qanastek/EMEA-V3 huggingface dataset:
60 Store in a refrigerator (2°C - 8°C) Do not freeze Keep the vial in the outer carton in order to protect from light During use: do not refrigerate or store above 25°C
Vartojimo metu: negalima šaldyti ar laikyti aukštesn je kaip 25 °C temperat roje.
61 PARTICULARS TO APPEAR ON THE OUTER PACKAGING AND THE IMMEDIATE PACKAGING
61 INFORMACIJA ANT IŠORIN S IR VIDIN S PAKUOT S
Insulatard Penfill 100 IU/ ml suspension for injection in a cartridge Insulin human (rDNA)
Insulatard Penfill 100 TV/ ml injekcin suspensija užtaise Insulinum humanum (rDNA)
Suspension for injection 1 x 3 ml 5 x 3 ml 10 x 3 ml
Injekcin suspensija 1 x 3 ml 5 x 3 ml 10 x 3 ml
Subcutaneous use Penfill cartridges for use with Novo Nordisk insulin devices Resuspend according to instructions Read the package leaflet before use Insulatard Penfill is for use by one person only
Insulatard Penfill skirtas vartoti tik vienam asmeniui.
Store in a refrigerator (2°C - 8°C) Do not freeze Keep the cartridge in the outer carton in order to protect from light During use: do not refrigerate or store above 30°C
Vartojimo metu: negalima šaldyti ar laikyti aukštesn je kaip 30 °C temperat roje.
63 MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
63 MINIMALI INFORMACIJA ANT MAŽ VIDINI PAKUO I
PENFILL LABEL
PENFILL ETIKET
Insulatard Penfill 100 IU/ ml suspension for injection Insulin human (rDNA) SC use
Insulatard Penfill 100 TV/ ml injekcin suspensija Insulinum humanum (rDNA) s. c.
64 PARTICULARS TO APPEAR ON THE OUTER PACKAGING AND THE IMMEDIATE PACKAGING
64 INFORMACIJA ANT IŠORIN S IR VIDIN S PAKUOT S
Insulatard NovoLet 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard NovoLet 100 TV/ ml injekcin suspensija užpildytoje švirkštimo priemon je Insulinum humanum (rDNA)
Suspension for injection 5 x 3 ml 10 x 3 ml
Injekcin suspensija 5 x 3 ml 10 x 3 ml
Subcutaneous use Insulatard NovoLet is designed to be used with NovoFine needles Resuspend according to instructions Read the package leaflet before use Insulatard NovoLet is for use by one person only
Insulatard NovoLet skirtas vartoti tik vienam asmeniui.
SPECIAL PRECAUTIONS FOR DISPOSAL OF UNUSED MEDICINAL PRODUCTS OR WASTE MATERIALS DERIVED FROM SUCH MEDICINAL PRODUCTS, IF APPROPRIATE
SPECIALIOS ATSARGUMO PRIEMON S D L NESUVARTOTO VAISTINIO PREPARATO AR JO ATLIEK NAIKINIMO (JEI REIKIA)
66 MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
66 MINIMALI INFORMACIJA ANT MAŽ VIDINI PAKUO I
NOVOLET LABEL
NOVOLET ETIKET
Insulatard NovoLet 100 IU/ ml suspension for injection Insulin human (rDNA) SC use
Insulatard NovoLet 100 TV/ ml injekcin suspensija Insulinum humanum (rDNA) s. c.
67 PARTICULARS TO APPEAR ON THE OUTER PACKAGING AND THE IMMEDIATE PACKAGING
67 INFORMACIJA ANT IŠORIN S IR VIDIN S PAKUOT S
Insulatard InnoLet 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard InnoLet 100 TV/ ml injekcin suspensija užpildytoje švirkštimo priemon je Insulinum humanum (rDNA)
PHARMACEUTICAL FORM AND CONTENTS
VAISTO FORMA IR KIEKIS PAKUOT JE
Subcutaneous use Insulatard InnoLet is designed to be used with NovoFine S needles Resuspend according to instructions Read the package leaflet before use Insulatard InnoLet is for use by one person only
Insulatard InnoLet skirtas vartoti tik vienam asmeniui.
69 MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
69 MINIMALI INFORMACIJA ANT MAŽ VIDINI PAKUO I
INNOLET LABEL
INNOLET ETIKET
Insulatard InnoLet 100 IU/ ml suspension for injection Insulin human (rDNA) SC use
Insulatard InnoLet 100 TV/ ml injekcin suspensija Insulinum humanum (rDNA) s. c.
70 PARTICULARS TO APPEAR ON THE OUTER PACKAGING AND THE IMMEDIATE PACKAGING
70 INFORMACIJA ANT IŠORIN S IR VIDIN S PAKUOT S
Insulatard FlexPen 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard FlexPen 100 TV/ ml injekcin suspensija užpildytoje švirkštimo priemon je Insulinum humanum (rDNA)
Designed to be used with NovoFine or NovoTwist disposable needles up to a length of 8 mm Needles are not included Resuspend according to instructions Read the package leaflet before use Insulatard FlexPen is for use by one person only
Insulatard FlexPen skirtas vartoti tik vienam asmeniui.
EXPIRY DATE
Tinka iki /
71 EXP/ During use: use within 6 weeks
71 Prad jus vartoti: sunaudoti per 6 savaites.
72 MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
72 MINIMALI INFORMACIJA ANT MAŽ VIDINI PAKUO I
FLEXPEN LABEL
FLEXPEN ETIKET
Insulatard FlexPen 100 IU/ ml suspension for injection Insulin human (rDNA) SC use
Insulatard FlexPen 100 TV/ ml injekcin suspensija Insulinum humanum (rDNA) s. c.
PACKAGE LEAFLET
PAKUOT S LAPELIS
74 PACKAGE LEAFLET:
74 PAKUOT S LAPELIS:
Insulatard 40 IU/ ml suspension for injection in a vial Insulin human (rDNA)
Insulatard 40 TV/ ml injekcin suspensija buteliuke Žmogaus insulinas (insulinum humanum), (rDNR)
You may need to read it again. – If you have any further questions, ask your doctor, diabetes nurse or your pharmacist. – This medicine has been prescribed for you.
Atidžiai perskaitykite vis š lapel, prieš prad dami vartoti insulin. – Neišmeskite šio lapelio, nes v l gali prireikti j perskaityti. – Jeigu kilt daugiau klausim, kreipkit s gydytoj, diabeto slaugytoj arba vaistinink. – Šis vaistas skirtas Jums, tod l kitiems žmon ms jo duoti negalima.
It may harm them, even if their symptoms are the same as yours. – If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, diabetes nurse or your pharmacist.
