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Please also see "Digital Dose Displays and their meanings."

Safety test

No insulin appears at the needle tip during the Safety Test:

Repeat the Safety Test. If insulin droplet does not appear this time either, confirm that:

1. The needle is firmly in position. If it is, the needle may be blocked or defective and should be replaced with a new one.

2. The Dosage Knob has been set correctly (always turn the Dosage Knob to the right/clockwise to preselect the dose). Turn the Dosage Knob one click to the right, equal to one unit.

3. The Cartridge System has been inserted correctly. Check by trying to gently pull out the Cartridge System. If it comes out, reinsert it.

4. The Cartridge System is not empty. If the Cartridge System is empty, insert a new one.

Repeat the Safety Test.

You hear no clicking sound during dose setting:

The Cartridge System may have been inserted incorrectly. Check by trying to gently pull it out. If it does come out, reinsert it.

If there is still no clicking sound, insert a new Cartridge System and listen for the clicking sound. If there is none, obtain a new OptiClik®.

Dose setting

Insulin drips from the needle tip during dose setting:

OptiClik® delivers a maximum dose of 80 units of insulin in one injection. If you continue to dial after reaching 80 units, insulin will drip from the needle and the display will continue to show "80". DO NOT turn back to the required dose—instead dial back to "00". Press the Dosage Knob to expel excess insulin and reset the OptiClik® dose. A dose higher than 80 units should be given in more than one injection.
You feel resistance during dose setting and the Dosage Knob will not turn any further forward (to the right):

1. You are turning to the left and trying to dial down below zero. Turn the Dosage Knob to the right to dial your dose.

2. The Cartridge System is almost empty and no longer contains a sufficient amount of insulin for the dose you need. You can choose to do one of the following:
  • Do not force the Dosage Knob any further. Inject the partial dose, exchange the Cartridge System, and inject the remainder of the dose to equal your total prescribed dose.
 —or—
3. You have dialed (to the right) past the maximum dose of 80 units and have no needle (or a clogged needle) attached. Dial completely back (to the left) to "00" and then attach a new needle and conduct a safety test. Do not force the Dosage Knob to turn further.

The Dosage Knob cannot be pressed down for the insulin injection, or it does not stay down:

1. In setting the dose, you have turned the Dosage Knob so that it is between 2 dose steps. Turn the Dosage Knob to the right or left until it clicks on the desired dose.

2. The needle may be blocked or defective. Use a new needle.

3. You may be pushing the Start Button and Dosage Knob at the same time.

The Dosage Knob no longer turns after a new Cartridge System has been inserted:

Check that the Cartridge System is clicked in firmly. Reinsert the Cartridge System and try again. If it still does not work, try again with a new Cartridge System. Otherwise, please obtain a new OptiClik®.

The Dosage Knob does not come out after you pressed the Start Button:

Do not pull out the dosage knob.
Check that the Cartridge System is clicked in firmly.

The Dosage Knob will not dial back to "00":

When turned back completely, the Dosage Knob should stop at "00". However, sometimes it may stop at "02" or "01". Do a Safety Test to reset the pen.

Cartridge System replacement

The Cartridge System and Pen Body do not click back together properly:

Check that:

1. The Dosage Knob is pushed in.

2. You have put the Cartridge System into the Pen Body correctly. Take the Cartridge System out and insert it again. Then follow the step-by-step guide again.


Insulin injection

After withdrawing the needle from your skin, more than one drop of insulin drips from the needle:

It is possible that you may not have injected your full insulin dose. DO NOT try to make up for this by giving yourself a second injection (otherwise you will be at risk for low blood sugar). Please check your blood sugar and consult with your healthcare professional.

You can avoid the problem next time by taking the following steps:

1. Remove any air bubbles that may be present in the Cartridge System (see "Additional information: Removing air bubbles").

2. Slowly count to 10 before withdrawing the insulin injection needle from your skin after the Dosage Knob has been pressed in fully.
 


Please click here for Important Safety Information for Lantus® (insulin glargine [rDNA origin] injection) and Apidra® (insulin glulisine [rDNA origin] injection).

Please click here for Additional Important Information for Lantus® and Apidra®.

Click here for information on drug anti-counterfeiting.




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USA.GLA.06.01.20      Last Update: February 2008