qanastek/EMEA-V3 huggingface dataset:
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.
Ja j s nov rojat, ka j su d veidojas iedobumi vai pac lumi injekcijas apvid, past stiet par to savam rtam vai diab ta apr pes m sai, jo š s reakcijas var k t daudz nopietn kas, vai ar var main ties insul na uzs kšan s, ja turpin siet injic t š d viet.
Signs of allergy.
Aler ijas paz mes.
Reactions (redness, swelling, itching) at the injection site may occur (local allergic reactions).
Injekcijas viet var par d ties aps rtums, piet kums un nieze (lok las aler iskas reakcijas).
These reactions usually disappear after a few weeks of taking your insulin.
Parasti p c dažu ned u insul na lietošanas t s izz d.
If they do not disappear, see your doctor.
Ja simptomi neizz d, konsult jieties ar savu rstu.
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.
Nekav joties mekl jiet medic nisku padomu: • ja aler ijas paz mes v rojamas ar cit s erme a da s, vai • ja p kš i j taties slikti: s kat sv st, rodas slikta pašsaj ta (vemšana), ir apgr tin ta elpošana, pa trin ta sirdsdarb ba, reibonis, j taties k nema.
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
78 Jums var b t reti sastopam, ta u nopietn aler isk reakcija uz Insulatard vai k du no t sast vda m (to sauc par sist misko aler isko reakciju).
See also warning in 2 Before you use Insulatard.
Pirms Insulatard lietošanas.
Diabetic retinopathy (eye background changes).
Diab tisk retinop tija (izmai as acs diben).
If you have diabetic retinopathy and your blood glucose levels improve very fast, the retinopathy may get worse.
Ja jums ir diab tisk retinop tija un j su glikozes l menis asin s oti tri uzlabojas, retinop tija var k t izteikt ka.
Ask your doctor about this.
Jaut jiet par to savam rstam.
Swollen joints.
Loc tavu piet kums.
When you start taking insulin, water retention may cause swelling around your ankles and other joints.
S kot lietot insul nu, dens aizture organism var b t par iemeslu piet kumam ap pot t m un cit m loc tav m.
This soon disappears.
Parasti tas dr z p riet.
Side effects reported very rarely (in less than 1 patient in 10,000)
(maz k nek 1 pacientam no 10 000)
78 Vision problems.
Redzes trauc jumi.
When you first start your insulin treatment, it may disturb your vision, but the reaction usually disappears.
Kad j s pirmoreiz s kat insul nterapiju, t var izrais t redzes trauc jumus, ta u tie parasti izz d.
Painful neuropathy (nerve related pain).
S pju neirop tija (s pes uz nervu pamata).
If your blood glucose levels improve very fast it may cause a burning, tingling or electric pain.
Ja j su glikozes l menis asin s oti tri uzlabojas, tas var izrais t dedzinošas, tirpstošas vai str vojošas s pes.
This is called acute painful neuropathy and it usually disappears.
To sauc par ak tu s pju neirop tiju un t parasti ir p rejoša.
If it does not disappear, see your doctor.
Ja t nep riet, konsult jieties ar savu rstu.
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.
Ja nov rojat jebk das blakuspar d bas, kas šaj instrukcij nav min tas vai k da no min taj m blakuspar d b m jums izpaužas smagi, l dzam par t m izst st t savam rstam, diab ta apr pes m sai vai farmaceitam.
HOW TO STORE INSULATARD
K UZGLAB T INSULATARD
Keep out of the reach and sight of children.
Uzglab t z les b rniem nepieejam un neredzam viet!
Do not use Insulatard after the expiry date which is stated on the label and the carton.
Nelietot Insulatard p c der guma termi a beig m, kas nor d ts uz eti etes un kast tes.
The expiry date refers to the last day of that month.
Der guma termi š attiecas uz nor d t m neša p d jo dienu.
The vials that are not being used are to be stored in a refrigerator (2°C - 8°C).
Flakonus, kas netiek lietoti, j uzglab ledusskap (2°C – 8°C).
Keep the vials in the original package.
Turiet flakonus ori in laj iepakojum.
The vials that are being used or about to be used are not to be kept in a refrigerator.
Flakoni, kas tiek lietoti vai t l t tiks lietoti, nav j uzglab ledusskap.
After removing the vial from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
P c Insulatard flakona iz emšanas no ledusskapja, ir ieteicams aut tam sasniegt istabas temperat ru pirms insul na saskalošanas, k nor d ts pirmo reizi lietojot.
See 3 How to use Insulatard.
K lietot Insulatard.
You can carry them with you and keep them at room temperature (not above 25°C) for up to 4 weeks.
Tos var n s t l dzi un uzglab t istabas temperat r (l dz 25°C) ne ilg k par 4 ned m.
Always keep the vial in the outer carton when you’ re not using it in order to protect it from light.
Flakonu, kad to nelietojat, vienm r uzglab jiet r j iepakojum, lai pasarg tu no gaismas.
Insulatard must be protected from excessive heat and sunlight.
Insulatard j sarg no p rm r ga karstuma un saules gaismas.
Insulatard should not be disposed of via wastewater or household waste.
Insulatard nedr kst izmest kop ar saimniec bas atkritumiem vai kanaliz cij.
Ask your pharmacist how to dispose of medicines no longer required.
Vaic jiet farmaceitam par nevajadz go z u likvid šanu.
These measures will help to protect the environment.
Šie pas kumi pal dz s aizsarg t apk rt jo vidi.
FURTHER INFORMATION
S K KA INFORM CIJA
What Insulatard contains
Ko Insulatard satur
– The active substance is insulin human made by recombinant biotechnology.
Insulatard ir
Insulatard is an isophane insulin suspension (NPH).
izof na (NPH) insul na suspensija.
1 vial contains 10 ml equivalent to 400 IU
1 flakons satur 10 ml, kas atbilst 400 SV.
