NovoMix 30 FlexPen Buy Online

NovoMix 30 FlexPen Buy Online
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This leaflet answers some common questions about NovoMix® 30 FlexPen®. It does not contain all the available information. It does not take the place of talking to your doctor, diabetes education nurse or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risks of you using NovoMix® 30 FlexPen® against the benefits they expect it will have for you. If you have any concerns about using this medicine, ask your doctor, diabetes education nurse or pharmacist. Keep this leaflet with the medicine. You may need to read it again. What NovoMix® 30 is used for The insulin aspart (rys), or “NovoMix® 30”, in NovoMix® 30 FlexPen® is a mixture of rapidand longer-acting insulin used to treat diabetes mellitus. Diabetes mellitus is a condition where your pancreas does not produce enough insulin to control your blood sugar (glucose) level. Extra insulin is therefore needed. There are two types of diabetes mellitus: Type 1 diabetes – also called juvenile onset diabetes Type 2 diabetes – also called maturity onset diabetes Patients with type 1 diabetes always require insulin to control their blood sugar levels. Some patients with type 2 diabetes may also require insulin after initial treatment with diet, exercise and tablets. NovoMix® 30 lowers your blood sugar level after injection. When injected under your skin, NovoMix® 30 has a faster onset of action than soluble human insulin. It takes effect within 10 to 20 minutes. The maximum effect will occur between 1-4 hours after injection and the effect may last for up to 24 hours. As with all insulins, the duration of action will vary according to the dose, injection site, blood flow, temperature and level of physical activity. NovoMix® 30 is a pre-mixed neutral suspension consisting of rapidacting insulin aspart (rys) (30%) and longer-acting protamine insulin aspart (rys) (70%). FlexPen® is a pre-filled dial-a-dose insulin pen able to deliver from 1 to 60 units in increments of 1 unit. NovoMix® 30 FlexPen® can be used alone, or together with other medicines, for treating diabetes. NovoMix® 30 is not addictive. NovoMix® 30 FlexPen® is available only with a doctor’s prescription. Ask your doctor, diabetes education nurse or pharmacist if you have any questions about why NovoMix® 30 FlexPen® has been prescribed for you. Before you use NovoMix® 30 FlexPen® When you must not use it Do not use the medicine if: 1 you have an allergy to:  any medicine containing insulin  any of the ingredients listed in the ‘Ingredients’ section of this leaflet. Some of the symptoms of an allergic reaction may include:  redness, swelling, rash and itching at the injection site  rash, itching or hives on the skin  shortness of breath  wheezing or difficulty breathing  swelling of the face, lips, tongue or other parts of the body 2 you are experiencing a low blood sugar level (a “hypo”) when the dose is due. If you have a lot of hypos discuss appropriate treatment with your doctor. If you are not sure whether you should start using this medicine, talk to your doctor. Do not use this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal. 

 

