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Novolin R

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Novolin R

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Novolin R Video

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Novolin R should only be used if it is clear and colorless. Due to the risk of precipitation in some pump catheters, Novolin R is not recommended for use in insulin pumps.

Hypoglycemia and hypokalemia - As with all insulin preparations, hypoglycemic and hypokalemic reactions may be associated with the administration of Novolin R, particularly via the IV route.

Rapid changes in serum glucose levels may induce symptoms of hypoglycemia in persons with diabetes, regardless of the glucose value.

Such situations may result in severe hypoglycemia and, possibly, loss of consciousness prior to patients' awareness of hypoglycemia.

Severe hypoglycemia can result in temporary or permanent impairment of brain function and death. Insulin stimulates potassium movement into the cells, possibly leading to hypokalemia that left untreated may cause respiratory paralysis, ventricular arrhythmia, and death.

Since intravenously administered insulin has a rapid onset of action, increased attention to hypoglycemia and hypokalemia is necessary.

Therefore, glucose and potassium levels must be monitored closely when Novolin R or any other insulin is administered intravenously. In certain cases, the nature and intensity of the warning symptoms of hypoglycemia may change.

A few patients have reported that after being transferred to human insulin, the early warning symptoms for hypoglycemia had been less pronounced than they were with animal-source insulin.

Hyperglycemia and ketosis - Hyperglycemia, diabetic ketoacidosis, or diabetic coma may develop if the patient takes less Novolin R than needed to control blood glucose levels.

This could be due to insulin demand during illness or infection, neglect of diet, omission or improper administration of prescribed insulin doses.

A developing ketoacidosis will be revealed by urine tests which show large amounts of sugar and acetone. The symptoms of polydipsia, polyurea, loss of appetite, fatigue, dry skin and deep and rapid breathing come on gradually, usually over a period of some hours or days.

Severe sustained hyperglycemia may result in diabetic coma or death. Renal Impairment - As with other insulins, the dose requirements for Novolin R may be reduced in patients with renal impairment.

Hepatic Impairment - As with other insulins, the dose requirements for Novolin R may be reduced in patients with hepatic impairment.

Local Allergy - As with other insulin therapy, patients may experience redness, swelling, or itching at the site of injection.

These minor reactions usually resolve in a few days to a few weeks, but in some occasions, may require discontinuation of Novolin R.

In some instances, these reactions may be related to factors other than insulin, such as irritants in a skin cleansing agent or poor injection technique.

Systemic Allergy - Less common, but potentially more serious, is generalized allergy to insulin, which may cause rash including pruritus over the whole body, shortness of breath, wheezing, reduction in blood pressure, rapid pulse, or sweating.

Severe cases of generalized allergy, including anaphylactic reaction, may be life threatening. Localized reactions and generalized myalgias have been reported with the use of cresol as an injectable excipient.

It is particularly important for patients to maintain good control of diabetes during pregnancy and special attention must be paid to diet, exercise and insulin regimens.

Female patients should be advised to tell their physician if they intend to become, or if they become pregnant. Patients should be informed about potential risks and advantages of Novolin R therapy including the possible side effects.

Patients should also be offered continued education and advice on insulin therapies, injection technique, life-style management, regular glucose monitoring, periodic glycosylated hemoglobin testing, recognition and management of hypo- and hyperglycemia, adherence to meal planning, complications of insulin therapy, timing of dose, instruction in the use of injection devices, and proper storage of insulin.

Patients should be informed that frequent, patient performed blood glucose measurements are needed to achieve optimal glycemic control and avoid both hyper- and hypoglycemia.

As with all insulin therapy, the therapeutic response to Novolin R should be monitored by periodic blood glucose tests. Periodic measurement of glycosylated hemoglobin is recommended for the monitoring of long-term glycemic control.

Urine ketones should be monitored frequently. When Novolin R is administered intravenously, glucose and potassium levels must be closely monitored to avoid potentially fatal hypoglycemia and hypokalemia.

A number of substances affect glucose metabolism and may require insulin dose adjustment and particularly close monitoring. Adverse events commonly associated with human insulin therapy include the following:.

Excess insulin may cause hypoglycemia and hypokalemia, particularly after IV administration. Hypoglycemia may occur as a result of an excess of insulin relative to food intake, energy expenditure, or both.

