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Apidra®: Site References

  1. Data on file, sanofi-aventis U.S. LLC.

  2. Apidra Prescribing Information.

  3. Lewis C. Diabetes: a growing public healthconcern. FDA Consumer Magazine. January-February 2002. Available at: http://www.fda.gov/fdac/features/2002/102_diab.html. Accessed April 3, 2006.

  4. American Obesity Association. AOA fact sheets: health effects of obesity. Available at: http://www.obesity.org/subs/fastfacts/Health_Effects.shtml. Accessed April 3, 2006.

  5. Vora JP, Burch A, Peters JR, Owens DR.Absorption of radiolabelled soluble insulin in type 1 (insulin-dependent) diabetes: influence of subcutaneous blood flow and anthropometry. Diabet Med.1993;10:736-743.

  6. Sindelka G, Heinemann L, Berger M, Frenck W, Chantelau E. Effect of insulinconcentration, subcutaneous fat thickness and skin temperature on subcutaneous insulin absorption in healthy subjects. Diabetologia.1994;37:377-380.

  7. Olefsky JM, Kruszynska YT. Type 2 diabetes mellitus: etiology, pathogenesis, and natural history. In: DeGroot LJ, Jameson JL, eds. Endocrinology. 4th ed. Philadelphia, Pa: WB Saunders Company; 2001:776-797.

  8. Foster DW, McGarry JD. Acute complications of diabetes mellitus: ketoacidosis, hyperosmolar coma, and lactic acidosis. In: DeGroot LJ, Jameson JL, eds. Endocrinology. 4th ed. Philadelphia, Pa: WB Saunders Company; 2001:908-920.

  9. Polonsky KS, Given BD,Hirsch LJ, et al. Abnormal patterns of insulin secretion in non-insulin-dependent diabetes mellitus. Engl J Med. 1988;318:1231-1239.

  10. Dailey G, Rosenstock J, Moses RG, Ways K. Insulin glulisine provides improved glycemic control in patients with type 2 diabetes. Diabetes Care. 2004;27:2363-2368.

  11. OptiClik patient leaflet.

Important Safety Information for Apidra®

Apidra® is indicated for the treatment of adult patients with diabetes mellitus for the control of hyperglycemia.

Apidra® has a more rapid onset of action and a shorter duration of action than regular human insulin. Apidra® should normally be used in regimens that include a longer-acting insulin or basal insulin analog.

OptiClik® is a reusable insulin delivery device (insulin pen) for use with a 3-mL Apidra® cartridge (U-100). Needles and the OptiClik® pen must not be shared.

Apidra® is contraindicated during episodes of hypoglycemia and in patients hypersensitive to Apidra® or one of its excipients.

Apidra® differs from regular human insulin by its rapid onset of action and shorter duration of action. When used as a mealtime insulin, the dose of Apidra® should be given within 15 minutes before or within 20 minutes after starting a meal.

Because of the short duration of action of Apidra®, patients with diabetes also require a longer-acting insulin or insulin infusion pump therapy to maintain adequate glucose control.

Any change of insulin should be made cautiously and only under medical supervision. Changes in insulin strength may result in the need for a change in dose. Concomitant oral antidiabetic treatment may need to be adjusted.

As with all insulin preparations, the time course of Apidra® action may vary in different individuals or at different times in the same individual and is dependent on site of injection, blood supply, temperature, and physical activity.

Glucose monitoring is recommended for all patients with diabetes.

Hypoglycemia is the most common adverse effect of insulin therapy, including Apidra®. The timing of hypoglycemia may differ among various insulin formulations.

Adverse events commonly associated with human insulin therapy include hypoglycemia, allergic reactions, injection site reaction, lipodystrophy, pruritus, and rash.

Please click here for full prescribing information for Apidra®

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Prescription Apidra® is available in pharmacies.


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