NovoNorm® 0.5 mg tablets
NovoNorm® 1 mg tablets
NovoNorm® 2 mg tablets
1. What NovoNorm® is and what it is used for
2. What you need to know before you take NovoNorm®
3. How to take NovoNorm®
4. Possible side effects
5. How to store NovoNorm®
6. Contents of the pack and other information
NovoNorm® is an oral antidiabetic medicine containing repaglinide which helps your pancreas produce more insulin and thereby lower your blood sugar (glucose).
Type 2 diabetes is a disease in which your pancreas does not make enough insulin to control the sugar in your blood or where your body does not respond normally to the insulin it produces.
NovoNorm® is used to control type 2 diabetes in adults as an add-on to diet and exercise: treatment is usually started if diet, exercise and weight reduction alone have not been able to control (or lower) your blood sugar. NovoNorm® can also be given with metformin, another medicine for diabetes.
NovoNorm® has been shown to lower the blood sugar, which helps to prevent complications from your diabetes.
Talk to your doctor before taking NovoNorm®:
Talk to your doctor if any of the above applies to you. NovoNorm® may not be suitable for you. Your doctor will advise you.
Do not take this medicine if you are under 18 years of age.
You may get a hypo (short for hypoglycaemia) if your blood sugar gets too low. This may happen:
The warning signs of a hypo may come on suddenly and can include: cold sweat; cool pale skin; headache; rapid heart beat; feeling sick; feeling very hungry; temporary changes in vision; drowsiness; unusual tiredness and weakness; nervousness or tremor; feeling anxious; feeling confused; difficulty in concentrating.
If your blood sugar is low or you feel a hypo coming on: eat glucose tablets or a high sugar snack or drink, then rest.
When symptoms of hypoglycaemia have disappeared or when blood sugar levels are stabilised continue NovoNorm® treatment.
Tell people you have diabetes and that if you pass out (become unconscious) due to a hypo, they must turn you on your side and get medical help straight away. They must not give you any food or drink. It could choke you.
Your blood sugar may get too high (hyperglycaemia). This may happen:
The warning signs of too high blood sugar appear gradually. They include: increased urination; feeling thirsty; dry skin and dry mouth. Talk to your doctor. The amount of NovoNorm®, food or exercise may need to be adjusted.
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
You can take NovoNorm® with metformin, another medicine for diabetes, if your doctor prescribes it. If you take gemfibrozil (used to lower increased fat levels in the blood) you should not take NovoNorm®.
Your body’s response to NovoNorm® may change if you take other medicines, especially these:
Alcohol can change the ability of NovoNorm® to reduce the blood sugar. Watch for signs of a hypo.
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.
You should not take NovoNorm® if you are pregnant or you are planning to become pregnant.
You should not take NovoNorm® if you are breast-feeding.
Your ability to drive or use a machine may be affected if your blood sugar is low or high. Bear in mind that you could endanger yourself or others. Please ask your doctor whether you can drive a car if you:
Always take this medicine exactly as your doctor has told you. Check with your doctor if you are not sure.
Your doctor will work out your dose.
Do not take more NovoNorm® than your doctor has recommended.
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 miss a dose, take the next dose as usual - do not double the dose.
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 this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
The most frequent side effect is hypoglycaemia which may affect up to 1 in 10 patients (see If you get a hypo in section 2). Hypoglycaemic reactions are generally mild/moderate but may occasionally develop into hypoglycaemic unconsciousness or coma. If this happens, medical assistance is needed immediately.
Allergy is very rare (may affect up to 1 in 10,000 patients). Symptoms such as swelling, difficulty in breathing, rapid heartbeat, feeling dizzy and sweating could be signs of anaphylactic reaction. Contact a doctor immediately.
Other side effects
Common (may affect up to 1 in 10 patients)
Rare (may affect up to 1 in 1,000 patients)
Very rare (may affect up to 1 in 10,000 patients)
Frequency not known
If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via
By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and the blister foil after EXP. The expiry date refers to the last date of that month.
Store in the original package in order to protect from moisture.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
NovoNorm® tablets are round and convex and engraved with the Novo Nordisk logo (Apis bull). The strengths are 0.5 mg, 1 mg and 2 mg. 0.5 mg tablets are white, 1 mg tablets are yellow and 2 mg tablets are peach-coloured. Four blister pack sizes are available. Each pack contains 30, 90, 120 or 270 tablets.
Not all pack sizes may be marketed.