Before you start to use it Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. Tell your doctor if you have or have had any medical conditions, especially the following:  kidney problems  liver problems  adrenal, pituitary or thyroid gland problems Tell your doctor if you are pregnant or plan to become pregnant. Pregnancy may make managing your diabetes more difficult. Insulin needs usually decrease during the first three months of pregnancy and increase during the last six months. Your doctor can discuss with you the risks and benefits involved. Tell your doctor if you are breast-feeding or plan to breastfeed. Your doctor or pharmacist can discuss with you the risks and benefits involved. Inform your doctor as soon as possible if you experience signs of heart failure such as unusual shortness of breath or rapid increase in weight or localised swelling (oedema). Some patients with long-standing type 2 diabetes mellitus and heart disease or previous stroke who are treated with thiazolidinediones in combination with insulin may develop heart failure. If you have not told your doctor about any of the above, tell them before you start using this medicine. Taking other medicines Tell your doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop. Some medicines and NovoMix® 30 may interfere with each other. These include:  oral hypoglycaemic medicines - used to treat type 2 diabetes  monoamine oxidase inhibitors (MAOI) - used for the treatment of depression  alpha blockers - used to treat high blood pressure and to relieve difficulty in passing urine caused by an enlarged prostate  non-selective beta blockers - used to treat high blood pressure and certain heart conditions  ACE inhibitors - used to treat high blood pressure, certain heart conditions or elevated protein/albumin in the urine  salicylates e.g. aspirin - used to relieve pain and lower fever  anabolic steroids – used to promote growth  glucocorticoids (except when applied locally) – used to treat inflammatory conditions  oral contraceptives (“the pill”) - used for birth control  thiazides - used to treat high blood pressure or fluid retention (oedema)  thyroid hormones - used to treat malfunction of the thyroid gland  sympathomimetics such as salbutamol or terbutaline - used to treat asthma  sulphonamides – used to treat bacterial infections Or other specific medicines including:  danazol - used to treat endometriosis, menorrhagia, fibrocystic breast disease and hereditary angioedema  oxymetholone – used to treat certain blood disorders  octreotide - used to treat gastrointestinal endocrine tumours and enlargement of parts of the body (e.g. hands, feet, head) caused by abnormal growth hormone levels  lanreotide – used to treat enlargement of parts of the body (e.g. hands, feet, head) caused by abnormal hormone levels  diazoxide - used to treat high blood pressure  nicotinic acid - used to treat high cholesterol levels in the blood  asparaginase - used to treat leukaemia and lymph gland tumours  quinine – used to treat malaria and relieve muscle cramps  quinidine – used to treat heart problems  growth hormone – used to treat growth disorders Tell your doctor about any medicines that you are taking other than NovoMix® 30. This is very important. Your doctor will advise you if it is all right to keep taking them or if you should stop taking them. Your doctor and pharmacist have more information on medicines to be careful with or avoid while using this medicine. How to use NovoMix® 30 FlexPen® Your doctor, diabetes education nurse or pharmacist will have shown you how to use your medicine. Carefully follow all the directions. They may differ from the information contained in this leaflet. Any change in dose or type of insulin should be made cautiously and only under medical supervision. If you change the type of insulin that you use, you may have to use more or less than before. This may happen with the first dose or over a period of time. 

Before you start to use it Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes. Tell your doctor if you have or have had any medical conditions, especially the following:  kidney problems  liver problems  adrenal, pituitary or thyroid gland problems Tell your doctor if you are pregnant or plan to become pregnant. Pregnancy may make managing your diabetes more difficult. Insulin needs usually decrease during the first three months of pregnancy and increase during the last six months. Your doctor can discuss with you the risks and benefits involved. Tell your doctor if you are breast-feeding or plan to breastfeed. Your doctor or pharmacist can discuss with you the risks and benefits involved. Inform your doctor as soon as possible if you experience signs of heart failure such as unusual shortness of breath or rapid increase in weight or localised swelling (oedema). Some patients with long-standing type 2 diabetes mellitus and heart disease or previous stroke who are treated with thiazolidinediones in combination with insulin may develop heart failure. If you have not told your doctor about any of the above, tell them before you start using this medicine. Taking other medicines Tell your doctor if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop. Some medicines and NovoMix® 30 may interfere with each other. These include:  oral hypoglycaemic medicines - used to treat type 2 diabetes  monoamine oxidase inhibitors (MAOI) - used for the treatment of depression  alpha blockers - used to treat high blood pressure and to relieve difficulty in passing urine caused by an enlarged prostate  non-selective beta blockers - used to treat high blood pressure and certain heart conditions  ACE inhibitors - used to treat high blood pressure, certain heart conditions or elevated protein/albumin in the urine  salicylates e.g. aspirin - used to relieve pain and lower fever  anabolic steroids – used to promote growth  glucocorticoids (except when applied locally) – used to treat inflammatory conditions  oral contraceptives (“the pill”) - used for birth control  thiazides - used to treat high blood pressure or fluid retention (oedema)  thyroid hormones - used to treat malfunction of the thyroid gland  sympathomimetics such as salbutamol or terbutaline - used to treat asthma  sulphonamides – used to treat bacterial infections Or other specific medicines including:  danazol - used to treat endometriosis, menorrhagia, fibrocystic breast disease and hereditary angioedema  oxymetholone – used to treat certain blood disorders  octreotide - used to treat gastrointestinal endocrine tumours and enlargement of parts of the body (e.g. hands, feet, head) caused by abnormal growth hormone levels  lanreotide – used to treat enlargement of parts of the body (e.g. hands, feet, head) caused by abnormal hormone levels  diazoxide - used to treat high blood pressure  nicotinic acid - used to treat high cholesterol levels in the blood  asparaginase - used to treat leukaemia and lymph gland tumours  quinine – used to treat malaria and relieve muscle cramps  quinidine – used to treat heart problems  growth hormone – used to treat growth disorders Tell your doctor about any medicines that you are taking other than NovoMix® 30. This is very important. Your doctor will advise you if it is all right to keep taking them or if you should stop taking them. Your doctor and pharmacist have more information on medicines to be careful with or avoid while using this medicine. How to use NovoMix® 30 FlexPen® Your doctor, diabetes education nurse or pharmacist will have shown you how to use your medicine. Carefully follow all the directions. They may differ from the information contained in this leaflet. Any change in dose or type of insulin should be made cautiously and only under medical supervision. If you change the type of insulin that you use, you may have to use more or less than before. This may happen with the first dose or over a period of time. 

