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|Twinject Auto-Injector

Twinject Auto-Injector

Twinject Auto-Injector is used for:

Treating severe allergic reactions (eg, difficulty breathing; rash; hives; tightness in the chest; swelling of the mouth, lips, or tongue) caused by insect stings or bites, foods, drugs, or other causes. It may be also be used for other conditions as determined by your doctor.

Twinject Auto-Injector is a sympathomimetic. It works on different receptors in the body to relax the smooth muscle of the lungs, which improves breathing. It also blocks histamine, which decreases rash, hives, and swelling.

Do NOT use Twinject Auto-Injector if:

• you are allergic to any ingredient in Twinject Auto-Injector

Contact your doctor or health care provider right away if any of these apply to you.

Before using Twinject Auto-Injector:

Some medical conditions may interact with Twinject Auto-Injector. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have angle-closure glaucoma, heart disease, chest pain, high blood pressure, diabetes, thyroid problems, mood or mental disorders, depression, asthma, or an irregular heartbeat

Some MEDICINES MAY INTERACT with Twinject Auto-Injector. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Beta-blockers (eg, propanolol), droxidopa, or phenothiazines (eg, chlorpromazine) because the risk of high or low blood pressure and fast or slow heartbeat may be increased
• Bromocriptine, furazolidone, or tricyclic antidepressants (eg, amitriptyline) because the risk of side effects, such as headache, high temperature, and high blood pressure, may be increased
• Catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), digoxin, or medicines for irregular heartbeat (eg, quinidine) because the effects of Twinject Auto-Injector may be increased
• Guanethidine because its effectiveness may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Twinject Auto-Injector may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Twinject Auto-Injector:

Use Twinject Auto-Injector as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.

• Twinject Auto-Injector comes with an additional patient leaflet. Read it carefully and reread it each time you get Twinject Auto-Injector refilled. Ask your doctor or pharmacist any questions that you may have about Twinject Auto-Injector.
• Twinject Auto-Injector is an injection. If you are using Twinject Auto-Injector at home, carefully follow the injection procedures taught to you by your health care provider.
• Check Twinject Auto-Injector regularly. Replace the injector unit if it contains particles, is discolored (pink or brown), or is cracked or damaged in any way.
• Inject Twinject Auto-Injector only into the outer thigh. Do not inject into the buttocks or into a vein.
• Immediately after use, go to the nearest hospital emergency room. You may need further medical attention. Tell the doctor or health care provider that you have received an injection of epinephrine. Show the thigh where the injection was given to the doctor. Give your used auto-injector to the doctor for inspection and proper disposal.
• Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
• Twinject Auto-Injector is usually given as a one-time dose in an emergency situation. If you are unable to use Twinject Auto-Injector, seek medical attention immediately.
• If you miss a dose of Twinject Auto-Injector, contact your doctor right away.

Ask your health care provider any questions you may have about how to use Twinject Auto-Injector.

Important safety information:

• Never put thumb, fingers, or hand over the gray cap of the auto-injector. Do NOT remove the green or red cap until ready to use.
• Only inject Twinject Auto-Injector into the outer thigh. Never inject Twinject Auto-Injector into hands, fingers, feet, or toes. Doing so may cause a loss of blood flow and result in tissue damage to these areas. If you accidentally inject Twinject Auto-Injector into any of these areas, seek immediate emergency medical attention.
• It may be helpful to train others how to give Twinject Auto-Injector in case you are unable to give it yourself during a reaction.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Twinject Auto-Injector during pregnancy. It is unknown if Twinject Auto-Injector is excreted in breast milk. If you are or will be breast-feeding while you are using Twinject Auto-Injector, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Twinject Auto-Injector:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Anxiety; difficulty sleeping; dizziness; fearfulness; headache; nausea; nervousness; paleness; sweating; tremors; vomiting; weakness.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); fast heartbeat; irregular heartbeat; wheezing.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include bleeding in the brain; fast or irregular heartbeat; fluid in the lungs; high blood pressure.

Store Twinject Auto-Injector at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Keep Twinject Auto-Injector out of the reach of children and away from pets.

General information:

• If you have any questions about Twinject Auto-Injector, please talk with your doctor, pharmacist, or other health care provider.
• Twinject Auto-Injector is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Twinject Auto-Injector. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.