What is Insulin lispro protamine and insulin lispro?
Insulin lispro protamine and insulin lispro is one of many hormones that helps the body turn the food we eat into energy. Also, Insulin lispro protamine and insulin lispro helps us store energy that we can use later. After we eat, Insulin lispro protamine and insulin lispro works by causing sugar (glucose) to go from the blood into our body's cells to make fat, sugar, and protein. When we need more energy between meals, Insulin lispro protamine and insulin lispro will help us use the fat, sugar, and protein that we have stored. This occurs whether we make our own Insulin lispro protamine and insulin lispro in the pancreas gland or take it by injection.
Diabetes mellitus (sugar diabetes) is a condition in which the body does not make enough Insulin lispro protamine and insulin lispro to meet its needs or does not properly use the Insulin lispro protamine and insulin lispro it makes. Without Insulin lispro protamine and insulin lispro, glucose cannot get into the body's cells. Without glucose, the cells will not work properly.
To work properly, the amount of Insulin lispro protamine and insulin lispro you use must be balanced against the amount and type of food you eat and the amount of exercise you do. If you change your diet, your exercise, or both without changing your Insulin lispro protamine and insulin lispro dose, your blood glucose level can drop too low or rise too high. A prescription is not necessary to purchase most Insulin lispro protamine and insulin lispro. However, your doctor must first determine your Insulin lispro protamine and insulin lispro needs and provide you with special instructions for control of your diabetes
Insulin lispro protamine and insulin lispro can be obtained from beef or pork pancreas glands. Another type of Insulin lispro protamine and insulin lispro that you may use is called human Insulin lispro protamine and insulin lispro. It is just like the Insulin lispro protamine and insulin lispro made by humans but it is made by methods called semi-synthetic or recombinant DNA. All types of Insulin lispro protamine and insulin lispro must be injected because, if taken by mouth, Insulin lispro protamine and insulin lispro is destroyed in the stomach.
Insulin lispro protamine and insulin lispro is available only with your doctor's prescription.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although this use is not included in product labeling, regular Insulin lispro protamine and insulin lispro is used in certain patients with the following medical conditions:
- Growth hormone deficiency testing
- Prevent complications of diabetes, including eye problems (retinopathy), kidney disease (nephropathy), and nerve damage (neuropathy)
- Treat high blood sugar (hyperglycemia) in low birth weight infants
Insulin lispro protamine and insulin lispro indications
Intramuscular
Diabetic ketoacidosis
Adult: As soluble Insulin lispro protamine and insulin lispro, initial loading dose of 20 units, followed by 6 units/hr until blood glucose drops to 10 mmol/l, when the dose is given 2 hrly.
Intravenous
Diabetic ketoacidosis
Adult: As soluble Insulin lispro protamine and insulin lispro, given in concentration of 1 unit/ml using an infusion pump: Initially infuse at a rate of 6 units/hr, double or quadruple the rate if blood glucose concentration do not decrease by about 5 mmol/l/hr. If blood glucose concentrations have decreased to 10 mmol/l, reduce the infusion rate to 3 units/hr and continue with 5% glucose to prevent hypoglycaemia, until the patient can eat orally. Do not stop the Insulin lispro protamine and insulin lispro infusion before SC Insulin lispro protamine and insulin lispro is started. Ensure adequate fluid replacement and include potassium chloride in the infusion to prevent Insulin lispro protamine and insulin lispro-induced hypokalaemia.
Child: As soluble Insulin lispro protamine and insulin lispro, given in concentration of 1 unit/ml using an infusion pump: Initially infuse at a rate of 0.1 units/kg/hr, double or quadruple the rate if blood glucose concentration do not decrease by about 5 mmol/l/hr. If blood glucose concentrations have decreased to 10 mmol/l, reduce the infusion rate to 0.05 units/kg/hr and continue with 5% glucose to prevent hypoglycaemia, until the patient can eat orally. Do not stop the Insulin lispro protamine and insulin lispro infusion before SC Insulin lispro protamine and insulin lispro is started. Ensure adequate fluid replacement and include potassium chloride in the infusion to prevent Insulin lispro protamine and insulin lispro-induced hypokalaemia.
Subcutaneous
Diabetes mellitus
Adult: Admin according to requirements; inject into thighs, upper arms, buttocks, or abdomen.
How should I use Insulin lispro protamine and insulin lispro?
Use Insulin lispro protamine and insulin lispro powder as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Insulin lispro protamine and insulin lispro powder comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Insulin lispro protamine and insulin lispro powder refilled.