– The other ingredients are zinc chloride, glycerol, metacresol, phenol, disodium phosphate dihydrate, sodium hydroxide, hydrochloric acid, protamine sulphate and water for injections.
- Citas sast vda as ir cinka hlor ds, glicer ns, metakrezols, fenols, n trija hidrog nfosf ta dihidr ts,
What Insulatard looks like and contents of the pack
n trija hidroks ds, s lssk be, protam na sulf ts un dens injekcij m.
The suspension for injection comes as a cloudy, white, aqueous suspension.
79 Insulatard r jais izskats un iepakojums
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.
Suspensija injekcij m ir balta, du aina dens suspensija 10 ml flakon, 1 vai 5 flakoni iepakojum vai daudzdevu iepakojum pa 5 x (1 x 10 ml) flakoniem.
Not all packs may be marketed.
Visi iepakojuma lielumi tirg var neb t pieejami.
Marketing Authorisation Holder and Manufacturer
Re istr cijas apliec bas pašnieks un ražot js
Novo Nordisk A/ S Novo Allé, DK-2880 Bagsværd, Denmark
Novo Nordisk A/ S Novo Allé, DK- 2880 Bagsværd, D nija
This leaflet was last approved in 79 80 PACKAGE LEAFLET:
Š lietošanas instrukcija akcept ta.
Insulatard 100 IU/ ml suspension for injection in a vial Insulin human (rDNA)
Insulatard 100 SV/ ml suspensija injekcij m flakon Cilv ka insul ns (insulinum humanum), rDNS
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).
Ja j s saj tat hipoglik mijas tuvošanos (zema glikozes l me a asin s simptomus).
81 Driving and using machines
81 Gr tniec ba un z d šanas periods
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.
Ja injekciju izdar t pats, piem rot k vieta insul na ievad šanai ir v dera priekš j sien, s žas apvid un augšstilbu vai augšdelmu priekšpus.
To mix Insulatard with fast-acting insulin
Insulatard sajaukšana ar tras darb bas insul nu
You get a hypo if your blood sugar gets too low.
Jums ir hipoglik mija, ja glikozes l menis asin s ir p r k zems.
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.
Tas var notikt: • ja esat ievad jis p r k daudz insul na, • ja esat par maz dis vai dienreize ir izlaista, • ja fizisk slodze ir liel ka nek parasti.
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
84 Jums var b t oti reti sastopam, ta u nopietn aler isk reakcija uz Insulatard vai k du no t sast vda m (to sauc par sist misko aler isko reakciju).
Vision problems.
Redzes trauc jumi.
84 Painful neuropathy (nerve related pain).
S pju neirop tija (s pes uz nervu pamata).
After removing the vial from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
P c Insulatard flakona iz emšanas no ledusskapja, ir ieteicams aut flakonam sasniegt istabas temperat ru pirms insul na saskalošanas, k nor d ts pirmo reizi lietojot.
You can carry them with you and keep them at room temperature (not above 25°C) for up to 6 weeks.
Tos var n s t l dzi un uzglab t istabas temperat r (l dz 25°C) ne ilg k par 6 ned m.
1 vial contains 10 ml equivalent to 1000 IU
1 flakons satur 10 ml, kas atbilst 1000 SV.
The suspension for injection comes as a cloudy, white, aqueous suspension.
85 Insulatard r jais izskats un iepakojums
This leaflet was last approved in
Š lietošanas instrukcija akcept ta.
85 PACKAGE LEAFLET:
LIETOŠANAS INSTRUKCIJA:
Insulatard Penfill 100 IU/ ml suspension for injection in a cartridge Insulin human (rDNA)
Insulatard Penfill 100 SV/ ml suspensija injekcij m k Cilv ka insul ns (insulinum humanum), rDNS
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.
87 Gr tniec ba un z d šanas periods
Pregnancy and breast-feeding If you are pregnant, planning a pregnancy or breast-feeding: please contact your doctor for advice.
Ja esat gr tniece, pl nojat gr tniec bu vai barojat ar kr ti: l dzu, konsult jieties ar savu rstu.
86 Driving and using machines
Transportl dzek u vad šana un meh nismu apkalpošana
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.
Konsult jieties ar savu rstu vai j s varat vad t transportl dzekli vai apkalpot meh nismus, ja jums bieži rodas hipoglik mija vai hipoglik mijas br din juma paz mes ir v ji izteiktas.
► Check the label to make sure it is the right type of insulin ► Always check the cartridge, including the rubber plunger (stopper).
Vienm r p rbaudiet k rtridžu, k ar gumijas virzuli.
Don’ t use it if any damage is seen or if there is a gap between the rubber plunger and the white label band.
Atdodiet k rtridžu atpaka pieg d t jam.
Take it back to your supplier.
Turpm kas instrukcijas skat t ievad šanas ier ces lietošanas pam c b.
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.
Vienm r lietojiet jaunu adatu katrai injekcijai, lai nov rstu infic šanos.
► 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.
Ja p c saskalošanas tas nav vienm r gi balts un du ains.
Do not refill Insulatard Penfill.
Insulatard Penfill nedr kst atk rtoti uzpild t.
Penfill cartridges are designed to be used with Novo Nordisk insulin delivery systems and NovoFine needles.
Penfill k rtridži paredz ti lietošanai kop ar Novo Nordisk insul na ievad šanas ier c m un NovoFine adat m.
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.
Ja j s tiekat rst ts ar Insulatard Penfill un k du citu insul nu Penfill k rtridž, jums j lieto divas insul na ievad šanas ier ces – katram insul na tipam sava.
Resuspending the insulin
Insul na saskalošana
Resuspending is easier when the insulin has reached room temperature.
Insul nu saskalot ir viegl k, ja tas ir sasniedzis istabas temperat ru.
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.
