Insugen 30/70 Refil 100iu Cartridge Of 3ml Suspension For Injection

• If you are allergic to insulin or any other ingredients of Insugen Refil Suspension For Injection.
• If you are having hypoglycemia (low blood sugar level).

• Low blood sugar (Hypoglycaemia)
• Lightheadedness
• Dizziness
• Anxiety
• Nervousness
• Tiredness
• Feeling hungry
• Visual disturbances
• Headache
• Shaking
• Sweating
• Pale skin
• Skin rashes
• Pain, redness, swelling at the site of injection

Other General Warnings

• You have recurrent low blood sugar levels.
• Be very careful about symptoms of low blood sugar like sweating, anxiety, fast heartbeats, headache, intense hunger, restlessness, dizziness, irritability. If you experience these, immediately have sugar (Do not consume artificial sweeteners). Eat something as soon as possible. Do not take insulin in such a scenario. If the symptoms persist, seek emergency medical help.
• You have frequent fever and infections.
• You have diseases related to the liver and kidney.
• You have thyroid disorders.
• You are switching to a different insulin medicine brand.
• You have pain, itching and swelling at the injection site, you should continuously change the site of injection.
• Avoid doing heavy exercise.
• You are planning to change your diet preferences.
• You should always carry a sugar candy with you.
• You are taking insulin but not taking adequate meals, your blood glucose can drop drastically.

• Take Insugen Refil Suspension For Injection as per the technique suggested by your doctor or nurse.
• This injection is to be taken under the skin of the thigh or upper arm or abdomen.
• Do not take this injection in the vein or in muscles.
• Pull a skin, fold up to take this injection.
• Wait for at least 6 seconds before removing the needle from the site of injection.
• Always rotate the site of injection, do not take concurrent injections at the same site.

• Store it between 2°C to 8°C in the refrigerator.
• Do not freeze it.
• Keep it out of the reach of children and pets.
• Do not open the carton of vials to protect it from light.
• Any unused portion should not be stored and should be appropriately discarded.

Overdose

• Excess of Insugen Refil Suspension For Injection will lead to low blood sugar levels, called hypoglycemia. You may experience symptoms like dizziness, fainting, sweating and tremors.
• If you have the blood glucometer with you, test immediately and confirm blood glucose levels.
• Whether you test your levels or not, it is important to take some glucose water/juice/eat sugar or chocolates immediately and then rush to your doctor.

Missed a Dose

• A missed dose may lead to high blood sugar levels which can cause symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, a fruity smell from breath, etc.
• If you have missed taking any dose of Insugen Refil Suspension For Injection, take it as soon as you remember. If it's time for your next dose then skip the missed dose and continue with your regular dosing schedule.
• Do not take a double dose of this medicine to compensate for the missed one as taking double doses can cause a drastic fall in blood glucose which can be dangerous.

How Does It Work?

• Insulin is a crucial hormone that allows the entry of blood glucose into each cell of the body. Inside the cell, this glucose is used as fuel.
• In type 1 diabetes mellitus, the body fails to produce adequate insulin and this leads to glucose accumulating in the blood and causes high blood glucose.
• This medicine lowers blood sugars by stimulating glucose uptake by cells, tissue and muscles, especially by skeletal muscles and fat and by inhibiting glucose production by the liver.

Interactions with other medicines

• You may have symptoms of low blood sugar if you are taking other medicines for diabetes, depression (fluoxetine), medicines for fever and pain (salicylates), ramipril, lisinopril.
• You may have high blood sugar if you are taking oral contraceptives, thiazide, steroids, thyroxine, medicines used to treat severe diarrhoea and abnormal growth of body organs like octreotide, lanreotide.
• If you are taking the medicine pioglitazone to treat diabetes, be cautious, as some cases of heart attack and heart failure have been reported.
• Some medicines block your body's response to low blood sugar, so you may not experience symptoms like a headache, hunger pangs, sweating, anxiety when your blood sugar drops. This can lead to a serious fall in blood sugar. Inform your doctor if you are on medicines like Beta-blockers (Metoprolol, Propranolol, Atenolol), Clonidine, Guanethidine and Reserpine.

Interactions with food items

• Insugen Refil Suspension For Injection is to be taken 15 mins before meals or within 20 minutes after starting a meal.
• Maintaining a constant meal pattern is advisable when you are taking insulin.
• Avoid skipping or delaying meals when you are taking insulin.