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Humalog®
Generic name: insulin
lispro [ IN-soo-lin-LISS-pro ] Drug class: Insulin
What is Humalog?

Humalog is a fast-acting insulin that starts to work about 15 minutes
after injection, peaks in about 1 hour, and keeps working for 2 to 4
hours. Insulin is a hormone that works by lowering levels of glucose
(sugar) in the blood.
Humalog is used to improve blood sugar control in adults and children
with diabetes
mellitus.
Humalog is used to treat type
2 diabetes in adults.
Humalog is also used to treat type 1 diabetes in adults and children who
are at least 3 years old.
Dosage Forms And Strengths
Injection: 100 units/mL (U-100) clear and
colorless solution available as:
- 10 mL multiple-dose vial
- 3 mL multiple-dose vial
- 3 mL single-patient-use KwikPen prefilled pen
- 3 mL single-patient-use Tempo Pen prefilled pen
- 3 mL single-patient-use Junior KwikPen prefilled pen
- 3 mL single-patient-use cartridges
Injection: 200 units/mL (U-200) clear and colorless solution
available as:
- 3 mL single-patient-use KwikPen prefilled pen
- 3 mL single-patient-use Tempo Pen prefilled pen
How Supplied
HUMALOG (insulin lispro) injection is a clear and colorless solution available
as:
HUMALOG |
Total
Volume |
Concentration |
Package Size |
U-100 multiple-dose vial
|
10 mL
|
100 units/mL
|
1 vial
|
U-100 multiple-dose vial
|
3 mL
|
100
units/mL
|
1 vial
|
U-100 multiple-dose vial
|
3 mL
|
100
units/mL
|
1 vial
|
U-100 single-patient-use cartridge |
3 mL
|
100 units/mL
|
5
cartridges
|
U-100 single-patient-use KwikPen
|
3 mL
|
100 units/mL
|
5 pens
|
U-100 single-patient-use Tempo Pen |
3 mL
|
100 units/mL
|
5 pens
|
U-100 single-patient-use Junior KwikPen
|
3 mL
|
100 units/mL
|
5 pens
|
U-200 single-patient-use KwikPen
|
3 mL
|
200 units/mL
|
2 pens
|
U-200 single-patient-use Tempo Pen |
3 mL
|
200 units/mL
|
2 pens
|
A Tempo Pen contains a component that allows for data connectivity when used
with a compatible transmitter.
The U-100 KwikPen, U-100 Tempo Pen, U-200 KwikPen, and U-200 Tempo
Pen dial in 1-unit increments. The U-100 Junior KwikPen dials in
0.5-unit increments.
Each prefilled pen, cartridge, and reusable pen compatible with Lilly
3 mL cartridges is for single-patient-use only. HUMALOG prefilled pens,
cartridges, and reusable pens compatible with Lilly 3 mL cartridges must
never be shared between patients, even if the needle is changed.
Patients using HUMALOG vials must never share needles or syringes with
another person.
Warnings
Humalog is a fast-acting insulin that begins to work very quickly. If
you use this medication with meal, use it within 15 minutes before or
just after you eat.
Never share an
injection pen, cartridge, or syringe with another person, even if the
needle has been changed.
You should not use Humalog if you are having an episode of hypoglycemia
(low blood sugar).
Humalog is only part of a complete program of treatment that may also
include diet, exercise, weight control, foot care, eye care, dental
care, and testing your blood sugar. Follow your diet, medication, and
exercise routines very closely. Changing any of these factors can affect
your blood sugar levels.
Humalog side effects
Get emergency medical help if you have signs
of insulin allergy to Humalog: 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:
- weight
gain, swelling in your hands or feet, feeling short of breath;
-
low blood
sugar - headache, hunger, sweating, irritability,
dizziness, fast heart rate, and feeling anxious or shaky; 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 Humalog side effects may include:
- low blood
sugar;
- weight
gain;
- swelling
in your hands or feet;
- itching;
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.
Before taking this medicine
You should not use Humalog if you are allergic to insulin, or if you are
having an episode of hypoglycemia (low blood sugar).
Humalog should not be given to a child younger than 3 years old. Humalog
should not be used to treat type 2 diabetes in a child of any age.
To make sure Humalog is safe for you, tell your doctor if you have ever
had:
- liver or
kidney disease;
- heart
problems; or
- low
levels of potassium in your blood (hypokalemia).
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.
Tell your doctor if you are pregnant or breastfeeding.
Follow your doctor's instructions about using Humalog if
you are pregnant or you become pregnant. Controlling diabetes
is very important during pregnancy, and having high blood sugar may
cause complications in both the mother and the baby.
How should I use Humalog?
Use Humalog exactly as it was prescribed for you. Follow all directions
on your prescription label and read all medication guides or instruction
sheets.
Humalog is injected under the skin using a syringe and needle, an
injection pen, or with an infusion pump. A healthcare provider will
teach you how to properly use this medicine by yourself.
Read and
carefully follow any Instructions for Use provided with your medicine. Ask
your doctor or pharmacist if you do not understand these instructions.
Prepare your injection only when you are ready to give it. Do
not use if the medicine looks cloudy, has changed colors or has
particles in it. Call your pharmacist for new medicine.
Humalog is to be used within 15 minutes before a meal, or right after
eating.
Your healthcare provider will show you where on your body to inject
insulin lispro. Use a different place each time you give an injection.