Mild episodes of hypoglycemia usually can be treated with oral glucose. Adjustments in drug dosage, meal patterns, or exercise, may be needed.

Sustained carbohydrate intake and observation may be necessary because hypoglycemia may recur after apparent clinical recovery.

Hypokalemia must be corrected appropriately. Novolin R, when used alone subcutaneously, is usually given three or more times daily before meals.

The dosage and timing of Novolin R should be individualized and determined, based on the physician's advice, in accordance with the needs of the patient.

Novolin R may also be used in combination with oral antidiabetic agents or longer-acting insulin products to suit the needs of the individual patients.

The injection of Novolin R should be followed by a meal within approximately 30 minutes of administration.

The average range of total daily insulin requirement for maintenance therapy in insulin-treated patients lies between 0.

However, in pre-pubertal children it usually varies from 0. In severe insulin resistance, e. Initial dosages for Type 2 diabetes patients are often lower, e.

Novolin R should be administered by subcutaneous injection in the abdominal wall, the thigh, the gluteal region or in the upper arm.

Subcutaneous injection into the abdominal wall ensures a faster absorption than from other injection sites.

Injection into a lifted skin fold minimizes the risk of intramuscular injection. Injection sites should be rotated within the same region.

As with all insulins, the duration of action will vary according to the dose, injection site, blood flow, temperature, and level of physical activity.

Intramuscular and intravenous administrations of Novolin R are possible under medical supervision with close monitoring of blood glucose and potassium levels to avoid hypoglycemia and hypokalemia.

For intravenous use, Novolin R should be used at concentrations from 0. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Never use Novolin R if it has become viscous thickened or cloudy; use it only if it is clear and colorless. Novolin R should not be used after the printed expiration date.

Do not freeze. They should not be exposed to heat or sunlight. A Novolin R vial in use can be kept unrefrigerated as long as it is kept as cool as possible and away from heat or sunlight.

A certain amount of insulin will be initially adsorbed to the material of the infusion bag. Never use insulin after the expiration date which is printed on the label and carton.

Know your insulin. Do not change the type of insulin you use unless told to do so by your healthcare provider.

The amount of insulin you take as well as the best time for you to take your insulin may need to change if you take a different type of insulin.

Read the Patient Information leaflet that comes with Novolin R before you start taking it and each time you get a refill.

There may be new information. This leaflet does not take the place of talking with your healthcare provider about your diabetes or your treatment.

Make sure you know how to manage your diabetes. Ask your healthcare provider if you have any questions about managing your diabetes.

Novolin R is a man-made insulin recombinant DNA origin that is structurally identical to the insulin produced by the human pancreas that is used to control high blood sugar in patients with diabetes mellitus.

Know the medicines you take. Keep a list of your medicines with you to show all your healthcare providers when you get a new medicine.

Only use Novolin R if it appears clear and colorless. If the cap had been removed before your first use of the vial, or if the insulin is cloudy, colored, or contains any particles, do not use it and call Novo Nordisk at Wash your hands with soap and water.

Clean your injection site with an alcohol swab and let the injection site dry before you inject. Talk with your healthcare provider about how to rotate injection sites and how to give an injection.

Do not roll or shake the vial. Shaking right before the dose is drawn into the syringe may cause bubbles or foam. This can cause you to draw up the wrong dose of insulin.

Pull back the plunger on the syringe until the black tip reaches the marking for the number of units you will inject. Turn the vial and syringe upside down and slowly pull the plunger back to a few units beyond the correct dose.

If there are any air bubbles, tap the syringe gently with your finger to raise the air bubbles to the top. Then slowly push the plunger to the marking for your correct dose.

This process should move any air bubbles present in the syringe back into the vial. Novolin R can be injected under the skin subcutaneously of your stomach area, buttocks, upper legs thighs , or upper arms.

Change rotate your injection sites within the area you choose for each dose to reduce your risk of getting lipodystrophy pits in skin or thickened skin and localized cutaneous amyloidosis skin with lumps at the injection sites.

For each injection, change rotate your injection site within the area of skin that you use. Do not use the same injection site for reach injection.

