Insulin Lispro, Recombinant (IN-su-lin LIS-pro, ree-KOM-bi-nant)
Treats diabetes mellitus. This type of insulin starts working faster than regular insulin.
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
Do not use this medicine if you have had an allergic reaction to insulin lispro. Do not use this medicine while your blood sugar is too low (hypoglycemia).
How to Use This Medicine
- IV: A nurse or other trained health professional may give you this medicine into a vein if you are in the hospital.
- This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
- A healthcare provider should also teach you how to give insulin shots. Make sure you understand how to use the medicine and give yourself the shots.
- When you get a new supply of insulin, check the label to be sure it is the correct type of insulin. Do not change the brand of your insulin unless your doctor tells you to.
- Use this medicine 15 minutes before a meal or right after you eat.
- Test your blood sugar regularly while you are using this medicine.
- You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.
- Vial: Use only syringes that are made for insulin injections. Use a new syringe each time you give yourself an injection. Never share insulin pens with others.
- Cartridge or pen: Use a new needle each time with this pen. Never share your cartridges with others.
- Insulin pump:
- Keep the pump and pump equipment away from heat and direct light. Heat may increase the temperature of the insulin, and prevent it from working as it should.
- Make sure your pump is meant for fast-acting insulin.
- Use insulin lispro by itself. Do not mix it with other insulins.
- Change the insulin solution in the reservoir of the insulin pump at least every 7 days, and change the infusion set and infusion site at least every 3 days.
- Tell your doctor right away if your insulin pump breaks or leaks. Your blood sugar levels may change rapidly. You may need to give yourself injections until your pump is fixed.
- Do not mix different types of insulin, unless your doctor tells you to. Draw up insulin lispro into the syringe first, if you are told to mix it with a longer-acting insulin. Then draw up the longer-acting insulin and inject it right away.
- The insulin solution should look clear and colorless. Do not use insulin lispro if it is cloudy or clumpy.
If a dose is missed:
- Call your doctor or pharmacist for instructions.
How to Store and Dispose of This Medicine
- Keep all medicine away from heat and direct light.
- New, unused medicine: Store unused vials, pens, or cartridges in the refrigerator. Do not freeze. This medicine may be refrigerated for only 28 days. Throw the medicine away after the expiration date has passed.
- Medicine that is currently being used
- Vials: Vials of medicine that you are currently using may be kept in the refrigerator or at room temperature for up to 28 days.
- Cartridge or pen: Do not refrigerate your cartridge or pen that you are currently using. Store the cartridge or pen at room temperature in a cool place, away from heat and direct light, up to 28 days.
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any leftover medicine, containers, and other supplies. You will also need to throw away old medicine after the expiration date has passed.
- Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.
- Keep all medicine away from children and never share your medicine with anyone.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Some medicines can change the amount of insulin you need to use and make it harder for you to control your diabetes. Make sure your doctor knows about all other medicines you are using.
- Make sure your doctor knows if you are also using an oral medicine for blood sugar control (a thiazolidinedione medicine, such as pioglitazone, rosiglitazone, Actos®, Actoplus Met®, Avandia®).
- Make sure your doctor knows if you are also using medicine that might lower the potassium levels in your blood, such as a diuretic (water pill).
- Do not drink excessive amounts of alcohol.
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant or breastfeeding. Tell your doctor if you have kidney disease, liver disease, heart failure, or hypokalemia (low potassium in the blood).
- Insulin lispro starts to work faster than some other types of insulin, and its effects do not last as long. It should act more like the insulin your body would normally produce. Because the effects of insulin lispro are short-acting, your doctor may also prescribe a longer-acting insulin for you to use.
- You might sometimes have low blood sugar while you are using insulin. This is more likely if you miss a meal, exercise for a long time, or drink alcohol.
- You might sometimes have high blood sugar if you miss a dose, do not take enough insulin, overeat or do not follow your meal plan, or do not exercise as much as usual.
- The use of insulin together with oral diabetes medicines called TZDs (thiazolidinediones) can cause your body to retain too much water. This could make congestive heart failure worse, or it could lead to heart failure. Call your doctor if you have trouble breathing, rapid weight gain, or swelling in your hands, ankles, or feet.
- Never share insulin pens or cartridges with other people under any circumstances. It is not safe. Sharing needles or pens can transmit hepatitis, HIV, and other blood-borne illnesses.
- Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Dizziness, lightheadedness
- Dry mouth, increased thirst, muscle cramps, nausea or vomiting, uneven heartbeat
- Fast or pounding heartbeat, sweating
- Hunger, trembling
- Increased thirst
- Mood changes
- Rapid weight gain, swelling in your hands, ankles, or feet
- Trouble breathing, cold sweat, bluish-colored skin
- Urinating more or more often than normal
If you notice these less serious side effects, talk with your doctor:
- Blurred vision or trouble seeing
- Numbness, tingling, or burning pain in your hands, arms, legs, or feet
- Redness, itching, swelling, or any changes in your skin where the shot is given