Lilly Humulin N KwikPen User manual

Instructions for Use
Humulin®R KwikPen®, Humulin N KwikPen
100 units/mL
www.lilly.ca
PLEASE READ THESE INSTRUCTIONS BEFORE USE
Read the Instructions for Use before you start taking your insulin and
each time you get another KwikPen. There may be new information.
This information does not take the place of talking to your healthcare
professional about your medical condition or your treatment.
KwikPen™ (“Pen”) is a disposable prefilled pen containing 300 units of
insulin. You can give yourself multiple doses using one Pen. The Pen
dials 1 unit at a time. You can give from 1 to 60 units in a single injection.
If your dose is more than 60 units, you will need to give yourself more
than one injection. The plunger only moves a little with each injection,
and you may not notice that it moves. The plunger will only reach the end
of the cartridge when you have used all 300 units in the Pen.
The Pen is for single patient use only. Do not share your Pen with other
people, even if the needle has been changed. Do not reuse or share needles with
other people. You may give an infection to them or get an infection from them.
This Pen is not recommended for use by the blind or visually impaired without the
help of someone trained to use the Pen.
Pen Cap
Cap Clip
Rubber Seal Plunger Pen Body Dose
Window
Dose
Knob
Cartridge Holder Label Dose Indicator
KwikPen Parts
Pen Needle Parts
(Needles Not Included)
Outer Needle
Shield
Inner Needle
Shield
Paper
Tab
Needle
How to recognize your KwikPen:
Humulin
N
Humulin
R
Pen Body color: Beige Beige
Dose Knob:
Labels: White with Light Green
Color Bar
White with Yellow-Gold
Color Bar
Supplies needed to give your injection:
• KwikPen containing your insulin
• KwikPen compatible Needle (BD [Becton, Dickinson and Company] Pen
Needles recommended)
• Alcohol swab
Preparing your Pen
• Wash your hands with soap and water.
• Check the Pen to make sure you are taking the right type of insulin. This is
especially important if you use more than 1 type of insulin.
• Do not use your Pen past the expiration date printed on the Label or for more
than 28 days after you first start using the Pen.
• Always use a new Needle for each injection to help prevent infections and
blocked Needles.
Step 1:
• Pull the Pen Cap straight off.
– Do not remove the Pen Label.
• Wipe the Rubber Seal with an alcohol
swab.
Step 2: (For cloudy insulins
only – Humulin N)
• Gently roll the Pen 10 times.
AND
• Invert the Pen 10 times.
Mixing is important to make sure you
get the right dose. The insulin should look
evenly mixed.
Step 3:
• Check the appearance of the insulin.
– Humulin R should look clear and colourless. Do not use if it is cloudy,
coloured, or has particles or clumps in it.
– Humulin N should look white and cloudy after mixing. Do not use if it looks
clear or contains any clumps or particles.
Step 4:
• Select a new Needle.
• Pull off the Paper Tab from the
Outer Needle Shield.
Step 5:
• Push the capped Needle straight
onto the Pen and twist the Needle
on until it is tight.
Step 6:
• Pull off the Outer Needle Shield.
Do not throw it away.
• Pull off the Inner Needle Shield and
throw it away. Keep Throw Away
Priming your Pen
Prime before each injection.
• Priming your Pen means removing the air from the Needle and Cartridge that
may collect during normal use and ensures that the Pen is working correctly.
• If you do not prime before each injection, you may get too much or too little
insulin.
Step 7:
• To prime your Pen, turn the Dose Knob to
select 2 units.
0
1
4
2
Step 8:
• Hold your Pen with the Needle pointing
up. Tap the Cartridge Holder gently to
collect air bubbles at the top.
Step 9:
• Continue holding your Pen with Needle
pointing up. Push the Dose Knob in until
it stops, and “0” is seen in the Dose
Window. Hold the Dose Knob in and
count to 5 slowly.
You should see insulin at the tip of the
Needle.
– If you do not see insulin, repeat
the priming steps, but not more than
4 times.
– If you still do not see insulin, change
the Needle and repeat the priming
steps.
Small air bubbles are normal and will not
affect your dose.
Selecting your dose
• You can give from 1 to 60 units in a single injection.
• If your dose is more than 60 units, you will need to give more than one
injection.
– If you need help deciding how to divide up your dose, ask your healthcare
professional.
– You should use a new Needle for each injection and repeat the priming step.
Step 10:
• Turn the Dose Knob to select the
number of units you need to inject. The
Dose Indicator should line up with your
dose.
– The Pen dials 1 unit at a time.
– The Dose Knob clicks as you turn it.
– DO NOT dial your dose by counting
the clicks because you may dial the
wrong dose.
– The dose can be corrected by turning
the Dose Knob in either direction until
the correct dose lines up with the
Dose Indicator.
– The even numbers are printed on the
dial.
