Frequently Asked Questions
About Nutropin AQ® (somatropin)
Responses to the Frequently Asked Questions below combine to deliver key clinical, safety, and administrative information on different aspects of Nutropin therapy.
Devices and Dosing
If the dose does not divide evenly into the amount of mg per device, it is important to instruct patients on how to handle the last dose. After the injection, if the dose knob returns to 0.0, the patient has received his or her full dose. If the dose knob stops before returning to 0.0, the NuSpin is empty, and the patient has not received the full dose. For the NuSpin device, the number shown in the dose window is the amount that the patient will need for a full dose. In general, if the full dose has not been received, when using a pen device, the patient is instructed to open a new device/cartridge, dial in the amount of mg that would complete that dose, and give a second shot. If the patient is hesitant to give 2 shots in 1 day, he/she should contact the prescriber for instructions. It is the prescriber’s decision whether to:
- Add the amount of mg of the dose that the patient did not receive to the next day's dose,
- Disregard the part of the dose that was not given, and give the usual dose the next day
Always check to see if it is damaged. Be sure that the black dose knob and the Activator are moving properly. If the NuSpin is damaged, the patient may call the Specialty Pharmacy for replacement or call 1-866-NUTROPIN (1-866-688-7674).
It is important that the proper needles are used on the NuSpin device. It is known that the BD Ultra-Fine™ and NovoFine® needles work well with the NuSpin. The patient may also be twisting the needle too tight on the pen device. It is important to put the needle on the device right before the injection is given and remove it right after the injection. Leaving the needle on can cause leakage. After the injection is given, the patient should count 3-5 seconds before withdrawing the needle.
BD Ultra-Fine is a trademark of Becton, Dickinson and Company. NovoFine is a registered trademark of Novo Nordisk A/S.
Yes. A new needle must be used for every injection. The needle is sterile only for one single injection.
A very small amount of drug may be expelled when the dose knob is dialed up. This is expected and does not indicate a malfunction. After the injection is completed it is important to promptly remove the needle and replace with the NuSpin device cap.
It is normal to notice bubbles after priming or prior to subsequent injections. This will not interfere with injections. All injection devices have bubbles after priming. However, the size and ability to see the bubbles may vary. Bubbles cannot be evacuated completely because of the way the needle engages with the device. NuSpin has an exposed cartridge housing that makes the bubbles and drug highly visible.