Insulin glargine 100 units/mL Solution for injection in pre-filled pen 

What Insulin glargine is used for:

Insulin glargine is a modified insulin, very similar to human insulin. Insulin glargine is used to treat diabetes mellitus in adults, adolescents and children aged 2 years and above. Insulin glargine has a long and steady blood-sugar-lowering action.

Do not use Insulin glargine :

if you are allergic to insulin glargine or any of the other ingredients of this medicine. 

Warnings and Precautions:

Talk to your doctor, pharmacist or nurse before using Insulin glargine. Be especially aware of the following: 

• Low blood sugar (hypoglycemia)
• High blood sugar (hyperglycemia) 
• Switching from another insulin 
• Pioglitazone used together with insulin
• Eye disorder
• Ensuring you use the right type of insulin
• Skin changes at the injection site

Possible side effects of Insulin glargine:

Insulin glargine can cause serious side effects. These side effects happen only to a small number of people and include:

• Hypoglycemia 
• Skin changes at the injection site
• Signs of allergic reactions
• Vision problems
• Swollen joints
• Diabetic retinopathy (an eye disease related to diabetes which can lead to loss of vision)
• Painful neuropathy (pain due to nerve damage)

Other medicines and Insulin glargine:

Please tell your doctor, if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription. Especially if you take medicines for: birth control, pain, hormonal replacement, diabetes, hypertension, asthma, depression, auto-immune diseases and infection.

How to use Insulin glargine:

• Always use this medicine exactly as your doctor has told you. 
• Use Insulin glargine once each day, preferably at the same time every day.
• Insulin glargine is for injection under the skin (subcutaneously). You must never inject yourself directly into a vein (intravenously) or muscle (intramuscularly). 
• With each injection, change the injection site within the particular area of skin that you use. This may reduce the risk of developing lumps or skin pitting. 
• The best places to give yourself an injection are: the front of your waist (abdomen), the upper arm or the front of your thighs.
• The insulin will work more quickly if injected into the front of your waist. You should always measure your blood sugar regularly.
• Insulin glargine can be used in adolescents and children aged 1 year and above. There is no experience with the use of Insulin glargine in children below the age of 1 year.

How to store Insulin glargine:

• Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the pen label and carton, after ‘EXP’. The expiry date refers to the last day of that month. Always keep the pen cap on when you are not using it in order to protect it from light. Insulin glargine must be protected from excessive heat and light. 
• Before opening: Insulin glargine pen that is not being used is to be stored in the refrigerator at 2°C to 8°C, away from the cooling element. Do not freeze. 
• During use or when carried as a spare: You can carry your Insulin glargine pen with you and keep it at a temperature below 30°C or in a refrigerator (2˚C to 8˚C) for up to 4 weeks. If refrigerated, keep away from the cooling element. Do not freeze. 
• Do not throw away any medicines via wastewater or household waste.