Do not inject where the skin has pits, is thickened, or has lumps. Do not inject where the skin is tender, bruised, scaly or hard, or into scars or damaged skin.

Your healthcare provider should tell you if you need to pinch the skin before and while inserting the needle.

Insert the needle into the skin. Press the plunger of the syringe to inject the insulin. When you are finished injecting the insulin, pull the needle out of your skin.

You may see a drop of Novolin R at the needle tip. This is normal and has no effect on the dose you just received.

If you see blood after you take the needle out of your skin, press the injection site lightly with a piece of gauze or an alcohol wipe.

Do not rub the area. After your injection, do not recap the needle. Place used syringes, needles and used insulin vials in a disposable puncture-resistant sharps container, or some type of hard plastic or metal container with a screw on cap such as a detergent bottle or coffee can.

Ask your healthcare provider about the right way to throw away used syringes and needles. There may be state or local laws about the right way to throw away used syringes and needles.

Do not throw away used needles and syringes in household trash or recycle. Different insulins should be mixed only under instruction from a healthcare provider.

Novolin R should be mixed with NPH insulin right before use. Your total dose of medicine to inject will be the amount of NPH and Novolin R in the syringe after drawing up both insulins.

For example, if you need 5 units of NPH and 2 units of Novolin R, the total dose of insulin in the syringe would be 7 units.

Pull the plunger of the syringe down so that the dark end is lined up to the number of units needed for your NPH insulin. This will draw into the syringe the same amount of air as the NPH dose needed.

Put the needle through the rubber stopper of the cloudy NPH insulin bottle. After you inject the air into the NPH vial, remove the needle from the vial but do not withdraw any of the NPH insulin.

Putting air in the bottle makes it easier to draw the insulin out of the bottle. Pull the plunger of the syringe down to the number of units needed for your Novolin R insulin.

After you draw the air into the syringe, inject the air into the Novolin R vial. With the needle in place, turn the clear insulin vial of Novolin R upside down and slowly pull the plunger back to a few units beyond the right dose of Novolin R.

The tip of the needle must be in the Novolin R liquid to get the full dose and not an air dose. Check the syringe for air bubbles.

If you see air bubbles, tap the syringe gently with your finger to raise the air bubbles to the top. This process should move any air bubbles in the syringe back into the vial.

Turn the NPH vial upside down with the syringe and needle still in the vial. Slowly pull the plunger back to withdraw your NPH dose. Remember the total dose of medicine in the syringe should be your total dose of NPH and Novolin R insulins.

Do not share your Novolin R FlexPen with other people, even if the needle has been changed. Novolin R FlexPen is a disposable, single-patient-use, dial-a-dose insulin pen.

You can select doses from 1 to 60 units in increments of 1 unit. Before you start to prepare your injection, check the label to make sure that you are taking the right type of insulin.

This is especially important if you take more than 1 type of insulin. Novolin R should look clear and colorless. Do not use your Novolin R FlexPen if the liquid contains particles or is colored.

Screw the needle tightly onto your Novolin R FlexPen. It is important that the needle is put on straight see diagram B. Never place a disposable needle on your Novolin R FlexPen until you are ready to take your injection.

Always use a new needle for each injection to help ensure sterility and prevent blocked needles. Do not reuse or share your needles with other people.

Be careful not to bend or damage the needle before use. To reduce the risk of unexpected needle sticks, never put the inner needle cap back on the needle.

Before each injection small amounts of air may collect in the cartridge during normal use. To avoid injecting air and to make sure you take the right dose of insulin:.

Hold your Novolin R FlexPen with the needle pointing up. Tap the cartridge gently with your finger a few times to make any air bubbles collect at the top of the cartridge see diagram F.

Keep the needle pointing upwards, press the push-button all the way in see diagram G. The dose selector returns to 0.

Turn the dose selector to the number of units you need to inject. The pointer should line up with your dose. The dose can be corrected either up or down by turning the dose selector in either direction until the correct dose lines up with the pointer see diagram H.

When turning the dose selector, be careful not to press the push-button as insulin will come out. You will hear a click for every single unit dialed.

Do not set the dose by counting the number of clicks you hear. Do not use the cartridge scale printed on the cartridge to measure your dose of insulin.

Give the injection exactly as shown to you by your healthcare provider. Your healthcare provider should tell you if you need to pinch the skin before injecting.