Vaistas gali jiems pakenkti (net tiems, kuri ligos simptomai yra tokie patys kaip J s). – Jeigu pasireišk sunkus šalutinis poveikis arba pasteb jote šiame lapelyje nenurodyt šalutin poveik, pasakykite gydytojui, diabeto slaugytojui arba vaistininkui.
WHAT INSULATARD IS AND WHAT IT IS USED FOR
KAS YRA INSULATARD IR KAM JIS VARTOJAMAS
Insulatard is human insulin to treat diabetes.
Insulatard yra žmogaus insulinas, skirtas diabetui gydyti.
This means that it will start to lower your blood sugar about 1½ hours after you take it, and the effect will last for approximately 24 hours.
Tai reiškia, kad jis pradeda mažinti cukraus kiek J s kraujyje per 1½ valandos po injekcijos, ir poveikis trunka apie 24 valandas.
Insulatard is often given in combination with fast-acting insulin products.
Insulatard yra dažnai skiriamas kartu su greitai veikian iais insulino preparatais.
BEFORE YOU USE INSULATARD
KAS ŽINOTINA PRIEŠ VARTOJANT INSULATARD
Do not use Insulatard
Insulatard vartoti negalima
► If you are allergic (hypersensitive) to this insulin product, metacresol or any of the other ingredients (see 7 Further information).
7 skyri Kita informacija).
Look out for the signs of allergy in 5 Possible side effects ► If you feel a hypo coming on (a hypo is short for a hypoglycaemic reaction and is a symptom of low blood sugar).
Daugiau apie hipoglikemij žr.
See 4 What to do in an emergency for more about hypos.
4 skyriuje K daryti nenumatytais atvejais.
Take special care with Insulatard
Speciali atsargumo priemoni vartojant Insulatard reikia
► If you have trouble with your kidneys or liver, or with your adrenal, pituitary or thyroid glands ► If you are drinking alcohol: watch for signs of a hypo and never drink alcohol on an empty stomach ► If you are exercising more than usual or if you want to change your usual diet ► If you are ill: carry on taking your insulin ► If you are going abroad: travelling over time zones may affect your insulin needs and the timing of your injections.
jei yra inkst, kepen ar antinks i, hipofiz s ar skydliauk s liauk veiklos sutrikim; jei geriate alkohol: steb kite hipoglikemijos simptomus ir niekada negerkite alkoholio nevalg; jei sportuojate daugiau nei paprastai, ar norite pakeisti prast diet; jei sergate: nenutraukite insulino vartojimo; jei vykstate užsien: laiko juost pasikeitimas gali daryti tak J s insulino poreikiui ir švirkštimo laikui.
Using other medicines
Kit vaist vartojimas
Many medicines affect the way glucose works in your body and they may influence your insulin dose.
Daugelis vaist turi takos gliukoz s veikimo mechanizmui J s organizme, ir jie gali takoti J s insulino doz.
Listed below are the most common medicines which may affect your insulin treatment.
Žemiau pateikti dažniausi medikamentai, galintys paveikti J s gydym insulinu.
Talk to your doctor or pharmacist if you take or have recently taken any other medicines, even those not prescribed.
Pasakykite savo gydytojui ar vaistininkui, jeigu vartojate ar vartojote kit vaist, skaitant sigytus be recepto, ar jeigu pakeit te j dozes.
Your need for insulin may change if you also take: oral antidiabetic products; monoamine oxidase inhibitors (MAOI); beta-blockers; ACE-inhibitors; acetylsalicylic acid; anabolic steroids; sulphonamides; oral contraceptives; thiazides; glucocorticoids; thyroid hormone therapy; beta- sympathomimetics; growth hormone; danazol; octreotide or lanreotide.
J s insulino poreikis gali keistis, jei vartojate: geriamuosius vaistus nuo diabeto; monoamino oksidaz s inhibitorius (MAOI); beta- blokatorius; AKF- inhibitorius; acetilsalicilio r gšt; anabolinius steroidus; sulfonamidus; geriamuosius kontraceptikus; tiazidus; gliukokortikoidus; skydliauk s hormonus; beta- simpatomimetikus; augimo hormon; danazol; oktreotid ir lanreotid.
Pregnancy and breast-feeding
N štumas ir žindymo laikotarpis Jei esate n š ia, planuojate n štum ar žindote: susisiekite su gydytoju patarimo.
75 If you are pregnant, planning a pregnancy or breast-feeding: please contact your doctor for advice.
75 Vairavimas ir mechanizm valdymas Jei vairuojate ar valdote mechanizmus: steb kite hipoglikemijos simptomus.
Your ability to concentrate or to react will be less during a hypo.
J s sugeb jimas susikoncentruoti ar reaguoti gali sumaž ti, esant hipoglikemijai.
Never drive or use machinery if you feel a hypo coming on.
Niekada nevairuokite ir nevaldykite mechanizm, jei jau iate art jan i hipoglikemij.
Discuss with your doctor whether you can drive or use machines at all, if you have a lot of hypos or if you find it hard to recognise hypos.
Aptarkite su gydytoju, ar J s iš viso galite vairuoti ar valdyti mechanizmus, jei dažnai pasireiškia hipoglikemijos epizod ar Jums sunku atpažinti hipoglikemij.
HOW TO USE INSULATARD
KAIP VARTOTI INSULATARD
Talk about your insulin needs with your doctor and diabetes nurse.
Aptarkite J s insulino poreik su gydytoju ar diabeto slaugytoju.
Follow their advice carefully.
Atidžiai laikykit s j nurodym.
This leaflet is a general guide.
Šiame lapelyje yra bendro pob džio rekomendacijos.
If your doctor has switched you from one type or brand of insulin to another, your dose may have to be adjusted by your doctor.
Jei gydytojas pakeit vieno tipo ar r šies insulin kitu, doz turi sureguliuoti J s gydytojas.
It is recommended that you measure your blood glucose regularly.
Rekomenduojama reguliariai matuoti gliukoz s kiek kraujyje.
Before using Insulatard
Prieš vartojant Insulatard
► Check the label to make sure it is the right type of insulin ► Disinfect the rubber membrane with a medicinal swab.
Dezinfekuokite gumin membran medicinine šluoste.
Do not use Insulatard
Insulatard nevartokite
► In insulin infusion pumps ► If the protective cap is loose or missing.
insulino infuzij pompose; jei apsauginis dangtelis pažeistas, arba jei jo išvis n ra.
Each vial has a protective, tamper-proof plastic cap.
Jei jis buvo pažeistas tuo metu kai gavote buteliuk, gr žinkite j tiek jui; jei jis nebuvo tinkamai laikomas ar buvo užšaldytas (žr.
