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Levemir Flextouch Pen

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Last Updated: 27 September 2020

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General | Latest Info

Millions of people with diabetes use insulin therapy to help control their blood sugar. If you have type 2 diabetes, other medicines you are taking may not be getting you to your goal and may only last for part of the day. Levemir can be taken with other prescribed diabetes medicines. Adding Levemir as treatment can help keep your blood sugar within your target range for up to 24 hours. Your health care provider may have to give you a prescription for Levemir to help you reach your blood sugar goal. Levemir can be injected in the thigh, abdomen, or upper arm. It is important to change the injection site within your injection area each time you inject and not inject in the exact same spot each time. Rotating where you inject allows your body to absorb insulin and can help to prevent skin changes such as thickening or pitting, known as lipodystrophy. Your health care provider can show you how to inject Levemir before you start taking it.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Experience Levemir FlexTouch

Levemir is a brand - name prescription medication. It is used to lower blood sugar levels in: adults and children aged 2 years old and older with type 1 diabetes adults with type 2 diabetes. Levemir has not been studied in children younger than 2 years of age with type 1 diabetes. It also hasnt been studied in any children younger than 18 years of age with type 2 diabetes. Levemir contains the drug insulin detemir, which is long - acting insulin. Levemir is given as subcutaneous injection. Youll give yourself injections either once or twice a day based on your doctor or pharmacist's direction. Levemir came as a solution. The solution is available in two forms: vial and prefilled pen. A vial contains 10 milliliters of drug solution, with 100 units of insulin detemir per mL. It is used with a needle for injection. Needles are sold separately and may require prescription in certain states. The pen is called FlexTouch pen. Each pen contains 3 mL of drug solution, with 100 units of insulin detemir per mL.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Uses

Levemir may be used by both children and adults to assist with blood glucose control. People with Type 1 Diabetes generally do not produce insulin at all and those with Type 2 Diabetes may make insulin, but not enough to keep blood sugar in control. Insulin detemir is injected under the skin. This man - made insulin works by replacing the body's normal insulin production and binding to insulin receptors to help shuttle Glucose from the bloodstream. Benefits of using synthetic insulin include longer duration of action with less variability, no significant peak, and therefore reduced risk of Hypoglycemia. Levemir reaches the bloodstream several hours after injection and balances glucose levels over a 24 - hour period. It also helps prevent the liver from releasing more sugar into the bloodstream. Levemir is proven to lower hemoglobin A1c and has a low rate of Hypoglycemia when used as directed. It may be used once or twice daily, depending on individual needs.


SIDE EFFECTS

Get emergency medical help if you have signs of allergic reaction to LEVEMIR: redness or swelling where injection was give, itchy skin rash over the entire body, trouble breathing, fast heartbeats, feeling like you might pass out, or swelling in your tongue or throat. Fluid retention - weight gain, swelling in your hands or feet, feeling short of breath; or low potassium - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling. Low blood sugar; weight gain; swelling in your hands and feet; rash, itching; or thickening or hollowing of skin where you inject 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.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Side Effects

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call the poison control center right away. US residents can call their local poison control center at 1 - 800 - 222 - 1222. Canada residents can call the provincial poison control center. Symptoms of overdose may include: signs of low blood sugar such as sweating, shakiness, loss of consciousness, fast heartbeat. Do not share this medication, needles, or syringes with others. Attend diabetes education program to learn more about how to manage your diabetes with medications, diet, exercise, and regular medical exams. Learn symptoms of high and low blood sugar and how to treat low blood sugar. Check your blood sugar regularly as direct and share results with your doctor. Lab and / or medical tests should be done while you are taking this medication. Keep all medical and lab appointments. Keep extra supplies of insulin, syringes, and needles on hand. It is very important to follow your insulin regimen exactly. Ask your doctor ahead of time what you should do if you miss dose of insulin. It is best to refrigerate all unopened insulin products. Unopened insulin detemir may also be stored at room temperature, but it must be thrown away after 42 days. Open insulin detemir vials may be stored in a refrigerator or at room temperature. Open insulin detemir cartridges and pens can only be stored at room temperature and should not be refrigerate. Throw away all insulin detemir in use after 42 days, even if there is insulin left. Also, throw away all insulin products after the expiration date on package. Do not freeze and do not use insulin that has been freeze. Protect insulin from light and heat. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down toilet or pour them into the drain unless instructed to do so. Properly discard this product when it expires or is no longer needed. Consult your pharmacist or local waste disposal company. Information was last revised in July 2020. Copyright 2020 First Databank, Inc.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Interactions

A number of medications affect glucose metabolism and may require insulin dose adjustment and particularly close monitoring. Following are examples of medications that may increase the blood - Glucose - lowering effect of insulins, including LEVEMIR and, therefore, increase susceptibility to hypoglycemia: oral antidiabetic medications, Pramlintide acetate, angiotensin converting enzyme inhibitors, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, propoxyphene, pentoxifylline, salicylates, somatostatin analogs, and sulfonamide antibiotics. Beta - blockers, clonidine, lithium salts, and alcohol may either increase or decrease the blood - Glucose - lowering effect of insulin. Pentamidine may cause hypoglycemia, which may sometimes be followed by hyperglycemia. Signs of hypoglycemia may be reduced or absent in patients taking anti - adrenergic drugs such as beta - blockers, clonidine, guanethidine, and reserpine.