– The odd numbers, after the number 1,
are shown as full lines.
• Always check the number in the
Dose Window to make sure you have
dialed the correct dose.
(Example: 12 units shown
in the Dose Window)
(Example: 25 units shown in
the Dose Window)
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• The Pen will not let you dial more than the number of units left in the Pen.
• If you need to inject more than the number of units left in the Pen, you may
either:
– inject the amount left in your Pen and then use a new Pen to give the rest of
your dose, or
– get a new Pen and inject the full dose.
• It is normal to see a small amount of insulin left in the Pen that you cannot
inject.
Giving your injection
• Inject your insulin as your healthcare professional has shown you.
• Change (rotate) your injection site for each injection.
• Do not try to change your dose while injecting.
Step 11:
• Choose your injection site.
Your insulin is injected under the skin
(subcutaneously) of your stomach area,
buttocks, upper legs or upper arms.
• Prepare the injection site as directed by your
healthcare professional.
Step 12:
• Insert the Needle into your skin.
• Push the Dose Knob all the way in.
• Continue to hold the Dose Knob
in and slowly count to 5 before
removing the Needle.
Do not try to inject your insulin by turning the Dose Knob. You will NOT receive
your insulin by turning the Dose Knob.
Step 13:
• Pull the Needle out of your skin.
– A drop of insulin at the Needle tip is normal. It
will not affect your dose.
• Check the number in the Dose Window
– If you see “0” in the Dose window, you have received the full amount you
dialed.
– If you do not see “0” in the Dose window, do not redial. Insert the needle
into your skin and finish your injection.
– If you still do not think you received the full amount you dialed for your
injection, do not start over or repeat that injection. Monitor your blood
glucose as instructed by your healthcare professional.
– If you normally need to give 2 injections for your full dose, be sure to give
your second injection.
The plunger only moves a little with each injection, and you may not notice that
it moves.
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 swab. Do not rub the area.
After your injection
Step 14:
• Carefully replace the Outer Needle Shield.
Step 15:
• Unscrew the capped Needle and dispose of it as
described below (see Disposing of Pens and
Needles section).
• Do not store the Pen with the Needle attached
to prevent leaking, blocking the Needle, and air
from entering the Pen.
Step 16:
• Replace the Pen Cap by lining up the Cap Clip
with the Dose Indicator and pushing straight on.
Disposing of Pens and Needles
• Dispose of used Needles in a sharps container or a hard plastic container with
a secure lid. Do not throw Needles directly into your household trash.
• Dispose of the used Pen as instructed by your healthcare professional after
you have removed the Needle.
• Do not recycle the filled sharps container.
• Ask your healthcare professional about options available to dispose of
the sharps container properly. You can also check the Canadian Diabetes
Association website at www.diabetes.ca for information on sharps disposal.
• The directions regarding needle handling are not intended to replace local,
healthcare professional or institutional policies.
Storing your Pen
Unused Pens
• Store unused Pens in the refrigerator at 2°C to 8°C.
•Do not freeze your insulin. Do not use if it has been frozen.
• Unused Pens may be used until the expiration date printed on the Label, if the
Pen has been kept in the refrigerator.
In-use Pen
• Store the Pen you are currently using at room temperature [up to 25°C] and
away from heat and light.
• Throw away the Pen you are using after 28 days, even if it still has insulin left
in it.
General information about the safe and effective use of your Pen
• Keep your Pen and Needles out of the sight and reach of children.
• Do not use your Pen if any part looks broken or damaged.
• Always carry an extra Pen in case yours is lost or damaged.
Troubleshooting
• If you cannot remove the Pen Cap, gently twist the cap back and forth, and
then pull the cap straight off.
• If the Dose Knob is hard to push:
– Pushing the Dose Knob more slowly will make it easier to inject.
– Your Needle may be blocked. Put on a new Needle and prime the Pen.
– You may have dust, food, or liquid inside the Pen. Throw the Pen away and
get a new Pen.
If you have any questions or problems with your KwikPen,contact your
healthcare professional or Lilly at 1-888-545-5972 for assistance.
For more information on your KwikPen and insulin, please visit our website at
www.lilly.ca
Distributed by:
Eli Lilly Canada Inc.
3650 Danforth Avenue
Toronto, Ontario
M1N 2E8
Manufactured by:
Eli Lilly and Company
Pharmaceutical Delivery Systems
Lilly Corporate Center, Indianapolis, IN 46285, USA
Humulin R KwikPen and Humulin N KwikPen are trademarks owned by or
licensed to Eli Lilly and Company, its subsidiaries or affiliates.
Humulin KwikPen meets the current dose accuracy and functional requirements
of ISO 11608-1:2014.
The information in this document is current as of the revision date shown below.
For the most current information please visit our website at www.lilly.ca or
contact us directly at 1-888-545-5972.
Document Revision Date: October 20, 2016
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