qanastek/EMEA-V3 huggingface dataset:
Take special care with NovoMix 30
paša piesardz ba, lietojot NovoMix 30, nepieciešama š dos gad jumos
If you have trouble with your kidneys or liver, your doctor may decide to alter your insulin dose If you are drinking alcohol (also beer, wine): 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.
Slimošanas laik: nep rtrauciet insul na lietošanu.
Your need for insulin may change If you have an infection, fever or have had an operation you may need more insulin than usual If you suffer from diarrhoea, vomiting or eat less than usual you may need less insulin than usual If you are going abroad: travelling over time zones may affect your insulin needs and the timing of your injections.
Ja j s dodaties uz rvalst m: laika zonu starp ba daž d s valst s ietekm s j su nepieciešam bu p c insul na un ievad šanas laiku.
Consult your doctor if you are planning such travelling.
Konsult jieties ar savu rstu, ja pl nojat k du ce ojumu.
Many medicines affect the way your glucose works in your body and this may influence your insulin dose.
Daudzi medikamenti ietekm glikozes darb bu organism un tie var ietekm t j su insul na devu.
Please consult your doctor or pharmacist if you are taking or have recently taken any other medicines, even those not prescribed.
Past stiet savam rstam vai farmaceitam par vis m z l m, kuras lietojat vai p d j laik esat lietojis, ieskaitot z les, ko var ieg d ties bez receptes.
Your need for insulin may change if you also take:
Nepieciešam ba p c insul na var main ties, ja lietojat: peror los pretdiab ta l dzek us, monoam noksid zes inhibitorus (MAOI), beta blokatorus, angiotens na konvert još enz ma (AKE)
Oral antidiabetic medicinal products, monoamine oxidase (MAO) inhibitors, beta-blockers, 73 angiotensin converting enzyme (ACE) inhibitors, salicylates, anabolic steroids and glucocorticoids (except topical administration), oral contraceptives, thiazides, thyroid hormones, sympathomimetics, danazol, octreotide and sulphonamides.
71 inhibitorus, salicil tus, anabolos stero dus un glikokortiko dus (iz emot r gas lietošanas), peror los pretapaug ošan s l dzek us, tiaz dus, vairogdziedzera hormonus, simpatomim tiskos l dzek us, danazolu, oktreot du un sulfanilam dus.
Pregnancy and breast-feeding If you are planning a pregnancy or if you are pregnant or breast-feeding: please contact your doctor for advice.
Ja j s pl nojat gr tniec bu vai esat gr tniece, vai barojat ar kr ti: l dzu, konsult jieties ar savu rstu.
There is limited clinical experience with insulin aspart in pregnancy.
Kl nisk pieredze par asparta insul na lietošanu gr tniec bas laik ir ierobežota.
Driving and using machines If you drive or use tools or machines: watch out for signs of a hypo.
Ja j s vad t transportl dzek us vai apkalpojat iek rtas vai meh nismus: uzmanieties, ja par d s hipoglik mijas simptomi.
Your ability to concentrate or to react may be reduced during a hypo.
J su sp jas koncentr ties vai rea t hipoglik mijas laik var pav jin ties.
Please keep this possible problem in mind in all situations where you might put yourself and others at risk (e. g. driving a car or operating machinery).
L dzu, neaizmirstiet š du sarež jumu rašan s varb t bu vis s situ cij s, kad varat sevi vai citus pak aut riskam (piem ram, vadot automaš nu vai apkalpojot iek rtas).
Never drive or use machinery if you feel a hypo coming on.
Nekad nevadiet transportl dzekli un neapkalpojiet meh nismus, ja saj tat hipoglik mijas tuvošanos.
Discuss with your doctor whether you should 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 visp r varat vad t transportl dzekli vai apkalpot meh nismus, ja jums bieži rodas hipoglik mijas vai, ja hipoglik mijas ir gr ti atpaz t.
For children 6-9 years limited clinical data exists.
Par b rniem vecum no 6 l dz 9 gadiem kl niskie dati ir ierobežoti.
HOW TO USE NOVOMIX 30
K LIETOT NOVOMIX 30
When NovoMix 30 is used in combination with oral antidiabetic drugs the dosage should be adjusted.
Lietojot kombin cij ar peror liem pretdiab ta l dzek iem, NovoMix 30 deva ir j piel go.
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.
Ja rsts jums nomaina iepriekš lietoto insul na tipu vai z molu uz citu, rstam deva var b t j piel go.
Eat a meal or snack containing carbohydrates within 10 minutes of the injection.
Ne v l k k 10 min šu laik p c injekcijas j ietur malt te vai j ap d og hidr tus saturoša uzkoda.
NovoMix 30 may also be given soon after the meal.
NovoMix 30 var lietot ar t l t p c dienreizes.
NovoMix 30 is for use by one person only.
NovoMix 30 ir paredz ts tikai individu lai lietošanai.
Before using NovoMix 30
Pirms lietojat NovoMix 30
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 (aizb zni).
Don’ t use it if any damage is seen or if there is a gap between the rubber plunger and the white label band.
Nelietojiet to, ja redzams boj jums vai, ja starp gumijas virzuli un balto eti etes joslu ir redzama atstarpe.
Take it back to your supplier.
Atdodiet to atpaka pieg d t jam.
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.
NovoMix 30 should not be used
NovoMix 30 nedr kst lietot
In insulin infusion pumps If the cartridge or the device containing the cartridge is dropped, damaged or crushed, there is a risk of leakage of insulin If it hasn’ t been stored correctly or if it has been frozen (see 6 How to store NovoMix 30) If the insulin is not uniformly white and cloudy when it’ s mixed If clumps of material are present or if solid white particles stick to the bottom or the wall of the cartridge giving a frosted appearance.
Ja redzamas salipušas vai cietas, baltas da i as, pielipušas pie k rtridža dibena vai sien m un k rtridžs izskat s nosarmojis.
NovoMix 30 is for injection under the skin (subcutaneously).
NovoMix 30 ir paredz ts injic šanai zem das (subkut ni).
Never inject your insulin directly into a vein or muscle.