Pirms ieliekat Penfill k rtridžu insul na ievad šanas ier c, sv rstiet to augšup un lejup no poz cijas a l dz b un atpaka (skat t z m jumu), lai stikla lod te p rvietotos no viena k rtridža gala l dz otram vismaz 20 reizes.
Repeat this movement at least 10 times before each injection.
Atk rtojiet sv rst šanu vismaz 10 reizes pirms katras injekcijas.
The movement must always be repeated until the liquid appears uniformly white and cloudy.
Sv rst šana vienm r j atk rto, l dz š idrums ir k uvis vienm r gi balts un du ains.
Complete the other stages of injection without delay.
N kam s injic šanas darb bas izdariet nekav joties.
Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
88 P rbaudiet, vai k rtridž ir atlikušas vismaz 12 vien bas insul na, lai var tu veikt saskalošanu.
If there are less than 12 units left, use a new one.
Ja k rtridž ir maz k nek 12 vien bas, izmantojiet jaunu k rtridžu.
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.
Ja injekciju izdar t pats, piem rot k vieta insul na ievad šanai ir v dera priekš j sien, s žas apvid un augšstilbu vai augšdelmu priekšpus.
How to inject this insulin
Insul na injic šana
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.
P c katras injekcijas p rliecinieties vai adata ir no emta un izmesta, un uzglab jiet Insulatard bez uzliktas adatas.
Otherwise, the liquid may leak out which can cause inaccurate dosing.
Pret j gad jum, š idrums var nopl st un tas var b t par iemeslu neprec zai devai.
If you are given glucagon you will need glucose or a sugary snack
Ja jums injic ts glikagons, uzreiz p c sama as atg šanas j ap d glikoze vai produkts, kura
88 as soon as you are conscious.
89 sast v ir cukurs.
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
90 Jums var b t oti reti sastopam, ta u nopietn aler isk reakcija uz Insulatard vai k du no t sast vda m (to sauc par sist misko aler isko reakciju).
89 Swollen joints.
Loc tavu piet kums.
The Penfill that is not being used is to be stored in a refrigerator (2°C - 8°C).
Penfill, kas netiek lietoti, j uzglab ledusskap (2°C – 8°C).
Keep the Penfill in the original package.
Turiet Penfill ori in laj iepakojum.
The Penfill that is being used or about to be used is not to be kept in a refrigerator.
Penfill, kas tiek lietoti vai t l t tiks lietoti, nav j uzglab ledusskap.
After removing the Penfill from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
P c Penfill iz emšanas no ledusskapja, ir ieteicams aut tam sasniegt istabas temperat ru pirms insul na saskalošanas, k nor d ts pirmo reizi lietojot.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 6 weeks.
Tos var n s t l dzi un uzglab t istabas temperat r (l dz 30°C) ne ilg k par 6 ned m.
Always keep your cartridge in the outer carton when you’ re not using it in order to protect it from light.
K rtridžu, kad to nelietojat, vienm r uzglab jiet r j iepakojum, lai pasarg tu no gaismas.
1 cartridge contains 3 ml equivalent to 300 IU
Vien k rtridž ir 3 ml, kas atbilst 300 SV.
The suspension for injection comes as a cloudy, white, aqueous suspension.
91 Insulatard r jais izskats un iepakojums
It is supplied in packs of 1, 5 or 10 cartridges of 3 ml.
Suspensija injekcij m ir balta, du aina dens suspensija 3 ml k rtridž, pa 1, 5 vai 10 k rtridžiem iepakojum.
90 Marketing Authorisation Holder Novo Nordisk A/ S Novo Allé, DK-2880 Bagsværd, Denmark
Re istr cijas apliec bas pašnieks Novo Nordisk A/ S Novo Allé, DK- 2880 Bagsværd, D nija
Manufacturer The manufacturer can be identified by the batch number printed on the slip of the carton and on the label:
Ražot js Ražot ju var noteikt p c s rijas numura, kas nor d ts uz kast tes s niem un uz eti etes:
– 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
– ja otr un treš rakstu z me ir W5, S6, P5, K7 vai ZF – ražot js ir Novo Nordisk A/ S, Novo Allé, DK- 2880 Bagsværd, D nija;
– 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.
– ja otr un treš rakstu z me ir H7 vai T6 – ražot js ir Novo Nordisk Production SAS, 45 Avenue d’ Orléans, F- 28002 Chartres, Francija.
91 PACKAGE LEAFLET:
LIETOŠANAS INSTRUKCIJA:
Insulatard NovoLet 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard NovoLet 100 SV/ ml suspensija injekcij m pildspalvveida pilnš irc Cilv ka insul ns (insulinum humanum), rDNS
This side of the leaflet:
Šaj instrukcij varat uzzin t:
What Insulatard is and what it is used for 2.
Kas ir Insulatard un k dam nol kam to lieto 2.
Before you use Insulatard 3.
Pirms Insulatard lietošanas 3.
How to use Insulatard 4.
K lietot Insulatard 4.
What to do in an emergency 5.
K r koties neatliekam situ cij 5.
How to store Insulatard 7.
Iesp jam s blakuspar d bas 6 K uzglab t Insulatard 7.
Further information
S k ka inform cija
Overleaf:
N kamaj lappus:
How to use your NovoLet
K lietot NovoLet
Using other medicines
93 Citu z u lietošana
92 Many medicines affect the way glucose works in your body and they may influence your insulin dose.
Daudzi medikamenti ietekm glikozes darb bu organism un tie var ietekm t j su insul na devu.
Pregnancy and breast-feeding
Gr tniec ba un z d šanas periods
If you are pregnant, planning a pregnancy or breast-feeding: please contact your doctor for advice.
Ja esat gr tniece, pl nojat gr tniec bu vai barojat ar kr ti: l dzu, konsult jieties ar savu rstu.
