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Instructions for Use and Handling: Handling the Vial: Apidra vials are for use with insulin syringes with the corresponding unit scale and for use with an insulin pump system.
Check the vial before using. Use only if the solution is clear, colorless and has no visible particles in it. Do not shake or mix before use.
Always use a new vial if blood sugar control is unexpectedly getting worse because the insulin may have lost some of its effectiveness. If there's a problem with Apidra, have it checked by the physician or pharmacist. It is recommended that the date of the 1st use be noted on the label.
Mixing Two Types of Insulin: Apidra must not be mixed with any preparation other than NPH human insulin. If Apidra is mixed with NPH human insulin, it should be drawn into the syringe first. Injection should be given immediately after mixing.
Handling an Infusion Pump System: Apidra must never be mixed with diluent or any other insulin when used in a pump. Use the type of pump system recommended by the physician. Read and follow the instructions that accompany the insulin infusion pump. Follow the physician's instructions about the basal infusion rate and the mealtime insulin boluses to be taken. To get the benefit of insulin infusion, and to detect possible malfunction of the insulin pump, blood sugar level should be measured regularly.
The infusion set and reservoir should be changed every 48 hrs using aseptic technique.
An alternative insulin should always be available for injection under the skin in case of pump system failure.
Medicines should not be disposed of via wastewater or household waste. Ask the pharmacist on how to dispose of medicines no longer required. These measures will help to protect the environment.
