* Generic Name: insulin glargine [rdna origin] injection
* Brand Name: Lantus
* What is insulin glargine?
* What are the possible side effects of insulin glargine?
* What is the most important information I should know about
insulin glargine?
* What should I discuss with my healthcare provider before using
insulin glargine?
* How should I use insulin glargine?
* What happens if I miss a dose?
* What happens if I overdose?
* What should I avoid while using insulin glargine?
* What other drugs will affect insulin glargine?
* Where can I get more information?
What is insulin glargine?
Insulin is a hormone that works by lowering levels of glucose
(sugar) in the blood. Insulin glargine is a long-acting insulin that
starts to work several hours after injection and keeps working evenly
for 24 hours.
Insulin glargine is used to improve blood sugar control in adults and
children with diabetes mellitus. Insulin glargine is used to treat
type 1 or type 2 diabetes in adults, and type 1 diabetes
children who are at least 6 years old.
Some brands of this medicine are for use only in adults. Carefully
follow all instructions for the brand of insulin glargine you are
using.
Insulin glargine may also be used for purposes not listed in this
medication guide.
What are the possible side effects of insulin glargine?
Get emergency medical help if you have signs of insulin allergy:
redness or swelling where an injection was given, itchy skin rash over
the entire body, trouble breathing, fast heartbeats, feeling like you
might pass out, or swelling in your tongue or throat.
Call your doctor at once if you have:
* fluid retention--weight gain, swelling in your hands or feet,
feeling short of breath; or
* low potassium--leg cramps, constipation, irregular heartbeats,
fluttering in your chest, increased thirst or urination,
numbness or tingling, muscle weakness or limp feeling.
Common side effects may include:
* low blood sugar;
* itching, mild skin rash; or
* thickening or hollowing of the skin where you injected the
medicine.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about insulin glargine?
Never share an injection pen or syringe with another person, even if
the needle has been changed.
Lantus Patient Information including How Should I Take
Diabetes: 20 Reasons for Blood Sugar Swings
Tips to Manage Blood Sugar
Travel Tips for Better Diabetes Control
Diabetes Travel Tips
RxList
Take the Diabetes Quiz!
What should I discuss with my healthcare provider before using insulin
glargine?
You should not use this medicine if you are allergic to insulin, or if
you are having an episode of hypoglycemia (low blood sugar).
Insulin glargine is not approved for use by anyone younger than 6 years
old, and should not be used to treat type 2 diabetes in a child of any
age.
To make sure insulin glargine is safe for you, tell your doctor if you
have:
* liver or kidney disease;
* low levels of potassium in your blood (hypokalemia); or
* diabetic ketoacidosis (call your doctor for treatment).
Tell your doctor if you also take pioglitazone or rosiglitazone
(sometimes contained in combinations with glimepiride or
metformin). Taking certain oral diabetes medicines while you are
using insulin may increase your risk of serious heart problems.
Follow your doctor's instructions about using insulin if you are
pregnant or breast-feeding a baby. Blood sugar control is very
important during pregnancy, and your dose needs may be different during
each trimester of pregnancy. Your dose needs may also be different
while you are breast-feeding.
How should I use insulin glargine?
Follow all directions on your prescription label. Do not use this
medicine in larger or smaller amounts or for longer than recommended.
Read all patient information, medication guides, and instruction sheets
provided to you. Ask your doctor or pharmacist if you have any
questions.
The Toujeo brand of insulin glargine contains 3 times as much insulin
per milliliter (mL) as the Lantus or Basaglar brands. There are 300
units of insulin in 1 mL of Toujeo, and 100 units in 1 mL of
Lantus or Basaglar.
If there are any changes in the brand, strength, or type of insulin you
use, your dosage needs may change.
Insulin is injected under the skin. You will be shown how to use
injections at home. Do not give yourself this medicine if you do not
understand how to use the injection and properly dispose of used
needles and syringes.
Insulin glargine must not be given with an insulin pump, or mixed with
other insulins. Do not inject insulin glargine into a vein or a muscle.
Insulin glargine is usually injected once per day at the same time each
day. You will be shown how to use injections at home. Do not give
yourself this medicine if you do not understand how to use the
injection and properly dispose of used needles and syringes.
Your care provider will show you the best places on your body to inject
insulin glargine. Use a different place each time you give an
injection. Do not inject into the same place two times in a row.
If you use an injection pen, use only the injection pen that comes with
insulin glargine. Attach a new needle before each use. Do not transfer
the insulin from the pen into a syringe.