- If you are using Insulin lispro protamine and insulin lispro powder with meals, use your dose within 10 minutes before the meal begins unless your doctor tells you otherwise.
- A health care provider will teach you how to use Insulin lispro protamine and insulin lispro powder. Be sure you understand how to use Insulin lispro protamine and insulin lispro powder. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
- Be sure that you have blisters that contain the correct amount of medicine that you need. Do NOT use three 1 mg blisters in place of one 3 mg blister. If you need a 3 mg blister and do not have one, use two 1 mg blisters unless your doctor tells you otherwise.
- Do NOT open the medicine blister or swallow Insulin lispro protamine and insulin lispro powder. Insulin lispro protamine and insulin lispro powder is a powder for inhalation into the lungs. Use it only with the inhaler device provided. Do not use it with any other type of inhaler device.
- To prepare the inhaler device - Hold it so that the words " Exubera Inhaler" face you. Pull the black ring at the bottom of the base to pull the base out of the chamber. You should hear a click when the inhaler device is fully extended. The bottom of the chamber must be above the gray button.
- To load the inhaler device - Hold a medicine blister with the printed side up and the notch pointed toward the inhaler. Insert it into the slot on the inhaler device. Push it in as far as it will go. Make sure the mouthpiece is closed. Pull the blue handle out from the bottom as far as it will go, and then squeeze the blue handle until it snaps shut.
- To use Insulin lispro protamine and insulin lispro powder - Stand or sit up straight. Hold the inhaler upright, with the blue button facing toward you. Push the blue button until it clicks and watch for the Insulin lispro protamine and insulin lispro cloud to fill the chamber.
- After the cloud appears, breathe out normally and turn the mouthpiece so that it is facing toward you. Place the mouthpiece fully in your mouth and form a seal around the mouthpiece with your lips. Do NOT blow into the mouthpiece. Do not block the opening with your tongue or teeth. Breathe in slowly and deeply through your mouth to inhale the Insulin lispro protamine and insulin lispro cloud and then take the inhaler device out of your mouth. Close your mouth and hold your breath for 5 seconds, and then breathe out normally.
- Turn the mouthpiece to the closed position. Press the gray button, pull out the used medicine blister, and throw it away. Do not reuse a medicine blister. If you need to inhale another blister to complete your dose, repeat the steps above. Inhale only one blister at a time.
- To store the inhaler device - Squeeze the 2 chamber release buttons on the side of the base at the same time. Push the base back into the chamber.
- Carefully follow the instructions for cleaning and caring for the inhaler device. Replace the Exubera release unit every 2 weeks to ensure that the inhaler device will work properly.
- Insulin lispro protamine and insulin lispro powder begins to lower blood sugar about 10 to 20 minutes after you use a dose. The peak effect occurs about 2 hours after you use a dose. The effect of Insulin lispro protamine and insulin lispro powder lasts for up to 6 hours.
- If you also use bronchodilators or other inhaled products, they may increase the risk of high or low blood sugar. It is important to time your doses consistently with regard to Insulin lispro protamine and insulin lispro powder. Ask your doctor how to use bronchodilators or other inhaled products with Insulin lispro protamine and insulin lispro powder.
- It is very important to follow your Insulin lispro protamine and insulin lispro regimen exactly. Do NOT miss any doses. Ask your doctor for specific instructions to follow in case you ever miss a dose of Insulin lispro protamine and insulin lispro.
Ask your health care provider any questions you may have about how to use Insulin lispro protamine and insulin lispro powder.
Insulin lispro protamine and insulin lispro description
Insulin lispro protamine and insulin lispro is a hormone that is central to regulating energy and glucose metabolism in the body. Insulin lispro protamine and insulin lispro causes cells in the liver, muscle, and fat tissue to take up glucose from the blood, storing it as glycogen in the liver and muscle.
Insulin lispro protamine and insulin lispro stops the use of fat as an energy source. When Insulin lispro protamine and insulin lispro is absent, glucose is not taken up by body cells and the body begins to use fat as an energy source, for example, by transfer of lipids from adipose tissue to the liver for mobilization as an energy source. As its level is a central metabolic control mechanism, its status is also used as a control signal to other body systems (such as amino acid uptake by body cells). In addition, it has several other anabolic effects throughout the body.