Insul nu nedr kst injic t v n vai
Always vary the sites you inject, to avoid lumps (see 5 Possible side effects).
Injekcijas vietas ir j maina, lai izvair tos no sabiez jumu rašan s d (skat t 5.
The best places to give
Iesp jam s blakuspar d bas).
74 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 s vietas insul na ievad šanai ir: v dera priekš j sien, s žas apvid, augšstilbu priekšpus vai augšdelmos.
Your insulin will work more quickly if you inject around the waist.
Insul ns iedarbosies tr k, ja injic siet viduk a apvid.
NovoMix 30 Penfill is designed to be used with Novo Nordisk insulin delivery systems and NovoFine needles.
NovoMix 30 Penfill ir paredz ts lietošanai kop ar Novo Nordisk insul na ievad šanas ier c m un NovoFine adat m.
If you are treated with NovoMix 30 Penfill and another insulin Penfill cartridge, you must use one insulin delivery system for each type of insulin.
Ja j s tiekat rst ts ar NovoMix 30 Penfill un k du citu insul nu Penfill k rtridž, jums j lieto atseviš a insul na ievad šanas ier ce katram insul na tipam.
Do not refill NovoMix 30 Penfill cartridges.
NovoMix 30 Penfill k rtridžus nedr kst atk rtoti uzpild t.
As a precautionary measure, always carry a spare Penfill cartridge in case your Penfill cartridge is lost or damaged.
Droš bas nol kos vienm r n s jiet l dzi rezerves Penfill k rtridžu gad jumam, ja Penfill k rtridžs paz d vai tiek boj ts.
Resuspension of the insulin
Insul na saskalošana
Before you put the cartridge into the insulin delivery system:
Pirms k rtridža ievietošanas insul na ievad šanas ier c:
The first time you use NovoMix 30 Penfill roll the cartridge between your palms 10 times – it is important that the cartridge is kept horizontal (see picture A).
Pirmo reizi lietojot NovoMix 30 Penfill, pavirpiniet k rtridžu plaukst s 10 reizes – ir svar gi k rtridžu tur t horizont li (skat t A z m jumu).
Move the cartridge up and down between positions a and b (see picture B) 10 times so that the glass ball moves from one end of the cartridge to the other.
Veiciet kust bas augšup un lejup no poz cijas a l dz b (skat t B z m jumu) 10 reizes t, lai stikla lod te p rvietotos no viena k rtridža gala l dz otram.
Repeat the rolling and moving procedures (see pictures A and B until the liquid does appears uniformly white and cloudy.
Atk rtojiet virpin šanu un sv rst šanu (skat t A un B z m jumu), l dz š idrums ir k uvis vienm r gi balts un du ains.
Resuspension is easier when the insulin has reached room temperature.
Insul nu saskalot ir viegl k, ja tas ir sasniedzis istabas temperat ru.
Complete the other stages of injection without delay For every following injection move the delivery system with the cartridge inside up and down between a and b (see picture B) at least 10 times until the liquid appears uniformly white and cloudy.
Pirms katras n kam s injekcijas veiciet sv rst šanu ar insul na ievad šanas ier c ievietotu k rtridžu augšup un lejup no a l dz b (skat t B z m jumu) vismaz 10 reizes, 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 veiciet nekav joties.
Pict ure A
A z m jums
Picture B a
B z m jums
Check there are at least 12 units of insulin left in the cartridge to allow even resuspension.
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 taj ir atlikušas maz k nek 12 vien bas, izmantojiet jaunu k rtridžu.
How to inject this insulin
K injic t šo insul nu
Inject the insulin under the skin.
Insul ns j injic zem das.
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 NovoMix without the needle attached.
P c katras injekcijas p rliecinieties vai adata ir no emta un izmesta, un uzglab jiet NovoMix 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
If you get a hypo (hypoglycaemia)
Ja jums ir hipoglik mija
Carry glucose tablets, sweets, biscuits or fruit juice with you, just in case it is needed.
N s jiet l dzi glikozes tabletes, saldumus, cepumus vai aug u sulu, gad jumam, ja rodas nepieciešam ba.
Tell your relatives, friends and close colleagues that if you pass out (become unconscious), they must: turn you on your side and get medical help straight away.
Izst stiet saviem radiniekiem, draugiem un tuv kajiem kol iem, ka gad jum, ja jums iest jas bezsama a, vi iem j pagriež j s uz s niem un nekav joties j mekl medic nisk pal dz ba.
They must not give you any food or drink, as it could choke you.
Jums nedr kst dot st vai dzert – tas var j s nosmac t.
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.
Ja jums bijusi hipoglik mija ar bezsama u vai hipoglik mijas jums ir bieži, aprun jieties ar savu rstu.
The amount or timing of insulin, food or exercise may need to be adjusted.
Var b t nepieciešams piel got insul na devu vai ievad šanas laiku, uzturu vai fizisko slodzi.
Contact your doctor or an emergency ward after an injection of glucagon: you need to find the reason for your hypo to avoid getting more.
P c glikagona injekcijas konsult jieties ar savu rstu vai neatliekam s pal dz bas speci listu, lai konstat tu hipoglik mijas c loni un nov rstu t s atk rtošanos.
If you get any of these signs, test your blood sugar level; test your urine for ketones if you can; 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 pal dz bu.
• 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.
• Aizmirstat ievad t insul nu. • Atk rtoti ievad t maz k insul na nek jums nepieciešams. • Infekcijas slim ba vai drudzis.
Like all medicines, NovoMix 30 can cause side effects, although not everybody gets them.
T pat k citas z les, NovoMix 30 var izrais t blakuspar d bas, kaut ar ne visiem t s izpaužas.
The most common side effect is low blood sugar (hypoglycaemia).
Visizplat t k blakuspar d ba ir pazemin ts glikozes l menis asin s (hipoglik mija).
Side effects reported uncommonly
Ret k sastopam s blakuspar d bas
(less than 1 in 100)
(maz k nek 1 no 100)
When you first start your insulin treatment, it may disturb your vision, but the condition usually disappears.
