This information is intended for US healthcare professionals. Please confirm you are a healthcare professional to continue.
How should I inject Kineret?
Learn from your healthcare team and develop a routine.
When your child starts Kineret treatment, you will receive injection training from the professionals at your hospital or doctor's office. Then the time will come for you to continue with daily Kineret injections at home.
Whether you are a parent injecting your child or a patient learning to self-inject, it is important to learn the correct way to safely handle syringes and to give injections so you can gain the confidence you need.
STEP Get ready
- Set up a clean and flat work space such as a table
- Take the Kineret prefilled syringe labeled with the correct day of the week out of the refrigerator
- Check the expiration date
- Wait for 30 minutes to let the solution come to room temperature
- Ensure that the liquid in the syringe is clear and colorless (a few small bubbles are not a problem)
- Gather your supplies
- Alcohol swabs or wipes
- Dry gauze, tissue, and/or cotton ball
- Needle clipper or puncture-resistant sharps container
- Wash your hands with soap and warm water
STEP Prepare the correct Kineret dose for your child
Your doctor will tell you the correct dose of Kineret to inject each day, and this dose will change as your child grows. Each syringe includes 100 mg of Kineret. If you need to prepare a Kineret dose less than 100 mg, follow these steps:
- Hold the syringe with the needle pointing straight up
- Slowly push the plunger rod until you see a tiny liquid drop at the tip of the needle
- Turn the syringe so the needle is pointing down
- Hold the syringe above a sterile gauze or tissue
- Slowly push the plunger until the top of the plunger has reached the correct dose
- Throw the tissue/gauze away
STEP Select your injection site
- Choose an injection site
- Be sure to choose a new site each time you inject Kineret
- Do not inject into an area that is tender, red, bruised, or hard
- Avoid areas with scars or stretch marks
- Do not inject close to a vein that you can see under the surface of the skin
- Clean your injection site with an alcohol swab and let the area dry
STEP Give the injection
1. Hold the syringe barrel and pull the cover straight off the needle
2. Gently pinch a fold of skin at the cleaned injection site
3. Hold the syringe like a pencil at a 45- to 90-degree angle to the skin
4. Insert the needle into the skin with a quick, dart-like motion
5. Slowly push the plunger all the way down to inject Kineret
6. When the syringe is empty, pull the needle out of the skin while keeping the needle at the same angle
STEP After the injection
- Place a cotton ball or gauze over the injection site and press for several seconds
- Don't use an alcohol wipe—it may sting!
- Clip your needle and throw the syringe in the trash or put the used syringe in a sharps disposal container right away
- Track your injection site in a diary or on the Kineret Injection Tracker
What happens if my child has an injection site reaction?
Most injection site reactions are temporary, and there are tips to help address them.
- Skin reactions are the most common side effect with Kineret and may appear as redness, swelling, bruising, itching, or stinging of the skin at the injection site
- Injection site skin reactions are most common during the first month of treatment and usually last about 14 to 28 days
To help address injection site reactions:
- Cool the site with a cold compress or ice pack for a few minutes, both before and after the injection
- Don't skip the warm-up step of bringing Kineret to room temperature
- Apply hydrocortisone or an antihistamine cream to your injection site
- Rotate sites to avoid soreness. A diary or the Kineret Injection Tracker can help keep track of sites
- Don't inject into skin that is red, bruised, tender, or hard
If you have questions or concerns about injecting Kineret or managing injection site reactions, KINERET® On TRACK™ may be able to help. Learn more about KINERET On TRACK
How do I get Kineret?
KINERET On TRACK will arrange for Kineret to be shipped directly to your home.
Kineret is supplied in single-use, prefilled, graduated glass syringes containing 100 mg of Kineret solution. Kineret is dispensed in a 7-day pack and most people receive their Kineret in a shipment of 4 packs (containing a total of 28 injections), but this may vary depending on your prescription.
How should I store Kineret?
Kineret should be stored in a refrigerator.
Kineret should be refrigerated at between 36°F to 46°F (2°C to 8°C).
Store Kineret in its original carton and away from light.
Discard any syringe that has been left out of the refrigerator for more than 12 hours.*
Do not freeze or shake Kineret.
*We recommend you take your Kineret syringe out of the refrigerator to allow it to warm to room temperature before injection.
What injection resources are available?
A variety of resources contain information on injecting Kineret.
As a complement to the initial injection instructions you may receive from your doctor's office, you can use these Kineret training materials to help you get started.
If you would like to request in-home injection training or get advice via telephone from a Kineret Trained Nurse, KINERET On TRACK may be able to help.
Kineret® (anakinra) injection tracker
A printable sheet for keeping track of your injection sites
Kineret treatment guide
A brochure with information about how Kineret works, how to store and inject Kineret, and details about the services of KINERET On TRACK
Kineret instructions for use
Instructions for storing and injecting Kineret
If you would like to request in-home injection training or get advice via telephone from a Kineret Trained Nurse, KINERET On TRACK may be able to help.Learn more about the services of KINERET On TRACK