 

 sugar levels may become high (hyperglycaemia) if you:  miss doses of insulin or use less insulin than you need  have uncontrolled diabetes  exercise less than usual  eat more carbohydrates than usual  are ill or stressed High blood sugar levels over a long period of time can lead to too much acid in the blood (diabetic ketoacidosis). Contact your doctor immediately if your blood sugar level is high or you recognise any of the following symptoms. Symptoms of mild to moderate hyperglycaemia include:  drowsy feeling  flushed face  thirst, loss of appetite  fruity odour on the breath  blurred vision  passing larger amounts of urine than usual  getting up at night more often than usual to pass urine  high levels of glucose and acetone in the urine Symptoms of severe hyperglycaemia include:  heavy breathing  fast pulse  nausea, vomiting  dehydration  loss of consciousness Severe hyperglycaemia can lead to unconsciousness and in extreme cases death if untreated. Discuss any worries you may have about this with your doctor, diabetes education nurse or pharmacist. While you are using NovoMix® 30 FlexPen® Things you must do Measure your blood sugar level regularly. Make sure all friends, relatives, workmates or carers know that you have diabetes. If your child has diabetes it is important to tell their carers. Keep using your insulin even if you feel well. It helps to control your condition, but does not cure it. Tell your doctor if you often have hypos (low blood sugar levels). Your doctor may need to adjust your insulin dose. Always carry some sugary food or fruit juice with you. If you experience any of the symptoms of a hypo, immediately eat some sugary food or have a drink e.g. lollies, biscuits or fruit juice. Tell your doctor if you have trouble recognising the symptoms of hypos. Under certain conditions, the early warning signs of hypos can be different or less obvious. Your doctor may need to adjust your insulin dose. Make sure that you tell every doctor, dentist, pharmacist or other health care professional who is treating you that you have diabetes and are using insulin. Tell your doctor, diabetes education nurse or pharmacist if you are travelling. Ask your doctor for a letter explaining why you are taking injecting devices with you. Each country you visit will need to see this letter, so you should take several copies. You may need to inject your insulin and eat your meals at different times because of time differences in and between countries. You may not be able to get the same type of insulin in the country you are visiting. Your doctor, diabetes education nurse or pharmacist can provide you with some helpful information. Things you must not do Do not stop using your medicine unless your doctor tells you to. Do not use the medicine if you think it has been frozen or exposed to excessive heat. It will not work as well. Do not use this medicine to treat any other complaints unless your doctor tells you to. Do not give your medicine to anyone else, even if they have the same condition as you. Do not share needles or pens. Things to be careful of Be careful driving or operating machinery until you know how the insulin affects you. If your blood sugar is low or high your concentration and ability to react might be affected, and therefore also your ability to drive or operate a machine. Bear in mind that you could endanger yourself or others. Please ask your doctor whether you can drive a car or operate a machine:  if you have frequent hypos  if you find it hard to recognise hypoglycaemia Tell your doctor if you drink alcohol. Alcohol may mask the symptoms of hypos. If you drink alcohol, your need for insulin may change as your blood sugar level may either rise or fall. Careful monitoring is recommended. Tell your doctor if you are ill. Illness, especially with nausea and vomiting, may cause your insulin needs to change. Even if you are not eating, you still require insulin. 

