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        HUMATROPEN® 6 mg - Eli Lilly Canada
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1.                PV 7971 CAP HUMATROPEN 6 MG PARTS PEN NEEDLE PARTS  PEN NEEDLES NOT INCLUDED   Humatrope    somatropin  Humatrope Injection  6 mg Cartridge Button   sold separately  6 mg  Screw Pen Body       Inner Cap Paper Tab  HUMATROPEN 6 mg   ean          a      Growth Hormone Delivery System     1 M  a e   P an   Injection Device for Use with PEN USER MANUAL mg                Humatrope    somatropin  Cartridges Outer Cap Naadle  Pen Rubber Front Dose  Cap Seal Housing Window    a Whit Dose  www lilly ca Lilt  a ree    Read this section completely before you begin  Read and follow the directions in this section only after  Then  move on to Section 2  you have read Section I     WHAT YOU NEED TO KNOW ABOUT THE HUMATROPEN      6 MG GETTING STARTED       Read these instructions carefully BEFORE using your HumatroPen   6 mg  You need to use the Pen correctly in order  to get the most benefit from the Humatrope   treatment  Failure to follow these instructions completely may result  in too much or too little Humatrope being injected     Be sure to follow the reconstitution  mixing  directions as described in the Humatrope Cartridge Kit   Perform the New Cartridge Setup only once at the beginning of each new Cartridge  For daily use  DO NOT  REPEAT this one time only New Cartridge Setup  If you do  you may run out of Humatrope early     INTRODUCTION NEW CARTRIDGE SETUP    The HumatroPen 6 mg is an injection device intended for use with Humatrope 6 mg Cartridges  Your healthcare
2.  How can   tell when the injection is complete   professional  counter clockwise  Discard the Needle as   The injection is complete when   directed by your healthcare professional     You have slowly counted to five while you are still holding the Injection Button in and before you  e DO NOT STORE the Pen with a Needle attached to prevent air from entering the Cartridge  remove the Needle from the skin   e DO NOT REMOVE this Cartridge from the Pen until the Cartridge is empty or needs to be replaced to avoid the possibility AND    of an inaccurate dose     0 00 is in the center of the Dose Window     STEP 5   STORE PEN AND CARTRIDGE FOR NEXT USE  II  What do I do if   dial past my prescribed dose     e Ifyou dial a dose higher than your prescribed dose  just dial the knob back to your prescribed dose without  pushing in on the Injection Button     Store the HumatroPen 6 mg properly   See    Care and Storage for the HumatroPen 6 mg    in Section 1 of this  user manual for more information      When it is time for your next routine dose  go to Section 3  and repeat Steps I 95     Packaged by    Lilly Pharma Fertigung und Distribution  GmbH  amp  Co  KG   35387 Giessen  Germany    Manufactured by Eli Lilly and Company  Pharmaceutical Delivery Systems   Lilly Corporate Center    Indianapolis  IN 46285  USA    Authorized Representative in the EU   Eli Lilly and Company Ltd    Erl Wood Manor  Windlesham  Surrey  GU2O0 6PH  UK    For assistance or further information  write to   Eli
3.  Lilly Canada Inc   3650 Danforth Avenue    Toronto  ON C      MIN 2E8 PV 7971 CAP    HumatroPen and the H Block designs are trademarks of Eli Lilly and Company   Humatrope is a registered trademark of Eli Lilly and Company     The HumatroPen 6 mg is for use with Humatrope 6 mg Cartridges only      2012 Eli Lilly and Company  All rights reserved   User Manual Revision Date  29 June 2012    Lilly    7 24 12 12 14 PM      PV7971CAP P1V1 indd 2       
4.  professional STEP A   CHECK THE PEN AND CARTRIDGE  has prescribed the Humatrope dose and Pen that you or your child should receive     DO NOT CHANGE the dose or Pen unless directed by your healthcare professional  i       Before using your HumatroPen 6 mg  make sure that you thoroughly read this user manual  It explains the Pen    operations and has a troubleshooting guide  should questions arise  _ A A mg  If you have any questions about your HumatroPen 6 mg  please contact your healthcare professional or A AN  call Lilly Customer Response Centre at 1 888 545 5972  CE      WARNING  DO NOT USE THE HUMATROPEN 6 mg INJECTION DEVICE AND HUMATROPE CARTRIDGES IF YOU ARE  ALLERGIC TO METACRESOL OR GLYCERIN        IMPORTANT INFORMATION ABOUT THE HUMATROPEN 6 MG Be sure to check the Cartridge  Pull off the Pen Cap  Look at the Injection Button and  e For 6 mg Cartridge Label the Front Housing to confirm it is  e Where you see A in this manual  please pay special attention  e For expiration date ADT Et  e Contents should be clear and free  e DO NOT USE the Pen if any part of the Pen or Cartridge appears broken or damaged  Contact your healthcare of particles  professional or the Lilly Customer Response Centre 1 888 545 5972      Check that the number on the Front  e Confirm that you have a 6 mg Humatrope Cartridge to match the HumatroPen 6 mg  If it does not match DO NOT Uvoulad Housing matches the Cartridge  USE and contact your healthcare professional  seer Pen Ha part H the h stre