Wipe the skin with an alcohol swab and let the area dry. Do not use the same injection site for each injection.

Keep the needle in the skin for at least 6 seconds, and keep the push-button pressed all the way in until the needle has been pulled out from the skin see diagram J.

This will make sure that the full dose has been given. Do not recap the needle. Recapping can lead to a needle stick injury. Remove the needle from the Novolin R FlexPen after each injection and dispose of it.

This helps to prevent infection, leakage of insulin, and will help to make sure you inject the right dose of insulin.

If you do not have a sharps container, carefully slip the needle into the outer needle cap. Safely remove the needle and throw it away as soon as you can.

Do not dispose of your used sharps disposal container in your household trash unless your community guidelines permit this.

Do not recycle your used sharps disposal container. Storing without the needle attached helps prevent leaking, blocking of the needle, and air from entering the Pen.

For the safe and proper use of your Novolin R FlexPen be sure to handle it with care. Avoid dropping your Novolin R FlexPen as it may damage it.

If you are concerned that your Novolin R FlexPen is damaged, use a new one. You can clean the outside of your Novolin R FlexPen by wiping it with a damp cloth.

Do not soak or wash your Novolin R FlexPen as it may damage it. Do not refill your Novolin R FlexPen. Remove the needle from Novolin R FlexPen after each injection.

This helps to ensure sterility, prevent leakage of insulin, and will help to make sure you inject the right dose of insulin for future injections.

Be careful when handling used needles to avoid needle sticks and transfer of infectious diseases. Keep your Novolin R FlexPen and needles out of the reach of children.

Use Novolin R FlexPen as directed to treat your diabetes. Do not share your Novolin R FlexPen or needles with other people.

Always use a new needle for each injection. Novo Nordisk is not responsible for harm due to using this insulin pen with products not recommended by Novo Nordisk.

As a precautionary measure, always carry a spare insulin delivery device in case your Novolin R FlexPen is lost or damaged.

Remember to keep the disposable Novolin R FlexPen with you. Do not leave it in a car or other location where it can get too hot or too cold.

DailyMed will deliver notification of updates and additions to Drug Label information currently shown on this site through its RSS feed.

DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use. Due to inconsistencies between the drug labels on DailyMed and the pill images provided by RxImage , we no longer display the RxImage pill images associated with drug labels.

We anticipate reposting the images once we are able identify and filter out images that do not match the information provided in the drug labels.

Drug Label Info. NDC National Drug Code - Each drug product is assigned this unique number which can be found on the drug's outer packaging.

Drug Label Information Updated November 15, If you are a consumer or patient please visit this version. Approval: Rotate injection sites to reduce risk of lipodystrophy and localized cutaneous amyloidosis.

Increase frequency of blood glucose monitoring with changes to: insulin dosage, co-administered glucose lowering medications, meal pattern, physical activity; in patients with renal or hepatic impairment or with hypoglycemia unawareness.

Instruct patients to check insulin labels before injection. Monitor potassium levels in patients at risk for hypokalemia and treat if indicated.

It should appear clear and colorless. Do not inject into areas of lipodystrophy or localized cutaneous amyloidosis [see Warnings and Precautions 5.

Risk Factors for Hypoglycemia The risk of hypoglycemia after an injection is related to the duration of action of the insulin and, in general, is highest when the glucose lowering effect of the insulin is maximal.

Risk Mitigation Strategies for Hypoglycemia Patients and caregivers must be educated to recognize and manage hypoglycemia. Adverse reactions associated with insulin initiation and glucose control intensification Intensification or rapid improvement in glucose control has been associated with a transitory, reversible ophthalmologic refraction disorder, worsening of diabetic retinopathy, and acute painful peripheral neuropathy.

Hypersensitivity reactions Severe, life-threatening, generalized allergy, including anaphylaxis. Lipodystrophy Administration of insulin subcutaneously, including NOVOLIN R, has resulted in lipoatrophy depression in the skin or lipohypertrophy enlargement or thickening of tissue [see Dosage and Administration 2.

Localized Cutaneous Amyloidosis Localized cutaneous amyloidosis at the injection site has occurred. Peripheral edema Insulins, including NOVOLIN R, may cause sodium retention and edema, particularly if previously poor metabolic control is improved by intensified insulin therapy.

