Proper Use

Drug information provided by: Micromedex

When you start using this medicine, it is very important that you check your blood sugar often, especially before and after meals and at bedtime. This will help lower the chance of having very low blood sugar.

Carefully follow the special meal plan your doctor gave you. This is the most important part of controlling your diabetes, and is necessary for the medicine to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed.

This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions.

You will be using pramlintide at home. Your doctor will teach you how the injections are to be given. Be sure you understand exactly how the medicine is to be injected. Tell your doctor if you have dexterity (skill in using the hands) or vision problems.

This medicine is given as a shot under the skin of your stomach or upper thigh. Inject pramlintide at a site that is more than 2 inches away from your insulin injection. Never inject insulin and pramlintide in the same site.

When you first start using this medicine, you will need to adjust your insulin dose. Do not change the timing or amount of any of your medicines without your doctor's advice. It is very important that you follow your doctor's instructions about all medicines you use to control your diabetes.

You should never mix your insulin and pramlintide injections together. These injections are always given separately. Also, this medicine should not be used in an insulin infusion pump. If you have questions about this, ask your doctor or pharmacist.

Allow the medicine to warm at room temperature before you inject it. If the medicine in the pen-injector has changed color, looks cloudy, or if you see particles in it, do not use it.

Use a new needle and syringe each time you inject your medicine.

Never share medicine pens with others under any circumstances. It is not safe for one pen to be used for more than one person. Sharing needles or pens can result in transmission of infection.

Throw away used needles and syringes in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

Take oral medications (such as antibiotics, pain medicines, or birth control pills) 1 hour prior to or 2 hours after you use pramlintide. Tell your doctor about any medications you are taking.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For injection dosage form:
    • For Type 1 diabetes:
      • Adults—Dose is based on your blood sugar and how well your body adjusts to the medicine, and this must be determined by your doctor. The starting dose is 15 micrograms (mcg) injected under the skin right before each major meal. A major meal has at least 250 calories or 30 grams of carbohydrates. Your doctor may adjust your dose as needed.
      • Children—Use and dose must be determined by your doctor.
    • For Type 2 diabetes:
      • Adults—Dose is based on your blood sugar and how well your body adjusts to the medicine, and this must be determined by your doctor. The starting dose is 60 micrograms (mcg) injected under the skin right before each major meal. A major meal has at least 250 calories or 30 grams of carbohydrates. Your doctor may adjust your dose as needed.
      • Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store in the refrigerator. Do not freeze.

Store the unopened pen-injector in the refrigerator until you are ready to use it. Protect it from bright light.

An opened pen-injector may be kept in the refrigerator or at room temperature for up to 30 days. Throw away any medicine that has not been used after 30 days.