In each injection you can dial doses from 1 to 29 clicks.
Simply dial a dose and inject.
Norditropin NordiLet 5 mg/1.5 ml or 10 mg/1.5 ml: Your physician/specialist will determine the correct dose for you. The dose is in mg. This must be converted to a number of clicks for Norditropin NordiLet.
To convert a dose from mg to clicks you should use the conversion table.
Always check that the conversion table corresponds to the strength of your Norditropin NordiLet. For example you should use the Norditropin NordiLet 5 mg/1.5 ml conversion table with Norditropin NordiLet 5 mg/1.5 ml or Norditropin NordiLet 10 mg/1.5 ml conversion table with Norditropin NordiLet 10 mg/1.5 ml.
First look up your dose on the mg-scale in the conversion table. Then find the equivalent number of clicks.
Example: If your dose is 1.20 mg (5 mg/1.5 ml) or 2.40 mg (10 mg/1.5 ml), the correct number of clicks is 18.
(See Table 1 and Table 2.)
1. Preparing Norditropin NordiLet for injection: A. Pull off the pen cap.
B. Remove the protective paper tab from a NovoFine needle and screw the needle onto Norditropin NordiLet. Pull off the outer and inner needle caps. Put the outer needle cap aside to be used after injection.
C. Check the flow: Before you use a new pen for the first time, you need to check the flow (prime the pen) to make sure you get the proper dose and do not inject any air: Hold the Norditropin NordiLet pen with the needle pointing upwards and tap the cartridge gently with your finger a few times to make sure that any air bubbles will collect in the top of the growth hormone container.
D. Holding the Norditropin NordiLet pen with the needle pointing upwards, turn the growth hormone container in the direction of the arrow shown above until you dial one click.
E. Holding the pen with the needle still pointing upwards, press the push-button at the bottom of the pen as far as it can go. Repeat steps C to E until a drop of hormone solution appears at the needle tip.
Do not use a Norditropin NordiLet pen if a drop of solution does not appear.
Always check the flow (prime the pen) before the first injection from a new Norditropin NordiLet pen. Check the flow again if the pen has been dropped or knocked against a hard surface, or if you are not sure that it is working properly.
If considered faulty, take it back to your supplier for a new one.
2. Setting the dose: F. Put the pen cap back on the pen, with '0' next to the dosage indicator.
G. Hold Norditropin NordiLet horizontally and turn the pen cap in the direction of the arrow shown above to set the dose you want.
Be careful not to put your hand over the push-button when you dial the dose. If the push-button cannot rise freely, growth hormone will be pushed out of the needle.
The scale on the pen cap shows the number of clicks (0, 1, 2, 3, 4 clicks). As the pen cap is turned, the push-button rises. The push-button scale shows the number of clicks (5, 10, 15, 20 and 25 clicks).
Every time you make a full turn of the pen cap, 5 clicks will be set.
Always check both the pen cap scale and the push-button scale to ensure you have dialed the correct dose.
Dosage examples: How to select four clicks: Turn the cap until '4' is next to the dosage indicator.
How to select eight clicks: Turn the pen cap one full turn so '0' is next to the dosage indicator again. You have now selected five clicks, and '5' will be shown on the push-button scale. Continue turning the pen cap scale until '3' is next to the dosage indicator.
Add the '3' from the pen cap scale indicator to the '5' on the push-button scale and you have selected eight clicks altogether.
H. To check the dose set, add the figure on the pen cap scale to the highest figure shown on the push-button scale.
If you have set a wrong dose, simply turn the pen cap forwards or backwards until the right number of clicks has been set. 29 clicks is the maximum dose.
If you try to set a higher dose, growth hormone will leak out of the needle and the dose will be wrong.
If you do this by mistake, turn the pen cap back as far as you can until the push-button is fully down and you can feel resistance.
If '0' is not next to the dosage indicator, remove the pen cap and put it back on.
Now start again, remembering that 29 clicks is the maximum dose.
After the dose is set, remove the pen cap to make the injection.
3. How to inject the growth hormone: I. The injection consists of two steps: First step is inserting the needle into the skin. Second step is to press the push-button to inject the dose.
Use the injection technique recommended by your physician/specialist.
After the injection of growth hormone, the needle should remain under the skin for at least 6 seconds. Keep the push-button fully pressed down until the needle has been withdrawn from the skin. This will ensure that the full dose has been injected.
After the injection, replace the outer needle cap, unscrew the needle and carefully dispose of it for safety reasons. Put the pen cap back on the pen, with '0' next to the dosage indicator.
Healthcare professionals, relatives and other carers should follow general precautionary measures for removal and disposal of needles to eliminate the risk of unintended needle penetration.
4. Subsequent injections: Always check that the push-button is fully down. If not, turn the pen cap until the push-button is completely down.
Then proceed as described in sections 1 to 3.
Do not use the clicking sound as a means of determining or confirming your dose. Always check both scales to ensure you have dialed the correct dose.
Please remember: Always keep the pen cap fully closed on Norditropin NordiLet when you are not using it.
Always use a new needle for each injection.
Do not keep the needle screwed onto Norditropin NordiLet when you are not using it.
You can use the growth hormone level indicator to estimate how many clicks of growth hormone are left. You must not use the growth hormone level indicator to set your dose.
You cannot set a dose greater than the number of clicks left.
When emptied, dispose of the used Norditropin NordiLet carefully without the needle attached.
5. Maintenance: Your Norditropin NordiLet pen is designed to work accurately and safely. Norditropin NordiLet should not be shaken vigorously. It should be handled with care. Avoid situations where Norditropin NordiLet might get damaged. Protect Norditropin NordiLet from dust, dirt and direct sunlight.
Do not use Norditropin NordiLet if the growth hormone solution in the pre-filled pen is cloudy or discoloured.
You can clean the exterior of your Norditropin NordiLet pen by wiping it with cotton wool moistened with alcohol.
Do not soak it in alcohol, wash or lubricate it as this may damage the mechanism.