Never share an injection pen or syringe with another person, even if
the needle has been changed. Sharing these devices can allow infections
or disease to pass from one person to another.
Use a disposable needle and syringe only once. Follow any state or
local laws about throwing away used needles and syringes. Use a
puncture-proof "sharps" disposal container (ask your pharmacist where
to get one and how to throw it away). Keep this container out of the
reach of children and pets.
Low blood sugar (hypoglycemia) can happen to everyone who has
diabetes. Symptoms include headache, hunger, sweating,
irritability, dizziness, nausea, fast heart rate, and feeling anxious
or shaky. To quickly treat low blood sugar, always keep a fast-acting
source of sugar with you such as fruit juice, hard candy, crackers,
raisins, or non-diet soda.
Your doctor can prescribe a glucagon emergency injection kit to use
in case you have severe hypoglycemia and cannot eat or drink. Be sure
your family and close friends know how to give you this injection in an
emergency.
Also watch for signs of high blood sugar (hyperglycemia) such as
increased thirst or urination, blurred vision, headache, and tiredness.
Blood sugar levels can be affected by stress, illness, surgery,
exercise, alcohol use, or skipping meals. Ask your doctor before
changing your insulin dose or schedule.
Insulin glargine is only part of a treatment program that may also
include diet, exercise, weight control, blood sugar testing, and
special medical care. Follow your doctor's instructions very closely.
Keep this medicine in its original container protected from heat and
light. Do not draw insulin from a vial into a syringe until you are
ready to give an injection. Do not freeze insulin or store it near the
cooling element in a refrigerator. Throw away any insulin that has been
frozen.
Storing unopened (not in use) Basaglar or Lantus:
* Refrigerate and use until expiration date; or
* Store at room temperature and use within 28 days.
Storing unopened (not in use) Toujeo:
* Refrigerate and use until expiration date.
Storing opened (in use) Basaglar or Lantus:
* Store the vial in a refrigerator or at room temperature and use
within 28 days.
* Store the injection pen at room temperature (do not refrigerate)
and use within 28 days.
Storing opened (in use) Toujeo:
* Store the injection pen at room temperature (do not refrigerate)
and use within 42 days.
Do not store an injection pen with the needle attached.
Do not use the medicine if it looks cloudy, has changed colors, or has
any particles in it. Call your pharmacist for new medicine.
Wear a diabetes medical alert tag in case of emergency. Any medical
care provider who treats you should know that you have diabetes.
Lantus Patient Information including If I Miss a Dose
Diabetes: 20 Reasons for Blood Sugar Swings
Tips to Manage Blood Sugar
Travel Tips for Better Diabetes Control
Diabetes Travel Tips
RxList
Take the Diabetes Quiz!
What happens if I miss a dose?
Call your doctor for instructions if you miss a dose of insulin
glargine. You should not use more than one dose in a 24-hour period
unless your doctor tells you to.
Keep insulin on hand at all times. Get your prescription refilled
before you run out of medicine completely.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at
1-800-222-1222. Insulin overdose can cause life-threatening
hypoglycemia. Symptoms include drowsiness, confusion, blurred
vision, numbness or tingling in your mouth, trouble speaking, muscle
weakness, clumsy or jerky movements, seizure (convulsions), or loss
of consciousness.
What should I avoid while using insulin glargine?
Avoid medication errors by always checking the medicine label before
injecting your insulin.
Avoid drinking alcohol. It can cause low blood sugar and may interfere
with your diabetes treatment.
What other drugs will affect insulin glargine?
Many other medicines can affect your blood sugar, and some medicines
can increase or decrease the effects of insulin. Some drugs can also
cause you to have fewer symptoms of hypoglycemia, making it harder to
tell when your blood sugar is low. Tell each of your health care
providers about all medicines you use now and any medicine you start or
stop using. This includes prescription and over-the-counter medicines,
vitamins, and herbal products.
Where can I get more information?
Your pharmacist can provide more information about insulin glargine.
__________________________________________________________________
Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by
Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United
States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or
recommend therapy. Multum's drug information is an informational
resource designed to assist licensed healthcare practitioners in caring
for their patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of a
warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not assume
any responsibility for any aspect of healthcare administered with the
aid of information Multum provides. The information contained herein is
not intended to cover all possible uses, directions, precautions,
warnings, drug interactions, allergic reactions, or adverse effects. If
you have questions about the drugs you are taking, check with your
doctor, nurse or pharmacist.
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