TOUJEO 300U/ML SOLUTION FOR INJECTION

• If you are allergic to insulin or any of the ingredients of this medicine.
• If you are suffering from hypoglycemia (low blood sugar level).

• Injection site reactions
• Low blood sugar
• Rashes
• Itching

Other General Warnings

• You have recurrent low blood sugar levels.
• Be very careful about symptoms of low blood sugar like sweating, anxiety, fast heartbeat, 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 still 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 the 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 this 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 muscles.
• Pull a skin, fold up to take this injection.
• Wait for at least 6 sec before removing the needle from the injection site.
• 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.
• Do not open the carton of vials to protect it from light.
• Any unused portion should not be stored and should be appropriately discarded.

• Insert a new Toujeo cartridge into the insulin pen following the manufacturer's instructions. Clean the injection site, dial the prescribed dose, and administer the insulin injection as directed by your healthcare provider.
• Store Toujeo cartridges in the refrigerator before first use. Once in use, they can be kept at room temperature, away from direct heat and light, for up to 28 days. Do not freeze or be exposed to high temperatures.
• Toujeo should not be mixed with other insulins. It should be administered separately, and if using multiple insulins, consult your healthcare provider for guidance on injection sites and timing.
• Common side effects may include hypoglycemia (low blood sugar), injection site reactions, and allergic reactions. It's essential to monitor blood sugar levels regularly and report any persistent or severe side effects to your healthcare provider.
• Change the Toujeo cartridge in the insulin pen as recommended by the manufacturer or your healthcare provider. Typically, cartridges are replaced when the insulin pen is empty or after a certain number of days, even if there is insulin remaining.

Overdose

• Excess insulin 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 or not you test your levels, 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, the fruity smell from breath, etc.
• If you have missed any dose of medicine 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 dose schedule.
• Do not take a double dose of medicine to compensate for the missed one as taking a double dose 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, a brain-related disorder like fluoxetine, medicines for fever and pain (salicylates).
• You may have high blood sugar if you are taking thiazide, steroids, thyroxine, medicines used to treat severe diarrhoea and abnormal growth of body organs like octreotide, lanreotide.
• Sometimes other medicines may affect how this medicine works if taken at the same time.
• Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction. Especially, if you are taking antihypertensives, oral contraceptives, thiazide, steroids, etc.

Interactions with food items

• This medicine is to be taken 15 minutes before meals or after meals.
• Maintaining a constant meal pattern is advisable when you are taking insulin.
• Avoid skipping or delaying meals when you are taking insulin.