hold firmly. Using a quick motion, insert the needle into your pinched skin using a 45-degree angle. Inject all the medicine by using your thumb to push the plunger head down, until the plunger head is between the needle wings.

Hold the prefilled syringe at a 45-degree angle when inserting the needle into your skin.

If you see a small amount of blood or liquid where you injected, that is normal. Just press a cotton ball or gauze pad to it if needed. Do not rub. If you want, you can cover the area with an adhesive bandage.

You receive one self-injection dose at a time. Store it in your refrigerator until your next dose.

There are many ways to safely dispose of your used syringe if you do not have a puncture-resistant container (sharps disposal container) including:

  • - Using a drop box at your doctor’s office, clinics, local pharmacies, or health departments

  • - Finding a household hazardous waste collection site

  • - Participating in a syringe and used needle exchange program

  • - Signing up for the STELARA® Safe Returns® program

You will need a puncture-resistant container (sharps disposal container). Ask your doctor for instructions on the right way to dispose of the container. You need to follow your community guidelines for the right way to dispose of used syringes. Do not throw away used syringes or a sharps disposal container in your household trash.

When you sign up with STELARA® Safe Returns®, you’ll receive a Safe Returns® package in the mail. Follow the instructions inside the package to return your used syringe in the postage-paid mail-back box when your disposal container is full. To sign up, call STELARASupport™ at 1-877-STELARA (1-877-783-5272).

STELARA® is taken 4 times a year after 2 starter doses. After your first starter dose, wait 4 weeks until your 2nd starter dose, then 12 weeks after that. If your doctor decides that you or a caregiver may give your injections at home, you should receive training on the right way to prepare and inject STELARA®. Do not try to inject yourself until you or your caregiver has been properly trained by a healthcare provider.

Do not miss any doses of STELARA®. If you forget to use STELARA® at your scheduled time, call your healthcare provider.

WHAT IS STELARA®?

STELARA® is a prescription medicine approved to treat adults 18 years and older with moderate or severe plaque psoriasis that involves large areas or many areas of their body, who may benefit from taking injections or pills (systemic therapy) or phototherapy (treatment using ultraviolet light alone or with pills). LEARN MORE >

STELARA® is a prescription medicine approved to treat adults 18 years and older with active psoriatic arthritis, either alone or with methotrexate.

STELARA® is a 45 mg or 90 mg injection given under the skin as directed by your doctor at weeks 0, 4, and every 12 weeks thereafter. It is administered by a healthcare provider or self-injected only after proper training.

IMPORTANT SAFETY INFORMATION

STELARA® is a prescription medicineA drug that is only available with written instructions from a healthcare professional to a pharmacist. that affects your immune system. STELARA® can increase your chance of having serious side effects including:

Serious Infections

STELARA® may lower your ability to fight infections and may increase your risk of infections. While taking STELARA®, some people have serious infections, which may require hospitalization, including tuberculosis (TB)An infectious disease, most commonly of the lungs, resulting in coughing, fever, chest pain, and weight loss., and infections caused by bacteria, fungi, or virusesGerms that grow within the body and cause a disease..

  • Your doctor should check you for TB before starting STELARA® and watch you closely for signs and symptoms of TB during treatment with STELARA®.
  • If your doctor feels that you are at risk for TB, you may be treated for TB before and during treatment with STELARA®.
You should not start taking STELARA® if you have any kind of infection unless your doctor says it is okay.

Before starting STELARA, tell your doctor if you think you have an infection or have symptoms of an infection such as:
  • fever, sweats, or chills
  • muscle aches
  • cough
  • shortness of breath
  • blood in your phlegm
  • weight loss
  • warm, red, or painful skin or sores on your body
  • diarrhea or stomach pain
  • burning when you urinate or urinate more often than normal
  • feel very tired
  • are being treated for an infection
  • get a lot of infections or have infections that keep coming back
  • have TB, or have been in close contact with someone who has TB

  • After starting STELARA, call your doctor right away if you have any symptoms of an infection (see above).

    STELARA® can make you more likely to get infections or make an infection that you have worse. People who have a genetic problem where the body does not make any of the proteins interleukin 12 (IL-12)Proteins that increase the growth and function of white blood cells, which are found in your immune system. and interleukin 23 (IL-23)Proteins that increase the growth and function of white blood cells, which are found in your immune system. are at a higher risk for certain serious infections that can spread throughout the body and cause death. It is not known if people who take STELARA® will get any of these infections because of the effects of STELARA® on these proteins.

    Cancers

    STELARA® may decrease the activity of your immune systemA system inside the body that protects against germs and infections. and increase your risk for certain types of cancer. Tell your doctor if you have ever had any type of cancer. Some people who had risk factors for skin cancer developed certain types of skin cancers while receiving STELARA®. Tell your doctor if you have any new skin growths.


    Reversible posterior leukoencephalopathy syndrome (RPLS)

    RPLS is a rare condition that affects the brain and can cause death. The cause of RPLS is not known. If RPLS is found early and treated, most people recover. Tell your doctor right away if you have any new or worsening medical problems including: headache, seizures, confusion, and vision problems.


    Serious Allergic Reactions

    Serious allergic reactions can occur. Get medical help right away if you have any symptoms such as: feeling faint, swelling of your face, eyelids, tongue, or throat, trouble breathing, throat or chest tightness, or skin rash.


    Before receiving STELARA®, tell your doctor if you:
    • have any of the conditions or symptoms listed above for serious infections, cancers, or RPLS
    • ever had an allergic reaction to STELARA® or any of its ingredients. Ask your doctor if you are not sure
    • are allergic to latex. The needle cover on the prefilled syringe contains latex.
    • have recently received or are scheduled to receive an immunizationAn injection that provides protection against diseases. (vaccine). People who take STELARA® should not receive live vaccinesA vaccine made with living organisms.. Tell your doctor if anyone in your house needs a vaccine. The viruses used in some types of vaccines can spread to people with a weakened immune system, and can cause serious problems. You should not receive the BCG vaccineAn injection that protects against tuberculosis. during the one year before taking STELARA® or one year after you stop taking STELARA®.
    • have any new or changing lesions within psoriasis areas or on normal skin
    • are receiving or have received allergy shots, especially for serious allergic reactions
    • receive or have received phototherapy for your psoriasis
    • have any other medical conditions
    • are pregnant or plan to become pregnant. It is not known if STELARA® will harm your unborn baby. You and your doctor should decide if you will take STELARA®
    • are breast-feeding or plan to breast-feed. It is thought that STELARA® passes into your breast milk. You should not breast-feed while taking STELARA® without first talking to your doctor.
    Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplementsNatural substances, made from herbs, that are used for medical reasons..Know the medicines you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine.

    When prescribed STELARA®:
    • Use STELARA® exactly as prescribed by your doctor
    • If your doctor decides that you or a caregiver may give your injections of STELARA® at home, you should receive training on the right way to prepare and inject STELARA®. Do not try to inject STELARA® yourself until you or your caregiver has been shown how to inject STELARA® by your doctor or nurse.

    Common side effects of STELARA® include: upper respiratory infectionsA bodily infection that affects the nose, throat, and larynx (voice box)., headache, tiredness, joint pain and nausea. These are not all of the possible side effects with STELARA®. Tell your doctor about any side effect that you experience. Ask your doctor or pharmacist for more information.

    You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

    Please read the Full Prescribing Information, including the Medication Guide for STELARA®, and discuss any questions you have with your doctor.

    Requires Adobe® Acrobat® Reader®. Click here to download.


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    step-by-step self-injection guide

    Follow this step-by-step guide for self-injection.

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