How to use your Lilly Insulin Prefilled Pen
Contents
1. the needle push the injection button more slowly to reduce the effort needed and maintain a constant pressure until the injection button is completely pushed in2. How to use your Lilly Insulin Prefilled Pen Outer Needle Shield Inner Needle Shield Needle Pen Cap Rubber Seal Cartridge Dose Window Raised Notches Dose Knob Injection Button Preparing and Priming Remove Pen Cap Be sure to check your insulin e Correct Type e Within Expiry Date e Appearance see reverse side J For Cloudy Insulin e Roll the Pen gently 10 times e Also gently turn the Pen up and down 10 times until the insulin is evenly mixed Attach Needle e Clean the rubber seal with alcohol swab e Push capped needle straight onto Pen e Screw on shielded needle until secure Set the Prime Dose e Turn the dose knob clockwise to the right until you see an arrow gt in the center of the window and the raised notches on the Pen and dose knob are in line e Pull out the dose knob in the direction of the arrow until a 0 is seen in the dose window e Turn the dose knob clockwise until a 2 is seen in the dose window Prime the Pen With the needle pointed up e Tap the clear cartridge holder gently with your finger so that any air bubbles collect near the top e Push in the injection button completely Keep pressing and continue to hold firmly while counting slowly to 5 You should see either a drop or a stream of insulin come out of the tip of the needle e f insulin does not come out of the tip of the needle repeat the priming steps e Priming is comple
3. e window Lilly Important Notes Questions and Answers Read and follow all of these instructions carefully Also read the User Manual and the Information for the Patient inserts enclosed in your pen box If you do not follow these instructions completely you may get too much or too little insulin Preparing and Priming e Always examine the appearance of your insulin before injecting a dose Cloudy insulin should appear uniformly cloudy or milky after mixing Do not use if the insulin substance the white material remains visibly separated from the liquid after mixing if there are clumps or if solid white particles stick to the bottom or walls of the cartridge giving a frosted appearance Clear insulin should appear clear and colorless Do not use if it appears cloudy thickened or slightly colored or if solid particles are visible e The Pen must be primed before each injection to make sure the Pen is ready to dose Performing the priming step is important to confirm that insulin comes out when you push the injection button and to remove any air that may collect in the insulin cartridge during normal use If you do not prime you may get too much or too little insulin Note A small air bubble may remain in the cartridge after completion of the priming step If you have properly primed the Pen this small air bubble will not affect your insulin dose e Always use a new needle for each injection This device is s
4. orage e Do not store or dispose of the Pen with a needle attached Storing the Pen with the needle attached may allow contamination insulin to leak from the Pen and air bubbles to form in the cartridge Additionally with suspension cloudy the insulin s crystals may clog the needle e Dispose of empty Pens and used needles as instructed by your Healthcare Professional or institutional policies e Pens In Use Humalog Humulin Pens in use should NOT be refrigerated but should be kept at room temperature below 86 F away from direct heat and light When in use unrefrigerated Pens must be discarded after the following days even if they still contain insulin Humalog 28 days Humalog Mix75 25 10 days Humulin N 14 Days Humulin 70 30 10 Days Do not use a Pen after the expiration date stamped on the label e Pens Not In Use unopened Humalog Humulin Pens not in use should be stored in a refrigerator but not in the freezer e Do not use a Pen if it has been frozen General e Prime to make sure the Pen is ready to dose e Use a new needle for each injection Be sure a new needle is completely attached to the Pen before priming setting dialing the dose and injecting your insulin e Make sure you get a full dose To make sure you get a full dose you must push the injection button all the way down until you see a diamond or an arrow in the center of the dose window e Do not share your pen e Keep
