Evening Routine Video - Transcript
TEXT ON-SCREEN and narrator:
This video is not intended to substitute for the training provided by your health care professional. Be sure to talk to your doctor if you have any questions or concerns about using your pump, Duopa, or your health condition.
The Duopa pump can only be used with Duopa medication cassettes. See the Patient Instructions For Use and Prescribing Information for information on using your pump. Please see the Important Safety Information for Duopa included in this video.
TEXT ON-SCREEN:
Evening Routine
Ending your 16-hour daily treatment
· Stop the Continuous Rate
· Turn the pump off
· Disconnect pump
· Flush the tubing
Narrator:
This video will take you through the Duopa evening routine. You’ll see how to stop the Continuous Rate, turn the pump off, and disconnect the Duopa pump at the end of the day. You’ll also learn how to flush the tubing.
TEXT ON-SCREEN:
About Duopa
TEXT ON-SCREEN and narrator:
Duopa (carbidopa and levodopa) is a prescription medicine used for treatment of advanced Parkinson’s disease. Duopa contains 2 medicines, carbidopa and levodopa.
The Duopa system uses a tube to administer (carbidopa and levodopa) enteral suspension directly to your intestine. A cassette containing the medication is attached to a portable pump. The pump connects to the stomach tube used to deliver the medication.
TEXT ON-SCREEN:
Begin Your Evening Routine
Important: do not get the pump wet; it is not waterproof
Not a real patient
Press and hold STOP/START button
Narrator:
It is important to always wash your hands with soap and water before connecting or disconnecting the pump. Important: do not get the pump wet; it is not waterproof.
When it’s time to stop the pump for the day, you will need these items:
• Syringe
• Syringe connector
• Room temperature water
• Coin, like a quarter
Start by removing the pump from its carrying bag.
Press and hold the STOP/START button until 3 dashes appear and disappear from the display; the display will read “STOPPED”.
TEXT ON-SCREEN:
Press and hold ON/OFF button
Narrator:
To turn the pump off, press and hold the ON/OFF button until 3 sets of dots appear and disappear. The display will then turn off. Check that the display is off.
TEXT ON-SCREEN:
Flush the Tubing
Do not use hot water, it could burn the wall of the stomach or intestine
WARNING! Do not twist the stomach tube
Narrator:
You will flush your tubing with a total of 20 milliliters of room-temperature drinking water, so you may want to prepare two 10-milliliter syringes before proceeding to the next step. Do not flush with hot water, as it could burn the wall of the stomach or intestine.
Clamp the cassette tube.
Then, disconnect the tubing by twisting the cassette tube from the straight green connector. Do not twist the stomach tube.
TEXT ON-SCREEN:
Do not over-tighten syringe connector
Narrator:
Next, flush the tubing. Start by connecting the syringe connector to the straight green connector. Be careful to not over-tighten the syringe connector or it could break, and do not use the syringe connector if cracked or broken.
TEXT ON-SCREEN:
Flush with 10 mL of water, repeat
Replace cap on the straight green connector
Narrator:
Connect the syringe to the syringe connector. Gently push the syringe plunger to flush the tube with 10 milliliters of water, then remove syringe and repeat with another 10 milliliters. Remove the syringe and the syringe connector. Replace the white cap on the straight green connector.
TEXT ON-SCREEN:
Flush angled connector. Your angled connector may be white, blue or violet.
Do not use hot water
Do not over-tighten the syringe connector or it could break
Do not use the syringe connector if cracked or broken
Flush with 10 mL of water, repeat
Replace red cap on cassette tube
Narrator:
Next, flush the angled connector. Your angled connector may be white, blue, or violet. Fill the syringe with room-temperature water. Do not flush with hot water, as it could burn the wall of the stomach or intestine. Connect the syringe and syringe connector to the angled connector.
Remember: do not over-tighten the syringe connector or it could break, and do not use the syringe connector if it is cracked or broken.
Gently push the syringe plunger to flush the tube with 10 milliliters of water, then remove syringe and repeat with another 10 milliliters. Disconnect the syringe and the syringe connector and replace the white cap on the angled connector. Put the red cap back on the cassette tube.
TEXT ON-SCREEN:
Remove and Discard Cassette
Unlatch cassette
Do not reuse cassettes
Do not use longer than 16 hours
Narrator:
Now let’s review instructions for removing and discarding the used cassette.