Weight gain Weight gain can occur with insulin therapies, including NOVOLIN R, and has been attributed to the anabolic effects of insulin and the decrease in glucosuria.

Immunogenicity As with all therapeutic peptides, insulin administration may cause anti-insulin antibodies to form. Data Human Data While available studies cannot definitively establish the absence of risk, published data from retrospective studies, open-label, randomized, parallel studies and meta-analyses have not established an association with human insulin use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes.

Hyperglycemia or Hypoglycemia Inform patients that hypoglycemia is the most common adverse reaction with insulin. Hypoglycemia due to Medication Errors Instruct patients to always check the insulin label before each injection to avoid mix-ups between insulin products [see Warnings and Precautions 5.

What is Novolin R? Who should not use Novolin R? See the end of this Patient Information leaflet for a complete list of ingredients in Novolin R.

Talk with your healthcare provider about the best way to control your blood sugar if you plan to become pregnant or while you are pregnant.

Novolin R may pass into your breast milk. Talk with your healthcare provider about the best way to feed your baby while using Novolin R.

How should I use Novolin R? Your healthcare provider should tell you how much Novolin R to use and when to use it. Do not change the type or amount of insulin you use unless your healthcare provider tells you to.

Regular insulin is a short-acting insulin that starts to work within 30 minutes after injection, peaks in 2 to 3 hours, and keeps working for up to 8 hours. Putting air in the bottle makes it easier to draw Casino Spiel Tricks insulin out of the bottle. Weight gain Weight gain can occur with insulin therapies, including Golden Cobras Deluxe R, and has been attributed to the anabolic Ergebnisse Live App of insulin and the decrease in glucosuria. Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. After your injection, do not recap the needle. Insulin overdose can cause life-threatening hypoglycemia. Not all possible interactions are listed here. Keep Novolin R and all medicines out of the reach of children. Novolin R that May Increase the Risk of Hypoglycemia. As with all insulin preparations, the time course of Novolin R action may vary in different individuals or at different times in the same individual and is dependent on dose, site of injection, blood supply, temperature, and physical activity.

Log in. JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding. Novolin R in pump? Thread starter She ra Start date Jul 26, She ra D.

Has anyone used the older insulin in their pump? I have used Novolin R for meal time injections without issue, to me it worked like the more expensive rapid insulin's.

So i turned 60 this year and i am thinking daily about how i will afford retirement and my medical needs.

I suppose i should start looking at medicare and see what I options will be. I'm going to try it in my pump next infusion set change.

I know this insulin works slower than the more expensive rapid insulin's but my blood sugar rises much slower than most, I"m highest hours post meal, it is very strange.

If i eat more than carbs in any given meal i usually dual bolus to cover for it, it seems to work better that way for me.

Just wondering if anyone else had to choose the cheaper insulin due to income constraints? What's up I get the cost factor. Do not use the cartridge scale printed on the cartridge to measure your dose of insulin.

Give the injection exactly as shown to you by your healthcare provider. Your healthcare provider should tell you if you need to pinch the skin before injecting.

Wipe the skin with an alcohol swab and let the area dry. Do not use the same injection site for each injection. Keep the needle in the skin for at least 6 seconds, and keep the push-button pressed all the way in until the needle has been pulled out from the skin see diagram J.

This will make sure that the full dose has been given. Do not recap the needle. Recapping can lead to a needle stick injury. Remove the needle from the Novolin R FlexPen after each injection and dispose of it.

This helps to prevent infection, leakage of insulin, and will help to make sure you inject the right dose of insulin.

If you do not have a sharps container, carefully slip the needle into the outer needle cap. Safely remove the needle and throw it away as soon as you can.

Do not dispose of your used sharps disposal container in your household trash unless your community guidelines permit this.

Do not recycle your used sharps disposal container. Storing without the needle attached helps prevent leaking, blocking of the needle, and air from entering the Pen.

For the safe and proper use of your Novolin R FlexPen be sure to handle it with care. Avoid dropping your Novolin R FlexPen as it may damage it.

If you are concerned that your Novolin R FlexPen is damaged, use a new one. You can clean the outside of your Novolin R FlexPen by wiping it with a damp cloth.