Kad j s pirmoreiz s kat insul nterapiju, t var izrais t redzes trauc jumus, ta u tie parasti izz d.
Changes of the injection site (Lipodystrophy).
Izmai as injekcijas viet (lipodistrofija).
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 rstam 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.
These usually disappear after a few weeks of taking your insulin.
Parasti p c dažu ned u insul na lietošanas t s izz d.
Seek medical advice immediately: • If signs of allergy spread to other parts of your 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.
Nekav joties mekl jiet medic nisku pal dz bu: • 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.
You may have a very rare serious allergic reaction to NovoMix 30 or one of its ingredients (called a systemic allergic reaction).
Pirms NovoMix 30 lietošanas.
Diabetic retinopathy.
Diab tisk retinop tija.
Normally, this soon disappears.
Parasti tas dr z p riet.
Side effects reported rarely
Reti sastopam s blakuspar d bas
(less than 1 in 1,000)
(maz k nek 1 no 1000)
Painful neuropathy.
S pju neirop tija.
If your blood glucose levels improve very fast, you may get nerve related pain – this is called acute painful neuropathy and is usually transient.
Ja j su glikozes l menis asin s oti tri uzlabojas, jums var rasties s pes uz nervu pamata - to sauc par ak tu s pju neirop tiju un t parasti ir p rejoša.
HOW TO STORE NOVOMIX 30
K UZGLAB T NOVOMIX 30
Do not use NovoMix 30 after the expiry date which is stated on the label and carton.
Der guma
The expiry date refers to the last day of that month.
75 termi š attiecas uz nor d t m neša p d jo dienu.
NovoMix 30 Penfill that is not being used is to be stored in the refrigerator (2°C – 8°C), not in or too near the freezer section or cooling element.
NovoMix 30 Penfill, kas netiek lietots, j uzglab ledusskap (2°C – 8°C), ne sald tavas nodal jum vai p r k tuvu tam, vai aukstuma elementam.
NovoMix 30 Penfill that is being used or about to be used is not to be kept in the refrigerator.
NovoMix 30 Penfill, ko pašeiz lietojat vai t l t lietosiet, nav j uzglab ledusskap.
See 3 How to use NovoMix 30.
P c NovoMix 30 Penfill iz emšanas no ledusskapja, insul nu ir ieteicams saskalot, k nor d ts pirmo reizi lietojot (skat t 3.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 4 weeks, but any remainder must then be discarded.
To var n s t l dzi un uzglab t temperat r l dz 30°C ne ilg k k 4 ned as, bet tad jebk ds p rpalikums ir j izmet.
Always keep the 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.
NovoMix 30 Penfill must be protected from excessive heat and sunlight.
NovoMix 30 Penfill j sarg no p rm r ga karstuma un saules gaismas.
NovoMix 30 should not be disposed of via wastewater or household waste.
NovoMix 30 nedr kst izmest kop ar saimniec bas atkritumiem vai kanaliz cij.
What NovoMix 30 contains
Ko NovoMix 30 satur
– The active substance is insulin aspart made by recombinant DNA technology in Saccharomyces cerevisiae (30% insulin aspart in a soluble fraction and 70% insulin aspart crystallised with protamine) – The other ingredients are glycerol, phenol, metacresol, zinc (as chloride), sodium chloride, disodium phosphate dihydrate, protamine sulphate, sodium hydroxide, hydrochloric acid and water for injections.
– Akt v viela ir asparta insul ns, kas ražots no Saccharomyces cerevisiae, izmantojot rekombinanto DNS tehnolo iju (30% asparta insul na š stoš f z un 70% kristaliz ta protam na asparta insul na). – Citas sast vda as ir glicer ns, fenols, metakrezols, cinks (k hlor ds), n trija hlor ds, din trija fosf ta dihidr ts, protam na sulf ts, n trija hidroks ds, s lssk be un dens injekcij m.
What NovoMix 30 looks like and contents of the pack The suspension for injection comes as a white suspension in packs of 5 or 10 cartridges of 3 ml (not all packs may be marketed).
Suspensija injekcij m ir balta suspensija 3 ml k rtridž, pa 5 vai 10 k rtridžiem iepakojum (visi iepakojuma lielumi tirg var neb t pieejami).
1 ml contains 100 U (3.5 mg) of insulin aspart.
1 ml satur 100 V (3, 5 mg) asparta insul na.
Marketing Authorisation Holder Novo Nordisk A/ S, Novo Allé, DK-2880 Bagsværd, Denmark
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.
78 PACKAGE LEAFLET:
LIETOŠANAS INSTRUKCIJA:
NovoMix 50 Penfill 100 U/ ml suspension for injection in a cartridge Insulin aspart
NovoMix 50 Penfill 100 V/ ml suspensija injekcij m k rtridž Asparta insul ns (insulinum aspartum)
WHAT NOVOMIX 50 IS AND WHAT IT IS USED FOR
KAS IR NOVOMIX 50 UN K DAM NOL KAM TO LIETO
NovoMix 50 is an insulin analogue to treat diabetes.
NovoMix 50 ir insul na analogs diab ta rst šanai.
NovoMix 50 is a mixture of rapid-acting insulin analogue (50%) and long-acting insulin analogue (50%).
NovoMix 50 ir tras darb bas insul na analoga (50%) un ilgstošas darb bas insul na analoga (50%) mais jums.
This means that it will start to lower your blood sugar 10-20 minutes after you take it, have a maximum effect between 1 and 4 hours and the effect will last for up to 14-24 hours.
Tas noz m, ka tas s ks pazemin t j su glikozes l meni asin s p c 10 l dz 20 min t m p c t ievad šanas, maksim l iedarb ba tiek sasniegta starp 1. un 4. stundu un darb ba ilgst 14 l dz 24 stundas.
BEFORE YOU USE NOVOMIX 50
PIRMS NOVOMIX 50 LIETOŠANAS
Do not use NovoMix 50
Nelietojiet NovoMix 50 š dos gad jumos
Take special care with NovoMix 50
paša piesardz ba, lietojot NovoMix 50, nepieciešama š dos gad jumos
Oral antidiabetic medicinal products, monoamine oxidase (MAO) inhibitors, beta-blockers, angiotensin converting enzyme (ACE) inhibitors, salicylates, anabolic steroids and glucocorticoids 79 (except topical administration), oral contraceptives, thiazides, thyroid hormones, sympathomimetics, danazol, octreotide and sulphonamides.