If it isn’ t in perfect condition when you get the vial, return the vial to your supplier ► If it hasn’ t been stored correctly or been frozen (see 6 How to store Insulatard) ► If it’ s not uniformly white and cloudy when it’ s resuspended.
6 skyri Kaip laikyti Insulatard); jei jis n ra tolygiai baltas ir drumstas po sumaišymo.
How to use this insulin
Kaip vartoti š insulin
Insulatard is for injection under the skin (subcutaneously).
Insulatard skirtas injekcijoms po oda.
Never inject your insulin directly into a vein or muscle.
Niekada nešvirkškite insulino tiesiai ven ar raumenis.
Always vary the sites you inject, to avoid lumps (see 5 Possible side effects).
5 skyri Galimas šalutinis poveikis).
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks; the front of your thighs or upper arms may be used.
Geriausia vieta sušvirkšti insulin pa iam yra: priekin juosmens dalis (pilvas), šlaun priekis, s dmenys ar ž sto išor.
Your insulin will work more quickly if you inject it around the waist.
Insulinas grei iau prad s veikti, jeigu švirkšit s priekin juosmens dal.
Insulatard vials are for use with insulin syringes with the corresponding unit scale.
Insulatard buteliukai skirti naudoti insulino švirkštais su atitinkama vienet skale.
To inject Insulatard on its own
Vartojant vien tik Insulatard
Just before injecting this insulin, roll the vial between your hands until the liquid is uniformly white and cloudy.
Prieš pat suleidžiant insulin, paritinkite buteliuk tarp deln tol, kol skystis bus tolygiai baltas ir drumstas.
Resuspending is easier if the insulin has reached room temperature 2.
2. švirkšt pritraukite tiek oro, kiek užima Jums reikalinga insulino doz.
Pull the needle out of the vial 7.
7. sitikinkite, kad švirkšte neliko oro: adat nukreipkite aukštyn ir išstumkite or.
Make sure there is no air left in the syringe: point the needle upwards and push the air out 8.
8. sitikinkite, kad švirkšte reikiama doz.
Roll the vial of Insulatard between your hands.
Paritinkite Insulatard buteliuk tarp deln tol, kol skystis bus tolygiai baltas ir drumstas.
Do this until the liquid is uniformly white and cloudy.
Sumaišyti bus lengviau, jei insulinas bus kambario temperat ros.
Resuspending is easier if the insulin has reached room temperature 2.
76 2. švirkšt pritraukite tiek oro, kiek užima Jums reikalinga Insulatard doz.
Draw as much air into the syringe as the dose of Insulatard you need.
Suleiskite or Insulatard buteliuk, po to ištraukite adat.
Inject the air into the Insulatard vial, then pull out the needle 3.
3. švirkšt pritraukite tiek oro, kiek užima Jums reikalinga greitai veikian io insulino doz.
Draw as much air into the syringe as the dose of fast-acting insulin you need.
Suleiskite or greitai veikian io insulino buteliuk.
Inject the air into the fast-acting insulin vial.
Tada apverskite buteliuk ir švirkšt.
Draw the right dose of fast-acting insulin into the syringe.
Pritraukite švirkšt reikiam greitai veikian io insulino doz.
Make sure there is no air left in the syringe: point the needle upwards and push the air out.
Ištraukite švirkšt iš buteliuko. sitikinkite, kad švirkšte neliko oro: nukreipkite adat aukštyn ir išstumkite or.
Now push the needle into the vial of Insulatard.
Dabar adat durkite Insulatard buteliuk.
Draw the right dose of Insulatard into the syringe.
Pritraukite švirkšt reikiam Insulatard doz.
Pull the needle out of the vial.
Ištraukite švirkšt iš buteliuko. sitikinkite, kad švirkšte neliko oro ir patikrinkite doz.
Inject the mixture straight away.
Tuojau pat suleiskite mišin.
Always mix fast-acting and long-acting insulin in this order.
Visada maišykite greitai veikiant ir ilgai veikiant insulinus tokia tvarka.
► Inject the insulin under the skin.
Suleiskite insulin po oda.
Use the injection technique advised by your doctor or diabetes nurse ► Keep the needle under your skin for at least 6 seconds to make sure that the full dose has been delivered.
Adat po oda laikykite mažiausiai 6 sekundes, kad sitikintum te, jog buvo suleista visa doz.
WHAT TO DO IN AN EMERGENCY
K DARYTI NENUMATYTAIS ATVEJAIS
If you get a hypo
Jei Jums pasireišk hipoglikemija
The warning signs of a hypo may come on suddenly and can include: cold sweat; cool pale skin; headache; rapid heart beat; feeling sick; feeling very hungry; temporary changes in vision; drowsiness; unusual tiredness and weakness; nervousness or tremor; feeling anxious; feeling confused; difficulty in concentrating.
Hipoglikemija reiškia per maž cukraus kiek kraujyje. sp jamieji hipoglikemijos simptomai gali pasireikšti staiga ir tai gali b ti: šaltas prakaitas; šalta, blyški oda; galvos skausmas; dažnas širdies plakimas; šleikštulio jausmas; alkio jausmas; laikini reg jimo poky iai; mieguistumas; ne prastas nuovargis ir silpnumas; nervingumas ar drebulys; neramumo, orientacijos sutrikimo jausmas; sunku susikaupti.
If you get any of these signs. eat glucose tablets or a high sugar snack (sweets, biscuits, fruit juice), then rest.
Jei pasireišk bet kokie aukš iau min ti simptomai, išgerkite gliukoz s tablet ar suvalgykite daug cukraus turin io produkto (saldaini, sausaini, išgerkite vaisi sul i), po to pails kite.
Don’ t take any insulin if you feel a hypo coming on.
Nevartokite jokio insulino, jei jau iate art jant hipoglikemij.
Carry glucose tablets, sweets, biscuits or fruit juice with you, just in case.
Atsargumo d lei, su savimi visada nešiokit s gliukoz s table i, saldaini, sausaini ar vaisi sul i.
Tell your relatives, friends and close colleagues that if you pass out (become unconscious), they must: turn you on your side and seek medical advice straight away.
Papasakokite giminai iams, draugams ir artimiems kolegoms, kad jei J s apalpsite (neteksite s mon s), jie privalo: paversti Jus ant šono ir nedelsiant kviesti medicinos pagalb.
They must not give you any food or drink as it could choke you. ► If severe hypoglycaemia is not treated, it can cause brain damage (temporary or permanent) and even death ► If you have a hypo that makes you pass out, or a lot of hypos, talk to your doctor.