Injecting insulin
Insul na injic šana
See overleaf for detailed instructions.
S k ku inform ciju atrad siet n kamaj lappus.
► Check the label to make sure it is the right type of insulin ► Always use a new needle for each injection to prevent contamination.
Vienm r lietojiet jaunu adatu katrai injekcijai, lai nov rstu infic šanos.
► 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.
Ja p c saskalošanas tas nav vienm r gi balts un du ains.
93 A hypo means your blood sugar level is too low.
Hipoglik mija noz m p r k zemu glikozes l meni asin s.
If you are given glucagon you will need glucose or a sugary snack as soon as you are conscious.
Ja jums injic ts glikagons, uzreiz p c sama as atg šanas j ap d glikoze vai produkts, kura sast v ir cukurs.
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.
Ja jums rodas k da no š m paz m m, p rbaudiet glikozes l meni asin s; ja iesp jams, nosakiet ketonvielu kl tb tni ur n; nekav joties mekl jiet medic nisku pal dz bu.
94 Side effects reported uncommonly (in less than 1 patient in 100)
(maz k nek 1 pacientam no 100)
You may have a very rare serious allergic reaction to Insulatard or one of its ingredients (called a systemic allergic reaction).
Jums var b t oti reti sastopam, ta u nopietn aler isk reakcija uz Insulatard vai k du no t sast vda m (to sauc par sist misko aler isko reakciju).
The NovoLet that is not being used is to be stored in a refrigerator (2°C - 8°C).
96 NovoLet, kas netiek lietotas, j uzglab ledusskap (2°C – 8°C).
The NovoLet that is being used, about to be used or carried as a spare is not to be kept in a refrigerator.
NovoLet, ko pašreiz lietojat, t l t lietosiet vai n s jat l dzi rezervei, nav j uzglab ledusskap.
After removing the NovoLet from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
P c NovoLet iz emšanas no ledusskapja, ir ieteicams aut tai sasniegt istabas temperat ru pirms insul na saskalošanas, k nor d ts pirmo reizi lietojot.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 6 weeks.
To var n s t l dzi un uzglab t istabas temperat r (l dz 30°C) ne ilg k par 6 ned m.
Always keep the pen cap on your NovoLet when you’ re not using it in order to protect it from light.
NovoLet, kad to nelietojat, vienm r turiet uzliktu uzgali, lai pasarg tu to no gaismas.
95 Insulatard should not be disposed of via wastewater or household waste.
Insulatard nedr kst izmest kop ar saimniec bas atkritumiem vai kanaliz cij.
1 pre-filled pen contains 3 ml equivalent to 300 IU
Vien pildspalvveida pilnš irc ir 3 ml, kas atbilst 300 SV.
The suspension for injection comes as a cloudy, white, aqueous suspension.
Insulatard r jais izskats un iepakojums
It is supplied in packs of 5 or 10 pre-filled pens of 3 ml.
Suspensija injekcij m ir balta, du aina dens suspensija 3 ml pildspalvveida pilnš irc, pa 5 vai 10 pildspalvveida pilnš irc m iepakojum.
Now turn over for information on how to use your NovoLet.
Inform ciju par NovoLet lietošanu skat t n kamaj lappus.
96 Information on how to use Insulatard NovoLet
97 Inform cija, k lietot Insulatard NovoLet
Please read the following instructions carefully before using your Insulatard NovoLet.
L dzu, r p gi izlasiet šo instrukciju pirms Insulatard NovoLet lietošanas.
Insulatard NovoLet is a simple, compact pre-filled pen.
Insulatard NovoLet ir vienk rša, kompakta pildspalvveida pilnš irce.
You can dial doses from 2 to 78 units in increments of 2 units.
J s varat nom r t devu no 2 l dz 78 vien b m, ar soli - 2 vien bas.
As a precautionary measure, always carry a spare insulin delivery device in case your NovoLet is lost or damaged.
Droš bas nol kos vienm r n s jiet l dzi rezerves insul na ievad šanas ier ci gad jumam, ja NovoLet paz d vai tiek boj ta.
Protective tab
r jais adatas uzgalis Aizsarg - uzl me
Inner Pen cap needle cap
Iekš jais Uzgalis adatas uzgalis
Cap scale
Uzga a skala
Rubber membrane
Gumijas membr na
Insulin level indicator
Insul na l me a indikators
Insulin cartridge
Insul na k rtridžs
Glass ball
Stikla lod te
Colour coding
Kr su kods
97 Getting started
Sagatavošana
Check the label to make sure that your Insulatard NovoLet contains the correct type of insulin.
P rbaudiet eti eti lai p rliecin tos, vai Insulatard NovoLet satur pareizo insul na tipu.
Take off the pen cap.
No emiet uzgali.
Before every injection: • Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
Ja atlikušas maz k nek 12 vien bas, izmantojiet jaunu 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.
Sv rstiet pildspalvveida pilnš irci augšup un lejup no poz cijas a l dz b un atpaka (skat t A • z m jumu), lai stikla lod te p rvietotos no viena k rtridža gala l dz otram vismaz 20 reizes.
Repeat this movement at least 10 times before each injection.
98 Atk rtojiet sv rst šanu vismaz 10 reizes pirms katras injekcijas.
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.
P c saskalošanas n kam s darb bas izdariet nekav joties. • Dezinfic jiet gumijas membr nu ar medic nisko salveti. • Vienm r lietojiet jaunu adatu katrai injekcijai, lai nov rstu infic šanos. • No emiet no NovoFine adatas aizsarguzl mi. • Adatu taisni un cieši uzskr v jiet uz Insulatard NovoLet (skat t B z m jumu). • No emiet adatas r jo un iekš jo uzgali.
Do not discard the big outer needle cap.
Neizn ciniet adatas r jo uzgali. •
Priming to expel air
Pildspalvveida pilnš irces atgaisošana
Small amounts of air may collect in the needle and cartridge during normal use.