Do not soak or wash your Novolin R FlexPen as it may damage it. Do not refill your Novolin R FlexPen. Remove the needle from Novolin R FlexPen after each injection.

This helps to ensure sterility, prevent leakage of insulin, and will help to make sure you inject the right dose of insulin for future injections.

Be careful when handling used needles to avoid needle sticks and transfer of infectious diseases. Keep your Novolin R FlexPen and needles out of the reach of children.

Use Novolin R FlexPen as directed to treat your diabetes. Do not share your Novolin R FlexPen or needles with other people.

Always use a new needle for each injection. Novo Nordisk is not responsible for harm due to using this insulin pen with products not recommended by Novo Nordisk.

As a precautionary measure, always carry a spare insulin delivery device in case your Novolin R FlexPen is lost or damaged.

Remember to keep the disposable Novolin R FlexPen with you. Do not leave it in a car or other location where it can get too hot or too cold. DailyMed will deliver notification of updates and additions to Drug Label information currently shown on this site through its RSS feed.

DailyMed will deliver this notification to your desktop, Web browser, or e-mail depending on the RSS Reader you select to use.

Due to inconsistencies between the drug labels on DailyMed and the pill images provided by RxImage , we no longer display the RxImage pill images associated with drug labels.

We anticipate reposting the images once we are able identify and filter out images that do not match the information provided in the drug labels.

Drug Label Info. NDC National Drug Code - Each drug product is assigned this unique number which can be found on the drug's outer packaging.

Drug Label Information Updated November 15, If you are a consumer or patient please visit this version. Approval: Rotate injection sites to reduce risk of lipodystrophy and localized cutaneous amyloidosis.

Increase frequency of blood glucose monitoring with changes to: insulin dosage, co-administered glucose lowering medications, meal pattern, physical activity; in patients with renal or hepatic impairment or with hypoglycemia unawareness.

Instruct patients to check insulin labels before injection. Monitor potassium levels in patients at risk for hypokalemia and treat if indicated.

It should appear clear and colorless. Do not inject into areas of lipodystrophy or localized cutaneous amyloidosis [see Warnings and Precautions 5.

Risk Factors for Hypoglycemia The risk of hypoglycemia after an injection is related to the duration of action of the insulin and, in general, is highest when the glucose lowering effect of the insulin is maximal.

Risk Mitigation Strategies for Hypoglycemia Patients and caregivers must be educated to recognize and manage hypoglycemia. Adverse reactions associated with insulin initiation and glucose control intensification Intensification or rapid improvement in glucose control has been associated with a transitory, reversible ophthalmologic refraction disorder, worsening of diabetic retinopathy, and acute painful peripheral neuropathy.

Hypersensitivity reactions Severe, life-threatening, generalized allergy, including anaphylaxis. Lipodystrophy Administration of insulin subcutaneously, including NOVOLIN R, has resulted in lipoatrophy depression in the skin or lipohypertrophy enlargement or thickening of tissue [see Dosage and Administration 2.

Localized Cutaneous Amyloidosis Localized cutaneous amyloidosis at the injection site has occurred. Peripheral edema Insulins, including NOVOLIN R, may cause sodium retention and edema, particularly if previously poor metabolic control is improved by intensified insulin therapy.

Weight gain Weight gain can occur with insulin therapies, including NOVOLIN R, and has been attributed to the anabolic effects of insulin and the decrease in glucosuria.

Immunogenicity As with all therapeutic peptides, insulin administration may cause anti-insulin antibodies to form. Data Human Data While available studies cannot definitively establish the absence of risk, published data from retrospective studies, open-label, randomized, parallel studies and meta-analyses have not established an association with human insulin use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes.

Hyperglycemia or Hypoglycemia Inform patients that hypoglycemia is the most common adverse reaction with insulin.

Hypoglycemia due to Medication Errors Instruct patients to always check the insulin label before each injection to avoid mix-ups between insulin products [see Warnings and Precautions 5.

What is Novolin R? Who should not use Novolin R? See the end of this Patient Information leaflet for a complete list of ingredients in Novolin R.

Talk with your healthcare provider about the best way to control your blood sugar if you plan to become pregnant or while you are pregnant.

