Novo Nordisk Novopen 5 User Manual

1

Important notes

•

Do not use NovoPen® 5 without proper
training from your doctor or nurse. Make

sure you are confident in making an
injection with the pen before you start your
treatment with it. Refresh the training at
any time by taking a look at the training
video online at www.novopen5.com/xxx

•

If you are blind or have severe visual
problems, do not use NovoPen® 5
without help. Get help from a person with

good eyesight who is trained to use
NovoPen® 5.

•

If you drop your pen, check the insulin

cartridge for damages, for example cracks.
Replace the cartridge with a new one if
necessary.

•

If you accidentally twist your pen apart

between injections, it is important to test
the flow of insulin before your next
injection. You may need to do it several
times before insulin appears.

•

NovoPen® 5 is designed to be used with
Penfill® 3 ml insulin cartridges and
NovoTwist® or NovoFine® disposable

needles up to a length of 8 mm.

•

Always carry a spare pen, extra insulin of

the same type(s) you use, and new needles
with you in case of loss or damage.

•

Never share your pen, insulin cartridges

and needles with other people. They are for
your use alone.

•

Always keep your pen, insulin cartridges
and needles out of sight and reach of
others, especially children.

•

Caregivers must be very careful when
handling used needles – to prevent

needle sticks and cross-infection.

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•

Pull off the pen cap.

Insert an insulin cartridge

•

The piston rod may stick out of your pen. If so, push it
completely in until it stops.

The piston rod and the piston rod head may be loose and move
on their own. This is natural and does not affect the function of
the pen.

Check the name and colour of the cartridge to make sure that it
contains the type of insulin you need. This is especially important
if you take more than one type of insulin.

Check that the cartridge is not damaged, for example by
cracks. See how to do this in the Penfill® leaflet that comes

with the Penfill® cartridge package.

Check that the insulin looks the way it should. The Penfill®

leaflet will tell you how your type of insulin should look.

NovoPen® 5 is designed to be used with Penfill® 3 ml insulin
cartridges and NovoTwist® or NovoFine® disposable needles

up to a length of 8 mm.

2

•

Twist the cartridge holder anticlockwise to remove it. Put it to
one side for later use.

1

•

Take a new insulin cartridge. Hold the black cartridge holder
and let the cartridge slide in with the colour-coded cap first as
illustrated. The colour of your cartridge may differ from the one
shown in the illustration. It depends on the type of insulin you
use.

4

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White
line

4 5

If you use cloudy insulin

If you use an insulin cartridge with cloudy-looking insulin (insulin
suspension), always resuspend this before injection.
See the Penfill® leaflet on how to resuspend your type of insulin.

Make sure there is enough space in the cartridge before you
resuspend the insulin:
The piston must be above the white line on the cartridge holder
when you hold the pen as illustrated. This is necessary to allow
the glass ball inside the cartridge to move freely to resuspend the
insulin.

If the piston is below the white line, replace the insulin cartridge
with a new one, see pages 24-25.

5

•

Twist the cartridge holder on clockwise as illustrated until you
hear or feel a click.

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•

Take a new needle, and tear off the paper tab.

•

Push the needle straight onto the pen. Turn until it is on
tight.

Attach a new needle

•

Pull off the inner needle cap and throw it away.
A drop of insulin may appear at the needle tip. This is normal,
but you must still test the insulin flow.

2

•

Pull off the outer needle cap and save it. You will need it after
the injection, to safely remove the needle from the pen.

Always use a new needle for each injection. This will prevent
blocked needles, contamination, infection and inaccurate dosing.

Never use a bent or damaged needle.

Do not attach a new needle to your pen until you are ready to

take your injection.

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2

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•

Press the dose button until the dose counter shows “0”. The

“0” must line up with the dose pointer.

•

Check that insulin appears at the needle tip.

If no insulin appears, repeat steps 2 to 4 until insulin does
appear. You may need to do this several times before insulin
appears. If there is still no insulin, change the needle and test
the insulin flow again until insulin appears.

The insulin flow test is complete when insulin appears at the
needle tip.

•

Pull out the dose button, if it is not already out.

•

Follow steps 2 to 4 below to test the insulin flow. This way

you remove any gap between the black piston rod head and the
orange piston. You also remove any air bubbles in the insulin
cartridge and check if the needle is blocked. This is important to
get your full dose.

Test the insulin flow

•

Turn the dose button to select 2 units.

Always test the flow every time you inject. Keep testing until

insulin appears at the needle tip. This makes sure that any gap
and air bubbles are removed and that insulin is getting through
the needle.

Do not try to inject if no insulin appears. You may not receive
any insulin, even though the dose counter may move.

2 units
selected

Dose
button
out

Gap

3

1

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