Insulin, Combination
Insulin acts via specific membrane-bound receptors on target tissues to regulate metabolism of carbohydrate, protein, and fats.
Target organs for insulin include the liver, skeletal muscle, and adipose tissue.
藥動學
Insulin Lispro
Tmax: 30 to 90 minutes
Bioavailability: 55% to 77%
Vd: 0.72 to 1.55 L/kg
Elimination Half Life: approximately 1 hour Insulin NPH
Onset of action: 1 to 2 hours
Peak effect: 4 to 12 hours
Duration: 14 to 24 hours
Time to peak, plasma: 6 to 10 hours
Excretion: Urine
禁忌症
1. During episodes of hypoglycemia.
2. In patients who are hypersensitive to HUMALOG or to any of its excipients.
懷孕分類
B
哺乳分類
Infant risk cannot be ruled out.
副作用
Injection site reaction. hypoglycemia, hypokalemia, lipodystrophy
劑量和給藥方法
Administration:
1. Administer subQ injection within 15 minutes before or immediately after a meal.
2. Blood glucose monitoring is essential in all patients receiving insulin therapy. Type 1 diabetes mellitus: SubQ Note: Use of premixed insulin is not generally recommended in patients with type 1 diabetes.
1. Initial: ~0.4 to 0.5 units/kg/day; conservative doses of 0.2 to 0.4 units/kg/day may be considered to avoid the potential for hypoglycemia
2. Usual TDD maintenance range: 0.4 to 1 units/kg/day in divided doses (typically twice daily if using premixed insulin) Type 2 diabetes mellitus: SubQ
1. Initial: 0.3 units/kg/day or 10 to 12 units/day in 2 or 3 divided doses
2. For consistent hypoglycemia (blood glucose <70 mg/dL), decrease dose by 10% to 20%; for severe hypoglycemia (or blood glucose <40 mg/dL), decrease dose by 20% to 40%
小兒調整劑量
The dosage must be individualized.
腎功能調整劑量
There are no specific dosage adjustments provided in the manufacturer's labeling.
肝功能調整劑量
There are no specific dosage adjustments provided in the manufacturer's labeling.
安定性
1. Do not use after the expiration date.
2. Unopened HUMALOG should be stored in a refrigerator (2°~8°C), but not in the freezer (Do not use it if it has been frozen).
3. HUMALOG must be used within 28 days or be discarded, even if they still contain HUMALOG.
4. Protect from direct heat and light.