77 inhibitorus, salicil tus, anabolos stero dus un glikokortiko dus (iz emot r gas lietošanas), peror los pretapaug ošan s l dzek us, tiaz dus, vairogdziedzera hormonus, simpatomim tiskos l dzek us, danazolu, oktreot du un sulfanilam dus.
There is no clinical experience in children and adolescents under the age of 18 years.
Nav kl nisk s pieredzes lietošanai b rniem un pusaudžiem, kuri ir jaun ki par 18 gadiem.
HOW TO USE NOVOMIX 50
K LIETOT NOVOMIX 50
Talk about your insulin needs with your doctor and diabetes nurse.
Jums j konsult jas ar savu rstu un diab ta apr pes m su par j su insul na nepieciešam bu.
When NovoMix 50 is used in combination with metformin the dosage should be adjusted.
Lietojot kombin cij ar metform nu, NovoMix 50 deva ir j piel go.
NovoMix 50 may also be given soon after the meal.
NovoMix 50 var lietot ar t l t p c dienreizes.
NovoMix 50 is for use by one person only.
NovoMix 50 ir paredz ts tikai individu lai lietošanai.
Before using NovoMix 50
Pirms lietojat NovoMix 50
NovoMix 50 should not be used
NovoMix 50 nedr kst lietot
In insulin infusion pumps If the cartridge or the device containing the cartridge is dropped, damaged or crushed, there is a risk of leakage of insulin If it hasn’ t been stored correctly or if it has been frozen (see 6 How to store NovoMix 50) If the insulin is not uniformly white and cloudy when it’ s mixed If clumps of material are present or if solid white particles stick to the bottom or the wall of the cartridge giving a frosted appearance.
Ja redzamas salipušas vai cietas, baltas da i as, pielipušas pie k rtridža dibena vai sien m un k rtridžs izskat s nosarmojis.
NovoMix 50 is for injection under the skin (subcutaneously).
NovoMix 50 ir paredz ts injic šanai zem das (subkut ni).
Always vary the sites you inject, to avoid lumps (see 5 Possible side effects).
Iesp jam s
The best places 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 s vietas insul na ievad šanai ir: v dera priekš j sien, s žas apvid, augšstilbu priekšpus vai augšdelmos.
80 NovoMix 50 Penfill is designed to be used with Novo Nordisk insulin delivery systems and NovoFine needles.
NovoMix 50 Penfill k rtridžs ir paredz ts lietošanai kop ar Novo Nordisk insul na ievad šanas ier c m un NovoFine adat m.
If you are treated with NovoMix 50 Penfill and another insulin Penfill cartridge, you must use one insulin delivery system for each type of insulin.
Ja j s tiekat rst ts ar NovoMix 50 Penfill un k du citu insul nu Penfill k rtridž, jums j lieto atseviš a insul na ievad šanas ier ce katram insul na tipam.
Do not refill NovoMix 50 Penfill cartridges.
NovoMix 50 Penfill k rtridžus nedr kst atk rtoti uzpild t.
The first time you use NovoMix 50 Penfill roll the cartridge between your palms 10 times – it is important that the cartridge is kept horizontal (see picture A).
Pirmo reizi lietojot NovoMix 50 Penfill, pavirpiniet k rtridžu plaukst s 10 reizes – ir svar gi k rtridžu tur t horizont li (skat t A z m jumu).
Repeat the rolling and moving procedures (see pictures A and B) until the liquid does appear uniformly white and cloudy.
Atk rtojiet virpin šanu un sv rst šanu (skat t A un B z m jumu), l dz š idrums ir k uvis vienm r gi balts un du ains.
If the moving procedure alone is not enough to give a uniformly white and cloudy liquid, repeat the rolling and moving procedures described above until the liquid does appear uniformly white and cloudy.
Ja p c veikt s saskalošanas š idrums nav k uvis vienm r gi balts un du ains, atk rtojiet virpin šanu un sv rst šanu k aprakst ts iepriekš, l dz š idrums ir k uvis vienm r gi balts un du ains.
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.
T s var b t š das: auksti sviedri, v sa, b la da, galvass pes, pa trin ta sirdsdarb ba, saj ta ka esat slims, liels izsalkums, slaic gas redzes izmai as, miegain ba, neparasts nogurums un v jums, nervozit te vai tr ce, trauksmes saj ta, apjukums, apgr tin ta sp ja koncentr ties.
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.
T s ir š das: biež ka urin cija, sl pes, stgribas zudums, saj ta ka esat slims (slikta d ša vai vemšana), miegain ba vai nogurums, pies rtusi, sausa da, sausuma saj ta mut un aug u (acetona) smarža elp.
Like all medicines, NovoMix 50 can cause side effects, although not everybody gets them.
T pat k citas z les, NovoMix 50 var izrais t blakuspar d bas, kaut ar ne visiem t s izpaužas.
You may have a very rare serious allergic reaction to NovoMix 50 or one of its ingredients (called a systemic allergic reaction).
Pirms NovoMix 50 lietošanas.
HOW TO STORE NOVOMIX 50
K UZGLAB T NOVOMIX 50
Do not use NovoMix 50 after the expiry date which is stated on the label and carton.
Der guma
The expiry date refers to the last day of that month.
81 termi š attiecas uz nor d t m neša p d jo dienu.
NovoMix 50 Penfill that is not being used is to be stored in the refrigerator (2°C – 8°C), not in or to near the freezer section or cooling element.
NovoMix 50 Penfill, kas netiek lietots, j uzglab ledusskap (2°C – 8°C), ne sald tavas nodal jum vai p r k tuvu tam, vai aukstuma elementam.
NovoMix 50 Penfill that is being used or about to be used is not to be kept in the refrigerator.