5. rds or forward to correct the dose Not sure how much insulin remains in the cartridge Hold the Pen with the needle end pointing down The scale 20 units between marks on the clear cartridge holder shows an estimate of the number of units remaining These numbers should not be used for measuring an insulin dose Full dose cannot be dialed The Pen will not allow you to dial a dose greater than the number of insulin units remaining in the cartridge For example if you need 31 units and only 25 units remain in the Pen you will not be able to dial past 25 Do not attempt to dial past this point The insulin that remains is unusable and not part of the 300 units If a partial dose remains in the Pen you may either 1 Give the partial dose and then give the remaining dose using a new pen or 2 Give the full dose with a new Pen 6 A small amount of insulin remains in the cartridge but a dose cannot 7 be dialed The Pen design prevents the cartridge from being completely emptied The Pen has delivered the full 300 units of usable insulin Cannot completely push in the injection button when priming the Pen or injecting a dose 1 Needle is not attached or is clogged a Attach a new needle b Push in the injection button completely even if a O is seen in the dose window until a diamond or an arrow gt is seen in the center of the dose window c Prime the Pen 2 If you are sure insulin is coming out of
6. te when the insulin flow appears at the needle tip and a diamond is seen centered in the dose window Set Your Dose and Inject Every Time You Inject e Use a new needle e Prime to make sure the Pen is ready to dose e Make sure you received a full dose e Remove the needle immediately after your injection Set Your Dose A diamond must be seen in the center of the dose window before setting your dose If you do not see a diamond in the center of the dose window the Pen has not been primed correctly and you are not ready to set your dose Before continuing repeat the priming steps e Turn to the arrow gt e Pull to 0 e Set your desired dose If the dose you have dialed is too high simply turn the dose knob backward until the correct dose is seen in the dose window Injecting Do not inject a dose unless the Pen is primed just before the _ injection or you may get too much or too little insulin e Prepare the skin and use the injection technique recommended by your healthcare professional e Insert the Needle e Place your thumb on the injection button and push firmly until the dose knob is pushed in completely e Hold the injection button in and count slowly to 5 to deliver the full dose e Make sure that you received a full dose by checking that the injection button has been completely pushed in and you can see a diamond or an arrow gt in the center of the dos
7. uitable for use with Becton Dickinson and Company s insulin pen needles Check with your Healthcare Professional for correct needle size e Do not push the injection button without a needle attached Setting a Dose and Injecting e Caution Do not push in the injection button while setting your dose If you accidentally push the injection button while setting your dose you must prime the Pen again before injecting your dose e Caution Do not attempt to change the dose after you begin to push in the injection button Failure to follow these instructions carefully may result in getting too much or too little insulin e f you do not see the diamond or an arrow gt in the center of the dose window after an injection you did not get a full dose Contact your Healthcare Professional for additional instruction e A dose greater than the number of units left in the cartridge cannot be dialed See Questions and Answers e The effort required to push in the injection button may increase while you are injecting your insulin dose If you cannot completely push in the injection button refer to Questions and Answers e The numbers on the clear cartridge holder give an estimate of the amount of insulin remaining in the cartridge Do not use these numbers for measuring an insulin dose ahaa 5125 insulin lispro injection rDNA origin 79 Insulin lispro protamine suspension 20 Insulin lispro injection rDNA origin St
8. your pen out of the reach of children e Always carry an extra Pen in case your pen is lost or damaged e This Pen is not recommended for use by blind or visually impaired persons without the assistance of a person trained in the proper use of the product e Any changes in insulin should be made cautiously and only under medical supervision If you have questions about pens call Lilly at 1 800 LILLYRX 1 800 545 5979 Monday Friday 9 00 a m to 5 00 p m EST Pen needles sold separately at your local pharmacy HI 34147 PRINTED IN USA 3000110577 030530 COPYRIGHT 2005 ELI LILLY AND COMPANY ALL RIGHTS RESERVED Questions and Answers Problem Actions Dose dialed and injection button pushed without a needle attached To obtain an accurate dose you must 1 Attach a new needle 2 Push in the injection button completely even if a 0 is seen in the dose window until a diamond or an arrow gt is seen in the center of the dose window 3 Prime the Pen Insulin does not come out of the needle To obtain an accurate dose you must 1 Attach a new needle 2 Push in the injection button completely even if a 0 is seen in the dose window until a diamond or an arrow gt is seen in the center of the dose window 3 Prime the Pen See Priming the Pen 3 Wrong dose too high or too low dialed SA If you have not pushed in the injection button simply turn the dose knob backwa
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