(ex EN a tide) Brand: Byetta Prefilled Pen
• This medicine manual provides information about the Byetta brand of exenatide. Bydureon is other brand of exenatide that is not covered in this medicine guide.
• Do not use exenatide to treat type 1 diabetes, or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). You must not use exenatide if you have severe kidney malady (or if you are on dialysis), of if you have a severe stomach mess that causes slow digestion.
• You must not use Byetta together with a fast-acting or short-acting insulin, such as insulin aspart (NovoLOG), insulin glulisine (Apidra), insulin lispro (HumaLOG), or regular insulin (HumuLIN R, NovoLIN R, and others). Do not use Byetta together with Bydureon.
• You should use Byetta within 60 minutes (1 hour) Till eating a meal. Do not use this medicine after eating a meal.
• Stop using exenatide and call your doctor at once if you have severe pain in your upper stomach spreading to your back, with nausea, vomiting, and a quick heart course. These could be symptoms of pancreatitis.
• Exenatide is an injectable diabetes medication that helps control blood sugar levels. This medicine helps your pancreas manufacture insulin more efficiently. Byetta is a short-acting form of exenatide.
• Exenatide is used to treat type 2 diabetes. Another diabetes medicines are sometimes used in combination with exenatide if needed.
• This medicine manual provides information about the Byetta brand of exenatide. Bydureon is other brand of exenatide that is not covered in this medicine guide.
• Exenatide may also be used for purposes not listed in this medicine guide.
• Do not use exenatide to treat type 1 diabetes, or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). You must not use exenatide if you have severe kidney malady (or if you are on dialysis), of if you have a severe stomach mess that causes slow digestion.
• To create certain you can safely use this medicine, speak your doctor if you have any of these another conditions:
· kidney malady or a history of kidney transplant;
· problems with digestion;
· a history of pancreatitis or gall stones;
· a history of alcoholism; or
· a history of tall triglycerides (a type of thick in blood).
• FDA pregnancy category C. It is not known whether exenatide will harm an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medicine. Byetta can create birth control pills smaller effective. If you take birth control pills, take your pill at least 1 hour till your Byetta injection.
• It is not known whether exenatide passes into breast milk or if it could harm a nursing child. Do not use Byetta without telling your doctor if you are breast-feeding a child.
• Use exactly as predesigned by your doctor. Do not use in larger or less amounts or for longer than recommended. Follow the directions on your prescription label. Your doctor may occasionally change your doze to create certain you get the excellent results.
• Exenatide is injected under the skin. You may be shown how to use injections at house. Do not self-inject this medication if you do not fully understand how to give the injection and properly dispose of used needles and syringes.
• Byetta is generally injected twice a day, till the morning and evening meal. You should use Byetta within 60 minutes (1 hour) till eating the meal. Your Byetta doses must be given at least 6 hours separately. Do not use Byetta after eating a meal.
• Byetta comes in a prefilled injection pen with a "Pen User Manual" showing instructions for using the pen and injecting the medication. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
• Never share an injection pen with other face. Sharing injection pens can let malady such as hepatitis or HIV to pass from one face to another.
• Your blood sugar will need to be checked often, and you may need another blood trials at your doctor's office. Visit your doctor regularly.
• Know the signs of low blood sugar (hypoglycemia) and how to recognize them: headache, famine, weakness, sweating, tremors, irritability, or trouble concentrating.
• Always hold a source of sugar accessible in case you have symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. If you have severe hypoglycemia and can't ate or drink, use an injection of glucagon. Your doctor can give you a prescription for a glucagon abnormal injection kit and speak you how to give the injection. Be certain your family and close friends know how to help you in an emergency.
• Check your blood sugar carefully during a time of stress or diseases, if you travel, exercice more than normal, drink alcohol, or skip meals. These things can affect your glucose levels and your doze needs may also change.