NovoMix 50 Penfill, ko pašeiz lietojat vai t l t lietosiet, nav j uzglab ledusskap.
See 3 How to use NovoMix 50.
P c NovoMix 50 Penfill iz emšanas no ledusskapja, insul nu ir ieteicams saskalot, k nor d ts pirmo reizi lietojot (skat t 3.
You can carry it with you and keep it at room temperature (not above 30ºC) for up to 4 weeks, but any remainder must then be discarded.
To var n s t l dzi un uzglab t temperat r l dz 30°C ne ilg k k 4 ned as, bet tad jebk ds p rpalikums ir j izmet.
NovoMix 50 Penfill must be protected from excessive heat and sunlight.
NovoMix 50 Penfill j sarg no p rm r ga karstuma un saules gaismas.
NovoMix 50 should not be disposed of via wastewater or household waste.
NovoMix 50 nedr kst izmest kop ar saimniec bas atkritumiem vai kanaliz cij.
What NovoMix 50 contains
Ko NovoMix 50 satur
– The active substance is insulin aspart made by recombinant DNA technology in Saccharomyces cerevisiae (50% insulin aspart in a soluble fraction and 50% insulin aspart crystallised with protamine) – The other ingredients are glycerol, phenol, metacresol, zinc (as chloride), sodium chloride, disodium phosphate dihydrate, protamine sulphate, sodium hydroxide, hydrochloric acid and water for injections.
– Akt v viela ir asparta insul ns, kas ražots no Saccharomyces cerevisiae, izmantojot rekombinanto DNS tehnolo iju (50% asparta insul na š stoš f z un 50% kristaliz ta protam na asparta insul na). – Citas sast vda as ir glicer ns, fenols, metakrezols, cinks (k hlor ds), n trija hlor ds, din trija fosf ta dihidr ts, protam na sulf ts, n trija hidroks ds, s lssk be un dens injekcij m.
What NovoMix 50 looks like and contents of the pack The suspension for injection comes as a white suspension in packs of 1, 5 or 10 cartridges of 3 ml (not all packs may be marketed).
Suspensija injekcij m ir balta suspensija 3 ml k rtridž, pa 1, 5 vai 10 k rtridžiem iepakojum (visi iepakojuma lielumi tirg var neb t pieejami).
Novo Nordisk A/ S, Novo Allé, DK-2880 Bagsværd, Denmark
Novo Nordisk A/ S Novo Allé, DK- 2880 Bagsværd, D nija
84 PACKAGE LEAFLET:
LIETOŠANAS INSTRUKCIJA:
NovoMix 70 Penfill 100 U/ ml suspension for injection in a cartridge Insulin aspart
NovoMix 70 Penfill 100 V/ ml suspensija injekcij m k rtridž Asparta insul ns (insulinum aspartum)
WHAT NOVOMIX 70 IS AND WHAT IT IS USED FOR
KAS IR NOVOMIX 70 UN K DAM NOL KAM TO LIETO
NovoMix 70 is an insulin analogue to treat diabetes.
NovoMix 70 ir insul na analogs diab ta rst šanai.
NovoMix 70 is a mixture of rapid-acting insulin analogue (70%) and long-acting insulin analogue (30%).
NovoMix 70 ir tras darb bas insul na analoga (70%) un ilgstošas darb bas insul na analoga (30%) mais jums.
BEFORE YOU USE NOVOMIX 70
PIRMS NOVOMIX 70 LIETOŠANAS
Do not use NovoMix 70
Nelietojiet NovoMix 70 š dos gad jumos
Take special care with NovoMix 70
paša piesardz ba, lietojot NovoMix 70, nepieciešama š dos gad jumos
Oral antidiabetic medicinal products, monoamine oxidase (MAO) inhibitors, beta-blockers, angiotensin converting enzyme (ACE) inhibitors, salicylates, anabolic steroids and glucocorticoids 85 (except topical administration), oral contraceptives, thiazides, thyroid hormones, sympathomimetics, danazol, octreotide and sulphonamides.
83 inhibitorus, salicil tus, anabolos stero dus un glikokortiko dus (iz emot r gas lietošanas), peror los pretapaug ošan s l dzek us, tiaz dus, vairogdziedzera hormonus, simpatomim tiskos l dzek us, danazolu, oktreot du un sulfanilam dus.
HOW TO USE NOVOMIX 70
K LIETOT NOVOMIX 70
Talk about your insulin needs with your doctor and diabetes nurse.
Jums j konsult jas ar savu rstu un diab ta apr pes m su par insul na nepieciešam bu.
When NovoMix 70 is used in combination with metformin the dosage should be adjusted.
Lietojot kombin cij ar metform nu, NovoMix 70 deva ir j piel go.
NovoMix 70 may also be given soon after the meal.
NovoMix 70 var lietot ar t l t p c dienreizes.
NovoMix 70 is for use by one person only.
NovoMix 70 ir paredz ts tikai individu lai lietošanai.
Before using NovoMix 70
Pirms lietojat NovoMix 70
NovoMix 70 should not be used
NovoMix 70 nedr kst lietot
In insulin infusion pumps If the cartridge or the device containing the cartridge is dropped, damaged or crushed, there is a risk of leakage of insulin If it hasn’ t been stored correctly or if it has been frozen (see 6 How to store NovoMix 70) If the insulin is not uniformly white and cloudy when it’ s mixed If clumps of material are present or if solid white particles stick to the bottom or the wall of the cartridge giving a frosted appearance.
Ja redzamas salipušas vai cietas, baltas da i as, pielipušas pie k rtridža dibena vai sien m un k rtridžs izskat s nosarmojis.
NovoMix 70 is for injection under the skin (subcutaneously).
NovoMix 70 ir paredz ts injic šanai zem das (subkut ni).
86 NovoMix 70 Penfill is designed to be used with Novo Nordisk insulin delivery systems and NovoFine needles.
NovoMix 70 Penfill k rtridžs ir paredz ts lietošanai kop ar Novo Nordisk insul na ievad šanas ier c m un NovoFine adat m.
If you are treated with NovoMix 70 Penfill and another insulin Penfill cartridge, you must use one insulin delivery system for each type of insulin.
