Novo Nordisk NovoLog, Instructions For Use Manual

Page: 8 / 10

8 NovoLog ® (insulin aspart [rDNA origin] injection)
I. Insert the needle into your skin.
Inject the dose by pressing the push-button all the way in until the 0
lines up with the pointer (see diagram I). Be careful only to push the
button when injecting.
Turning the dose selector will not inject insulin.
J. Keep the needle in the skin for at least 6 seconds, and keep the push-
button pressed all the way in until the needle has been pulled out from
the skin (see diagram J). This will make sure that the full dose has
been given.
You may see a drop of NovoLog
®
at the needle tip. This is normal and
has no effect on the dose you just received. If blood appears after you
take the needle out of your skin, press the injection site lightly with a
finger. Do not rub the area.
After the injection
Do not recap the needle.
Recapping can lead to a needle stick injury. Remove the needle from the
NovoLog ® FlexPen ® after each injection. This helps to prevent infection, leakage of insulin, and will
help to make sure you inject the right dose of insulin.
Put the needle and any empty NovoLog ® FlexPen ® or any used NovoLog ® FlexPen ® still
containing insulin in a sharps container or some type of hard plastic or metal container with a
screw top such as a detergent bottle or empty coffee can. These containers should be sealed
and thrown away the right way. Check with your healthcare provider about the right way to throw
away used syringes and needles. There may be local or state laws about how to throw away
used needles and syringes. Do not throw away used needles and syringes in household trash or
recycling bins.
The NovoLog
®
FlexPen
®
prevents the cartridge from being completely emptied. It is designed to
deliver 300 units.
K. Put the pen cap on the NovoLog
®
FlexPen
®
and store the
NovoLog ® FlexPen ® without the needle attached (see diagram K).
L. Function Check
If your NovoLog
®
FlexPen
®
is not working the right way, follow the
steps below:
• Screw on a new NovoFine ® needle.
• Remove the big outer needle cap and the inner needle cap.
• Do an airshot as described in “Giving the airshot before each
injection”.
• Put the big outer needle cap onto the needle. Do not put on the
inner needle cap.
• Turn the dose selector so the dose indicator window shows 20 units.
• Hold the NovoLog
® FlexPen ® so the needle is pointing down.
• Press the push-button all the way in.
The insulin should fill the lower part of the big outer needle cap (see diagram L). If the
NovoLog
®
FlexPen
®
has released too much or too little insulin, do the function check again.
If the same problem happens again, do not use your NovoLog ® FlexPen ® and contact
Novo Nordisk at 1-800-727-6500.
Maintenance
Your FlexPen
®
is designed to work accurately and safely. It must be handled with care. Avoid dropping
your FlexPen ® as it may damage it. If you are concerned that your FlexPen ® is damaged, use a new
one. You can clean the outside of your FlexPen ® by wiping it with a damp cloth. Do not soak or wash
your FlexPen
®
as it may damage it. Do not refill your FlexPen
®
.
Remove the needle from the NovoLog ® FlexPen ® after each injection. This helps to ensure
sterility, prevent leakage of insulin, and will help to make sure you inject the right dose of insulin
for future injections.
Be careful when handling used needles to avoid needle sticks and transfer of infectious diseases.
Keep your NovoLog
® FlexPen ® and needles out of the reach of children.
Use NovoLog
®
FlexPen
®
as directed to treat your diabetes.
Needles and NovoLog
®
FlexPen
®
must not be shared. Always use a new needle for each injection.
Novo Nordisk is not responsible for harm due to using this insulin pen with products not
recommended by Novo Nordisk.
As a precautionary measure, always carry a spare insulin delivery device in case your NovoLog
®
FlexPen
®
is lost or damaged.
Remember to keep the disposable NovoLog ® FlexPen ® with you. Do not leave it in a car or other
location where it can get too hot or too cold.
Patient Instructions for Use
NovoLog
® FlexPen ®
Introduction
Please read the following instructions carefully before using your NovoLog ® FlexPen ® .
NovoLog
®
FlexPen
®
is a disposable dial-a-dose insulin pen. You can select doses from 1 to 60 units
in increments of 1 unit. NovoLog ® FlexPen ® is designed to be used with NovoFine ® needles.