5. d the  each injection  Using a new Needle for each injection will help minimize the risk of infection  prevent leakage of THe Sece Front Housing to confirm it is a 6 mg  Humatrope  prevent air bubbles from entering the cartridge  and reduce Needle clogs  ji Pen   The screw may not be out when you  How do   throw away used Needles  get the Pen   e Throw away used Needles as directed by your healthcare professional  If the Cartridge is not completely    attached  the Screw may not move and  an incorrect dose may be given     CARE AND STORAGE FOR THE HUMATROPEN 6 MG    STEP C   ATTACH THE NEEDLE  Care    e Soiled parts can be cleaned with a damp cloth  DO NOT USE alcohol or other cleaning agents     e DO NOT SOAK or immerse the Pen in liquid   e DO NOT APPLY oil or any other lubricant        v  1  A    e Protect the pen and case from moisture especially when transporting in the travel cooler bag     EN  5 OP FQ a    Store the HumatroPen 6 mg with attached Humatrope Cartridge in the storage case in the refrigerator until the    time of the next injection  DO NOT FREEZE     e All Humatrope Cartridges and diluent must be refrigerated at temperatures between  2  C and  8  C  36   to  46  F    DO NOT FREEZE  A prepared Cartridge can be left on a Pen for 28 days in the refrigerator  DO NOT USE Remove the Paper Tab from the end Push the Needle straight onto e Pull off the Quter Cap and the Inner  any prepared Cartridge after 28 days  of the Outer Cap  the 6 mg Cartridge and screw on Ca
6. dge  DO NOT STORE the Pen  with a Needle attached        e Perform the New Cartridge Setup to remove air bubbles from the Cartridge     e Remove the Paper Tab from the end  of the Outer Cap     Holding the Needle by the outer  cap push the Needle straight  onto the 6 mg Cartridge and  screw on clockwise until secure    e Pull off the Outer Cap and the Inner  Cap    e Keep the Outer Cap to remove the  Needle after the injection     Hidden Needle Cover is available separately from the HumatroPen 6 mg Kit  Refer to the Hidden Needle Cover user manual for    instructions     STEP 3   DIAL AND INJECT THE DOSE       Turn the Dose Knob to desired dose     0 25 mg shown in the drawing above     lf you dial past the desired dose  you can  correct the dose by dialing backwards     D 5 seconds    Insert the Needle as directed by your  healthcare professional     Place your thumb on the Injection  Button  then slowly and firmly push  the Injection Button until it stops  moving           It is possible to set a dose larger than  the amount of Humatrope left in the  Cartridge     At the end of the injection  the number  in the Dose Window should be 0 00  If it    9     6     T     e Small air bubbles are normal  They will not harm you nor affect the dose     Why doesn   t the Screw move out when there is no Cartridge attached to the Pen     e The Screw may not move out when you push the Injection Button unless there is a Cartridge in the Pen   This feature allows you to easily push the Scr
7. e        e No  The New Cartridge Setup is done only once for each Cartridge  just before a new Cartridge is used for  the first time     e The purpose of the setup is to make sure the HumatroPen 6 mg and 6 mg Cartridge are ready to use     e If you repeat the New Cartridge Setup before each routine dose  you may run out of Humatrope early  The  small amount of product used in the New Cartridge Setup will not affect the supply of Humatrope     What should I do if the Cartridge Label and Pen do not match     e DO NOT USE the Pen if the Cartridge strength on the Humatrope Cartridge label does not match the  number on the Pen   s Front Housing     e Contact your healthcare professional for assistance or to obtain a replacement     What should   do if the Humatrope is not clear after mixing     e Be sure to gently invert the Pen up and down 10 times  DO NOT SHAKE  Then  let the Pen sit for at least three  minutes  If the solution remains cloudy or has particles  gently invert the Pen up and down I0 more times  Let  the Pen sit for five more minutes     e If the solution remains cloudy or contains particles after reconstitution  mixing   DO NOT USE  Contact  your healthcare professional for assistance or Lilly at  888 545 5972     Why are there air bubbles in the Cartridge     e Air bubbles may remain in the Cartridge after reconstitution  mixing      Aa    S    gt  e        Ai     Ss  NX    t o   E    e Ifthe Pen is stored with a Needle attached  air bubbles may form in the Cartri
