Pays: Tunisie
Langue: français
Source: Ministère de la Santé, Direction de l'inspection Pharmaceutique
INSULINE ANALOGUE
NOVO NORDISK A/S Bagsvaerd
INSULINE ANALOGUE
100 UI/ML
Suspension injectable
B/5/stylos pré-remplies/3 ML
C
MEDICAMENT UTILISE DANS LE TRAITEMENT DU DIABETE
APPAREIL DIGESTIF ET METABOLISME
Traitement du diabète de l'adulte, de l'adolescent et de l'enfant de 10 à 17 ans.
Classement VEIC: Vital
2007-02-28
NovoMix® 30 FlexPen® – Adjustment of dosage may be necessary if patients undertake increased physical activity, change their usual diet or during concomitant illness. The following titration guideline is recommended for dose adjustments: PRE-MEAL BLOOD GLUCOSE LEVEL NOVOMIX® 30 DOSE ADJUSTMENT <4.4 mmol/l <80 mg/dl -2 U 4.4–6.1 mmol/l 80–110 mg/dl 0 6.2–7.8 mmol/l 111–140 mg/dl +2 U 7.9–10 mmol/l 141–180 mg/dl +4 U >10 mmol/l >180 mg/dl +6 U In patients with type 2 diabetes, a dose reduction of 20% is recommended for patients with an HbA 1c less than 8% when a GLP-1 receptor agonist is added to NovoMix® 30, to minimise the risk of hypoglycaemia. For patients with an HbA 1c higher than 8% a dose reduction should be considered. Subsequently, dosage should be adjusted individually. SPECIAL POPULATIONS As with all insulin products, in special populations, glucose monitoring should be intensified and the insulin aspart dosage adjusted on an individual basis. Elderly: NovoMix® 30 can be used in elderly patients; however there is limited experience with the use of NovoMix® 30 in combination with OADs in patients older than 75 years. Renal and hepatic impairment: Renal or hepatic impairment may reduce the patient’s insulin requirements. Paediatric population: NovoMix® 30 can be used in children and adolescents aged 10 years and above when premixed insulin is preferred. Limited clinical data exist for children aged 6 to 9 years (see _Pharmacodynamic properties_). No data are available for NovoMix® 30 in children below 6 years of age. METHOD OF ADMINISTRATION NovoMix® 30 is for subcutaneous administration only. NovoMix® 30 must not be administered intravenously as it may result in severe hypoglycaemia. Intramuscular administration should be avoided. NovoMix® 30 is not to be used in insulin infusion pumps. NovoMix® 30 is administered subcutaneously by injection in the thigh or in the abdominal wall. If convenient, the gluteal or deltoid region may be used. Injection sites should always be rotated Lire le document complet