NovoLog
®
FlexPen
®
should not be used by people who are blind or have severe visual problems
without the help of a person who has good eyesight and who is trained to use the NovoLog ®
FlexPen
®
the right way.
Getting ready
Make sure you have the
following items:
• NovoLog ® FlexPen ®
• New NovoFine ® needle
• Alcohol swab
Preparing Your
NovoLog ® FlexPen ®
Wash your hands with soap and
water. Before you start to prepare your injection,
check the label to make sure that you are taking the right type of insulin.
This is especially important if you take more than 1 type of insulin.
NovoLog
®
should look clear.
A. Pull off the pen cap (see diagram A).
Wipe the rubber stopper with an alcohol swab.
B. Attaching the needle
Remove the protective tab from a disposable needle.
Screw the needle tightly onto your FlexPen
®
. It is important that the
needle is put on straight (see diagram B).
Never place a disposable needle on your NovoLog
®
FlexPen
®
until
you are ready to take your injection.
C. Pull off the big outer needle cap (see diagram C).
D. Pull off the inner needle cap and dispose of it (see diagram D).
Always use a new needle for each injection to help ensure sterility
and prevent blocked needles.
Be careful not to bend or damage the needle before use.
To reduce the risk of unexpected needle sticks, never put the inner
needle cap back on the needle.
Giving the airshot before each injection
Before each injection small amounts of air may collect in the cartridge
during normal use. To avoid injecting air and to ensure proper dosing:
E. Turn the dose selector to select 2 units (see diagram E).
F. Hold your NovoLog
®
FlexPen
®
with the needle pointing up.
Tap the cartridge gently with your finger a few times to make any air
bubbles collect at the top of the cartridge (see diagram F).
G. Keep the needle pointing upwards, press the push-button all the way
in (see diagram G). The dose selector returns to 0.
A drop of insulin should appear at the needle tip. If not, change the
needle and repeat the procedure no more than 6 times.
If you do not see a drop of insulin after 6 times, do not use the
NovoLog ® FlexPen ® and contact Novo Nordisk at 1-800-727-6500.
A small air bubble may remain at the needle tip, but it will not be
injected.
Selecting your dose
Check and make sure that the dose selector is set at 0.
H. Turn the dose selector to the number of units you need to inject.
The pointer should line up with your dose.
The dose can be corrected either up or down by turning the dose
selector in either direction until the correct dose lines up with the
pointer (see diagram H). When turning the dose selector, be careful not
to press the push-button as insulin will come out.
You cannot select a dose larger than the number of units left in the
cartridge.
You will hear a click for every single unit dialed. Do not set the dose
by counting the number of clicks you hear.
Do not use the cartridge scale printed on the cartridge to measure
your dose of insulin.
Giving the injection
Do the injection exactly as shown to you by your healthcare provider.
Your healthcare provider should tell you if you need to pinch the skin
before injecting.
4 6
0
I
J
K
20
L
Pen cap
NovoLog
®
FlexPen
®
Big outer
needle cap
Inner needle
cap Needle
Protective
tab
NovoFine
®
needle
Rubber
stopper Cartridge
Cartridge
scale
Pointer
Dose
selector
Push-
button
A
24 units
selected
24
5 units
selected
4
6
H
B
C
D
2 units
selected
E
F
G
Novo Nordisk ® , NovoLog ® , FlexPen ® , and NovoFine ® are registered trademarks of Novo Nordisk A/S.
NovoLog
®
is covered by US Patent Nos. 5,618,913, 5,866,538, and other patents pending. FlexPen
®
is covered by
US Patent Nos. 6,582,404, 6,004,297, 6,235,004, and other patents pending.
Manufactured by:
Novo Nordisk A/S
DK-2880 Bagsvaerd, Denmark
For information about NovoLog
® contact:
Novo Nordisk Inc.
800 Scudders Mill Road
Plainsboro, New Jersey 08536
1-800-727-6500
www.novonordisk-us.com
© 2002-2014 Novo Nordisk
0714-00022409-1 7/2014