Do not take more NovoNorm than your doctor has recommended. Always take NovoNorm exactly as your doctor has told you. Check with your doctor if you are not sure.

If you take more NovoNorm than you should

If you take too many tablets, your blood sugar may become too low, leading to a hypo. Please see If you get a hypo on what a hypo is and how to treat it.

If you forget to take NovoNorm

If you miss a dose, take the next dose as usual - do not double the dose.

If you stop taking NovoNorm

Be aware that the desired effect is not achieved if you stop taking NovoNorm. Your diabetes may get worse. If any change of your treatment is necessary contact your doctor first.

If you have any further questions on the use of NovoNorm, ask your doctor or pharmacist.

What are possible side effects?
Like all medicines, NovoNorm can cause side effects, although not everybody gets them.

Possible side effects

Common (may affect up to 1 in 10 patients)

Rare (may affect up to 1 in 1000 patients)

Very rare (may affect up to 1 in 10,000 patients)

Frequency unknown

If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor.

How should it be stored?
Keep out of the reach and sight of children.
Store in a dry place in order to protect from moisture. Store in the original package.

Do not use after the expiry date. The expiry date refers to the last date of that month. This is stated on the outer carton and the blister foil.

Medicines should not be disposed of down the drain or in household rubbish. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

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For doctors
What is it?
NovoNorm is a medicine that contains the active substance repaglinide. It is available as round tablets (white: 0.5 mg; yellow: 1 mg; peach: 2 mg).

What is it used for?
NovoNorm is used in patients who have type 2 diabetes (non-insulin-dependent diabetes). It is used together with diet and exercise to lower blood glucose (sugar) levels in patients whose hyperglycaemia (high blood glucose levels) cannot be controlled by diet, weight reduction and exercise. NovoNorm may also be used with metformin (another anti-diabetes medicine) in type 2 diabetes patients whose blood glucose levels are not satisfactorily controlled on metformin alone.

How is it used?
NovoNorm is taken before meals, normally up to 15 minutes before each main meal. The dose is adjusted to give the best control. A doctor should regularly test the patient’s blood glucose to find the lowest effective dose. NovoNorm can also be used for type 2 diabetes patients whose blood glucose levels are usually controlled well on diet, but are experiencing temporary loss of blood glucose control.
The recommended starting dose is 0.5 mg. This dose may need to be increased after one or two weeks. If patients are transferred from another anti-diabetes medicine, the recommended starting dose is 1 mg.
NovoNorm is not recommended for patients below 18 years of age because of a lack of information on safety and effectiveness in this age group.

How does it work?
Type 2 diabetes is a disease in which the pancreas does not make enough insulin to control the level of glucose in the blood or when the body is unable to use insulin effectively. NovoNorm helps the pancreas to produce more insuli