Tresiba 200iu Flex Touch Pen Injection

• If you are allergic to insulin or any of the ingredients of this medicine
• If you are suffering from hypoglycemia (low blood sugar level).

• Low blood sugar (Hypoglycaemia)
• Low potassium in your blood (hypokalemia)
• Pain, redness, swelling at injection site.

Other General Warnings

• You have recurrent low blood sugar levels
• You have frequent fever and infections
• You have diseases related to liver and kidney
• You have thyroid disorders
• You are switching to different insulin medicine brand
• You have pain, itching and swelling at the injection site, you should continuously change the site of injection
• Avoid doing heavy exercise
• You are planning to change your diet preferences
• You should always carry sugar candy with you
• You are taking insulin but not taking adequate meals, your blood glucose can drop drastically.

• Use this injection as per the technique suggested by your doctor or nurse, which is administered subcutaneously in the thigh, the upper arm, or the abdominal wall. Injection sites should always be rotated within the same region to reduce the risk of lipodystrophy and cutaneous amyloidosis.
• Do not inject this medication into a vein or muscle.
• Always rotate the site of injection; do not take concurrent injections at the same site.

• Store between 2°C to 8°C in the refrigerator
• Do not freeze it
• Keep it out of the reach of children
• Do not open the carton of vials to protect it from light
• Any unused portion should not be stored and should be appropriately discarded.

Overdose

• Excess insulin will lead to low blood sugar levels, called hypoglycemia
• Symptoms like dizziness, fainting, sweating and tremors may be seen
• If you have the blood glucometer with you, test immediately and confirm
• Whether or not you test your levels, it is important to take some glucose water/juice/eat sugar or chocolates immediately and then rush to your doctor.

Missed a Dose

• Missed dose may lead to high blood sugar levels which can cause symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, fruity smell from breath, etc.
• If you missed any dose of medicine take it as soon as you remember
• If it's time for your next dose then skip the missed dose and continue with your regular dose schedule
• Do not take a double dose of medicine to compensate the missed one as taking double dose can cause a drastic fall in blood glucose which can be dangerous.

How Does It Work?

Interactions with other medicines

• You may have symptoms of low blood sugar if you are taking other medicines for diabetes, depression (fluoxetine), medicines for fever and pain (salicylates), ramipril, lisinopril
• You may have high blood sugar if you are taking oral contraceptives, thiazide, steroids, thyroxine, medicines used to treat severe diarrhoea and abnormal growth of body organs like octreotide, lanreotide
• If you are taking a medicine pioglitazone to treat diabetes, be cautious, as some cases of heart attack and heart failure have been reported
• Some medicines block your body's response to low blood sugar, so you may not experience symptoms like headache, hunger pangs, sweating, anxiety when your blood sugar drops. This can lead to a serious fall in blood sugar. Inform your doctor if you are on medicines like Betablockers (Metoprolol, Propranolol, Atenolol), Clonidine, Guanethidine and Reserpine.

Interactions with food items

• This medicine is to be taken 15 mins before meals or after meals
• Maintaining a constant meal pattern is advisable when you are taking insulin
• Avoid skipping or delaying meals when you are taking insulin.