Ja j s tiekat rst ts ar NovoMix 70 Penfill un k du citu insul nu Penfill k rtridž, jums j lieto atseviš a insul na ievad šanas ier ce katram insul na tipam.
Do not refill NovoMix 70 Penfill cartridges.
NovoMix 70 Penfill k rtridžu nedr kst atk rtoti uzpild t.
The first time you use NovoMix 70 Penfill roll the cartridge between your palms 10 times – it is important that the cartridge is kept horizontal (see picture A).
Pirmo reizi lietojot NovoMix 70 Penfill, pavirpiniet k rtridžu plaukst s 10 reizes – ir svar gi k rtridžu tur t horizont li (skat t A z m jumu).
Like all medicines, NovoMix 70 can cause side effects, although not everybody gets them.
T pat k citas z les, NovoMix 70 var izrais t blakuspar d bas, kaut ar ne visiem t s izpaužas.
You may have a very rare serious allergic reaction to NovoMix 70 or one of its ingredients (called a systemic allergic reaction).
Pirms NovoMix 70 lietošanas.
HOW TO STORE NOVOMIX 70
K UZGLAB T NOVOMIX 70
Do not use NovoMix 70 after the expiry date which is stated on the label and carton.
Der guma
The expiry date refers to the last day of that month.
87 termi š attiecas uz nor d t m neša p d jo dienu.
NovoMix 70 Penfill that is not being used is to be stored in the refrigerator (2°C – 8°C), not in or to near the freezer section or cooling element.
NovoMix 70 Penfill, kas netiek lietots, j uzglab ledusskap (2°C – 8°C), ne sald tavas nodal jum vai p r k tuvu tam, vai aukstuma elementam.
NovoMix 70 Penfill that is being used or about to be used is not to be kept in the refrigerator.
NovoMix 70 Penfill, ko pašeiz lietojat vai t l t lietosiet, nav j uzglab ledusskap.
See 3 How to use NovoMix 70.
P c NovoMix 70 Penfill iz emšanas no ledusskapja, insul nu ir ieteicams saskalot, k nor d ts pirmo reizi lietojot (skat t 3.
NovoMix 70 Penfill must be protected from excessive heat and sunlight.
NovoMix 70 Penfill j sarg no p rm r ga karstuma un saules gaismas.
NovoMix 70 should not be disposed of via wastewater or household waste.
NovoMix 70 nedr kst izmest kop ar saimniec bas atkritumiem vai kanaliz cij.
What NovoMix 70 contains
Ko NovoMix 70 satur
– The active substance is insulin aspart made by recombinant DNA technology in Saccharomyces cerevisiae (70% insulin aspart in a soluble fraction and 30% insulin aspart crystallised with protamine) – The other ingredients are glycerol, phenol, metacresol, zinc (as chloride), sodium chloride, disodium phosphate dihydrate, protamine sulphate, sodium hydroxide, hydrochloric acid and water for injections.
– Akt v viela ir asparta insul ns, kas ražots no Saccharomyces cerevisiae, izmantojot rekombinanto DNS tehnolo iju (70% asparta insul na š stoš f z un 30% kristaliz ta protam na asparta insul na). – Citas sast vda as ir glicer ns, fenols, metakrezols, cinks (k hlor ds), n trija hlor ds, din trija fosf ta dihidr ts, protam na sulf ts, n trija hidroks ds, s lssk be un dens injekcij m.
What NovoMix 70 looks like and contents of the pack The suspension for injection comes as a white suspension in packs of 1, 5 or 10 cartridges of 3 ml (not all packs may be marketed).
Suspensija injekcij m ir balta suspensija 3 ml k rtridž, pa 1, 5 vai 10 k rtridžiem iepakojum (visi iepakojuma lielumi tirg var neb t pieejami).
90 PACKAGE LEAFLET:
LIETOŠANAS INSTRUKCIJA:
NovoMix 30 FlexPen 100 U/ ml suspension for injection in a pre-filled pen Insulin aspart
NovoMix 30 FlexPen 100 V/ ml suspensija injekcij m pildspalvveida pilnš irc Asparta insul ns (insulinum aspartum)
Read all of this leaflet carefully before you start using this medicine. – Keep this leaflet.
Pirms z u lietošanas uzman gi izlasiet visu instrukciju. – Saglab jiet šo instrukciju.
This side of the leaflet:
Šaj instrukcijas lappus:
What NovoMix 30 is and what it is used for 2.
Kas ir NovoMix 30 un k dam nol kam to lieto 2.
Before you use NovoMix 30 3.
Pirms NovoMix 30 lietošanas 3.
How to use NovoMix 30 4.
K lietot NovoMix 30 4.
Possible side effects 6.
Iesp jam s blakuspar d bas 6.
How to Store NovoMix 30 7 Further information
S k ka inform cija
It comes in a 3 ml pre-filled pen, called FlexPen - see overleaf for detailed instructions.
Tas ir 3 ml pildspalvveida pilnš irc, nosaukt par FlexPen (s k ku inform ciju skat t n kamaj lappus).
Your need for insulin may change If you have an infection, fever or have had an operation you may need more insulin than usual If you suffer from diarrhoea, vomiting or eat less than usual you may need less insulin than 91 usual If you are going abroad: travelling over time zones may affect your insulin needs and the timing of your injections.
Ja jums ir caureja, vemšana vai dat maz k nek parasti, jums var b t nepieciešams maz k insul na nek parasti.
Oral antidiabetic medicinal products, monoamine oxidase (MAO) inhibitors, beta-blockers, angiotensin converting enzyme (ACE) inhibitors, salicylates, anabolic steroids and glucocorticoids (except topical administration), oral contraceptives, thiazides, thyroid hormones, sympathomimetics, danazol, octreotide and sulphonamides.
Nepieciešam ba p c insul na var main ties, ja lietojat: peror los pretdiab ta l dzek us, monoam noksid zes inhibitorus (MAOI), beta blokatorus, angiotens na konvert još enz ma (AKE) inhibitorus, salicil tus, anabolos stero dus un glikokortiko dus (iz emot r gas lietošanas), peror los pretapaug ošan s l dzek us, tiaz dus, vairogdziedzera hormonus, simpatomim tiskos l dzek us, danazolu, oktreot du un sulfanilam dus.
