Lantus SoloSTAR Operating instructions

How to use your Lantus®
SoloStar®pen
What is Lantus?
Prescription Lantus is a long-acting insulin used to treat adults with type 2 diabetes and adults and pediatric
patients (children 6 years and older) with type 1 diabetes for the control of high blood sugar.
Do not use Lantus to treat diabetic ketoacidosis.
Important Safety Information
Do not take Lantus during episodes of low blood sugar or if you are allergic to insulin or any of the inactive
ingredients in Lantus.
Do not share needles, insulin pens, or syringes with others. Do NOT reuse needles.
A step-by-step guide to using your
Lantus SoloStar pen
This quick how-to guide—a short version of the instruction
leaflet included in your Lantus SoloStar pen box—has been
designed to help you more easily learn how to inject the
right amount of insulin every time.That way, you may avoid
getting too little or too much insulin, which can affect your
blood sugar levels.
For single patient use only
If there’s anything you don’t understand, or if you
have any questions, ask your healthcare provider.
You can also go online at Lantus.com or call the
support line at 1-800-633-1610.
If you are using Lantus SoloStar for the first time, it is important that you read the full instruction
leaflet and follow all of the steps to help ensure you receive an accurate dose each time.
Do not share needles, pens, or syringes with others. Do NOT reuse needles.
People who are blind or have vision problems should not use the Lantus SoloStar prefilled pen
without help from a person trained in its use.
Please click here for full Important Safety Information for Lantus.
Please click here for full Prescribing Information for Lantus or scan QR code.

2
Front Back
Important Safety Information (cont’d)
Before starting Lantus, tell your doctor about all your medical conditions, including if you have liver or kidney
problems, if you are pregnant or planning to become pregnant or if you are breast-feeding or planning to
breast-feed.
Change (rotate) your injection sites within the area you chose with each dose to reduce your risk of getting
lipodystrophy (pitted or thickened skin) and localized cutaneous amyloidosis (skin with lumps) at the injection
sites. Do not use the same spot for each injection or inject where the skin is pitted, thickened, lumpy, tender,
bruised, scaly, hard, scarred or damaged.
INJECTION AREAS TO AVOID
When injecting in these three areas, avoid:
• The two-inch circle around the navel.
• Injecting too close to the bony area above the knee.
• The forearm. Only use the outer back area of the upper arm where there is fatty tissue.
CHOOSE AN INJECTION SITE
The three possible injection sites are:
your abdomen, your thighs, and your upper arms.
These areas have more fat and fewer nerve endings.
You may feel less discomfort in these areas.
• Always rotate your injection sites as instructed by your doctor.
• Never force the needle.This can hurt and may damage it.Too much force can also affect
how much insulin you get.
• Never inject into the muscle.
• Never rub the injection spot after an injection.
View a step-by-step video on how to inject at
Lantus.com.
• Rotate your injection sites with each dose
to reduce your risk of getting lipodystrophy
(pitted or thickened skin) and localized
cutaneous amyloidosis (skin with lumps) at
the injection sites.
• Do not use the same spot for each injection
or inject where the skin is pitted, thickened,
lumpy, tender, bruised, scaly, hard, scarred,
or damaged.
GET TO KNOW YOUR PEN AND ITS PARTS
The Lantus SoloStar pen was designed with a simple-to-push injection button and a large dosing window.
Outer needle cap
Inner needle cap
Protective seal
Rubber seal
Insulin reservoir
Dose window
Dose selector
Injection button
Pen cap
Needle
HOW TO DISPOSE OF NEEDLES
Place used needles in sharps containers, which you can buy at your local drugstore.
If a sharps container isn’t available, use a strong plastic bottle that cannot be punctured, such as a
bleach or laundry detergent bottle. Make sure the cap is on tight.When you’re ready to dispose of
the bottle, put tape over the cap and write “SHARPS” on the bottle.
Take your sharps container to appropriate collection sites, which may include doctors’ offices,
hospitals, pharmacies, health departments, fire stations, or other locations.
Visit the Centers for Disease Control’s Safe Community Needle Disposal website.
Don’t flush used sharps down the toilet or drop them into a sewer drain.
Don’t put used sharps in soda cans, milk cartons, glass bottles, coffee cans, or containers that can be
broken or punctured.
!!
Always discard the pen with the pen cap on.You can discard the pen in regular trash.
Heart failure can occur if you are taking insulin together with certain medicines called TZDs
(thiazolidinediones), even if you have never had heart failure or other heart problems. If you already have
heart failure, it may get worse while you take TZDs with Lantus. Your treatment with TZDs and Lantus may need
to be changed or stopped by your doctor if you have new or worsening heart failure. Tell your doctor if you
have any new or worsening symptoms of heart failure, including:
• Shortness of breath • Swelling of your ankles or feet • Sudden weight gain
Please click here for full Important Safety Information for Lantus.
Please click here for full Prescribing Information for Lantus or scan QR code.
3

