Apidra 100IU Cartridge 1X3ml

WHAT IS APIDRA 100IU?

APIDRA 100IU contains Insulin glulisine which belongs to antidiabetic medicines

WHAT APIDRA 100IU IS USED FOR?

It is used to reduce high blood sugar in patients with diabetes mellitus

WARNINGS AND PRECAUTIONS:

TALK TO DOCTOR

Talk to your doctor before taking this medicine, if you:

Are allergic to Insulin glulisine or any of the other ingredients of this medicine
Have liver or kidney problems

PREGNANCY & BREAST FEEDING

If you are pregnant or planning to become pregnant or breastfeeding, ask your doctor for advice before taking this medicine

DRIVING & USING MACHINES

Your ability to concentrate or react may be reduced as this medicine can cause giddiness

INTERACTIONS:

Tell your doctor if you are taking, have recently taken or might take any of the following medicines:

Other medicines to treat diabetes such as metformin
Enalapril (used to treat certain heart conditions or high blood pressure)
Disopyramide (used to treat certain heart conditions)
Fibrates (used to lower high levels of blood lipids)
Monoamine oxidase (MAO) inhibitors (used to treat depression)
Pentoxifylline, propoxyphene (used to relieve pain and lower fever)
Sulfonamide antibiotics
Corticosteroids (used to treat inflammation)
Danazol (medicine acting on ovulation)
Diuretics (used to treat high blood pressure or excessive fluid retention)
Glucagon (pancreas hormone used to treat severe hypoglycemia)
Isoniazid (used to treat tuberculosis)
Oestrogens and progestogens (used for birth control)
Phenothiazine derivatives (used to treat psychiatric disorders)
Somatropin (growth hormone)
Epinephrine, salbutamol, terbutaline used to treat asthma
Thyroid hormones (used to treat thyroid gland disorders)
Protease inhibitors (used to treat HIV)
Olanzapine and clozapine used to treat mental disorders

DIRECTIONS & FOR USE:

Always use this medicine exactly as your doctor has told you
Based on your lifestyle and the results of your blood sugar (glucose) tests and your previous insulin usage, your doctor will determine how much APIDRA 100IU you will need
Method of administration

APIDRA 100IU is injected under the skin (subcutaneously)
Your doctor will show you in which area of the skin you should inject APIDRA 100IU
APIDRA 100IU can be injected in the abdominal wall, the thigh or upper arm or by continuous infusion in the abdominal wall. The effect will be slightly quicker if the insulin is injected into your abdomen
As for all insulins, injection sites and infusion sites within an injection area (abdomen, thigh or upper arm) must be rotated from one injection to the next
APIDRA 100IU should be taken shortly (15 minutes) before or soon after meals

If you use more APIDRA 100IU

If you have injected too much APIDRA 100IU, your blood sugar level may become too low (hypoglycemia) in such case contact your doctor or go to nearby hospital immediately

If you forget to use APIDRA 100IU

If you have missed a dose of APIDRA 100IU or if you have not injected enough insulin, your blood sugar level may become too high (hyperglycemia)
Do not take a double dose to make up for a forgotten dose

If you stop using APIDRA 100IU

Do not stop APIDRA 100IU without speaking to your doctor

SIDE EFFECTS OF APIDRA 100IU CARTRIDGE:

SERIOUS

Like all medicines, this medicine can cause side effects, although not everybody gets them.

• Hypoglycemia (low blood sugar) – serious hypoglycemia may cause brain damage and may be life threatening
•  Generalized allergic reaction with associated symptoms may include large-scale skin reactions (rash and itching all over the body), severe swelling of skin or mucous membranes (angioedema), shortness of breath, a fall in blood pressure with rapid heartbeat and sweating

COMMON

Like all medicines, this medicine can cause side effects, although not everybody gets them.

• Skin and allergic reactions at the injection site may occur (such as reddening, unusually intense pain on injection, itching, hives, swelling or inflammation)

UNCOMMON

Like all medicines, this medicine can cause side effects, although not everybody gets them.

• Systemic allergic reactions such as tender subcutaneous [under the skin] nodules which develop 30minutes to 6 hours after an insulin injection
• Inflammation of the lymph glands, a serum sickness reaction
Arthralgia (generalised joint and muscle pain)

RARE

Like all medicines, this medicine can cause side effects, although not everybody gets them.

•  Skin changes at the injection site (lipodystrophy) – fatty tissue under the skin at this site may either shrink or thicken

STORAGE:

Keep this medicine out of reach of children
Store in a refrigerator (2-8°C)
Do not freeze
Keep the vial in the outer carton in order to protect from light
Opened vials once in use, the vial may be stored for a maximum of 4 weeks in the outer carton below 25?C away from direct heat or direct light. Do not use the vial after this period
Do not use this medicine after the expiry date
Do not use this medicine if it does not appear clear and colourless