indication
This medicine is human insulin with a gradual onset of action and a long duration of action.
It is used to lower high blood sugar levels in patients with diabetes mellitus (diabetes). Diabetes is a disease in which your body does not produce enough insulin to control your blood sugar. Treatment with human insulin helps prevent complications of diabetes.
It starts to lower blood sugar about 1 1/2 hours after injection and the effect will last for about 24 hours. The medicine is often used in combination with fast-acting insulin preparations.
contraindication
The drug must not be used
if you are allergic to human insulin or any of the other ingredients of this medicine.
if you are experiencing the first signs of hypoglycemia (low blood sugar), see the side effects category for a summary of serious and very common side effects.
in insulin infusion pumps.
if the cartridge or device containing the cartridge has been dropped, damaged, or crushed.
if it has been stored incorrectly or has been frozen.
if the resuspended insulin does not look uniformly white and cloudy.
If any of these apply, do not use the medicine. Ask your doctor, pharmacist or nurse for advice.
Dosage of Protaphane Penfill 100 IU/ml Inj.-Sus.iePatr.
Always change your insulin dose and adjust your insulin dose exactly as your doctor has told you. Check with your doctor, pharmacist or nurse if you are unsure.
Do not change insulin without talking to your doctor. If your doctor has switched you from one type or brand of insulin to another, your doctor may adjust your dose.
Use in children and adolescents
The medicine can be used in children and adolescents.
Use in special patient groups
If you have kidney or liver problems, or are over 65 years of age, you need to monitor your blood sugar levels more carefully and discuss with your doctor about adjusting your insulin dose to suit your individual needs.
If you use more than you should
If you use too much insulin, your blood sugar will become too low (hypoglycemia).
If you forgot the application
If you forget to take insulin, your blood sugar levels may become too high (hyperglycemia).
If you cancel your application
Do not stop insulin therapy without consulting your doctor; he will tell you what to do. This can lead to very high blood sugar levels (severe hyperglycemia) and ketoacidosis.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.patient records
Before use
Check the label to make sure it’s the correct type of insulin.
Always check the cartridge, including the rubber plunger at the bottom of the cartridge. Do not use if any damage is visible or if the rubber plunger has gone beyond the white label strip on the bottom of the cartridge. This may be the result of an insulin leak. If you think the cartridge is damaged, return it to the pharmacy. For more information, see the user’s guide that came with your pen.
Always use a new needle for each injection to avoid contamination.
Needles and medicines should not be shared with others.
The drug is only suitable for subcutaneous injection using a reusable pen. Ask your doctor if you need to inject insulin in another way.
Warnings and Precautions
Certain conditions and activities can affect your insulin requirement. Ask your doctor for advice:
if you have kidney, liver, adrenal, pituitary or thyroid problems.
if you exercise more than usual, or if you want to change your usual diet, as this may affect your blood sugar.
if you are sick, continue using insulin and seek the advice of your doctor.
If you are traveling abroad: Traveling across different time zones can affect your insulin needs and the timing of your insulin injections.
Skin changes at the injection site
The injection site should be changed regularly; this can help prevent changes in subcutaneous fat, such as thickening or depression of the skin or bumps under the skin. Insulin may not work properly if you inject into areas with bumps, pits, or bumps. If you notice any skin changes at the injection site, tell your doctor. If you are currently injecting into one of these affected areas, contact your doctor before injecting into another area. Your doctor may recommend that you monitor your blood sugar levels more closely and adjust your dose of insulin or other antidiabetic medications.
Ability to drive and use machines
Please ask your doctor if you can drive or operate machines:
if you have frequent hypoglycemia.
if you find it difficult to notice the signs of low blood sugar.
If your blood sugar is too low or too high, it can affect your concentration and your ability to react, and therefore your ability to drive or use machines. Remember that you can endanger yourself and others.
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