Do not inject into the same place two times in a row. Do not inject into
skin that is damaged, tender, bruised, pitted, thickened, scaly, or has
a scar or hard lump.
Concentrated
Humalog (200 units) must not be given with an insulin pump, or mixed
with other insulins. Do not transfer insulin lispro from an
injection pen to a syringe or a severe overdose could occur.
Never share an
injection pen, cartridge, 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.
You may have low blood sugar (hypoglycemia) and
feel very hungry, dizzy, irritable, confused, anxious, or shaky. To
quickly treat hypoglycemia, eat or drink a fast-acting source of sugar
(fruit juice, hard candy, crackers, raisins, or non-diet soda).
Your doctor may prescribe a glucagon injection kit in case you have
severe hypoglycemia. Be sure your family or 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.
Blood sugar levels can be affected by stress, illness, surgery,
exercise, alcohol use, or skipping meals. Ask
your doctor before changing your dose or medication schedule.
Keep this medicine in its original container protected from heat and
light. 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) insulin lispro:
- Refrigerate and use until expiration date; or
- Store at
room temperature and use within 28 days.
Storing opened (in use) Humalog:
- Store the
vial in a refrigerator or at room temperature and use within 28
days.
- Store the
cartridge or injection pen (without a needle attached) at room
temperature and use within 28 days.
Use a needle and syringe only once and place them in a puncture-proof
"sharps" container. Follow state or local laws about how to dispose of
this container. Keep it out of the reach of children and pets.
What happens if I miss a dose?
Since Humalog is used before meals, you may not be on a timed dosing
schedule. Whenever you use Humalog, be sure to eat a meal within 15
minutes. Do not use
two doses at one time.
Keep insulin on hand at all times. Get your prescription refilled before
you run out of medicine completely.
Storage & Handling
Dispense in the original sealed carton with the
enclosed Instructions for Use.
Protect from direct heat and light. Do not freeze and do not use if
it has been frozen.
|
Not In-Use (Unopened)
Room
Temperature
(Up to 86°F [30°C]) |
Not In-Use (Unopened)
Refrigerated
(36° to 46°F [2° to 8°C]) |
In-Use (Opened)
(see temperature below) |
HUMALOG U-100* |
10 mL
multiple-dose vial
|
28 days
|
Until expiration date
|
28 days
Refrigerated or room temperature.
|
3 mL
multiple-dose vial
|
28 days
|
Until expiration date
|
28 days
Refrigerated or room temperature.
|
3 mL
single-patient-use cartridge
|
28 days
|
Until expiration date
|
28 days
Room temperature only
(Do not refrigerate)
|
3 mL
single-patient-use Humalog KwikPen
|
28 days
|
Until expiration date
|
28 days
Room temperature only
(Do not refrigerate)
|
3 mL
single-patient-use Humalog Tempo Pen
|
28 days
|
Until expiration date
|
28 days
Room temperature only
(Do not refrigerate)
|
3 mL
single-patient-use Humalog Junior KwikPen
|
28 days
|
Until expiration date
|
28 days
Room temperature only
(Do not refrigerate)
|
HUMALOG U-200* |
3 mL
single-patient-use Humalog KwikPen
|
28 days
|
Until expiration date
|
28 days
Room temperature only
(Do not refrigerate)
|
3 mL
single-patient-use Humalog Tempo Pen
|
28 days
|
Until expiration date
|
28 days
Room temperature only
(Do not refrigerate)
|
What should I avoid while using Humalog?
Insulin can cause low blood sugar. Avoid driving or operating machinery
until you know how this medicine will affect you.
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 Humalog?
Drugs That May Increase the Risk of Hypoglycemia |
Drugs: |
Antidiabetic agents, ACE inhibitors, angiotensin II
receptor blocking agents, disopyramide, fibrates,
fluoxetine, monoamine oxidase inhibitors,
pentoxifylline, pramlintide, salicylates,
somatostatin analogs (e.g., octreotide), and
sulfonamide antibiotics. |
Intervention: |
Dose adjustment and increased frequency of glucose
monitoring may be required when HUMALOG is
co-administered with these drugs. |
Drugs That May Decrease the Blood Glucose Lowering
Effect of HUMALOG |
Drugs: |
Atypical antipsychotics (e.g., olanzapine and
clozapine), corticosteroids, danazol, diuretics,
estrogens, glucagon, isoniazid, niacin, oral
contraceptives, phenothiazines, progestogens (e.g.,
in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol,
epinephrine, terbutaline), and thyroid hormones.
|
Intervention: |
Dose adjustment and increased frequency of glucose
monitoring may be required when HUMALOG is
co-administered with these drugs. |
Drugs That May Increase or Decrease the Blood
Glucose Lowering Effect of HUMALOG |
Drugs: |
Alcohol, beta-blockers, clonidine, and lithium
salts. Pentamidine may cause hypoglycemia, which may
sometimes be followed by hyperglycemia. |
Intervention: |
Dose adjustment and increased frequency of glucose
monitoring may be required when HUMALOG is
co-administered with these drugs. |
Drugs That May Blunt Signs and Symptoms of
Hypoglycemia |
Drugs: |
Beta-blockers, clonidine, guanethidine and reserpine.
|
Intervention: |
Increased frequency of glucose monitoring may be
required when HUMALOG is co-administered with these
drugs. |
|