The present disclosure relates to a medicament injection device comprising a housing, a cartridge holder mounted in the housing and configured to receive a cartridge (14) containing a medicament, an injection needle having a proximal end and a distal end, an injection needle holder to which the injection needle is fixed. The medicament injection device (comprises an actuating mechanism for pivoting the injection needle holder relative to the cartridge holder between a storage position in which, when a cartridge is received in the cartridge holder, the distal end of the injection needle is spaced from the cartridge, and a use position in which, when a cartridge is received in the cartridge holder, the distal end of the injection needle can engage the cartridge.