When control of Insulin lispro protamine and insulin lispro levels fails, diabetes mellitus will result. As a consequence, Insulin lispro protamine and insulin lispro is used medically to treat some forms of diabetes mellitus. Patients with Type 1 diabetes mellitus depend on external Insulin lispro protamine and insulin lispro (most commonly injected subcutaneously) for their survival because the hormone is no longer produced internally. Patients with Type 2 diabetes mellitus are Insulin lispro protamine and insulin lispro resistant, and because of such resistance, may suffer from a relative Insulin lispro protamine and insulin lispro deficiency. Some patients with Type 2 diabetes may eventually require Insulin lispro protamine and insulin lispro if other medications fail to control blood glucose levels adequately, though this is somewhat uncommon.
Insulin lispro protamine and insulin lispro also influences other body functions, such as vascular compliance and cognition. Once Insulin lispro protamine and insulin lispro enters the human brain, it enhances learning and memory and in particular benefits verbal memory.
Insulin lispro protamine and insulin lispro is a peptide hormone composed of 51 amino acids and has a molecular weight of 5808 Da. It is produced in the islets of Langerhans in the pancreas. The name comes from the Latin insula for "island". Insulin lispro protamine and insulin lispro's structure varies slightly between species of animal. Insulin lispro protamine and insulin lispro from animal sources differs somewhat in "strength" (in carbohydrate metabolism control effects) in humans because of those variations. Porcine (pig) Insulin lispro protamine and insulin lispro is especially close to the human version.
Insulin lispro protamine and insulin lispro dosage
Adult : IV Diabetic ketoacidosis As soluble Insulin lispro protamine and insulin lispro at a concentration of 1 u/mL via an infusion pump: Initial: Infuse at a rate of 6 u/hr, double or quadruple the rate if blood glucose concentration do not decrease by about 5 mmol/L/hr. If blood glucose concentrations have decreased to 10 mmol/L, reduce infusion rate to 3 u/hr and continue w/ 5% glucose until the patient can eat orally. IM Diabetic ketoacidosis As soluble Insulin lispro protamine and insulin lispro: Loading dose: 20 u, then 6 u/hr until blood glucose drops to 10 mmol/L, when the dose is given 2 hrly. SC DM Dosage should be individualised and adjusted based on patient's glycaemic response.
Insulin lispro protamine and insulin lispro interactions
Possible absence of hypoglycaemic warning symptoms with β-blockers. Decreased hypoglycaemic effect with corticosteroids, danazol, diazoxide, diuretics, glucagon, isoniazid, phenothiazine derivatives, somatropin, sympathomimetic agents, thyroid hormones, oestrogens, progestins (e.g. in oral contraceptives), protease inhibitors and atypical antipsychotic (e.g. olanzapine and clozapine). Increased hypoglycaemic effect with oral antidiabetic agents, ACE inhibitors, disopyramide, fibrates, fluoxetine, MAOIs, pentoxifylline, propoxyphene, salicylates and sulfonamide antibiotics. Decreased Insulin lispro protamine and insulin lispro resistance with octreotide and lanreotide. Increased risk of wt gain and peripheral oedema with pioglitazone, rosiglitazone. Decreased effect of sermorelin.
Insulin lispro protamine and insulin lispro side effects
See also:
What are the possible side effects of Insulin lispro protamine and insulin lispro?
Hypoglycaemia, Insulin lispro protamine and insulin lispro resistance, lipoatrophy, hypokalaemia, blurred vision.
Insulin lispro protamine and insulin lispro contraindications
Hypoglycaemia.
