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Apidra (insulin glulisine) - Sanofi Canada

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PART III: CONSUMER INFORMATION<br />

APIDRA ® VIALS<br />

<strong>insulin</strong> <strong>glulisine</strong> (rDNA origin)<br />

This leaflet is part III of a three-part “Product<br />

Monograph” published when APIDRA was approved<br />

for sale in <strong>Canada</strong> and is designed specifically for<br />

Consumers. This leaflet is a summary and will not<br />

tell you everything about APIDRA. Contact your<br />

health professional if you have any questions about<br />

the drug.<br />

ABOUT THIS MEDICATION<br />

What the medication is used for:<br />

APIDRA [<strong>insulin</strong> <strong>glulisine</strong> (rDNA origin)] is an<br />

antidiabetic agent (short-acting recombinant human<br />

<strong>insulin</strong> analogue), used to reduce high blood sugar in<br />

adults and children (6 years or older) with diabetes<br />

mellitus.<br />

What it does:<br />

Insulin is a hormone produced by the pancreas, a<br />

large gland that lies near the stomach. This hormone<br />

is necessary for the body's correct use of food,<br />

especially sugar. Diabetes occurs when the pancreas<br />

does not make enough <strong>insulin</strong> to meet your body's<br />

needs or when your body cannot use properly the<br />

<strong>insulin</strong> you normally produce.<br />

When your body does not make enough <strong>insulin</strong>, you<br />

need an external source of <strong>insulin</strong>. That is why you<br />

must take <strong>insulin</strong> injections. APIDRA is similar to<br />

the <strong>insulin</strong> made by your body.<br />

APIDRA has a rapid onset of action and a short<br />

duration of about 4 hours. APIDRA should normally<br />

be used with a longer-acting <strong>insulin</strong> to maintain<br />

adequate blood sugar. APIDRA can also be used with<br />

oral drugs to reduce blood sugar.<br />

You have been instructed to test your blood and/or<br />

your urine regularly for glucose (sugar); it is<br />

especially important to test even more often when<br />

changing <strong>insulin</strong>s or dosing schedule. If your blood<br />

tests consistently show above- or below-normal<br />

glucose levels, or your urine tests consistently show<br />

the presence of glucose, your diabetes is not properly<br />

IMPORTANT: PLEASE READ<br />

controlled and you must let your health professional<br />

know.<br />

When it should not be used:<br />

You should not take APIDRA if you are allergic to<br />

this drug or to any ingredient in the formulation or<br />

component of the container.<br />

What the medicinal ingredient is:<br />

The active ingredient in APIDRA is <strong>insulin</strong> <strong>glulisine</strong>,<br />

(rDNA origin).<br />

What the nonmedicinal ingredients are:<br />

The nonmedicinal ingredients are m-cresol,<br />

polysorbate 20, sodium chloride, trometamol, water,<br />

and hydrochloric acid and sodium hydroxide for pH<br />

adjustment.<br />

What dosage forms it comes in:<br />

APIDRA is a solution for injection (100 U/mL)<br />

available in the following package size:<br />

10-mL vials<br />

It is also available in:<br />

-3-mL Cartridges, package of 5 (for use only with<br />

ClikSTAR and Autopen 24 * )<br />

-3-mL SoloSTAR (pre-filled disposable pen),<br />

package of 5<br />

WARNINGS AND PRECAUTIONS<br />

Serious Warnings and Precautions<br />

• Hypoglycemia (low blood sugar) is the most<br />

common adverse effect of <strong>insulin</strong>, including<br />

APIDRA.<br />

• Blood glucose (blood sugar) monitoring is<br />

recommended for all patients with diabetes.<br />

• Uncorrected hypoglycemic (low blood sugar) or<br />

hyperglycemic (high blood sugar) reactions can<br />

cause loss of consciousness, coma, or death.<br />

• Any change of <strong>insulin</strong> should be made cautiously<br />

*<br />

Registered trade-mark of Owen Mumford Limited, used<br />

under license.<br />

Page 39 of 61

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