4
HOW TO STORE YOUR UNOPENED LANTUS SOLOSTAR PEN
Before opening, store Lantus in the refrigerator (36°F to 46°F). Keep pens in the original outer package.
Lantus can be refrigerated until the expiration date. Once the expiration date has passed, Lantus
should be thrown away.
Before you inject Lantus, remove it from the refrigerator for an hour or two—cold insulin can be more
painful to inject.
Do not allow Lantus to freeze. Do not put Lantus in a freezer or next to a freezer pack. If you see frost or
ice crystals in your Lantus solution, throw it away.
Keep Lantus away from direct heat and light.
HOW TO STORE YOUR OPENED LANTUS SOLOSTAR PEN
After its first use, don’t refrigerate the Lantus SoloStar pen. Keep it at room temperature only
(below 86°F).
After 28 days, throw your opened Lantus pen away—even if it still has insulin in it.
Keep Lantus away from direct heat and light.
Don’t leave Lantus in a hot car, in direct sun, or in a freezing car. If Lantus gets too hot or freezes, it will
have to be thrown away.
!!
• Always store UNOPENED Lantus SoloStar pens in
the refrigerator.
• Always wash your hands with soap and water
before an injection.
• Always check the expiration date of the pen.
• Never inject cold insulin. Wait until pen warms up
to room temperature.
• Always use a new needle.
• Never refrigerate the pen after opening it.
• Never play with the dial before using the pen
to help prevent jamming.
Important Safety Information (cont’d)
Tell your doctor about all the medications you take, including OTC medicines, vitamins, and supplements,
including herbal supplements.
Lantus should be taken once a day at the same time every day. Test your blood sugar levels while using
insulin, such as Lantus. Do not make any changes to your dose or type of insulin without talking to your
healthcare provider. Any change of insulin should be made cautiously and only under medical supervision.
HOW TO USE YOUR LANTUS SOLOSTAR PEN IN 6 STEPS
These instructions are supplied as a guide only. Read the full instruction leaflet before you use Lantus
SoloStar for the first time.To help ensure an accurate dose each time, follow all steps in the instrution
leaflet.
STEP 1. GET READY
• Remove the pen cap with clean hands.
• Check the reservoir to make sure the insulin is
clear and colorless and has no particles—if not, use
another pen.
• Insulin pens, needles, or syringes must never be shared between patients. Do NOT reuse needles.
Do NOT dilute or mix Lantus with any other insulin or solution. It will not work as intended and you may lose
blood sugar control, which could be serious. Lantus must only be used if the solution is clear and colorless
with no particles visible. Always make sure you have the correct insulin before each injection.
While using Lantus, do not drive or operate heavy machinery until you know how Lantus affects you.
You should not drink alcohol or use other medicines that contain alcohol.
STEP 2. ATTACH THE NEEDLE
• Wipe the pen tip (rubber seal) with an alcohol swab.
• Remove the protective seal from the new needle,
line the needle up straight with the pen, and screw
the needle on.
• Do not make the needle too tight. If you have a
push-on needle, keep it straight as you push it on.
• After you have attached the needle, take off the
outer needle cap and save it (you will need it to
remove the needle after your injection).
• Remove the inner needle cap and throw it away.
Please click here for full Important Safety Information for Lantus.
Please click here for full Prescribing Information for Lantus or scan QR code.
5

6
STEP 3. PERFORM A SAFETY TEST
• Dial a test dose of 2 Units.
• Hold pen with the needle pointing up and lightly
tap the insulin reservoir so the air bubbles rise to
the top of the needle.This will help you get the most
accurate dose.
• Press the injection button all the way in and check
to see that insulin comes out of the needle.The dial
will automatically go back to zero after you perform
the test.
• If no insulin comes out, repeat the test 2 more times.
If there is still no insulin coming out, use a new
needle and do the safety test again.
!!
• Always perform the safety test before each injection.
• Never use the pen if no insulin comes out after using a second needle.
STEP 4. SELECT THE DOSE
• Make sure the window shows “0” and then select the
dose. Otherwise you will inject more insulin than you
need and that can affect your blood sugar level.
• Dial back up or down if you dialed the wrong amount.
• Check if you have enough insulin in the reservoir.
If you cannot dial the dose you want, it may be
because you don’t have enough insulin left.
• You cannot dial more than 80 Units because the pen
has a safety stop. If your dose is more than 80 Units,
you will need to redial the rest of your dose. If you
don’t have enough insulin for the rest of your dose,
you will need to use a new pen.
!!
• Never force the dose selector when dialing your dose.
• Never set the dose selector to half units or the pen may jam.
Important Safety Information (cont’d)
The most common side effect of insulin, including Lantus, is low blood sugar (hypoglycemia), which may
be serious and life threatening. It may cause harm to your heart or brain. Symptoms of serious low blood
sugar may include shaking, sweating, fast heartbeat, and blurred vision.
Lantus may cause serious side effects that can lead to death, such as severe allergic reactions. Get medical
help right away if you have:
10 secs
STEP 5. INJECT YOUR DOSE
• Clean site with an alcohol swab. Please see injection
site options on page 2.
• Keep the pen straight, insert the needle into your skin.
• Use your thumb to press the injection button all the
way down.When the number in the dose window
returns to 0 as you inject, slowly count to 10 before
removing. (Counting to 10 will make sure you get
your full insulin dose.)
• Release the button and remove the needle from
your skin.
!!
• Choose a new injection spot each time.
• Take the needle from your skin if you dial
another dose.
STEP 6. REMOVE THE NEEDLE
• Insulin pens, needles, or syringes must never be shared between patients. Do NOT reuse needles.
• After injecting, always remove the needle to prevent contamination and leaking.
• Put the outer needle cap back on the needle and unscrew (or pull) the needle from the pen.
• Throw needle away in a sharps container. For more information on disposing needles, please see page 3.
• Put the pen cap back on the pen and store in a safe place at room temperature.
!
!
Never share your needle or pen with another person.
• A rash over your whole body
• Trouble breathing
• A fast heartbeat
• Sweating
• Swelling of your face, tongue, or throat
• Shortness of breath
• Extreme drowsiness, dizziness, or confusion
Please click here for full Important Safety Information for Lantus.
Please click here for full Prescribing Information for Lantus or scan QR code.
7

