Insulin aspart, recombinant (intravenous route, subcutaneous route)
利用可能なブランド
NovoLOG, NovoLOG FlexPen, NovoLOG PenFill
この薬について
Insulin aspart is a fast-acting type of insulin. Insulin is one of many hormones that help the body turn the food we eat into energy. This is done by using the glucose (sugar) in the blood as quick energy. Also, insulin helps us store energy that we can use later. When you have diabetes mellitus, your body cannot make enough or does not use insulin properly. So, you must take additional insulin to regulate your blood sugar and keep your body healthy. This is very important as too much sugar in your blood can be harmful to your health. Since insulin aspart acts faster than regular human insulin, you normally should use insulin aspart with a longer-acting insulin. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms:
この薬を使用する前に
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness ofFiasp®,Insulin Aspart FlexPen®, andNovolog®in children. However, safety and efficacy of insulin aspartmix 50/50andmix 70/30in the pediatric population have not been established. Although appropriate studies on the relationship of age to the effects of insulin aspart have not been performed in the geriatric population, geriatric-specific problems are not expected to limit the usefulness of insulin aspart in the elderly. However, elderly patients are more likely to have age-related heart, liver, or kidney problems which may require an adjustment in the dose for patients receiving insulin aspart. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
この薬の使用方法
A nurse or other trained health professional may give you this medicine. You may also be taught how to give your medicine at home. This medicine is given as a shot under your skin (eg, stomach, thigh, buttocks, or upper arm) or into a vein. Always check the label before use, to make sure you have the correct type of insulin. Do not change the brand, type, or concentration unless your doctor tells you to. If you use a pump or other device, make sure the insulin is made for that device. Always double-check both the concentration (strength) of your insulinandyour dose.Concentration and dose are not the same.The dose is how many units of insulin you will use. The concentration tells how many units of insulin are in each milliliter (mL), such as 100 units/mL (U-100), but this does not mean you will use 100 units at a time. Each package of insulin aspart contains a patient information leaflet and patient instructions. Read this leaflet carefully and make sure you understand: Do not inject into skin areas that are tender, bruised, scaly, hard, damaged, thick, or has pits, lumps, or scars. This medicine should be clear and colorless. Do not use it if it is discolored, cloudy or thick, or has particles in it. When used as a mealtime insulin,Novolog®andInsulin Aspart FlexPen®should be taken within 5 to 10 minutes before a meal or immediately before a meal. TakeFiasp®at the start of a meal or within 20 minutes after starting a meal. When used in aninsulin pump: Carefully read and follow the external insulin pump instructions. This insulin should not be mixed with any other insulin or diluted when used in an insulin pump. The insulin aspart in the pump should be changed at least every 6 daysFiasp®and 7 days forNovolog®and the infusion set and insertion site changed according to the instructions. If you do not understand how you are to use the insulin pump, contact your doctor or pharmacist. Use a new needle for thecartridgeorpeneach time you give yourself an injection. Always remove and throw the needle after each injection from the pen, and store without a needle attached. When injecting theFiasp® FlexTouch® penorInsulin Aspart FlexPen®, slowly count to 6 before removing it from the skin to get your full dose of the medicine. To use thePenfill® Cartridge: To use theFlexPen® or FlexTouch® Pen: To use thePumpCart® Cartridge: To use thevial: Follow carefully the special meal plan your doctor gave you. This is the most important part of controlling your condition, and is necessary if the medicine is to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed. You should never mix insulin aspart with other insulin injections without checking with your doctor first. These injections are usually done separately. If you have questions about this, ask your doctor or pharmacist. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Call your doctor or pharmacist for instructions. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Unopened medicine: Store the vials, pens, and cartridges in the refrigerator. You may store the medicine at room temperature for 28 days. Protect from light. Do not freeze. Do not use the insulin if it has been frozen. Throw away any unused medicine after 28 days. Opened pens and cartridges: Store at room temperature, away from direct heat and light. Do not refrigerate. Throw away any opened pen or cartridge after 28 days. Opened vials: Store in the refrigerator or at room temperature in a cool place, away from sunlight and heat. Use within 28 days. If it is used together with a pump, throw away opened vials after 19 days. Store unusedvials, pens, PenFill cartridges, or PumpCart® cartridgesin the refrigerator. You may store the medicine at room temperature for 28 days forvials, pens, or PenFill cartridges,and 18 days forPumpCart® cartridges. Do not freeze. Do not use if the medicine has been frozen. Keep away from excessive heat or light. The expiration date on the insulin package tells you how long you can keep the medicine in the refrigerator. Throw the medicine away after the expiration date has passed. Store openedvials, pens, or PenFill® cartridgesfor 28 days andPumpCart® cartridgesfor 4 days at room temperature, away from direct heat and light. You may also store openedvials and pensfor 28 days. Do not refrigerate openedPenFill® cartridges and PumpCart® cartridges. Throw away any opened pen or cartridge after 28 days. Throw away used syringes and needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.