NGENLA® What should I do if I do not have enough medicine left in my pen?

What should I do if I do not have enough medicine left in my pen?

What should I do if I do not have enough medicine left in my pen?

•

If your pen contains less than 12 mg of medicine, the dose knob will stop with the remaining amount of medicine shown in the dose window.

•

If there is not enough medicine left in your pen for your full dose, you may either:

o

Inject the amount left in your pen, then prepare a new pen to complete your dose in full. Remember to subtract the dose you have already received. For example, if the dose is 3.8 mg and you can only set the dose knob to 1.8 mg, you should inject another 2.0 mg with a new pen.

o

Or get a new pen and inject the full dose.

Only split your dose if you have been trained or told by your healthcare provider on how to do this.

Injecting your dose

Step 8 - Insert the needle

•

Hold your pen so you can see the numbers in the dose window.

•

Insert the needle straight into your skin.
Note: If using needles with safety shield, you may wish to stretch or pinch the skin at the injection site to make the injection easier.

Step 9 - Inject your medicine

•

Keep holding the needle in the same position in your skin.

•

Press the injection button until it cannot go any further and "0" is shown in the dose window.

Step 10 - Count to 10

•

Continue to press the injection button while counting to 10. Counting to 10 will allow the full dose of medicine to be given.

•

After counting to 10, let go of the injection button and slowly remove the pen from the injection site by pulling the needle straight out.
Note: You may see a drop of medicine at the needle tip. This is normal and does not affect the dose you just received.

Step 11 - Attach outer needle cover

•

Carefully place the outer needle cover back on the needle.

•

Press on the outer needle cover until it is secure.
Caution: Never try to put the inner needle cap back on the needle. You may prick yourself with the needle.
Note: If using needle with safety shield, refer to the safety shield needle manufacturer’s IFU.

Step 12 - Remove the needle

•

Unscrew the needle from the pen.

•

Gently pull until the needle comes off.
Note: If the needle is still on, replace the outer needle cover and try again. Be sure to apply pressure when unscrewing the needle.

•

Throw away the needle in an FDA-cleared sharps container (See How should I dispose of the pen needles and pens?).

•

Important: Always remove and throw away used needles. Do not reuse needles.

Step 13 - Replace the pen cap