Ikdienas lietošanas gait adat un insul na k rtridž var uzkr ties nedaudz gaisa.
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.
Lai nov rstu gaisa injic šanu un nodrošin tu prec zu doz šanu: • Turiet Insulatard NovoLet ar adatu uz augšu. • Ar pirkstu viegli piesitiet k rtridžam vair kas reizes.
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.
Gaisa burbu i sakr sies k rtridža augšgal. • Turot ar adatu uz augšu, pagrieziet k rtridžu par vienu klikš i bulti as virzien (skat t C z m jumu). • Turpinot tur t ar adatu uz augšu, nospiediet spiedpogu l dz galam (skat t D z m jumu). • Adatas gal j par d s insul na pilienam.
If not, change the needle and repeat the procedure no more than 6 times.
Ja tas nenotiek, nomainiet adatu un atk rtojiet min t s darb bas ne vair k k 6 reizes.
If a drop of insulin still does not appear, the device is defective and must not be used.
Ja insul na piliens v l aizvien nepar d s, ier ce ir boj ta un to nedr kst lietot.
Setting the dose
Devas m r šana
• Put the cap back on the pen, with 0 next to the dosage indicator (picture E) • Check that the push-button is fully down.
Uzlieciet pildspalvveida pilnš ircei uzgali t, lai 0 atrastos iepretim devas indikatoram (skat t • E z m jumu).
If it isn’ t, turn the cap until the push-button is fully depressed • Hold your Insulatard NovoLet horizontally.
Turiet Insulatard NovoLet horizont li.
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.
Tagad var siet nom r t nepieciešamo devu. • Pagrieziet uzgali bulti as virzien (skat t F z m jumu), lai nom r tu pareizo devu.
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.
Ja spiedpoga nevar br vi izvirz ties, da a • insul na var tikt izspiesta caur adatu.
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.
0, 2, 4, 6, 8, 10, 12, 14, 16 un 18 vien bas.
For every click you feel when you turn the cap, you set 2 units more.
Griežot • uzgali, ar katru klikš i j s nom r t par 2 vien b m vair k.
The push-button also rises as you turn the cap • The scale under the push-button shows 20, 40 and 60 units.
Uz skalas, kas ir zem spiedpogas, redzamas 20, 40 un 60 vien bu atz mes.
Every time you fully turn the cap, you set 20 units.
Katru reizi, kad • piln b apgriežat uzgali, j s nom rat 20 vien bas.
Turn the cap until 8 is opposite the dosage indicator; four clicks To select 26 units:
Doz šanas piem ri K nom r t 8 vien bas Pagrieziet uzgali, l dz iepretim devas indikatoram ir 8 (etri klikš i).
Turn the cap round 1 full turn, so 0 is opposite the dosage indicator again.
K nom r t 26 vien bas Pagrieziet uzgali par vienu pilnu apgriezienu t, lai iepretim devas indikatoram atkal b tu 0.
You’ ve now set 20 units.
T d j di ir nom r tas 20 vien bas.
Keep turning the cap until 6 is opposite the dosage indicator.
Turpiniet griezt uzgali, l dz iepretim devas indikatoram ir 6.
On the push-button scale you’ ll see a 20- line.
Uz spiedpogas skalas j s redz siet l niju “ 20 ”.
There, you’ ve set 26 units (picture G).
G z m jumu).
To check a dose you set • Note the figure on the cap next to the dosage indicator • Note the highest figure you can see on the push-button scale • Add the two together to show the dose you set • If you have set a wrong dose, simply turn the cap forwards or backwards until you set the right number of units.
Lai p rbaud tu nom r to devu Apskatiet skaitli uz uzga a, kas ir iepretim devas indikatoram. • Apskatiet liel ko skaitli, ko varat redz t uz spiedpogas skalas. • Saskaitot abus skait us, ieg siet devu, ko esat nom r jis • Ja esat nom r jis nepareizu devu, vienk rši pagrieziet uzgali uz priekšu vai atpaka, l dz ir • ieg ts pareizais vien bu skaits.
The maximum dose is 78 units • Don’ t try to set a dose higher than 78 units.
Maksim l deva ir 78 vien bas Nem iniet nom r t par 78 vien b m liel ku devu.
Otherwise, insulin will leak out of the needle and the dose will be incorrect • If you have, by mistake, tried to set a dose over 78 units, follow these steps:
Ja k das p c esat m in jis nom r t par 78 vien b m liel ku devu, r kojieties š di: • Pagrieziet uzgali atpaka, cik iesp jams.
Turn it till the push-button is fully down and you can feel resistance.
Grieziet to tikm r, kam r spiedpoga ir piln b ievirz jusies atpaka un j s saj tat pretest bu.
Then take the cap off and put it back on again, lining up the 0 next to the dosage indicator.
Tad no emiet uzgali un uzlieciet to atkal atpaka t, lai 0 atrastos iepretim devas indikatoram.
Now set the dose again.
100 Tagad v lreiz nom riet devu.
Remember that 78 units is the maximum dose • After the dose is set, remove the cap to inject the insulin.
P c devas nom r šanas no emiet uzgali un injic jiet insul nu.
Go straight on to Injecting the insulin.
Nor d jumus skat t Insul na • injic šana.
Injecting the insulin
Insul na injic šana
• Insert the needle into your skin.
Ieduriet adatu zem das.
Use the injection technique advised by your doctor • Deliver the dose by pressing the push-button fully down.
Iev rojiet rsta nor d jumus par injic šanas tehniku. • Injic jiet devu, l dz galam nospiežot spiedpogu.
Be careful only to push the push- button when injecting • Keep the push-button fully depressed after the injection until the needle has been withdrawn from the skin.
P c injekcijas turiet spiedpogu piln b nospiestu, l dz izvelkat adatu no das.