Jei Jums kartojasi hipoglikemin s reakcijos ar pasireišk reakcija, kurios metu netekote s mon s, pasikalb kite su gydytoju.
The amount or timing of insulin, food or exercise may need to be adjusted.
Gali reik ti pakeisti J s vartojamo insulino doz ar laik, diet ar fizin kr v.
You may recover more quickly from unconsciousness with an injection of the hormone glucagon by someone who knows how to use it.
S mon gal tum te atgauti grei iau, jei Jums b t sušvirkšta hormono gliukagono injekcija, kuri atlikt mokantis injekuoti asmuo.
If you are given glucagon you will need glucose or a sugary snack as soon as you are conscious.
Kai tik atgausite s mon po gliukagono injekcijos, iš karto turite suvalgyti daug cukraus turin io produkto ar išgerti gliukoz s tablet.
If you do not respond to glucagon treatment, you will have to be treated in a hospital.
Jei gliukagonas nepadeda, J s turite b ti gydomas ligonin je.
Seek medical advice after an injection of glucagon; you need to find the reason for your hypo to avoid getting more.
Kreipkit s gydytoj po gliukagono injekcijos: b tina nustatyti hipoglikemin s reakcijos priežast, kad išvengtum te kit reakcij.
This might happen: • If you take too much insulin • If you eat too little or miss a meal • If you exercise more than usual.
Taip gali atsitikti: • jei vartojate per daug insulino; 77 • jei per mažai valgote ar praleidžiate valg; • jei J s fizinis kr vis yra didesnis nei paprastai.
The warning signs appear gradually.
J s cukraus kiekis kraujyje gali pasidaryti per didelis (tokia b kl vadinama hiperglikemija). sp jamieji simptomai pasireiškia po truput.
They include: increased urination; feeling thirsty; losing your appetite; feeling sick (nausea or vomiting); feeling drowsy or tired; flushed, dry skin; dry mouth and a fruity (acetone) smell of the breath.
Tai gali b ti: padid j s šlapinimasis; troškulys; apetito praradimas; šleikštulio poj tis (pykinimas ar v mimas); mieguistumas ir nuovargis; rausva, sausa oda; sausa burna ir vaisi (acetono) kvapas iš burnos.
If you get any of these signs. test your blood sugar level and test your urine for ketones if you can.
Jei pasireišk bet kokie aukš iau min ti simptomai, pasitikrinkite cukraus kiek kraujyje ir, jei galite, išsitirkite, ar n ra keton J s šlapime.
Then seek medical advice straight away.
Po to nedelsdami kreipkit s gydytoj.
These may be signs of a very serious condition called diabetic ketoacidosis.
Šie simptomai gali rodyti, kad Jums išsivyst labai rimta b kl, vadinama diabetine ketoacidoze.
If you don’ t treat it, this could lead to diabetic coma and death.
Negydoma ši b kl gali baigtis diabetine koma ir mirtimi.
• Having forgotten to take your insulin • Repeatedly taking less insulin than you need • An infection or a fever • Eating more than usual • Less exercise than usual.
• pamiršote susišvirkšti insulino; • pakartotinai švirkš iate insulino mažiau, nei Jums reikia; • sergate infekcine liga ar karš iuojate; • valgote daugiau nei paprastai; • J s fizinis kr vis yra mažesnis nei paprastai.
Like all medicines, Insulatard can cause side effects, although not everybody gets them.
Insulatard, kaip ir kiti vaistai, gali sukelti šalutin poveik, nors jis pasireiškia ne visiems žmon ms.
Insulatard may cause hypoglycaemia (low blood sugar).
Insulatard gali sukelti hipoglikemij (sumaž j s cukraus kiekis kraujyje).
See the advice in 4 What to do in an emergency.
Patarimo ži r kite 4 skyriuje K daryti nenumatytais atvejais.
Side effects reported uncommonly (in less than 1 patient in 100)
Nedažnas šalutinis poveikis (re iau nei 1 pacientui iš 100)
Changes at the injection site (Lipodystrophy).
Poky iai injekcijos vietoje (Lipodistrofija).
If you inject yourself too often at the same site, fatty tissue under the skin at this site may shrink (lipoatrophy) or thicken (lipohypertrophy).
Jei J s per dažnai švirkšite insulin t pa i viet, poodinis riebalinis audinys gali suplon ti (lipoatrofija) arba pastor ti (lipohipertrofija).
Changing the site with each injection may help to prevent such skin changes.
Nuo to apsisaugosite keisdami injekcijos viet kiekvienos injekcijos metu.
If you notice your skin pitting or thickening at the injection site, tell your doctor or diabetes nurse because these reactions can become more severe, or they may change the absorption of your insulin if you inject in such a site.
Jei injekcijos vietoje pasteb jote dubim arba gumb, pasakykite apie tai savo gydytojui arba diabeto slaugytojui, nes šios reakcijos gali pasunk ti arba tose vietose gali pasikeisti insulino absorbcija.
Reactions (redness, swelling, itching) at the injection site may occur (local allergic reactions).
Reakcijos (paraudimas, patinimas, niež jimas) gali pasireikšti injekcijos vietoje (vietin s alergin s reakcijos).
These reactions usually disappear after a few weeks of taking your insulin.
Paprastai šie simptomai toliau vartojant insulino išnyksta per kelias savaites.
If they do not disappear, see your doctor.
Jei neišnyko, kreipkit s gydytoj.
Seek medical advice immediately: • if signs of allergy spread to other parts of the body, or • if you suddenly feel unwell and you start sweating; start being sick (vomiting); have difficulty in breathing; have a rapid heart beat; feel dizzy; feel like fainting.
Nedelsdami kreipkit s gydytoj: • jei alergijos požymiai plinta kitas k no vietas, ar • staiga blogai pasijutote ir: prad jote prakaituoti; pajutote šleikštul (pykina); pasidar sunku kv puoti; prad jo dažnai plakti širdis; jau iat s apsvaig s; jau iat s nusilp s.
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
Jums gali b ti labai reta rimta alergin reakcija Insulatard ar kuriai nors iš pagalbini medžiag (vadinamoji sistemin alergin reakcija).
See also warning in 2 Before you use Insulatard.
Ži r kite sp jim 2 skyriuje Kas žinotina prieš vartojant Insulatard.
Diabetic retinopathy (eye background changes).
Diabetin retinopatija (aki pagrindo poky iai).
If you have diabetic retinopathy and your blood glucose levels improve very fast, the retinopathy may get worse.
Jei Jums yra diabetin retinopatija, ir gliukoz s kiekis kraujyje yra pagerinamas labai greitai, retinopatija gali pablog ti.
Swollen joints.
S nari patinimai.
When you start taking insulin, water retention may cause swelling around your ankles and other joints.