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pop-up
Prescription Lantus is a long-acting insulin used to treat
adults with type 2 diabetes and adults and pediatric
patients (children 6 years and older) with type 1
diabetes for the control of high blood sugar.
Do not use Lantus to treat diabetic ketoacidosis.
Important Safety Information
Do not take Lantus during episodes of low blood sugar
or if you are allergic to insulin or any of the inactive
ingredients in Lantus.
Do not share needles, insulin pens, or syringes with
others. Do NOT reuse needles.
Before starting Lantus, tell your doctor about all your
medical conditions, including if you have liver or kidney
problems, if you are pregnant or planning to become
pregnant or if you are breast-feeding or planning to
breast-feed.
Change (rotate) your injection sites within the area
you chose with each dose to reduce your risk of getting
lipodystrophy (pitted or thickened skin) and localized
cutaneous amyloidosis (skin with lumps) at the injection
sites. Do not use the same spot for each injection or
inject where the skin is pitted, thickened, lumpy, tender,
bruised, scaly, hard, scarred or damaged.
Heart failure can occur if you are taking insulin together
with certain medicines called TZDs (thiazolidinediones),
even if you have never had heart failure or other heart
problems. If you already have heart failure, it may get
worse while you take TZDs with Lantus.Your treatment with
TZDs and Lantus may need to be changed or stopped by
your doctor if you have new or worsening heart failure.Tell
your doctor if you have any new or worsening symptoms
of heart failure, including:
• Shortness of breath
• Swelling of your ankles or feet
• Sudden weight gain
Tell your doctor about all the medications you take,
including OTC medicines, vitamins, and supplements,
including herbal supplements.
Lantus should be taken once a day at the same time
every day.Test your blood sugar levels while using insulin,
such as Lantus. Do not make any changes to your dose
or type of insulin without talking to your healthcare
provider.Any change of insulin should be made
cautiously and only under medical supervision.
Do NOT dilute or mix Lantus with any other insulin or
solution. It will not work as intended and you may lose
blood sugar control, which could be serious. Lantus must
only be used if the solution is clear and colorless with no
particles visible.Always make sure you have the correct
insulin before each injection.
While using Lantus, do not drive or operate heavy
machinery until you know how Lantus affects you.You
should not drink alcohol or use other medicines that
contain alcohol.
The most common side effect of insulin, including
Lantus, is low blood sugar (hypoglycemia), which may
be serious and life threatening. It may cause harm to
your heart or brain. Symptoms of serious low blood sugar
may include shaking, sweating, fast heartbeat, and
blurred vision.
Lantus may cause serious side effects that can lead to
death, such as severe allergic reactions. Get medical
help right away if you have:
• A rash over your whole body
• Trouble breathing
• A fast heartbeat
• Sweating
• Swelling of your face, tongue, or throat
• Shortness of breath
• Extreme drowsiness, dizziness, or confusion
Other possible side effects may include swelling, weight
gain, low potassium levels, injection site reactions,
including changes in fat tissue at the injection site, and
allergic reactions.
Important Safety Information for
Lantus SoloStar
Lantus SoloStar is a disposable single-patient-use prefilled
insulin pen. Please talk to your healthcare provider about
proper injection technique and follow instructions in the
Instruction Leaflet that accompanies the pen.
What is Lantus?
Please click here for full Important Safety Information for Lantus.
Please click here for full Prescribing Information for Lantus or scan QR code.