The needle must remain under the skin for at least 6 seconds.
Adata j patur • zem das vismaz 6 sekundes.
This will ensure that the full dose has been delivered.
T d j di tiks nodrošin ta visas devas ievad šana.
Subsequent injections • Always check that the push-button is completely down.
Vienm r p rbaudiet, vai spiedpoga ir nospiesta l dz galam.
If not, turn the cap until the push- button is fully depressed, then proceed as described in Getting started • You may hear a clicking sound when you press the push-button.
Spiežot spiedpogu, j s dzird siet klikš us.
Don’ t use this to set or check your dose; it may not be accurate • You can’ t set a dose higher than the number of units left in the cartridge • You can use the insulin level indicator to estimate how much is left, but you can’ t use it to set or select your dose.
J s nevarat nom r t devu, kas ir liel ka k k rtridž atlikušo vien bu skaits. • J s varat izmantot insul na l me a indikatoru, lai noteiktu, cik insul na ir atlicis, ta u j s • nedr kstat to izmantot, lai nom r tu vai izv l tos devu.
Removing the needle
Adatas no emšana
• Replace the big outer needle cap and unscrew the needle.
• Uzlieciet adatai r jo uzgali un noskr v jiet adatu.
Dispose of it carefully.
Uzman gi to izn ciniet.
Remove the needle after each injection and store NovoLet without a needle attached.
P c katras injekcijas no emiet adatu un uzglab jiet NovoLet bez uzliktas adatas.
100 Health care professionals, relatives and other carers must follow general precautionary measures for removal and disposal of needles to eliminate the risk of unintended needle penetration.
Vesel bas apr pes speci listiem, radiniekiem un citiem apr p t jiem j iev ro visp r jie piesardz bas pas kumi, no emot un likvid jot adatas, lai nov rstu nejaušas saduršan s risku.
Close your Insulatard NovoLet fully with 0 next to the dosage indicator.
Stingri aiztaisiet savu Insulatard NovoLet, lai 0 atrastos iepretim devas indikatoram.
Dispose of your used Insulatard NovoLet carefully without the needle attached.
Uzman gi izn ciniet izlietoto Insulatard NovoLet, iepriekš no emot adatu.
Your Insulatard NovoLet is designed to work accurately and safely.
Insulatard NovoLet ir rad ta prec zai un drošai darb bai.
It must be handled with care.
Ar to j r kojas uzman gi.
Do not refill Insulatard NovoLet.
Neuzpildiet atk rtoti Insulatard NovoLet.
You can clean the exterior of your Insulatard NovoLet by wiping it with a medicinal swab.
J s varat t r t Insulatard NovoLet no rpuses, noslaukot to ar medic nisko salveti.
This may damage the mechanism.
Nem rc jiet, nemazg jiet un nee ojiet to, jo t d j di var boj t meh nismu.
101 PACKAGE LEAFLET:
101
Insulatard InnoLet 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard InnoLet 100 SV/ ml suspensija injekcij m pildspalvveida pilnš irc Cilv ka insul ns (insulinum humanum), rDNS
How to use your InnoLet
K lietot InnoLet
► 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.
Ja jums ir liel ka fizisk slodze nek parasti vai j s v laties main t ierasto di tu.
Using other medicines
Slimošanas laik: nep rtrauciet insul na lietošanu.
102 Many medicines affect the way glucose works in your body and they may influence your insulin dose.
102 Citu z u lietošana
► In insulin infusion pumps ► If InnoLet 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.
Ja p c saskalošanas tas nav vienm r gi balts un du ains.
103 A hypo means your blood sugar level is too low.
Hipoglik mija noz m p r k zemu glikozes l meni asin s.
104 Side effects reported uncommonly (in less than 1 patient in 100)
(maz k nek 1 pacientam no 100)
Do not use Insulatard after the expiry date which is stated on the label and the carton.
105 Nelietot Insulatard p c der guma termi a beig m, kas nor d ts uz eti etes un kast tes.
The InnoLet that is not being used is to be stored in a refrigerator (2°C - 8°C).
InnoLet, kas netiek lietotas, j uzglab ledusskap (2°C – 8°C).
The InnoLet that is being used, about to be used or carried as a spare is not to be kept in a refrigerator.
InnoLet, ko pašreiz lietojat, t l t lietosiet vai n s jat l dzi rezervei, nav j uzglab ledusskap.
After removing the InnoLet from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
P c InnoLet iz emšanas no ledusskapja, ir ieteicams aut tai sasniegt istabas temperat ru pirms insul na saskalošanas, k nor d ts pirmo reizi lietojot.
Always keep the pen cap on your InnoLet when you’ re not using it in order to protect it from light.
InnoLet, kad to nelietojat, vienm r turiet uzliktu uzgali, lai pasarg tu no gaismas.
105 Insulatard should not be disposed of via wastewater or household waste.
Insulatard nedr kst izmest kop ar saimniec bas atkritumiem vai kanaliz cij.
It is supplied in packs of 1, 5 or 10 pre-filled pens of 3 ml.
Suspensija injekcij m ir balta, du aina dens suspensija 3 ml pildspalvveida pilnš irc, pa1, 5 vai 10 pildspalvveida pilnš irc m iepakojum.
Now turn over for information on how to use your InnoLet.
Inform ciju par InnoLet lietošanu skat t n kamaj lappus.
106 Information on how to use Insulatard InnoLet
106 Inform cija, k lietot Insulatard InnoLet
Please read the following instructions carefully before using your Insulatard InnoLet.
L dzu, r p gi izlasiet šo instrukciju pirms Insulatard InnoLet lietošanas.
Insulatard InnoLet is a simple, compact pre-filled pen able to deliver 1 to 50 units in increments of 1 unit.
J s varat nom r t devu no 1 l dz 50 vien b m, ar soli - 1 vien ba.