Prad jus gydytis insulinu, vandens susilaikymas gali sukelti kulkšnies ar kit s nari patinimus.
Side effects reported very rarely (in less than 1 patient in 10,000)
Labai retas šalutinis poveikis (re iau nei 1 pacientui iš 10000) 78 Reg jimo sutrikimai.
When you first start your insulin treatment, it may disturb your vision, but the reaction usually disappears.
Pirm kart prad jus gydytis insulinu, gali sutrikti J s reg jimas, bet ši reakcija paprastai praeina.
Painful neuropathy (nerve related pain).
Skausminga neuropatija (su nervais susij s skausmas).
If your blood glucose levels improve very fast it may cause a burning, tingling or electric pain.
Jei gliukoz s kiekis kraujyje yra gerinamas labai greitai, tai gali sukelti deginant, gnyb iojant ar tvilk iojant (elektrin) skausm.
If it does not disappear, see your doctor.
Jei ne, kreipkit s gydytoj.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, diabetes nurse or pharmacist.
Jeigu pasireišk sunkus šalutinis poveikis arba pasteb jote šiame lapelyje nenurodyt šalutin poveik, pasakykite gydytojui, diabeto slaugytojui arba vaistininkui.
HOW TO STORE INSULATARD
KAIP LAIKYTI INSULATARD
Do not use Insulatard after the expiry date which is stated on the label and the carton.
Ant etiket s ar d žut s po „ EXP “ ir „ Tinka iki “ nurodytam tinkamumo laikui pasibaigus, Insulatard vartoti negalima.
The expiry date refers to the last day of that month.
Vaistas tinkamas vartoti iki paskutin s nurodyto m nesio dienos.
The vials that are not being used are to be stored in a refrigerator (2°C - 8°C).
Nenaudojamus buteliukus laikyti šaldytuve (2 °C – 8 °C temperat roje).
Keep the vials in the original package.
Buteliukus laikyti gamintojo pakuot je.
The vials that are being used or about to be used are not to be kept in a refrigerator.
Prad tus naudoti buteliukus nereikia laikyti šaldytuve.
See 3 How to use Insulatard.
3 skyri Kaip vartoti Insulatard.
You can carry them with you and keep them at room temperature (not above 25°C) for up to 4 weeks.
J s galite nešiotis su savimi ir laikyti kambario temperat roje (ne aukštesn je kaip 25 °C) iki 4 savai i.
Always keep the vial in the outer carton when you’ re not using it in order to protect it from light.
Visada, kai nenaudojate, buteliuk laikyti išorin je kartonin je d žut je, kad apsaugotum te nuo šviesos.
Insulatard must be protected from excessive heat and sunlight.
Insulatard privalo b ti apsaugotas nuo didelio karš io ir saul s spinduli.
Insulatard should not be disposed of via wastewater or household waste.
Insulatard negalima išpilti kanalizacij arba išmesti kartu su buitin mis atliekomis.
These measures will help to protect the environment.
Šios priemon s pad s apsaugoti aplink.
What Insulatard contains
Insulatard sud tis
Insulatard is an isophane insulin suspension (NPH).
Veiklioji medžiaga yra rekombinantin s biotechnologijos b du pagamintas žmogaus insulinas. – Insulatard yra izofano (NPH) insulino suspensija.
1 vial contains 10 ml equivalent to 400 IU
1 buteliuke esantys 10 ml atitinka 400 TV. – Pagalbin s medžiagos yra cinko chloridas, glicerolis, metakrezolis, fenolis, dinatrio vandenilio fosfato dihidratas, natrio hidroksidas, vandenilio chlorido r gštis, protamino sulfatas ir injekcinis vanduo.
The suspension for injection comes as a cloudy, white, aqueous suspension.
Insulatard išvaizda ir kiekis pakuot je Injekcin suspensija yra drumsta, balta, vandenin suspensija.
It is supplied in packs of 1 or 5 vials of 10 ml or in a multipack of 5 x (1 x 10 ml) vials.
Pakuojama po 1 ar 5 buteliukus, kuriuose yra po 10 ml insulino, arba dideles pakuotes po 5 x (1 x 10 ml) buteliukus.
Not all packs may be marketed.
Gali b ti tiekiamos ne vis dydži pakuot s.
This leaflet was last approved in 79 80 PACKAGE LEAFLET:
80 PAKUOT S LAPELIS:
Insulatard 100 IU/ ml suspension for injection in a vial Insulin human (rDNA)
Insulatard 100 TV/ ml injekcin suspensija buteliuke Žmogaus insulinas (insulinum humanum), (rDNR)
Look out for the signs of allergy in 5 Possible side effects ► If you feel a hypo coming on (a hypo is short for a hypoglycaemic reaction and is asymptom of low blood sugar).
Daugiau apie hipoglikemij žr.
81 Driving and using machines
81 Vairavimas ir mechanizm valdymas Jei vairuojate ar valdote mechanizmus: steb kite hipoglikemijos simptomus.
If it isn’ t in perfect condition when you get the vial, return the vial to your supplier ► If it hasn’ t been stored correctly or been frozen (see 6 How to store Insulatard) ► If it’ s not uniformly white and cloudy when it’ s resuspended.
6 skyriuje Kaip laikyti Insulatard); jei jis n ra tolygiai baltas ir drumstas po sumaišymo.
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks; the front of your thighs or upper arms.
Geriausia vieta sušvirkšti insulin pa iam yra: priekin juosmens dalis (pilvas), s dmenys, šlaun priekis, ž sto išor.
To mix Insulatard with fast-acting insulin
Insulatard maišant su greitai veikian iu insulinu
Resuspending is easier if the insulin has reached room temperature 82 2.
82 2. švirkšt pritraukite tiek oro, kiek užima Jums reikalinga Insulatard doz.
You get a hypo if your blood sugar gets too low.
Jums pasireiškia hipoglikemin reakcija, jei cukraus kiekis kraujyje pasidaro per mažas.
This might happen: • If you take too much insulin • If you eat too little or miss a meal 83 • If you exercise more than usual.
Taip gali atsitikti: • jei vartojate per daug insulino; 83 • jei per mažai valgote ar praleidžiate valg; • jei J s fizinis kr vis yra didesnis nei paprastai.
Side effects reported very rarely (in less than 1 patient in 10,000)
Labai retas šalutinis poveikis (re iau nei 1 pacientui iš 10 000) 84 Reg jimo sutrikimai.
84 Painful neuropathy (nerve related pain).
Skausminga neuropatija (su nervais susij s skausmas).
You can carry them with you and keep them at room temperature (not above 25°C) for up to 6 weeks.
