Страна: Армения
Язык: английский
Источник: Դեղերի և բժշկական տեխնոլոգիաների փորձագիտական կենտրոնի գործունեության Հայաստանի Հանրապետությունում
insulin detemir (recombinant)
Novo Nordisk A/S
insulin detemir (recombinant)
100IU/ml
solution for injection
Prescription
1 ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 2 1. NAME OF THE MEDICINAL PRODUCT Levemir_ _100 units/ml solution for injection in pre-filled pen. 2. QUALITATIVE AND QUANTITATIVE COMPOSITION 1 ml of the solution contains 100 units insulin detemir* (equivalent to 14.2 mg). 1 pre-filled pen contains 3 ml equivalent to 300 units. *Insulin detemir is produced in _Saccharomyces cerevisiae_ by recombinant DNA technology. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Solution for injection in pre-filled pen. FlexPen. The solution is clear, colourless and aqueous. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Levemir is indicated for treatment of diabetes mellitus in adults, adolescents and children aged 1 year and above. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology The potency of insulin analogues, including insulin detemir, is expressed in units, whereas the potency of human insulin is expressed in international units. 1 unit insulin detemir corresponds to 1 international unit of human insulin. Levemir can be used alone as the basal insulin or in combination with bolus insulin. It can also be used in combination with oral antidiabetic medicinal products and/or GLP-1 receptor agonists. When Levemir is used in combination with oral antidiabetic medicinal products or when added to GLP-1 receptor agonists it is recommended to use Levemir once daily, initially at a dose of 0.1- 0.2 units/kg or of 10 units IN ADULT PATIENTS. The dose of Levemir should be titrated based on the individual patient’s needs. When a GLP-1 receptor agonist is added to Levemir, it is recommended to reduce the dose of Levemir by 20% to minimise the risk of hypoglycaemia. Subsequently, dosage should be adjusted individually. For individual dose adjustments, the following two titration guidelines are recommended FOR ADULTS: ADULT TYPE 1 AND TYPE 2 DIABETES TITRATION GUIDELINE: Average pre-breakfast SMPG* Levemir dose adjustment > 10.0 mmol/l (180 mg/dl) + 8 units 9.1-10.0 mmol/l (163-180 mg/dl) + 6 units 2 3 8.1 Прочитать полный документ