Insulatard InnoLet is designed to be used with NovoFine S needles of 8 mm or shorter in length.
Insulatard InnoLet paredz ta lietošanai kop ar 8 mm vai s k m NovoFine S adat m.
The S stands for short cap.
Uz adatu kast tes j b t apz m jumam S, kas nor da su uzgali.
As a precautionary measure, always carry a spare insulin delivery device in case your InnoLet is lost or damaged.
Droš bas nol kos vienm r n s jiet l dzi rezerves insul na ievad šanas ier ci gad jumam, ja InnoLet paz d vai tiek boj ta.
cartridge Glass ball
Insul na k rtridžs Nodal jums Stikla lod te adat m
Protective tab
Iekš jais adatas Aizsarg - Uzgalis uzgalis uzl me
Big outer needle cap
r jais adatas uzgalis
Check the label to make sure that your Insulatard InnoLet contains the correct type of insulin.
P rbaudiet eti eti lai p rliecin tos, vai Insulatard InnoLet satur pareizo insul na tipu.
Take off the pen cap (as shown by the arrow).
No emiet uzgali (k nor da bulti a).
Suspending the insulin
Insul na saskalošana
Before every injection: • Check there are at least 12 units of insulin left in the cartridge to allow even resuspending.
Ja atlikušas maz k nek 12 vien bas, izmantojiet jaunu Insulatard InnoLet.
If there are less than 12 units left, use a new Insulatard InnoLet • Move the pen up and down between positions A and B and back so that the glass ball moves from one end of the cartridge to the other (picture 1A) at least 20 times.
Sv rstiet pildspalvveida pilnš irci augšup un lejup no poz cijas A l dz B un atpaka, lai stikla • lod te p rvietotos no viena k rtridža gala l dz otram (skat t 1A z m jumu) vismaz 20 reizes.
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.
P c saskalošanas n kam s darb bas izdariet nekav joties. •
• 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 S needle • Screw the needle straight and tightly onto Insulatard InnoLet (picture 1B) • Pull off the big outer needle cap and the inner needle cap.
Dezinfic jiet gumijas membr nu ar medic nisko salveti. • Vienm r lietojiet jaunu adatu katrai injekcijai, lai nov rstu infic šanos. • No emiet no NovoFine S adatas aizsarguzl mi. • Adatu taisni un cieši uzskr v jiet uz Insulatard InnoLet (skat t 1B z m jumu). • No emiet adatas r jo un iekš jo uzgali.
You may want to store the big outer needle cap in the compartment.
Adatas r jo uzgali varat glab t nodal jum. •
To avoid injection of air and ensure proper dosing: • Dial 2 units by turning the dose selector clockwise • Hold Insulatard InnoLet with the needle pointing upwards and tap the cartridge gently with your finger a few times to make any air bubbles collect at the top of the cartridge (picture 1C) • Keeping the needle upwards, press the push-button and the dose selector returns to zero • A drop of insulin must appear at the needle tip.
Adatas gal j par d s insul na pilienam.
If not, change the needle and repeat the procedure no more than 6 times.
Ja tas nenotiek, nomainiet adatu un atk rtojiet • min t s darb bas ne vair k k 6 reizes.
• Always check that the push-button is fully depressed and the dose selector is set at zero • Dial the number of units required by turning the dose selector clockwise (picture 2).
Nom riet nepieciešamo vien bu skaitu, griežot devas selektoru pulkste r d t ja virzien • (skat t 2. z m jumu).
Do not use the residual scale to measure your dose of insulin • You will hear a click for every single unit dialled.
Ar katru nom r to vien bu j s dzird siet klikš i.
The dose can be corrected by turning the dial either way.
Devu var labot, pagriežot devas selektoru • vien vai otr virzien.
You cannot set a dose larger than the number of units left in the cartridge.
J s nevarat noregul t liel ku devu k k rtridž atlikušais vien bu skaits.
Use the injection technique advised by your doctor • Deliver the dose by pressing the push-button fully down (picture 3).
Iev rojiet rsta nor d jumus par injic šanas tehniku. • Injic jiet devu, l dz galam nospiežot spiedpogu (skat t 3. z m jumu).
You will hear clicks as the dose selector returns to zero • After the injection, the needle must remain under the skin for at least 6 seconds to ensure that the full dose has been delivered • Make sure not to block the dose selector while injecting, as the dose selector must be allowed to return to zero when you press the push-button • Remove the needle after each injection.
P c katras injekcijas no emiet adatu. •
• Replace the big outer needle cap and unscrew the needle (picture 4).
Uzlieciet adatai r jo uzgali un noskr v jiet adatu (skat t 4. z m jumu).
Dispose of it carefully.
Uzman gi to • izn ciniet.
Remove the needle after each injection and store InnoLet without the needle attached.
P c katras injekcijas no emiet adatu un uzglab jiet InnoLet bez uzliktas adatas.
Health care professionals, relatives and other carers must follow general precautionary measures for removal and disposal of needles to eliminate the risk of unintended needle penetration.
Vesel bas apr pes speci listiem, radiniekiem un citiem apr p t jiem j iev ro visp r jie piesardz bas pas kumi, no emot un likvid jot adatas, lai nov rstu nejaušas saduršan s risku.
Dispose of your used Insulatard InnoLet carefully without the needle attached.
Uzman gi izn ciniet izlietoto Insulatard InnoLet, iepriekš no emot adatu.
Your Insulatard InnoLet is designed to work accurately and safely.
Insulatard InnoLet ir rad ta prec zai un drošai darb bai.
Do not refill Insulatard InnoLet.
Neuzpildiet atk rtoti Insulatard InnoLet.
You can clean your Insulatard InnoLet by wiping it with a medicinal swab.
J s varat t r t Insulatard InnoLet, noslaukot to ar medic nisko salveti.