8. ew into the Pen Body when replacing a Cartridge     e Once a Cartridge is attached  the Screw will move out when the Injection Button is pushed     What should I do if   can   t attach the Cartridge to the Pen Body     e Check that the Cartridge is not damaged or broken     e Carefully line up the Cartridge with the Pen Body and screw together until secure  If the Cartridge  and Pen cannot be screwed together contact your healthcare professional     Why is it difficult to push the Injection Button when   try to inject the dose     e The Needle may be clogged  Try attaching a new Needle     e Pushing the Injection Button down quickly may make the Injection Button harder to push  Pushing  the Injection Button more slowly may make it easier     e Using a larger diameter Needle will make it easier to push the Injection Button during injection  Ask  your healthcare professional which Needle is best for you     e The Injection Button may become harder to push if the inside of your Pen gets dirty with Humatrope     is not  this is the amount of Humatrope    you DID NOT receive food  drink or other materials     Maintain pressure on the Injection  Button for five seconds  then remove    the Needle from the skin  Consult with your healthcare    professional on how to handle a partial  dose  Remove the Needle and empty  Cartridge     8  Why doesn   t the Dose Knob go to zero when   inject the dose     e This can happen if the Humatrope Cartridge does not have enough Humatrope left in i
9. imitation or how long   a warranty lasts  so this limitation may not apply to you     This Limited Warranty gives you specific legal rights  You may have rights other than those provided for above   Please see the accompanying complete Humatrope Patient Information Sheet  For additional information  call   888 545 5972    e Cartridge Setup is only done at the start of every new cartridge   e Leave the Cartridge attached and DO NOT REMOVE until the Cartridge is empty   e Go to Section 3  Step 3  for instructions on how to inject the first dose     A Lilt       PV7971CAP P1V1 indd 1    7 24 12 12 14 PM      ETIO    STEP 1   CHECK THE PEN       Pull off the Pen Cap     DO NOT USE the Pen if any part of  the Pen or Cartridge appears broken  or damaged  Contact your healthcare  professional     Now that you have done the one time only New Cartridge    Setup  follow Section 3 for all of your injections     DAILY USE    Be sure to check the Cartridge    e For 6 mg Cartridge Label   e For expiration date   e Contents should be clear and free  of particles    STEP 2   ATTACH THE NEEDLE       Look at the Injection Button and  the Front Housing to confirm it is  a 6 mg Pen     Check that the number on the Front  Housing matches the Cartridge    strength on the Cartridge label  If  the Pen and Cartridge do not match   contact your healthcare professional              2     3     4     ssecrion 4     COMMONLY ASKED QUESTIONS    Do   need to perform the New Cartridge Setup before every dos
10. ngth on the Cartridge label   or Laririage appears broken or damaged  If the Pen and Cartridge do not match  e ONLY follow Section 2 to set up a new Cartridge before first use of each new cartridge           j     Contact your healthcare professional  contact your healthcare professional     e Section 3 of this manual should be followed for daily injection        e DO NOT SHARE your HumatroPen 6 mg or Pen Needles as this may risk transmission of infectious agents   e The HumatroPen 6 mg is not recommended for use by blind or visually impaired individuals without the assistance    of a sighted individual trained in its use  STEP B   ATTACH THE CARTRIDGE    ABOUT PEN NEEDLES  N we     s ai N       What kinds of Needles can be used with the HumatroPen 6 mg  W o wa   Pen o  man   ea EAA E A E oe   pa Aa J  e Pen Needles are not included  You may need a prescription to get the Needles from your pharmacist    i p a  e Becton  Dickinson and Company Pen Needles are suitable for use with the HumatroPen 6 mg   ld       O   e Ask your healthcare professional what Needle gauge and length is best for you  A  gt   f    Must a new Needle be used for each injection   e Yes  a new Needle must be used for each injection  si nae i A the Cartridge to Asal vile 1 eg U  ush the Screw back  artridge into the Pen Body  Screw    anti  e Remove the Needle from the HumatroPen 6 mg prior to returning the device to its case  Use a new Needle for P the ee B entail Cartridge Look at the Injection Button an
