Forsteo Forsteo 20 User manual

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PEN USER MANUAL
Forsteo®
FORSTEO 20 micrograms (µg)/ 80 microlitres solution for injection, in pre-filled pen
Instructions for use
Before you use your new pen, please read the section Instructions for use completely. Follow the
directions carefully when using the pen.
Also read the package leaflet provided.
Do not share your pen or your needles as this may risk transmission of infectious agents.
Your pen contains 28 days of medicine.
Forsteo parts*
* Needles not included.
Becton, Dickinson and
Company pen needles can be
used. Ask your doctor or
pharmacist which needle
gauge and length are best for
you.
Yellow Shaft
Black
Injection
button
Red Stripe Blue Body Medicine Cartridge White Cap
Paper Tab Needle Large Needle Cover
Small Needle Protector
Always wash your hands before every injection. Prepare the injection site as directed by your
doctor or pharmacist.
1
Pull off white cap
2
Attach new
needle
Pull off paper
tab.
Push needle straight
onto medicine cartridge.
Screw on needle
until firmly attached.
Pull off large
needle cover
and save it.

2
3
Set
dose
Red
stripe
Small
needle
protector
Pull out black
injection
button until it stops.
If you cannot pull out
the black injection
button see
Troubleshooting,
Problem E.
Check to
make sure
red stripe
shows.
Pull off small
needle
protector and throw
away.
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Inject dose
Gently hold a fold of skin from thigh or
abdomen and insert needle straight
into skin.
Push in black injection button until
it stops. Hold it in and count to 5
s-l-o-w-l-y. Then pull the needle
from skin.
IMPORTANT
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Confirm
dose
After
completing the
injection:
Once the needle
is removed from
the skin, check
to make sure the
black injection
button is all the
way in. If the
yellow shaft
does not show,
you have
completed the
injection steps
correctly.
You should NOT see any of
the yellow shaft. If you do
and have already injected, do
not inject yourself a second
time on the same day.
Instead, you MUST reset
FORSTEO (see
Troubleshooting Problem A).

3
6
Remove
needle
Put large needle
cover on needle.
Unscrew the needle
all the way by
giving the large
needle cover 3 to 5
complete turns.
Pull off needle and
throw away as directed
by your doctor or
pharmacist.
Push white cap back
on. Place FORSTEO
in the refrigerator
immediately after
use.
The directions regarding needle handling are not intended to replace local, healthcare professional or
institutional policies.
Forsteo
FORSTEO, 20 microgram (µg) 80 microlitres solution
for injection, in pre-filled pen
Troubleshooting
Problem
Solution
A. The yellow shaft is
still showing after I push
in the black injection
button. How do I reset
my FORSTEO?
To reset the FORSTEO, follow the steps below.
1) If you have already injected, DO NOT
inject yourself a second time on the same
day.
2) Remove the needle.
3) Attach a new needle, pull off the large needle
cover and save it.
4) Pull out the black injection button until it
stops. Check to make sure the red stripe
shows.
5) Pull off the small needle protector and throw
away.
6) Point the needle down into an empty
container. Push in the black injection button
until it stops. Hold it in and count to 5 s-l-o-
w-l-y. You may see a small stream or drop of
fluid. When you have finished, the black
injection button should be all the way in.
7) If you still see the yellow shaft showing,
please contact your doctor or pharmacist
8) Put the large needle cover on needle.
Unscrew the needle all the way by giving the
needle cover 3 to 5 complete turns. Pull off
needle cover and throw away as directed by
your doctor or pharmacist. Push the white
cap back on, and place FORSTEO in the
refrigerator.
You can prevent this problem by always using a
NEW needle for each injection, and by pushing the
black injection button all the way in and counting
to 5 s-l-o-w-l-y.
B. How can I tell if my
FORSTEO works?
The FORSTEO is designed to inject the full dose
every time it is used according to the directions in the

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section Instructions for Use. The black injection
button will be all the way in to show that the full dose
has been injected from the FORSTEO.
Remember to use a new needle every time you inject
to be sure your FORSTEO will work properly.
C. I see an air bubble in
my FORSTEO.
A small air bubble will not affect your dose nor will it
harm you. You can continue to take your dose as
usual.
D. I cannot get the
needle off.
1) Put the large needle cover on the needle.
2) Use the large needle cover to unscrew the
needle.
3) Unscrew the needle all the way by giving the
large needle cover 3 to 5 complete turns.
4) If you still cannot get the needle off, ask
someone to help you.
E. What should I do if I
cannot pull out the
black injection button?
Change to a new FORSTEO to take your dose as
directed by your doctor or pharmacist.
This indicates that you have now used all the medicine
that can be injected accurately even though you may
still see some medicine left in the cartridge.
Cleaning and Storage
Cleaning Your FORSTEO
•Wipe the outside of the FORSTEO with a damp cloth.
•Do not place the FORSTEO in water, or wash or clean it with any liquid.
Storing Your FORSTEO
•Refrigerate the FORSTEO immediately after every use. Read and follow the instructions in
the Information for the Patient leaflet on how to store your pen.
•Do not store the FORSTEO with a needle attached as this may cause air bubbles to form in the
cartridge.
•Store the FORSTEO with the white cap on.
•Never store the FORSTEO in the freezer.
•If the medicine has been frozen, throw the device away and use a new FORSTEO.
•If the FORSTEO has been left out of the refrigerator, do not throw the pen away. Place the
pen back in the refrigerator and contact your doctor or pharmacist.
Disposal of Pen Needles and Device
Disposal of Pen Needles and FORSTEO Device
•Before disposing of the FORSTEO device, be sure to remove the pen needle.
•Put used needles in a sharps container or a hard plastic container with a secure lid. Do not
throw needles directly into your household waste.
•Do not recycle the filled sharps container.
•Ask your healthcare professional about options to dispose of the pen and the sharps container
properly.
The directions regarding needle handling are not intended to replace local, healthcare
professional or institutional policies.
•Dispose of the device 28 days after first use.

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Other Important Notes
•The FORSTEO contains 28 days of medicine.
•Do not transfer the medicine into a syringe.
•Write down your first injection date on a calendar.
•Read and follow the instructions in the Information for the Patient leaflet for using the
product.
•Check the FORSTEO label to make sure you have the correct medicine. and that it has not
expired.
•Contact your doctor or pharmacist if you notice any of the following:
-The FORSTEO appears damaged
-The solution is NOT clear, colourless and free of particles
•Use a new needle for each injection.
•During injection, you may hear one or more clicks – this is a normal device operation.
•The FORSTEO is not recommended for use by the blind or visually impaired persons without
the assistance of a person trained in the proper use of the device.
•Keep the FORSTEO out of the sight and reach of children.
Manufactured by Lilly France, F-67640 Fegersheim, France
for Eli Lilly and Company.
This user manual was last revised in June 2018