 

You and your doctor should design an insulin plan for those times when you are sick. Tell your doctor if you are exercising more than usual. Exercise may lower your need for this medicine. Exercise may also speed up the effect of a dose of it, especially if the exercise involves the area of the injection site (e.g. the leg should not be used for injection prior to jogging or running). Tell your doctor if your diet changes. Changes in diet may cause your insulin needs to change. Side effects Tell your doctor, diabetes education nurse or pharmacist as soon as possible if you do not feel well while you are using NovoMix® 30 FlexPen®. This medicine helps most people for whom it is prescribed, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects. Do not be alarmed by the following lists of side effects. You may not experience any of them. Ask your doctor, diabetes education nurse or pharmacist to answer any questions you may have. The most common side effect when using insulin is low blood sugar levels (a hypo). Tell your doctor if you notice any of the following and they worry you:  hypos (mild to moderate)  pain, redness, hives, bruising, swelling or itching at the injection site. Usually these symptoms disappear within a few weeks during continued use. If you have serious or continuing reactions, you may need to stop using NovoMix® 30 and use another insulin.  a depression or thickening of the skin around the injection site (lipodystrophy)  when you first start your insulin treatment you may get visual problems or swollen hands and feet This list includes the more common side effects of your medicine. They are usually mild and short-lived. If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital. More severe symptoms of low blood sugar levels, including:  disorientation  seizures, fits or convulsions  loss of consciousness If a severe hypo is not treated, it can cause brain damage and death. Tell your doctor immediately or go to Accident and Emergency at your nearest hospital if you notice any of the following:  skin rashes over a large part of the body  shortness of breath, wheezing  swelling of the face, lips or tongue  fast pulse  sweating This list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are very rare. Tell your doctor if you notice anything that is making you feel unwell. Other side effects not listed above may also occur in some people. Ask your doctor, diabetes education nurse or pharmacist to answer any questions you have. After using NovoMix® 30 FlexPen® Storage Store NovoMix® 30 FlexPen® that are not being used between 2C and 8C in a refrigerator (away from the cooling element). Resuspend the insulin in your NovoMix® 30 FlexPen® – whether it is to be used immediately or whether it is to be carried as a spare – upon removing it from the refrigerator. Do not keep the NovoMix® 30 FlexPen® that you are using, or that you are carrying as a spare, in a refrigerator. You can use it up to 4 weeks at or below 30C after taking it out of the refrigerator. Discard NovoMix® 30 FlexPen® after 4 weeks even if there is still some medicine left in it. The medicine in your NovoMix® 30 FlexPen® must not be frozen, or exposed to excessive heat or light. Protect the medicine in NovoMix® 30 FlexPen® from light by keeping the cap on when not in use. Never use NovoMix® 30 FlexPen® after the expiry date printed on the label and carton. Never use NovoMix® 30 FlexPen® if the NovoMix® 30 does not appear white and uniformly cloudy after resuspension. Keep out of the reach of children. Disposal Dispose of used needles safely into a yellow plastic sharps container. If your doctor tells you to stop using this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over. 

 

 

 

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