See overleaf for detailed instructions.
S k ku inform ciju skat t 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 FlexPen is dropped, damaged or crushed, there is a risk of leakage of insulin 92 If it hasn’ t been stored correctly or if it has been frozen (see 6 How to store NovoMix 30) If the insulin is not uniformly white and cloudy when it’ s mixed If clumps of material are present or if solid white particles stick to the bottom or the wall of the cartridge giving a frosted appearance.
Ja redzamas salipušas vai cietas, baltas da i as, pielipušas pie k rtridža dibena vai sien m un k rtridžs izskat s nosarmojis.
The warning signs appear gradually.
91 Br din juma paz mes par d s pak peniski.
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
T s ir š das: biež ka urin cija, sl pes, stgribas zudums, slikta pašsaj ta (slikta d ša vai vemšana), miegain ba vai nogurums, pies rtusi, sausa da, sausuma saj ta mut un aug u (acetona) smarža elp.
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 rstam 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.
Painful neuropathy.
92 S pju neirop tija.
94 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.
Do not use NovoMix 30 after the expiry date which is stated on the label and carton.
Nelietot NovoMix 30 p c der guma termi a beig m, kas nor d ts uz eti etes un kast tes.
NovoMix 30 FlexPen that is not being used is to be stored in the refrigerator (2°C – 8°C), not in or to near the freezer section or cooling element.
NovoMix 30 FlexPen, kas netiek lietota, j uzglab ledusskap (2°C – 8°C), ne sald tavas nodal jum vai p r k tuvu tam, vai aukstuma elementam.
NovoMix 30 FlexPen that is being used or about to be used is not to be kept in the refrigerator.
NovoMix 30 FlexPen, ko pašreiz lietojat vai t l t lietosiet, nav j uzglab ledusskap.
You can carry it with you and keep it at room temperature (not above 30°C) for up to 4 weeks, but any remainder must then be discarded.
P c NovoMix 30 FlexPen iz emšanas no ledusskapja, insul nu ir ieteicams saskalot, k nor d ts pirmo reizi lietojot (skat t n kamaj lappus Sagatavošana). To var n s t l dzi un uzglab t temperat r l dz 30°C ne ilg k k 4 ned as, bet tad jebk ds p rpalikums ir j izmet.
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 ar uzliktu uzgali, lai pasarg tu no gaismas.
NovoMix 30 FlexPen must be protected from excessive heat and sunlight.
NovoMix 30 FlexPen j sarg no p rm r ga karstuma un saules gaismas.
What NovoMix 30 looks like and contents of the pack The suspension for injection comes as a white suspension in packs of 5 or 10 pre-filled pens of 3 ml (not all packs may be marketed).
NovoMix 30 r jais izskats un iepakojums Suspensija injekcij m ir balta suspensija 3 ml pildspalvveida pilnš irc, pa 5 vai 10 pildspalvveida pilnš irc m iepakojum (visi iepakojuma lielumi tirg var neb t pieejami).
Now turn over for information on how to use your FlexPen.
93 Inform ciju par FlexPen lietošanu skat t n kamaj lappus.
This leaflet was last approved in 95 Introduction
Š lietošanas instrukcija akcept ta.
Please read the following instructions carefully before using your NovoMix 30 FlexPen.
L dzu, r p gi izlasiet šo instrukciju pirms NovoMix 30 FlexPen lietošanas.
Your FlexPen is a unique dial-a-dose insulin pen.
FlexPen ir unik la insul na pildspalvveida pilnš irce.
FlexPen is designed and tested to be used with NovoFine or 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.
NovoMix 30 FlexPen Pen cap
NovoMix 30 FlexPen Uzgalis
Rubber
Devas nor de Gumijas
Pointer
Stikla
Dose
K rtridžs
Push-
Atlikuma
membrane
Devas Spied -
units ball
membr na vien bas lod te
selector
Adata (piem rs)
button
Adatas
Needle (example)
Adatas
Big outer
r jais
Inner
iekš jais
Protective
Aizsarguzl me
tab
uzgalis
Preparing your NovoMix 30 FlexPen
NovoMix 30 FlexPen sagatavošana
Pull off the pen cap.
No emiet pilnš irces uzgali.
A
95 A
B Roll the pen between your palms ten times – it is important that the pen is kept horizontal.
B Pavirpiniet pildspalvveida pilnš irci plaukst s 10 reizes – ir svar gi pildspalvveida pilnš irci tur t horizont li.
C Then move the pen up and down ten times between the two positions as shown, so the glass ball moves from one end of the cartridge to the other.
C Veiciet kust bas ar pildspalvveida pilnš irci augšup un lejup, k redzams z m jum, 10 reizes t, lai stikla lod te p rvietotos no viena k rtridža gala l dz otram.
Repeat rolling and moving the pen until the liquid appears uniformly white and cloudy.
Atk rtojiet virpin šanu un sv rst šanu, l dz š idrums ir k uvis vienm r gi balts un du ains.
For every following injection move the pen up and down between the two positions at least ten times until the liquid appears uniformly white and cloudy.
Pirms katras n kam s injekcijas sv rstiet pildspalvveida pilnš irci augšup un lejup vismaz 10 reizes, l dz š idrums ir k uvis vienm r gi balts un du ains.
D Remove the protective tab from a new disposable needle.
D No emiet no vienreiz jas lietošanas adatas aizsarguzl mi.
E Pull off the big outer needle cap and keep it for later.
96 E No emiet adatas r jo uzgali un saglab jiet to.
F Pull off the inner needle cap and dispose of it.
F No emiet adatas iekš jo uzgali un izmetiet to.
G Turn the dose selector to select 2 units.
G Pagrieziet devas selektoru un nom riet 2 vien bas.
2 units- select ed
nom r tas 2 vien bas
H Hold your FlexPen 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.