J s galite nešiotis su savimi ir laikyti kambario temperat roje (ne aukštesn je kaip 25 °C) iki 6 savai i.
Always keep the vial in the outer carton when you’ re not using it in order to protect it from light.
Visada, kai nenaudojate, buteliuk laikykite išorin je kartonin je d žut je, kad apsaugotum te nuo šviesos.
Insulatard is an isophane insulin suspension (NPH).
Insulatard sud tis Veiklioji medžiaga yra rekombinantin s biotechnologijos b du pagamintas žmogaus insulinas. – Insulatard yra izofano (NPH) insulino suspensija.
1 vial contains 10 ml equivalent to 1000 IU
1 buteliuke esantys 10 ml atitinka 1000 TV. – Pagalbin s medžiagos yra cinko chloridas, glicerolis, metakrezolis, fenolis, dinatrio vandenilio fosfato dihidratas, natrio hidroksidas, vandenilio chlorido r gštis, protamino sulfatas ir injekcinis vanduo.
85 PACKAGE LEAFLET:
85 Šis pakuot s lapelis paskutin kart patvirtintas
Insulatard Penfill 100 IU/ ml suspension for injection in a cartridge Insulin human (rDNA)
Insulatard Penfill 100 TV/ ml injekcin suspensija užtaise Žmogaus insulinas (insulinum humanum), (rDNR)
Do not use Insulatard
Insulatard vartoti negalima:
Take special care with Insulatard
Speciali atsargumo priemoni vartojant Insulatard reikia:
86 Driving and using machines
N štumas ir žindymo laikotarpis Jei esate n š ia, planuojate n štum ar žindote: susisiekite su gydytoju patarimo.
If you drive or use tools or machines: watch out for signs of a hypo.
87 Vairavimas ir mechanizm valdymas Jei vairuojate ar valdote mechanizmus: steb kite hipoglikemijos simptomus.
This leaflet is a general guide.
Šis lapelis yra bendro pob džio vadovas.
► Check the label to make sure it is the right type of insulin ► Always check the cartridge, including the rubber plunger (stopper).
Visada patikrinkite Penfill užtais, taip pat ir gumin st mokl.
Don’ t use it if any damage is seen or if there is a gap between the rubber plunger and the white label band.
Nenaudokite, jei matomas koks nors pažeidimas ar jei matosi tarpelis tarp guminio st moklio ir etiket s baltos juostos.
Take it back to your supplier.
Kitos instrukcijos aprašytos švirkštimo priemon s vadove.
See your delivery system manual for further instructions ► Disinfect the rubber membrane with a medicinal swab ► Always use a new needle for each injection to prevent contamination.
Visada naudokite nauj adat kiekvienai injekcijai, kad išvengtum te užteršimo.
► In insulin infusion pumps ► If Penfill or the device containing Penfill is dropped, damaged or crushed there is a risk of leakage of insulin ► If it hasn’ t been stored correctly or been frozen (see 6 How to store Insulatard) ► If it’ s not uniformly white and cloudy when it’ s resuspended.
6 skyriuje Kaip laikyti Insulatard); jei jis n ra tolygiai baltas ir drumstas po sumaišymo.
Do not refill Insulatard Penfill.
Pakartotinai neužpildykite Insulatard Penfill.
Penfill cartridges are designed to be used with Novo Nordisk insulin delivery systems and NovoFine needles.
Penfill užtaisas skirtas naudoti su Novo Nordisk insulino švirkštimo sistemomis ir NovoFine adatomis.
If you are treated with Insulatard Penfill and another insulin Penfill cartridge, you should use two insulin delivery systems, one for each type of insulin.
Jei J s gydot s Insulatard Penfill ir kitu insulinu Penfill užtaisuose, tuomet turite naudoti dvi insulino švirkštimo sistemas, po vien kiekvienam insulino tipui.
Resuspending is easier when the insulin has reached room temperature.
Sumaišyti bus lengviau, jei insulinas bus kambario temperat ros.
Before you put the Penfill cartridge into the insulin delivery system, move it up and down between positions a and b and back (see the picture) so that the glass ball moves from one end of the cartridge to the other at least 20 times.
Š veiksm atlikite mažiausiai 20 kart.
Repeat this movement at least 10 times before each injection.
Kartokite š veiksm prieš kiekvien injekcij mažiausiai 10 kart.
The movement must always be repeated until the liquid appears uniformly white and cloudy.
Maišymas privalo b ti atliekamas tol, kol skystis taps tolygiai baltas ir drumstas.
Complete the other stages of injection without delay.
Po sumaišymo nedelsdami vykdykite kitus injekcijos etapus.
Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
88 Patikrinkite, ar užtaise yra lik bent 12 vienet insulino, kad gal tum te sumaišyti.
If there are less than 12 units left, use a new one.
Jei liko mažiau nei 12 vienet, naudokite nauj užtais.
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks: the front of your thighs or upper arms may be used.
Geriausia vieta sušvirkšti insulin pa iam yra: priekin juosmens dalis (pilvas), šlaun priekis, s dmenys ar ž sto išor.
How to inject this insulin
Kaip švirkšti š insulin
Use the injection technique advised by your doctor or diabetes nurse and described in your delivery system manual ► Keep the needle under your skin for at least 6 seconds to make sure that the full dose has been delivered ► After each injection be sure to remove and discard the needle and store Insulatard without the needle attached.
Laikykite Insulatard be adatos.
Otherwise, the liquid may leak out which can cause inaccurate dosing.
Priešingu atveju, skystis gali ištek ti ir insulino dozavimas gali b ti netikslus.
If you are given glucagon you will need glucose or a sugary snack
Kai tik atgausite s mon po gliukagono injekcijos, iš karto turite suvalgyti daug cukraus turin io produkto ar išgerti gliukoz s tablet.
This might happen: • If you take too much insulin • If you eat too little or miss a meal • If you exercise more than usual.
Taip gali atsitikti: • jei vartojate per daug insulino; • jei per mažai valgote ar praleidžiate valg; 89 • jei J s fizinis kr vis yra didesnis nei paprastai.
89 Swollen joints.
S nari patinimai.
Side effects reported very rarely (in less than 1 patient in 10,000)
Labai retas šalutinis poveikis (re iau nei 1 pacientui iš 10000)
Vision problems.
90 Reg jimo sutrikimai.
The Penfill that is not being used is to be stored in a refrigerator (2°C - 8°C).
Nevartot Penfill laikyti šaldytuve (2 °C – 8 °C temperat roje).
Keep the Penfill in the original package.
Penfill laikyti gamintojo pakuot je.
The Penfill that is being used or about to be used is not to be kept in a refrigerator.