Novolin R may pass into your breast milk. Talk with your healthcare provider about the best way to feed your baby while using Novolin R.

How should I use Novolin R? Your healthcare provider should tell you how much Novolin R to use and when to use it. Do not change the type or amount of insulin you use unless your healthcare provider tells you to.

The amount of insulin and the best time for you to take your insulin may need to change if you use different types of insulin. Do not inject Novolin R into your vein intravenously or muscle intramuscularly or use in an insulin infusion pump.

Novolin R may be given into your vein only by your healthcare provider. If Novolin R is mixed with isophane insulin human suspension, Novolin R should be drawn into the syringe first.

Inject immediately after mixing. Ask your healthcare provider what your blood sugars should be and when you should check your blood sugar levels.

Keep Novolin R and all medicines out of the reach of children. What should I avoid while using Novolin R? What are the possible side effects of Novolin R?

Signs and symptoms of low blood sugar may include: o dizziness or lightheadedness, sweating, confusion, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability or mood changes, hunger.

Get medical help right away if you have any of these signs or symptoms of a severe allergic reaction: o a rash over your whole body, have trouble breathing, a fast heartbeat, or sweating.

This can happen even if you have never had heart failure or heart problems before. Tell your healthcare provider if you have any new or worse symptoms of heart failure including: o shortness of breath, swelling of your ankles or feet, sudden weight gain.

General information about the safe and effective use of Novolin R Medicines are sometimes prescribed for purposes other than those listed in a Patient Information leaflet.

What are the ingredients in Novolin R? Active ingredient: insulin human Inactive ingredients: glycerol, metacresol, zinc, water for injection, hydrochloric acid and sodium hydroxide.

Food and Drug Administration. Never re-use syringes and needles. How should I use the Novolin R vial? If you are using a new vial, pull off the tamper-resistant cap.

Until first use: Keep in a cold place. Do not freeze. Protect from light. Dispense in this sealed carton. Version Files Jun 4, 18 current download Nov 27, 17 download Oct 18, 16 download Jul 11, 15 download Jan 25, 13 download Mar 22, 12 download Mar 21, 11 download Feb 21, 10 download Jul 13, 9 download Mar 9, 8 download Nov 22, 7 download Aug 30, 6 download Oct 28, 5 download Jun 29, 4 download Jun 22, 3 download Jul 22, 2 download Jun 16, 1 download.

NDC 1 2 3 4 5 6 Drugs that May Increase the Risk of Hypoglycemia. Beta-blockers, clonidine, guanethidine, and reserpine. Insulin is only part of a complete treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care.

Follow your doctor's instructions very closely. Keep this medicine in its original container protected from heat and light. Do not freeze insulin or store it near the cooling element in a refrigerator.

Throw away any insulin that has been frozen. Refrigerate and use until expiration date ; or. Use a needle and syringe only once and then place them in a puncture-proof "sharps" container.

Follow state or local laws about how to dispose of this container. Keep it out of the reach of children and pets.

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

Keep insulin on hand at all times. Get your prescription refilled before you run out of medicine completely. Seek emergency medical attention or call the Poison Help line at Insulin overdose can cause life-threatening hypoglycemia.

Symptoms include drowsiness, confusion, blurred vision, numbness or tingling in your mouth, trouble speaking, muscle weakness, clumsy or jerky movements, seizure convulsions , or loss of consciousness.

Do not change the brand of insulin or syringe you are using without first talking to your doctor or pharmacist. Some brands of insulin and syringes are interchangeable, while others are not.

Insulin can cause low blood sugar. Avoid driving or operating machinery until you know how Novolin R will affect you.

Get emergency medical help if you have signs of insulin allergy: redness, swelling, sweating, itchy skin rash over the entire body, trouble breathing, fast heartbeats, feeling like you might pass out, or swelling in your tongue or throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Novolin R side effects in more detail.

Some drugs can also cause you to have fewer symptoms of hypoglycemia, making it harder to tell when your blood sugar is low.

Tell your doctor about all your current medicines and any medicine you start or stop using. This includes prescription and over-the-counter medicines, vitamins , and herbal products.

Not all possible interactions are listed here. Novolin R drug interactions in more detail.

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5 thoughts on “Novolin R

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