Human Insulin/Soluble Insulin

Dosage Forms Available

• Human Insulin/Soluble Insulin is available for administration via the subcutaneous, intramuscular, or intravenous route.
• The medicine's formulations include vials, cartridges and pre-filled pens for injection. The vials and cartridges contain 100 IU/ml of the active ingredient.

Age and Dose Restrictions

• This medicine is typically meant for adults and children above the age of 10 years who are diagnosed with diabetes mellitus.
• However, the exact age and dose restrictions may vary as per individual requirements and doctor's advice.

Contraindications

• This medicine should not be taken by patients who have a known hypersensitivity to Human Insulin/Soluble Insulin or any of its excipients.
• It is also contraindicated in patients who are experiencing an episode of hypoglycemia.

Other Medications to Avoid

• Human Insulin/Soluble Insulin may interact with oral antidiabetic agents (such as glimepiride, gliclazide), salicylates (like aspirin, oil of wintergreen), sulfonamide antibiotics (such as cotrimoxazole, sulfadoxine), fibrates (like fenofibrate, gemfibrozil), MAO inhibitors (like phenelzine, selegiline) and pentoxifylline.
• On the other hand, it may have reduced effectiveness when taken alongside corticosteroids (like dexamethasone, prednisone), isoniazid, niacin, phenothiazines (such as chlorpromazine, prochlorperazine), thyroid hormones (like levothyroxine), estrogens, progestogens, protease inhibitors (like ritonavir, darunavir) and atypical antipsychotics (like risperidone, quetiapine).

Overdose and Missed Dose

• Taking more insulin than prescribed can cause severe hypoglycaemia (low blood sugar), with symptoms such as sweating, tremors, dizziness, confusion, and, in extreme cases, seizures or loss of consciousness. Seek immediate medical attention if an overdose is suspected.
• If a dose is missed, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose. Do not take a double dose to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve after discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Regular monitoring of blood glucose levels can help manage the risk of hypoglycemia.
• Injection site reactions can be managed by rotating the injection sites each time one administers a dose.
• Staying well-hydrated and avoiding excessive salt intake can help manage oedema.

Use in Driving and Operating Machinery

• This medicine can cause hypoglycemia which may lead to symptoms like dizziness or confusion. Therefore, it's advisable to avoid driving or operating heavy machinery when such symptoms are experienced.

Use in Pregnancy and Lactation

• Human Insulin/Soluble Insulin is considered safe for use during pregnancy and breastfeeding. However, it's always recommended to consult your doctor before starting this medication during these periods.

Caution in Other Conditions

• Patients with kidney or liver impairment may need adjustments in their dose of Human Insulin/Soluble Insulin, so caution is advised.
• Patients with heart disease should also use this medicine with caution as it can cause fluid retention and edema.

Special Dietary and Lifestyle Recommendations

• Eating a balanced diet with an appropriate amount of carbohydrates can help manage blood glucose levels effectively.
• Regular physical activity is beneficial as it helps lower blood glucose levels.
• Avoid consuming alcohol as it can alter blood glucose levels and increase the risk of hypoglycemia.
• Regularly monitor blood glucose levels to ensure effective glycemic control.