Precautions

Hypoglycemia is the most common ADVERSE reaction of insulin therapy, including LEVEMIR. The Risk of Hypoglycemia increases with intensive glycemic control. When GLP - 1 receptor agonist is used in combination with LEVEMIR, LEVEMIR dose may need to be lower or more conservatively titrated to minimize risk of Hypoglycemia. All patients must be educated to recognize and manage Hypoglycemia. Severe Hypoglycemia can lead to unconsciousness or convulsions and may result in temporary or permanent impairment of brain function or death. Severe Hypoglycemia requiring assistance of another person or parenteral glucose infusion, or glucagon administration has been observed in clinical trials with insulin, including trials with LEVEMIR. The Timing of Hypoglycemia usually reflects the time - action profile of administered insulin formulations. Other factors, such as changes in food intake, exercise, and concomitant medications may also alter the risk of Hypoglycemia. The prolonged effect of subcutaneous LEVEMIR may delay recovery from Hypoglycemia. As with all insulins, use caution in patients with Hypoglycemia unawareness and in patients who may be predisposed to Hypoglycemia. A patient's ability to concentrate and react may be impaired as a result of Hypoglycemia. This may present risk in situations where these abilities are especially important, such as driving or operating other machinery. Early warning symptoms of Hypoglycemia may be different or less pronounce under certain conditions, such as longstanding diabetes, diabetic neuropathy, use of medications such as beta - blockers, or intensified glycemic control. These situations may result in severe Hypoglycemia prior to PATIENT's awareness of Hypoglycemia.


Side Effects

Hypoglycemia is the most commonly observed adverse reaction in patients using insulin, including LEVEMIR. Tables 5 and 6 summarize incidence of severe and non - severe hypoglycemia in LEVEMIR Clinical trials. For adult trials and one of pediatric trials, severe hypoglycemia was defined as an event with symptoms consistent with hypoglycemia requiring assistance of another person and associated with either plasma glucose value below 56 mg / dL or prompt recovery after oral carbohydrate, intravenous glucose or glucagon administration. For other pediatric trial, severe hypoglycemia was defined as an event with semi - consciousness, unconsciousness, coma and / or convulsions in patients who could not assist in treatment and who may have required glucagon or intravenous glucose. For adult trials and pediatric Study D, non - severe hypoglycemia was defined as asymptomatic or symptomatic plasma glucose < 56 mg / dL that was self - treated by patient. For pediatric Study I, non - severe hypoglycemia includes asymptomatic events with plasma glucose < 65 mg / dL as well as symptomatic events that patient could self - treat or treat by taking oral therapy provided by caregiver. Rates of hypoglycemia in LEVEMIR Clinical trials were comparable between LEVEMIR - treated patients and non - LEVEMIR - treated patients.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Performing an air shot

Wash your hands thoroughly with soap and water or use alcohol - based hand sanitizer. Pull the cover off the pen. Figure 1. Pulling cover off of pen Open alcohol swab and wipe rubber tip on top of the pen. Remove tabbed paper from the outer cap of the new single - use needle. Figure 2. Removing tabbed paper from outer cap of needle Leave needle in case. Gently push the end of the needle into the rubber stopper. Screw needle into rubber stopper until it stop, just like screwing the top onto jar. Figure 3. Screwing needle into rubber stopper When the needle is secure, take off the outer needle cap and place it on the tabletop. Figure 4. Removing outer needle cap Pull off the inner needle cap and throw it in wastebasket. Figure 5. Removing inner needle cap

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Dosage

Levemir is available as a No - push extension pen, meaning that minimum of force and dexterity are required to give injection. After dialing up your dose of insulin, you 'll gently push the dose button and the spring - load mechanism will inject insulin. This can be especially helpful for delivering large doses of insulin. Once dose reaches zero, you may or may not hear a click. It's important when using this device to hold the needle in place for at least six seconds: prescribed dose is not completely delivered until six seconds after the dose counter shows 0. If the needle is removed earlier, you may see a stream of insulin coming from the needle, which means you are not getting your full dose of insulin. If this inadvertently happen, check your blood glucose levels more frequently and deliver additional insulin if necessary. If taken once daily, LEVEMIR should be administered with evening meal or at bedtime. If take twice daily, take the second dose 12 hours after evening meal or bedtime Missing dose: If you miss dose or take too small a dose, you may wind up with elevated blood glucose levels. Take missed dose as soon as you remember and adjust your second dose accordingly. Excessive thirst increases hunger need to urinate more frequently than usual, blurred vision. Fatigue and weakness exceeding dose: Taking too much insulin may result in having too little blood sugar to perform daily activities and bodily functions. Trembling or weakness Fast heartbeat Sweating Headache Fatigue or feeling sleepy Pale skin Anxiety or irritability Talking or yelling when you re sleeping, tingling feeling around your mouth Hunger Dizziness Confusion Double or blurring vision Lack of coordination Seeming as if you re intoxicated Convulsions or loss of consciousness overdosage: insulin overdose can be life - threatening, as It will result in too little Glucose circulating in blood for body to function properly. If you accidentally take too much insulin, mild hypoglycemia may be treated by taking oral Glucose tablets, but severe cases require swift medical intervention to prevent seizure, coma, or even death. Severe Hypoglycemia may also result in hypokalemia, which requires treatment by a medical professional.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

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