Abstract: A medication delivery apparatus including a housing, a container of medication mounted to the housing, an outlet such as an injection needle, and a drive assembly adapted to force medication from the container and through the outlet upon movement of an actuator. The housing periphery includes a projecting abutment for digit engagement which is ergonomically designed for abutting contact by a first digit of a hand of a user when the housing is grasped within the user's hand such that a second digit of the hand of the user may operate the actuator. When the actuator is moved axially, this abutting contact of the first digit with the abutment permits application of an axial force by the first digit on the abutment in a direction generally opposite to an axial force applied to move the actuator.