Prad t vartoti Penfill nereikia laikyti šaldytuve.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 6 weeks.
J s galite nešiotis su savimi ir laikyti kambario temperat roje (ne aukštesn je kaip 30 °C) iki 6 savai i.
Always keep your cartridge in the outer carton when you’ re not using it in order to protect it from light.
Visada laikyti nenaudojamus užtaisus išorin je kartonin je d žut je, kad apsaugotum te nuo šviesos.
– The active substance is insulin human made by recombinant biotechnology.
– Veiklioji medžiaga yra rekombinantin s biotechnologijos b du pagamintas žmogaus insulinas.
Insulatard is an isophane insulin suspension (NPH).
Insulatard yra izofano (NPH) insulino suspensija.
– The other ingredients are zinc chloride, glycerol, metacresol, phenol, disodium phosphate dihydrate, sodium hydroxide, hydrochloric acid, protamine sulphate and water for injections.
– Pagalbin s medžiagos yra cinko chloridas, glicerolis, metakrezolis, fenolis, dinatrio vandenilio fosfato dihidratas, natrio hidroksidas, vandenilio chlorido r gštis, protamino sulfatas ir injekcinis vanduo.
It is supplied in packs of 1, 5 or 10 cartridges of 3 ml.
Pakuojama po 1, 5 ar 10 užtais po 3 ml.
90 Marketing Authorisation Holder Novo Nordisk A/ S Novo Allé, DK-2880 Bagsværd, Denmark
Rinkodaros teis s tur tojas
– If the second and third characters are W5, S6, P5, K7, or ZF Novo Nordisk A/ S, Novo Allé, DK-2880 Bagsværd, Denmark is the manufacturer
Novo Nordisk A/ S Novo Allé, DK- 2880 Bagsværd, Danija
– If the second and third characters are H7 or T6 Novo Nordisk Production SAS, 45 Avenue d’ Orléans F-28002 Chartres, France is the manufacturer.
Gamintojas Gamintojas identifikuojamas pagal serijos numer, kuris atspausdintas ant d žut s ir etiket s:
91 PACKAGE LEAFLET:
91
Insulatard NovoLet 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard NovoLet 100 TV/ ml injekcin suspensija užpildytoje švirkštimo priemon je Žmogaus insulinas (insulinum humanum), (rDNR)
1.
1..
What Insulatard is and what it is used for 2.
Kas yra Insulatard ir kam jis vartojamas 2..
Before you use Insulatard 3.
Kas žinotina prieš vartojant Insulatard 3..
How to use Insulatard 4.
Kaip vartoti Insulatard 4..
What to do in an emergency 5.
K daryti nenumatytais atvejais 5..
Possible side effects 6.
Galimas šalutinis poveikis 6..
How to store Insulatard 7.
Kaip laikyti Insulatard 7.
How to use your NovoLet
Kitoje lapelio pus je: kaip naudoti NovoLet
92 Many medicines affect the way glucose works in your body and they may influence your insulin dose.
Kit vaist vartojimas 93 Daugelis vaist turi takos gliukoz s veikimo mechanizmui J s organizme, ir jie gali takoti J s insulino doz.
If you are pregnant, planning a pregnancy or breast-feeding: please contact your doctor for advice.
Vairavimas ir mechanizm valdymas Jei vairuojate ar valdote mechanizmus: steb kite hipoglikemijos simptomus.
See overleaf for detailed instructions.
Išsamesn instrukcija pateikta kitoje lapelio pus je.
► Check the label to make sure it is the right type of insulin ► Always use a new needle for each injection to prevent contamination.
Visada naudokite nauj adat kiekvienai injekcijai, kad išvengtum te užteršimo.
Do not use Insulatard
Insulatard nevartokite:
► In insulin infusion pumps ► If NovoLet is dropped, damaged or crushed there is a risk of leakage of insulin ► If it hasn’ t been stored correctly or been frozen (see 6 How to store Insulatard) ► If it’ s not uniformly white and cloudy when it’ s resuspended.
6 skyriuje Kaip laikyti Insulatard); jei jis n ra tolygiai baltas ir drumstas po sumaišymo.
The best place to give yourself an injection are: the front of your waist (abdomen); your buttocks; the front of your thighs or upper arms.
Geriausia vieta sušvirkšti insulin pa iam yra: priekin juosmens dalis (pilvas), šlaun priekis, s dmenys ar ž sto išor.
93 A hypo means your blood sugar level is too low.
Hipoglikemija reiškia per maž cukraus kiek kraujyje.
The warning signs of a hypo may come on suddenly and can include: cold sweat; cool pale skin; headache; rapid heart beat; feeling sick; feeling very hungry; temporary changes in vision; drowsiness; unusual tiredness and weakness; nervousness or tremor; feeling anxious; feeling confused; difficulty in concentrating.
94 sp jamieji hipoglikemijos simptomai gali pasireikšti staiga ir tai gali b ti: šaltas prakaitas; šalta, blyški oda; galvos skausmas; dažnas širdies plakimas; šleikštulio jausmas; alkio jausmas; laikini reg jimo poky iai; mieguistumas; ne prastas nuovargis ir silpnumas; nervingumas ar drebulys; neramumo, orientacijos sutrikimo jausmas; sunku susikaupti.
This might happen: • If you take too much insulin • If you eat too little or miss a meal • If you exercise more than usual.
Taip gali atsitikti: • jei vartojate per daug insulino; • jei per mažai valgote ar praleidžiate valg; • jei J s fizinis kr vis yra didesnis nei paprastai.
If you get any of these signs. test your blood sugar level and test your urine for ketones if you can. ´ Tthen seek medical advice straight away.
Jei pasireišk bet kokie aukš iau min ti simptomai, pasitikrinkite cukraus kiek kraujyje ir, jei galite, išsitirkite, ar n ra keton J s šlapime.
Like all medicines, Insulatard can cause side effects, although not everybody gets them.
95 Insulatard, kaip ir kiti vaistai, gali sukelti šalutin poveik, nors jis pasireiškia ne visiems žmon ms.
94 Side effects reported uncommonly (in less than 1 patient in 100)
Nedažnas šalutinis poveikis (re iau nei 1 pacientui iš 100)
Vision problems.
Reg jimo sutrikimai.
The NovoLet that is not being used is to be stored in a refrigerator (2°C - 8°C).
Nevartot NovoLet laikyti šaldytuve (2 °C - 8 °C temperat roje).
The NovoLet that is being used, about to be used or carried as a spare is not to be kept in a refrigerator.
Prad t vartoti NovoLet ar nešiojam atsargai nereikia laikyti šaldytuve.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 6 weeks.
