 [ Symptoms ] i am16female i have acne all over my back chest arms neck and face how to get rid of it  i am drinking hamdard safi  blood purifier these pimples are huge and they live black spots and holes on my body \ this acne has resulted in low esteem and depression [ Disease ] find a well lit clean flat work surface like a table and collect all the supplies you will need to give yourself or receive an injection take one avonex administration dose pack out of the refrigerator about 30 minutes before you plan on injecting your dose to allow it to reach room temperature a room temperature solution is more comfortable to inject you will need the following supplies single use prefilled syringe sterile needle alcohol wipe gauze pad adhesive bandage a puncture resistant container for disposal of used syringes and needles preparing the avonex prefilled syringe it is important to keep your work area your hands and your injection site clean to minimize risk of infection you should wash your hands prior to handling the syringe check the expiration date the expiration date is printed on the avonex prefilled syringe syringe package and the carton do not use if the medication is expired check the contents of the syringe the solution in the syringe should be clear and colorless if the solution is colored or cloudy do not use the syringe get a new syringe check the cap on the end of the syringe to confirm it is attached and has not been opened if the cap is not securely attached or appears to have been opened do not use that syringe call your pharmacist hold the syringe so the cap is facing down and the 0 5 ml mark is at eye level check to make sure the amount of liquid in the syringe is the same or very close to the 0 5 ml mark if the syringe does not have the correct amount of liquid do not use that syringe call your pharmacist hold the avonex® prefilled syringe upright so that the cap is pointing up remove the cap by bending it at a 90 angle until it snaps free open the package with the 23 gauge 1 ¼ inch needle attach the needle by pressing it onto the syringe and turning it clockwise until it locks in place note if you do not firmly attach the needle to the syringe it may leak so you may not get your full dose of avonex be careful not to push the plunger while attaching the needle selecting an injection site you should use a different site each time you inject this can be as simple as switching between thighs if you are always injecting yourself or if another person is helping you you can rotate between your upper arms and your thighs keeping a record of the date and location of each injection will help you do not inject into an area of the body where the skin is irritated reddened bruised infected or scarred in any way the best sites for intramuscular injection are the thigh and upper arm thigh upper arm injecting the avonex dose use the alcohol wipe to clean the skin at the injection site you choose then pull the protective cover straight off