11. p   clockwise until secure  e Keep the Outer Cap to remove the    e Let the HumatroPen 6 mg with attached Humatrope Cartridge stand at room temperature for 10 minutes before    injecting  Discomfort may be noticed at the injection site if Humatrope is injected cold  Needle after your injection     e Daily room temperature exposure should not exceed 30 minutes        DO NOT STORE the Pen with the Needle attached  STEP D   REMOVE AIR FROM NEW CARTRIDGE  REPLACEMENT     h  r AY  The HumatroPen 6 mg has been designed to be used for up to 3 years after first use  Record the date the Pen was first a   used here  __   __   _  Contact your healthcare professional if a new HumatroPen 6 mg is needed  or when the Pen   a    has been used for 3 years        HumatroPen 6 mg Limited Warranty  Eli Lilly Canada Inc      Lilly     warrants the HumatroPen 6 mg against defects in workmanship and materials for a period of three  years from the date of its receipt by original user  This warranty does not apply if the pen has been modified  altered  improperly    handled  stored  or operated in a way not described in Lilly   s written specifications and instructions  This Limited Warranty is Dial 1 25 mg  e Point the Needle straight up     NONTRANSFERABLE and NONASSIGNABLE  e Push the Injection Button and hold for five seconds     If the HumatroPen 6 mg fails to function during the warranty period  Lilly will replace the pen at Lilly   s expense  In order to return e Dial 0 05 mg and repeat these 
12. steps until you see a stream of liquid     a HumatroPen 6 mg for warranty replacement  please call Lilly s Customer Response Centre  1 888 545 5972  for instructions     sys i E SA ad Ue leh e The Pen and cartridge must be set up before injecting the first dose from each new 6 mg Cartridge     This limited warranty is the user s exclusive remedy for any  I  breach of this warranty  2  claim  3  loss  or 4  damage arising out of e Setting up the new Cartridge is important to remove large air bubbles that may be present after reconstitution  mixing    the use of the HumatroPen 6 mg  whether based on contract  tort  or strict liability  Lilly is not liable for any incidental  consequential e Ifa stream is not seen after several attempts  contact your healthcare professional or Lilly at 1 888 545 5972    or other damages of any kind  however occasioned  whether by negligence or otherwise  Some provinces may not allow some or e The Hidden Needle Cover should not be used during the pen and cartridge set up    all of this exclusion or the exclusion of incidental or consequential damages  so some or all of this exclusion may not apply to you   THIS THREE YEAR LIMITED WARRANTY IS IN LIEU OF AND SPECIFICALLY EXCLUDES AND REPLACES ALL OTHER EXPRESS OR  IMPLIED WARRANTIES  WHETHER ORAL  WRITTEN OR IN ANY OTHER FORM  INCLUDING BUT NOT LIMITED TO WARRANTIES OF STEP E   CONTINUE ON TO DAILY USE  MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE  Some provinces may not allow all of this l
13. t for the full dose   It is possible to set a dose larger than the amount of Humatrope left in the Cartridge  At the end of the  injection  the number in the Dose Window should be 0 00  If it is not  this is the amount of Humatrope  you DID NOT receive  Consult with your healthcare professional on how to handle a partial dose  Remove  the Needle and empty Cartridge  For the next daily use attach a new Cartridge as shown in Section 2   Step A  and continue with New Cartridge Setup  Section 2      Check to make sure you see a 0 00  in the Dose Window to confirm you    received the complete dose  For the next daily use attach a new    Cartridge as shown in Section 2  Step  A  and continue with New Cartridge  Setup  Section 2      STEP 4   REMOVE AND DISPOSE OF THE NEEDLE    9  Why do   see Humatrope leaking from the Needle after   have finished the injection     e lt is normal for a single drop to remain on the tip of the Needle after the injection is complete  If you see  more than one drop       You may not have received your full dose  DO NOT INJECT another dose  Consult with your healthcare  professional for assistance          To prevent this  for your next dose  firmly push and hold the Injection Button in and slowly count to  five before removing the needle from the skin  see Section 3  Step 3         Carefully replace the Outer Cap While holding the cartridge in one hand Replace the Pen Cap  eae    as instructed by your healthcare unscrew the capped Needle by turning 10 
    
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