Biosulin R Caution For Usage

Identification of Insulin Preparations: The doctor has advised to take insulin injections regularly because the pancreas is unable to produce the required amount of insulin to meet the daily needs. Please follow the doctor's advice meticulously in every respect.
Please check the carton and the vial for the name and type of insulin prescribed. In the event of any doubt, always seek clarification from the doctor.
Injection technique: Correct Syringe: The dose of insulin is always expressed in international Units (IU). All the insulin preparations marketed by M. J. BIOPHARM PVT. LTD. are available in a strength of 100 IU/ml. Please study the markings made on the insulin syringe carefully and understand calculation of the dose in ML. Do make sure to use only a syringe calibrated to 100 IU per ML. The volume of insulin injected depends upon the dose required. Hence, use a syringe marked for the use of insulin. If proper syringe is not used, it may lead to an error in the dosage. This may cause serious problems such as blood glucose may become too low or high.
Sterilisation of Insulin Syringe: Do not share syringe or needles with anyone else.
Reusable syringes and needles must be sterilised before each injection. Separate the syringe, plunger (piston) and the needle. Place them in water in a covered container. Bring the water to boiling and continue to boil at least for 5 minutes. Allow it to cool completely. Follow all the instructions mentioned on the package of the syringe.
Whenever disposable syringe and needles are used, use them only once and then discard.
Preparing the Dose and Injection: Wash hands with soap and water.
Insert the plunger into the syringe, fix the needle with a slight twist. Push the plunger in and out several times to remove all the water that might have remained inside. Now the syringe is ready for use. However, this step is not necessary while using a sterile disposable syringe and a needle.
Gently rotate the insulin vial several times to ensure that the contents are properly mixed. Do not use the insulin if anything unusual is detected in the appearance of the vial.
When using a new vial, remove the plastic protective cap on the stopper. However, do not remove the stopper. Wipe the top of the vial with a spirit swab immediately before drawing insulin into the syringe and allow it to dry.
If the doctor has advised to mix different types of insulins, ensure to follow the same sequence for drawing insulin from the vials every time. The insulin mixture should be prepared just prior to the injection.
Pull the plunger down to the required mark and draw air into the syringe equivalent to the volume of insulin to be withdrawn for administration. Push the needle through the rubber stopper into the vial and inject the air into the vial. Please note that it will be difficult to draw insulin into the syringe unless an equal volume or at least half of the required volume of air is injected into the vial. Ensure that the tip of the needle is in insulin and then invert the vial along with the needle and the syringe and draw the required dose of insulin.
Pull the needle out of the insulin vial. If there are any air bubbles in the syringe, hold the syringe vertical with the needle on the top and gently tap the syringe. This will make the air bubbles move towards the needle. Then remove the air bubble by pushing the plunger slowly. Check that the correct dose of insulin has been drawn into the syringe.
Injection: Clean the site of injection thoroughly using a cotton swab soaked in spirit or alcohol. Pinch a fold of skin and hold it using the thumb and index finger. Hold the syringe and needle at angle of about 45° and without touching the cleaned area push the needle into the skin fold. Release the skin fold and gently withdraw the plunger. Make sure that blood does not appear into the syringe; this is rare, if this happens pull out the needle and inject it elsewhere. If no blood appears, then inject the insulin by pushing the plunger steadily. After the injection is complete, remove the needle swiftly and wipe the area lightly with cotton. Do not rub or massage the injection site. To minimise discomfort, change the injection site for every injection.