Hello. I read in one message that after 4 initials there is still anxiety. I have a similar situation. I just did 4 puncture and in the pen the piston is in the middle of the window. I take doses of 0.25mg. I would still like to ask whether it is acceptable to feel minimal pain in the back (kidney) or should the medicine be discontinued? Soon I have to go for a dose of 0.5mg
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Olga Sierpniowska Pharmacist, Editor
3 years ago
In response to my inquiry, I received information from NovoNordisk that, in fact, the Ozempic 0.25 mg pen contains more solution than is needed for 4 doses. This is due to the use of the pen of the same volume (1.5 ml), which is conditioned by the manufacturing processes. There is information that some patients, without experience in administering the drug in the pen, "waste" the first dose, therefore an excess of the drug is beneficial in this regard. Additional information is that after the first use, the drug should be stored at a temperature below 30 degrees Celsius or in a refrigerator (i.e. at a temperature of 2-8 degrees Celsius) and used for a maximum of 6 weeks from the start of using the pen. Additional time (more than 4 weeks of initial dose treatment) may be important if you forget to take your dose or need to postpone your dose. In case of damage to one of the 4 needles in the package or if additional needles were needed, then the patient can buy NovoFine needles available in a package of 7 pieces: https://www.gdziepolek.pl/produkty/54708/novofine-igly-do-penow-insulinowych-igla/apteki At the same time, I can add that in the materials of Ozempic I found information that "Ozempic can be administered using needles up to 8mm long".
Ewa Pilch Pharmacist, Editor
10 months ago
To @Lary: The residue should be disposed of in accordance with local requirements. We wrote more about how and where to throw away medicines in the article: https://www.gdziepolek.pl/artykuly/jak-i-gdzie-wyrzucac-leki According to the entry pinned at the top, after 4 doses of 0.25 mg of Ozempic, approximately 0.74 ml remains in the pen.
Good morning, What to do with the drug that has been left in pena after 4 doses of 0.25mg? I switch to 0.50 mg for the next 4 weeks. How much drug is left in pen after 4 doses of 0.25mg? Best regards.
Angelika Talar-Śpionek Pharmacist, Editor
11 months ago
To @Piotr: A similar problem has also been raised in this thread: https://www.gdziepolek.pl/opinie-i-pytania/66889/ozempic-jak-sprawdzic-czy-we-wstrzykiwaczu-jest-jeszcze-dawka-leku-ozempic If you need to consult a diabetologist, here you can use the teleadvice: https://www.gdziepolek.pl/telekonsultacja/z-diabetologiem
Please help and suggest. After two doses of 0.25 in the pen, I have it completely full. Does this mean that I did something wrong and did not take this drug 🤔 at all And what in such a situation, I should go to the doctor for one more prescription and repeat these two doses 🤔
Olga Sierpniowska Pharmacist, Editor
14 months ago
Up to @marzwe: 4 doses of 0.25 mg is of course 1 mg (milligram), thank you for your vigilance :)
Mrs. Olgo, you write 4 doses of 0.25 mg is 1 gram, should be 1 mg.
Angelika Talar-Śpionek Pharmacist, Editor
1 year ago
In response to the great interest of patients, a non-reimbursed drug Ozempic from parallel imports appeared in pharmacies. The availability of the drug in pharmacies can be checked here: Ozempic 0.5 mg https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/apteki?pvid=275329 Ozempic 1 mg https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/apteki?pvid=275351
Ozempic najlepiej stosować z pena 1mg i dawkować np. 05mg przez 8 tyg za 360 zamiast 720 zl za 2 peny 0,5mg.
Jeżeli ma Pani Facebooka, polecam dołączyć do grupy Ozempic. Tam kobiety opowiadają o swoich doświadczeniach, jak biorą lek, jakie mają skutki uboczne, jakie porady od endokrynologów :-) pozdrawiam
Witam,
Czy coś wiadomo na temat zastosowania pozostałej dawki preparatu jako 5 dawki?
Olga Sierpniowska Pharmacist, Editor
3 years ago
Do @Milena: z wyjaśnień uzyskanych od producenta ani z ulotki nie wynika wprost taka możliwość. Zwrócę się z tym zapytaniem i jeśli napłynie odpowiedź, to przekażę ją Pani w tym wątku.
Mam pytanie. Czy skoro zostaje w penie lek, tak jak pisała Pani wyżej, to można dokupić igly i podać lek po tygodniu jako piątą dawkę? Czy to bedzie pełnowartościowa dawka 0,25 czy to co pozostało jest jiz do wyrzucenia?
Olga Sierpniowska Pharmacist, Editor
3 years ago
Indeed, one patient reported to us doubts about the content of pen after 4 injections of 0.25 mg. After analyzing the full documentation of the drug, I get the impression that in the case of Ozempic 0.25 mg, the pen contains some excess medicine. If you are interested, you can read about it below. Unfortunately, there is no information about this in the package leaflet. Each 0.25 mg Ozempic pen contains 1.5 ml of solution and is designed to deliver 4 doses (4 times 0.25 mg - 4 needles included), with one ml of solution for injection containing 1.34 mg semaglutide. At the same time, the forms for Ozempic 0.25 mg contain information that the prefilled pen contains 2 mg semaglutide in the specified volume of 1.5 ml solution. Each dose contains 0.25 mg semaglutide in 0.19 ml. 4 doses of 0.25 mg is 1 milligram, 4 times 0.19 ml is 0.76 ml. From this it would follow that after 4 doses of the drug of 0.25 mg in the pen remains 0.74 ml of solution. This may allow you to also administer the 0.5 mg dose with this pen (with the appropriate dose setting). At this higher dose, the contents of the pen would be used in full. Only Ozempic at a dose of 1 mg is produced in a larger pen (3 ml). If you are not sure whether you are using the pen correctly, ask your doctor or nurse for advice. Before using the pen for the first time, these people should show how to use it. Detailed instructions for use can also be found in the leaflet. When it comes to back pain, perhaps kidney pain, any such ailments should be consulted with a doctor. Possible kidney disease does not have to be a contraindication to further use of the drug, but it is necessary to check what are the causes of the ailment. If you suspect that the pain may be related to the drug, I encourage you to report this fact: https://www.gdziepolek.pl/artykuly/jak-i-dlaczego-zglaszac-dzialania-niepozadane I enclose additional information about the drug Ozempic: https://www.gdziepolek.pl/produkty/99258/ozempic-iniekcja/apteki