Drug Detail:Humalog (Insulin lispro [ in-soo-lin-liss-pro ])
Generic Name: Insulin lispro 100[iU] in 1mL
Dosage Form: injection, solution
Drug Class: Insulin
Important Administration Instructions
- Always check insulin labels before administration [see Warnings and Precautions (5.4)].
- Inspect HUMALOG visually before use. It should appear clear and colorless. Do not use HUMALOG if particulate matter or coloration is seen.
- Use HUMALOG prefilled pens with caution in patients with visual impairment that may rely on audible clicks to dial their dose.
- Do NOT mix HUMALOG U-100 with other insulins when administering using a continuous subcutaneous infusion pump.
- Do NOT transfer HUMALOG U-200 from the prefilled pen to a syringe for administration [see Warnings and Precautions (5.4)].
- Do NOT perform dose conversion when using any HUMALOG U-100 or U-200 prefilled pens. The dose window shows the number of insulin units to be delivered and no conversion is needed.
- Do NOT mix HUMALOG U-200 with any other insulins.
- Do NOT administer HUMALOG U-200 using a continuous subcutaneous infusion pump (i.e., insulin pump).
- Do NOT administer HUMALOG U-200 intravenously.
Route of Administration
Subcutaneous Injection: HUMALOG U-100 or U-200
- Administer the dose of HUMALOG U-100 or HUMALOG U-200 within fifteen minutes before a meal or immediately after a meal by injection into the subcutaneous tissue of the abdominal wall, thigh, upper arm, or buttocks. To reduce the risk of lipodystrophy and localized cutaneous amyloidosis, rotate the injection site within the same region from one injection to the next. Do not inject into areas of lipodystrophy or localized cutaneous amyloidosis [see Warnings and Precautions (5.2) and Adverse Reactions (6)].
- During changes to a patient's insulin regimen, increase the frequency of blood glucose monitoring [see Warnings and Precautions (5.2)].
- HUMALOG administered by subcutaneous injection should generally be used in regimens with an intermediate- or long-acting insulin.
- The HUMALOG U-100 KwikPen, HUMALOG U-100 Tempo Pen and HUMALOG U-200 KwikPen each dial in 1 unit increments and delivers a maximum dose of 60 units per injection.
- The HUMALOG U-100 Junior KwikPen dials in 0.5 unit increments and delivers a maximum does of 30 units per injection.
Continuous Subcutaneous Infusion (Insulin Pump): HUMALOG U-100 ONLY
- Do NOT administer HUMALOG U-200 using a continuous subcutaneous infusion pump.
- Administer HUMALOG U-100 by continuous subcutaneous infusion in a region recommended in the instructions from the pump manufacturer. Rotate infusion sites within the same region to reduce the risk of lipodystrophy and localized cutaneous amyloidosis. Do not inject into areas of lipodystrophy or localized cutaneous amyloidosis [see Warnings and Precautions (5.2) and Adverse Reactions (6)].
- During changes to a patient's insulin regimen, increase the frequency of blood glucose monitoring [see Warnings and Precautions (5.2)].
- Follow healthcare professional recommendations when setting basal and meal time infusion rate.
- Do NOT dilute or mix HUMALOG U-100 when administering by continuous subcutaneous infusion.
- Change HUMALOG U-100 in the pump reservoir at least every 7 days.
- Change the infusion sets and the infusion set insertion site at least every 3 days.
- Do NOT expose HUMALOG U-100 in the pump reservoir to temperatures greater than 98.6°F (37°C).
- Use HUMALOG U-100 in pump systems suitable for insulin infusion [see Patient Counseling Information (17)].
Intravenous Administration: HUMALOG U-100 ONLY
- Do NOT administer HUMALOG U-200 intravenously.
- Dilute HUMALOG U-100 to concentrations from 0.1 unit/mL to 1.0 unit/mL using 0.9% Sodium Chloride Injection, USP.
- Administer HUMALOG U-100 intravenously ONLY under medical supervision with close monitoring of blood glucose and potassium levels to avoid hypoglycemia and hypokalemia [see Warnings and Precautions (5.3, 5.6) and How Supplied/Storage and Handling (16.4)].
Dosage Information
- Individualize and adjust the dosage of HUMALOG based on route of administration, the individual's metabolic needs, blood glucose monitoring results and glycemic control goal.
- Dosage adjustments may be needed with changes in physical activity, changes in meal patterns (i.e., macronutrient content or timing of food intake), changes in renal or hepatic function or during acute illness [see Warnings and Precautions (5.2, 5.3) and Use in Specific Populations (8.6, 8.7)].
- Do NOT perform dose conversion when using any HUMALOG U-100 or U-200 prefilled pens. The dose window shows the number of insulin units to be delivered and no conversion is needed.
Dosage Adjustment Due to Drug Interactions
- Dosage adjustment may be needed when HUMALOG is coadministered with certain drugs [see Drug Interactions (7)].
- Dosage adjustment may be needed when switching from another insulin to HUMALOG [see Warnings and Precautions (5.2)].
- Instructions for Mixing with Other Insulins
HUMALOG U-100 subcutaneous injection route |
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HUMALOG U-100 continuous subcutaneous infusion route (Insulin Pump) |
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HUMALOG U-200 subcutaneous injection route |
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