IM Injections

Phenergan is seriously corrosive. The pain of under-diluted IV phenergan is very painful.

I had an IM shot of phenergan once, and the site hurt me for 3 weeks.

It is a drug I tend to avoid giving and doctors here avoid prescribing for those reasons.

Unfortunately, there is a shortage of anti-emetics so I have given more phenergan than I used to.

So, to answer your question, you could have done everything right and still had that knot of irritation.

We have not given Phenergan IM for quite some time due to its corrosive nature. We only give it IV, greatly diluated and through the port farthest from the site.

phenergan injection should not be given by the subcutaneous route because evidence of chemical irritation has been noted, and necrotic lesions have resulted following subcutaneous injection. therefore, the preferred parenteral route of administration is by deep intramuscular injection. having said that, is because of the risks of intravenous injection, the preferred route of administration of phenergan injection is deep intramuscular injection subcutaneous injection is contraindicated. please read the directions on the vial!

And put injection deep im in a glute, not a deltoid site, have always given it in rear end.

Our hospital doesnt even have phenergan as IV/IM anymore. Risk of complications way to high. I know a lady who got injections of phenergan and developed blood clots at the sites. Very bad news.