110 PACKAGE LEAFLET:
110
Insulatard FlexPen 100 IU/ ml suspension for injection in a pre-filled pen Insulin human (rDNA)
Insulatard FlexPen 100 SV/ ml suspensija injekcij m pildspalvveida pilnš irc Cilv ka insul ns (insulinum humanum), rDNS
You may need to read it again. – If you have any further questions, ask your doctor, nurse or your pharmacist. – This medicine has been prescribed for you.
Iesp jams, ka v l k to vajadz s p rlas t. – Ja jums rodas v l k di jaut jumi, vaic jiet savam rstam, medm sai vai farmaceitam. – Š s z les ir parakst tas tieši jums.
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, nurse or your pharmacist.
T s var nodar t aunumu pat tad, ja šiem cilv kiem ir l dz gi simptomi. – Ja j s nov rojat jebk das blakuspar d bas, kas šaj instrukcij nav min tas vai k da no min taj m blakuspar d b m jums izpaužas smagi, l dzu izst stiet to savam rstam, medm sai vai farmaceitam.
How to use your FlexPen
K lietot FlexPen
111 Using other medicines
111 Citu z u lietošana
Talk about your insulin needs with your doctor and nurse.
Jums j konsult jas ar savu rstu vai medm su par j su insul na nepieciešam bu.
► In insulin infusion pumps ► If FlexPen 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.
Ja p c saskalošanas tas nav vienm r gi balts un du ains.
If you get any of these signs, eat glucose tablets or a high sugar snack (sweets, biscuits, fruit juice), then rest.
Ja jums rodas k da no š m paz m m, ap diet glikozes tabletes vai produktu, kura sast v ir cukurs (saldumus, cepumus, aug u sulu), tad atp tieties.
Then seek medical advice straight away.
Ja jums rodas k da no š m paz m m, p rbaudiet glikozes l meni asin s; ja iesp jams, nosakiet ketonvielu kl tb tni ur n; nekav joties mekl jiet medic nisku padomu.
If you notice your skin pitting or thickening at the injection site, tell your doctor or nurse because these reactions can become more severe, or they may change the absorption of your insulin if you inject in such a site.
Ja j s nov rojat, ka j su d veidojas iedobumi vai pac lumi injekcijas apvid, past stiet par to savam rtam vai medm sai, jo š s reakcijas var k t daudz nopietn kas, vai ar var main ties insul na uzs kšan s, ja turpin siet injic t š d viet.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, nurse or pharmacist.
Ja nov rojat jebk das blakuspar d bas, kas šaj instrukcij nav min tas vai k da no min taj m blakuspar d b m jums izpaužas smagi, l dzam par t m izst st t savam rstam, medm sai vai farmaceitam.
The FlexPen that is not being used is to be stored in a refrigerator (2°C - 8°C).
114 FlexPen, kas netiek lietotas, j uzglab ledusskap (2°C – 8°C).
The FlexPen that is being used, about to be used or carried as a spare is not to be kept in a refrigerator.
FlexPen, ko pašreiz lietojat, t l t lietosiet vai n s jat l dzi rezervei, nav j uzglab ledusskap.
After removing the FlexPen from the refrigerator it is recommended to let it reach room temperature before resuspending the insulin as instructed for the first time use.
P c FlexPen iz emšanas no ledusskapja, ir ieteicams aut tai sasniegt istabas temperat ru pirms insul na saskalošanas, k nor d ts pirmo reizi lietojot.
See 3 How to use
Skat t 3.
114 Insulatard.
K lietot Insulatard.
Always keep the pen cap on your FlexPen when you’ re not using it in order to protect it from light.
FlexPen, kad to nelietojat, vienm r turiet uzliktu uzgali, lai pasarg tu no gaismas.
It is supplied in packs of 1, 5 or 10 pre-filled pens of 3 ml.
Suspensija injekcij m ir balta, du aina dens suspensija 3 ml pildspalvveida pilnš irc, pa 1, 5 vai 10 pildspalvveida pilnš irc m iepakojum.
Marketing Authorisation Holder Novo Nordisk A/ S Novo Allé, DK-2880 Bagsværd, Denmark
Re istr cijas apliec bas pašnieks Novo Nordisk A/ S Novo Allé, DK- 2880 Bagsværd, D nija
Now turn over for information on how to use your FlexPen.
Inform ciju par FlexPen lietošanu skat t n kamaj lappus.
115 Introduction
115 Ievads
Please read the following instructions carefully before using your Insulatard FlexPen.
L dzu, r p gi izlasiet šo instrukciju pirms Insulatard FlexPen lietošanas.
Your FlexPen is a unique dial-a-dose insulin pen.
FlexPen ir vienreiz jas lietošanas insul na pildspalvveida pilnš irce.
You can select doses from 1 to 60 units in increments of 1 unit.
J s varat nom r t devu no 1 l dz 60 vien b m, ar soli - 1 vien ba.
FlexPen is designed and tested to be used with NovoFine and NovoTwist disposable needles up to a length of 8 mm.
FlexPen paredz ta un p rbaud ta lietošanai kop ar vienreiz jas lietošanas NovoFine vai NovoTwist adat m, kas nav gar kas par 8 mm.
As a precautionary measure, always carry a spare insulin delivery device in case your FlexPen is lost or damaged.
Droš bas nol kos vienm r n s jiet l dzi rezerves insul na ievad šanas ier ci gad jumam, ja FlexPen paz d vai tiek boj ta.
The colour of the pen in the illustrations differs from your FlexPen.
Att l redzam s pildspalvveida pilnš irces kr sa atš iras no j su FlexPen.
Insulatard FlexPen Pen cap
Insulatard FlexPen Uzgalis
Cartridge
Stikla
Residual
K rtridžs
Pointer
Atlikuma
membrane
Devas Devas Spiedpoga
ball
membr na vien bas lod te