First, hold the pump and cassette upright against a flat surface. Use a coin to twist the latch clockwise, until the latch pops out. Remove the cassette from the pump and discard as instructed by your healthcare provider. Drug cassettes are for one-time use only and should not be used longer than 16 hours, even if some suspension remains.
TEXT ON-SCREEN:
Do NOT store pump below -4°F or above 140°F
Do NOT store pump with cassette attached
Pump case may differ.
Narrator:
Store the pump in a safe place overnight. Do not store the pump at temperatures below -4°F or above 140°F. Do not store the pump with the Duopa cassette attached.
USE
DUOPA (carbidopa and levodopa) enteral suspension is a prescription medicine used for treatment of advanced Parkinson’s disease. DUOPA contains two medicines: carbidopa and levodopa.
IMPORTANT SAFETY INFORMATION
What is the most important safety information I should know about DUOPA?
- Stomach and intestine (gastrointestinal) problems and problems from the procedure you will need to have to receive DUOPA (gastrointestinal procedure-related problems) may occur. Some of these problems may require surgery and may lead to death.
- Serious side effects may include: a blockage of your stomach or intestines (bezoar); stopping movement through intestines (ileus); drainage, redness, swelling, pain, feeling of warmth around the small hole in your stomach wall (stoma); bleeding from stomach ulcers or your intestines; inflammation of your pancreas (pancreatitis); infection in your lungs (pneumonia); air or gas in your abdominal cavity; skin infection around the intestinal tube, pocket of infection (abscess), or infection in your blood (sepsis) or abdominal cavity may occur after surgery; stomach pain, nausea, or vomiting. - Tell your healthcare provider right away if you have any of the following symptoms of stomach and intestine problems and gastrointestinal procedure-related problems: stomach (abdominal) pain; constipation that does not go away; nausea or vomiting; fever; blood in your stool; or a dark tarry stool.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using DUOPA with certain other medicines, including medications for high blood pressure, MAO inhibitors, antipsychotics, metoclopramide, isoniazid, and iron or vitamin supplements, may cause serious side effects. High-protein foods may affect how DUOPA works. Tell your healthcare provider if you change your diet.
DUOPA may cause serious side effects. Talk to your doctor before starting DUOPA and while on DUOPA if you have had or have any of these:
- Falling asleep during normal daily activities without warning. DUOPA may cause you to fall asleep while you are doing daily activities such as driving, which may result in an accident. This can happen as late as one year after starting DUOPA. Do not drive or operate machinery until you know how DUOPA affects you. Tell your healthcare provider if you take medicines that can make you sleepy, such as sleep medicines, antidepressants, or antipsychotics.
- Low blood pressure when you stand or sit up quickly. After you have been sitting or lying down, stand up slowly to help reduce dizziness, nausea, sweating, or fainting until you know how DUOPA affects you.
- Seeing, hearing, or feeling things that are not real (hallucinations).
- Unusual urges. Some people taking medicines for Parkinson’s disease, including DUOPA, have reported urges such as excessive gambling, compulsive eating, compulsive shopping, and increased sex drive.
- Depression and suicide. DUOPA can cause or worsen depression. Pay close attention to changes in your mood, behavior, thoughts, or feelings. Call your healthcare provider right away if you feel depressed or have thoughts of suicide.
- Uncontrolled sudden movements (dyskinesia). If you have new dyskinesia or your dyskinesia gets worse, tell your healthcare provider. This may be a sign that your dose of DUOPA or other Parkinson’s medicines may need to be adjusted.
- Progressive weakness or numbness or loss of sensation in the fingers or feet (neuropathy).
- Heart attack or other heart problems. Tell your healthcare provider if you have experienced increased blood pressure, a fast or irregular heartbeat, or chest pain.
- Abnormal blood tests. DUOPA may cause changes in certain blood tests, especially certain hormone and kidney function blood tests.
- Worsening of the increased pressure in your eyes (glaucoma). The pressure in your eyes should be checked after starting DUOPA.
Do not stop using DUOPA or change your dose unless you are told to do so by your healthcare provider. Tell your healthcare provider if you develop withdrawal symptoms such as fever, confusion, or severe muscle stiffness.
The most common side effects of DUOPA include: complications of tubing placement procedure, swelling of legs and feet, nausea, high blood pressure (hypertension), depression, and mouth and throat pain.
Please see the full Prescribing Information including Medication Guide for additional information about DUOPA. Talk to your healthcare provider if you have questions.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more.