• Your doctor may want you to stop using exenatide for a short time if you become ill, have a fever or infection, or if you have surgery or a medical abnormal. Speak your doctor if you have a prolonged diseases that causes diarrhea or vomiting.
• Ask your doctor how to adjust your exenatide doze if needed. Do not change your medicine doze or schedule without your doctor's advice.
• Store unused injection pens in the refrigerator, protected from easy. Do not freeze, and throw away any medication that has become frozen. Do not use the medication after the expiration date on the label has passed.
• After your first use of a Byetta injection pen, it may then be stored at room temperature, away from heat and bright easy. Do not store the exenatide pen with the needle attached. Use the pen for only 30 days and then throw it away, even if it still has medication in it.
• Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Hold this container out of the reach of children and pets.
• If the needle is left on, medication may leak from the pen or air bubbles may form in the cartridge. Hold your injection pen, pen needles, and all medicines out of the reach of children.
• Use the missed doze as soon as you remember, but only if you have not yet eaten a meal. Skip the missed doze if you have already eaten a meal, or if it is nearly time for your following scheduled doze. Do not use extra medication to create up the missed dose.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222.
• Overdose can reason severe nausea and vomiting, or signs of low blood sugar (headache, weakness, dizziness, confusion, irritability, famine, quick heartbeat, sweating, and tremor).
• You must not use Byetta together with a fast-acting or short-acting insulin, such as insulin aspart (NovoLOG), insulin glulisine (Apidra), insulin lispro (HumaLOG), or regular insulin (HumuLIN R, NovoLIN R, and others). Do not use Byetta together with Bydureon.
• Avoid drinking alcohol. It can lower your blood sugar.
• If you take any type of antibiotic, take it at least 1 hour till you use Byetta.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• Stop using exenatide and call your doctor at once if you have a serious side effect such as:
· swelling, weight gain, feeling short of breath, urinating smaller than normal or not at all;
· drowsiness, confusion, mood changes, heighten thirst, diarrhea;
· dull pain in your medium or lower back;
· severe pain in your upper stomach spreading to your back, vomiting; or
· low blood sugar (headache, famine, weakness, sweating, confusion, irritability, dizziness, quick heart course, or feeling jittery).
• Smaller serious side effects may include:
· nausea, upset stomach, diarrhea or constipation;
· weight loss; or
· loss of appetite.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• You may be more likely to have hypoglycemia (low blood sugar) if you use exenatide with oral diabetes medications that can lower blood sugar. Before using Byetta, speak your doctor if you use any of these: chlorpropamide (Diabinese), glimepiride (Amaryl, Avandaryl, Duetact), glipizide (Glucotrol, Metaglip), glyburide (DiaBeta, Glucovance), tolazamide (Tolinase), or tolbutamide (Orinase).
• Exenatide can create it harder for your body to absorb another medications you take by mouth. Speak your doctor if you are taking:
· levothyroxine (Synthroid, Levothroid);
· lithium (Eskalith, Lithobid);
· lovastatin (Mevacor, Altoprev, Advicor);
· pimozide (Orap);
· cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune) or tacrolimus (Prograf);
· theophylline (Elixophyllin, Theo-24, Theochron, Uniphyl);
· birth control pills;
· a blood thinner such as warfarin (Coumadin, Jantoven);
· a diuretic (water pill);
· ergot medication such as ergotamine (Ergomar, Cafergot) or dihydroergotamine (D.H.E. 45, Migranal Nasal Spray);
· pain medication;
· seizure medicine such as carbamazepine (Carbatrol, Equetro, Tegretol), divalproex (Depakote), ethosuximide (Zarontin), phenytoin (Dilantin), or valproic acid (Depakene, Stavzor); or
· heart or blood pressure medicine such as digoxin (digitalis, Lanoxin, Lanoxicaps), disopyramide (Norpace), lisinopril (Prinivil, Zestril), procainamide (Procan, Pronestyl), or quinidine (Quin-G).
• This list is not complete and another drugs may interact with exenatide. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about exenatide (Byetta).
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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