NovoNorm Special Precautions

Take special care with NovoNorm: If with liver problems. NovoNorm is not recommended in patients with moderate liver disease. NovoNorm should not be taken if the patient has a severe liver disease (see Contraindications).
If with kidney problems. NovoNorm should be taken with caution.
If about to have major surgery or have recently suffered a severe illness or infection. At such times, diabetic control may be lost.
If under 18 or over 75 years of age. NovoNorm is not recommended. It has not been studied in these age groups.
Talk to the doctor if any of the previously mentioned applies. NovoNorm may not be suitable. The doctor will advise.
If a hypo (low blood sugar) occurs: A hypo (short for hypoglycaemia) may occur if the blood sugar gets too low. This may happen: If taking too much NovoNorm; If exercising more than usual; If taking other medicines or suffering from kidney or liver problems (see as previously mentioned).
The warning signs of a hypo may come on suddenly and can include: cold sweat; cool pale skin; headache; rapid heartbeat; feeling sick; feeling very hungry; temporary changes in vision; drowsiness; unusual tiredness and weakness; nervousness or tremor; feeling anxious; feeling confused; difficulty in concentrating.
If blood sugar is low or feeling a hypo coming on, eat glucose tablets or a sugary snack or drink, then rest.
When symptoms of hypoglycaemia have disappeared or when blood sugar levels are stabilised, continue NovoNorm treatment.
People should be told that the patient has diabetes and that if unconsciousness occurs due to a hypo, the patient must be turned on his/her side and medical help must be sought straight away. Any food or drink must not be given to the patient. It could cause choking.
If severe hypoglycaemia is not treated, it can cause brain damage (temporary or permanent) and even death.
If with a hypo that causes passing out, or a lot of hypos, talk to the doctor. The amount of NovoNorm, food or exercise may need to be adjusted.
If blood sugar gets too high: The blood sugar may get too high (hyperglycaemia). This may happen: If taking too little NovoNorm; If with an infection or a fever; If eating more than usual; If exercising less than usual.
The warning signs of too high blood sugar appear gradually. They include: increased urination; feeling thirsty; dry skin and dry mouth. Talk to the doctor. The amount of NovoNorm, food or exercise may need to be adjusted.
NovoNorm with alcohol: Alcohol can change the ability of NovoNorm to reduce the blood sugar. Watch for signs of a hypo.
Driving and using machines: The ability to drive or use a machine may be affected if blood sugar is low or high. Bear in mind that oneself or others could be endangered. Ask the doctor whether a car can be driven if: Having frequent hypos; Having few or no warning signs of hypos.
Use in Children: Do not take this medicine if under 18 years of age.