96 J s galite nešiotis su savimi ir laikyti kambario temperat roje (ne aukštesn je kaip 30 °C) iki 6 savai i.
Always keep the pen cap on your NovoLet when you’ re not using it in order to protect it from light.
Visada laikykite užpildytos švirkštimo priemon s dangtel užd t ant NovoLet, kai juo nesinaudojate, kad apsaugotum te nuo šviesos.
95 Insulatard should not be disposed of via wastewater or household waste.
Insulatard negalima išpilti kanalizacij arba išmesti kartu su buitin mis atliekomis.
1 pre-filled pen contains 3 ml equivalent to 300 IU
1 užpildytoje švirkštimo priemon je esantys 3 ml atitinka 300 TV.
Now turn over for information on how to use your NovoLet.
Dabar skaitykite informacij kaip naudoti J s NovoLet.
This leaflet was last approved in
Šis pakuot s lapelis paskutin kart patvirtintas
96 Information on how to use Insulatard NovoLet
97 Informacija kaip naudoti Insulatard NovoLet
Please read the following instructions carefully before using your Insulatard NovoLet.
Prašome atidžiai perskaityti instrukcij prieš naudojant Insulatard NovoLet.
Introduction
vadas
Insulatard NovoLet is a simple, compact pre-filled pen.
Insulatard NovoLet yra paprasta, kompaktiška, insulinu užpildyta švirkštimo priemon.
You can dial doses from 2 to 78 units in increments of 2 units.
Ja galite sušvirkšti 2 - 78 vienet dozes, doz didindami po 2 vienetus.
As a precautionary measure, always carry a spare insulin delivery device in case your NovoLet is lost or damaged.
Visada su savimi tur kite atsargin insulino švirkštimo prietais, jei J s NovoLet sul žt, ar j pamestum te.
Big outer needle cap
Didysis išorinis adatos dangtelis Apsaugin kilpel
Inner Pen cap needle cap
Užpildytos Vidinis adatos švirkštimo dangtelis priemon s dangtelis
Cap scale
Dangtelio skal
Rubber membrane
Gumin membrana
Insulin level indicator
Insulino liku io rodykl
Dosage indicator
Doz s rodykl
Push button scale
St moklio mygtuko skal
Push button
St moklio mygtukas
97 Getting started
Užpildytos švirkštimo priemon s paruošimas
Check the label to make sure that your Insulatard NovoLet contains the correct type of insulin.
Patikrinkite etiket je, kad sitikintum te, ar J s Insulatard NovoLet yra teisingas insulino tipas.
Take off the pen cap.
Nuimkite užpildytos švirkštimo priemon s dangtel.
Before every injection: • Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
Jei liko • mažiau nei 12 vienet, naudokite nauj Insulatard NovoLet.
If there are less than 12 units left, use a new Insulatard NovoLet • Move the pen up and down between positions a and b and back (picture A) so that the glass ball moves from one end of the cartridge to the other, at least 20 times.
Š veiksm atlikite mažiausiai 20 kart.
The movement must always be repeated, until the liquid appears uniformly white and cloudy • After resuspending, complete all of the following stages of injection without delay • Disinfect the rubber membrane with a medicinal swab • Always use a new needle for each injection to prevent contamination • Remove the protective tab from a NovoFine needle • Screw the needle straight and tightly onto Insulatard NovoLet (picture B) • Pull off the big outer needle cap and the inner needle cap.
B pav.). • Nuimkite didij išorin ir vidin adatos dangtelius.
Do not discard the big outer needle cap.
Neišmeskite didžiojo išorinio adatos • dangtelio.
To avoid injection of air and ensure proper dosing: • Hold Insulatard NovoLet with the needle pointing upwards • Tap the cartridge gently with your finger a few times.
Laikykite Insulatard NovoLet aukštyn nukreipta adata. • Pirštu kelet kart švelniai spragtel kite per užtais.
Any air bubbles will collect at the top of the cartridge • Keeping the needle upwards, turn the cartridge for one click in the direction of the arrow (picture C) • Still with the needle upwards, press the push-button fully down (picture D) • A drop of insulin must appear at the needle tip.
Ant adatos galo privalo pasirodyti insulino lašas.
If not, change the needle and repeat the procedure no more than 6 times.
Jei ne, pakeiskite adat ir kartokite • proced r, bet ne daugiau kaip 6 kartus.
Setting the dose
Doz s nustatymas
• Put the cap back on the pen, with 0 next to the dosage indicator (picture E) • Check that the push-button is fully down.
E • pav.).
If it isn’ t, turn the cap until the push-button is fully depressed • Hold your Insulatard NovoLet horizontally.
Laikykite Insulatard NovoLet horizontaliai.
Now you’ re ready to set the dose you need • Turn the cap in the direction of the arrow (picture F) to set the right dose.
Dabar J s pasiruoš nustatyti doz. • Sukite užpildytos švirkštimo priemon s dangtel rodykl s kryptimi (žr.
You’ ll feel the cap clicking, and the push-button will rise up • Don’ t put your hand over the push-button when you set the dose.
Nelaikykite rankos ant st moklio mygtuko, nustatydami doz.
If the push-button cannot rise freely, some of your insulin will be pushed out of the needle • The scale on the cap shows 0, 2, 4, 6, 8, 10, 12, 14, 16 and 18 units.
Skal je ant dangtelio pažym ta 0, 2, 4, 6, 8, 10, 12, 14, 16 ir 18 vienet.
For every click you feel when you turn the cap, you set 2 units more.
Sukant dangtel, per • kiekvien spragtel jim prisideda 2 vienetai.
The push-button also rises as you turn the cap • The scale under the push-button shows 20, 40 and 60 units.
Skal je po st moklio mygtuku pažym ta 20, 40 ir 60 vienet.
Every time you fully turn the cap, you set 20 units.
Kiekvien kart dangtel • pasukus iki galo, nustatoma 20 vienet.
Turn the cap round 1 full turn, so 0 is opposite the dosage indicator again.
Dangtel sukite aplinkui iki galo 1 kart, kad ties doz s rodykle v l b t 0.
You’ ve now set 20 units.
Dabar J s nustat te 20.
Keep turning the cap until 6 is opposite the dosage indicator.
Toliau sukite dangtel tol, kol ties doz s rodykle pasirodys 6.
On the push-button scale you’ ll see a 20- line.
Ant st moklio skal s J s matysite 20 vienet linij.
Add the 6 from the dosage indicator to the 20 on the push-button scale.
Ties doz s rodykle esant skai i 6 prid kite prie st moklio skal je esan io skai iaus 20.
There, you’ ve set 26 units (picture G).
Taigi, J s nustat te 26 vienetus (ži r kite G pav.).