H Turiet FlexPen ar adatu uz augšu un ar pirkstu viegli piesitiet k rtridžam vair kas reizes, lai gaisa burbu i sakr tos k rtridža augšgal.
I Keeping the needle upwards, press the push-button all the way in.
97 I Turot ar adatu uz augšu, nospiediet spiedpogu l dz galam.
J Turn the dose selector to select the number of units you need to inject.
J Pagrieziet devas selektoru un nom riet injic šanai nepieciešamo vien bu skaitu
5 units select ed
nom r tas 5 vien bas
24 unit s select ed
nom r tas 24 vien bas
99 • Do not use the residual scale to measure your dose of insulin.
• Neizmantojiet atlikuma skalu, lai nom r tu insul na devu.
K Inject the dose by pressing the push-button all the way in until 0 lines up with the pointer.
K Injic jiet devu, l dz galam nospiežot spiedpogu, l dz devas nor dei pret b s 0.
Be careful only to push the push-button when injecting.
Uzmanieties, lai
L Keep the push-button fully depressed after the injection until the needle has been withdrawn from the skin.
L P c injekcijas turiet spiedpogu piln b nospiestu, l dz izvelkat adatu no das.
M Lead the needle tip into the big outer needle cap without touching the big outer needle cap.
M Ievadiet adatas galu t s r j uzgal, uzgali neaizskarot.
Dispose of it carefully and put the pen cap back on.
Uzman gi to izn ciniet un uzlieciet pilnš ircei uzgali.
100 PACKAGE LEAFLET:
LIETOŠANAS INSTRUKCIJA:
NovoMix 50 FlexPen 100 U/ ml suspension for injection in a pre-filled pen Insulin aspart
NovoMix 50 FlexPen 100 V/ ml suspensija injekcij m pildspalvveida pilnš irc Asparta insul ns (insulinum aspartum)
What NovoMix 50 is and what it is used for 2.
Kas ir NovoMix 50 un k dam nol kam to lieto 2.
Before you use NovoMix 50 3.
Pirms NovoMix 50 lietošanas 3.
How to use NovoMix 50 4.
K lietot NovoMix 50 4.
How to store NovoMix 50 7 Further information
S k ka inform cija
It comes in a 3 ml pre-filled pen, called FlexPen - see overleaf for detailed instructions.
Tas ir 3 ml pildspalvveida pilnš irc (nosaukt par FlexPen, s k ku inform ciju skat t n kamaj lappus).
Your need for insulin may change If you have an infection, fever or have had an operation you may need more insulin than usual If you suffer from diarrhoea, vomiting or eat less than usual you may need less insulin than usual 101 If you are going abroad: travelling over time zones may affect your insulin needs and the timing of your injections.
Ja jums ir caureja, vemšana vai dat maz k nek parasti, jums var b t nepieciešams maz k insul na nek parasti.
Talk about your insulin needs with your doctor and nurse.
Jums j konsult jas ar savu rstu un 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 if it has been frozen (see 6 How to store NovoMix 50) If the insulin is not uniformly white and cloudy when it’ s mixed 102 If clumps of material are present or if solid white particles stick to the bottom or the wall of the cartridge giving a frosted appearance.
Ja redzamas salipušas vai cietas, baltas da i as, pielipušas pie k rtridža dibena vai sien m un k rtridžs izskat s nosarmojis.
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.
102 saj ta ka esat slims (slikta d ša vai vemšana), miegain ba vai nogurums, pies rtusi, sausa da, sausuma saj ta mut un aug u (acetona) smarža elp.
103 These may be signs of a very serious condition called diabetic ketoacidosis.
T s var b t oti nopietna st vok a, ko sauc par diab tisko ketoacidozi, paz mes.
Painful neuropathy.
103 S pju neirop tija.
Do not use NovoMix 50 after the expiry date which is stated on the label and carton.
Nelietot NovoMix 50 p c der guma termi a beig m, kas nor d ts uz eti etes un kast tes.
NovoMix 50 FlexPen that is not being used is to be stored in the refrigerator (2°C – 8°C), not in or to near the freezer section or cooling element.
NovoMix 50 FlexPen, kas netiek lietota, j uzglab ledusskap (2°C – 8°C), ne sald tavas nodal jum vai p r k tuvu tam, vai aukstuma elementam.
NovoMix 50 FlexPen that is being used or about to be used is not to be kept in the refrigerator.
NovoMix 50 FlexPen, ko pašreiz lietojat vai t l t lietosiet, nav j uzglab ledusskap.
Getting started.
P c NovoMix 50 FlexPen iz emšanas no ledusskapja, insul nu ir ieteicams saskalot, k nor d ts pirmo reizi lietojot (skat t n kamaj lappus Sagatavošana).
NovoMix 50 FlexPen must be protected from excessive heat and sunlight.
NovoMix 50 FlexPen j sarg no p rm r ga karstuma un saules gaismas.
What NovoMix 50 looks like and contents of the pack The suspension for injection comes as a white suspension in packs of 1, 5 or 10 pre-filled pens of 3 ml (not all packs may be marketed).
NovoMix 50 r jais izskats un iepakojums Suspensija injekcij m ir balta suspensija 3 ml pildspalvveida pilnš irc, pa 1, 5 vai 10 pildspalvveida pilnš irc m iepakojum (visi iepakojuma lielumi tirg var neb t pieejami).
105 Introduction
104 Ievads
Please read the following instructions carefully before using your NovoMix 50 FlexPen.
L dzu, r p gi izlasiet šo instrukciju pirms NovoMix 50 FlexPen lietošanas.
NovoMix 50 FlexPen Pen cap
NovoMix 50 FlexPen Uzgalis
Cartridge Residual
Stikla K rtridžs
Dose
Spied -
Push-
membr na vien bas lod te
membrane
skala
units ball
selektors
scale
poga
Preparing your NovoMix 50 FlexPen
NovoMix 50 FlexPen sagatavošana
This makes it easier to resuspend.
A Saskalot insul nu ir viegl k, ja pirms lietošanas tas ir sasniedzis istabas temperat ru.
106 Pull off the pen cap.
No emiet pilnš irces uzgali.
A
105 A