Active ingredient matches for Insulin lispro protamine and insulin lispro:
List of Insulin lispro protamine and insulin lispro substitutes (brand and generic names) | Sort by popularity |
| Unit description / dosage (Manufacturer) | Price, USD |
| Insulin Powder | |
| Insulinum | |
| Liquid; Oral; Insulin 6 d | |
| Pellets; Oral; Insulin 6 d | |
| Tablet; Oral; Insulin 6 d | |
| Insulyl | |
| Insuman-Comb (India) | |
| Insuman-Comb Insulin lispro 25% , insulinlispro protamine 75% . SUSP / 3ml (Sanofi Aventis) | $ 2.51 |
| Insuman-Comb Insulin lispro 50% , insulinlispro protamine 50%. SUSP / 3ml (Sanofi Aventis) | |
| Insuplant (France) | |
| Intesulin B | |
| Iszilin | |
| Lantus Optisets (India) | |
| Lantus Optisets 100iu OPTIPEN / 3ml (Sanofi Aventis) | $ 9.20 |
| 100 IU x 3ml (Sanofi Aventis) | $ 9.20 |
| LANTUS OPTISETS OptiPen 100 IU x 3ml (Sanofi Aventis) | $ 9.20 |
| Lentard 40 | |
| Lentard 40 40iu/ml VIAL / 10ml | $ 1.56 |
| Lente Purified Pork Insulin | |
| Injectable; Injection; Insulin 100 units / ml | |
| Lentisulin CPI | |
| Lentisulin CPI Porcine Insulin Zn suspension400iu INJ / 10ml | $ 0.95 |
| Lentisulin HPI | |
| Lentisulin HPI Insulin Zn suspension 40iu, Zn 0.096mg, Methylparaben1mg/1ml INJ / 10ml | $ 1.14 |
| Lentisulin HPI Insulin Zn suspension 40iu, Zn 0.096mg, Methylparaben1mg/1ml INJ / 10ml | $ 1.14 |
| Lentisulin HPI 400 | |
| Lentisulin HPI 400 400IU VIAL / 10ml | $ 1.33 |
| Lupisulin-M 30 (India) | |
| Lupisulin-M 30 40 IU VIAL / 10ml (Lupin) | $ 1.71 |
| Lupisulin-M 30 100 IU CATRIDGE / 3ml (Lupin) | $ 1.83 |
| Lupisulin-M 50 | |
| Lupisulin-M 50 40 IU VIAL / 10ml | |
| Mixtard HM Penfill | |
| Mixtard HM Penfill 40iu/10ml INJ / 5x3ml | $ 12.59 |
| Mixtard-30 (India) | |
| Mixtard-30 30% insulin , 70% insulin, isophane100IU x 1mL PENFILL / 3.5mlx5 (Novo Nordisk) | $ 12.52 |
| Mixtard-30 30% insulin , 70% insulin, isophane 100IU x 1mL PENFILL / 3.5mlx5 (Novo Nordisk) | $ 12.52 |
| MIXTARD-30 FlexPen 100 IU x 1 mL x 3ml (Novo Nordisk) | $ 3.95 |
| Mixtard-30 Novolet (India) | |
| Mixtard-30 Novolet 30% Soluble insulin , 70%Insulin, Isophane100IU x 1mL INJ / 3ml (Novo Nordisk) | $ 3.43 |
| 100 IU x 1 mL x 3ml (Novo Nordisk) | $ 3.43 |
| Mixtard-30 Novolet 30% Soluble insulin , 70%Insulin, Isophane 100IU x 1mL INJ / 3ml (Novo Nordisk) | $ 3.43 |
| MIXTARD-30 NOVOLET Novolet 100 IU x 1 mL x 3ml (Novo Nordisk) | $ 3.43 |
| Mixulin HPI | |
| Mixulin HPI Porcine Insulin premix 100iu INJ / 10ml | $ 3.43 |
| MIXULIN HPI 40IU INJECTION 1 vial / 10 ML injection each (Cadila Pharmaceuticals Ltd) | $ 1.14 |
| Mixulin Hpi 40IU Injection (Cadila Pharmaceuticals Ltd) | $ 0.11 |
| Mixulin HPI 30/70 | |
| Mixulin HPI 30/70 Porcine Insulin 30%, IsophaneInsulin 70%, 40iu INJ / 10ml | $ 1.14 |
| Musulin | |
| Novofine | |
| NovoFine insulin needles 1's (Novo Nordisk) | |
| Novomix-30 (India) | |
| Novomix-30 300iu FLEXPEN / 1 (Novo Nordisk) | $ 6.33 |
| Novomix-30 Insulin Aspart 300iu PENFILL / 5x3ml (Novo Nordisk) | $ 23.67 |
| 100 IU x 1 mL x 3ml (Novo Nordisk) | $ 2.50 |
| Novomix-30 Soluble insulin aspart 30 %, insulin aspart protamine 70 %.100 IU x 1mL FLEXPEN / 3ml (Novo Nordisk) | $ 6.83 |
| Novomix-30 Soluble insulin aspart 30 %, insulin aspart protamine 70 %.100 IU x 1mL PENFILL / 3ml (Novo Nordisk) | $ 2.50 |
| NOVOMIX-30 FlexPen 100 IU x 1 mL x 3ml (Novo Nordisk) | $ 6.70 |
See 134 substitutes for Insulin lispro protamine and insulin lispro | |
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Information checked by Dr. Sachin Kumar, MD Pharmacology
