Mixtard 30HM Penfil suspension for inj. 100 IU/ml. 3 ml. cartridge №5

Description

Mixtard 30HM Penfil composition
active substance: human insulin (rDNA);
1 ml of suspension for injection contains 100 IU of human biosynthetic insulin (recombinant DNA obtained from Saccharomyces cerevisiae);
one IU (international unit) is 0.035 mg of anhydrous human insulin;
Mixstard 30 NM Penfil – a mixture of soluble insulin and isophane-insulin (NPH); contains 30% soluble insulin and 70% isophane insulin;
excipients: zinc chloride; glycerin; metacresol; phenol; sodium hydrogen phosphate, dihydrate; sodium hydroxide; dilute hydrochloric acid; protamine sulfate; water for injections.

Dosage form
Suspension for injection.

Pharmacological properties
Mixtard 30HM belongs to the group of antidiabetic immunobiological drugs – insulin, designed to lower blood sugar levels, their combinations – short and medium acting.
This drug owes its hypoglycemic effect to the ability that glucose is more actively absorbed by the tissues of the body, after the binding of insulin entering the blood and receptors of muscle cells and lipids occurs. At the same time, the release of glucose by liver cells is inhibited.
As clinical studies have shown, the use of insulin with the help of intravenous administration reduced the number of deaths by 42%, when the blood sugar level (glycemic level) is brought back to normal (normoglycemia phenomenon).
The effect of the drug is observed for half an hour after administration. The maximum effect reaches during the first two to 8 hours and lasts for 24 hours.
It also produces anti-catabolic and anabolic effects, producing a multifaceted effect on metabolic processes in all tissues of the body.

Indications
Mixtard 30HM is used in the treatment of diabetes mellitus to maintain normal blood sugar levels.

Contraindications
The drug Mixtard 30HM in question is contraindicated for use in cases where the patient has severe hypersensitivity (allergy) to the main or one of the auxiliary components.
Not suitable for patients with low blood sugar (hypoglycemia).

Children
Biosynthetic human insulin is an effective and safe drug in the treatment of diabetes in children and adolescents of different ages. The daily insulin requirement of children and adolescents depends on the stage of the disease, body weight, age, diet, exercise, degree of insulin resistance and the dynamics of glycemia.

Application during pregnancy and lactation
This drug, if necessary, is used in the treatment of pregnant women, as well as nursing mothers.
It should be borne in mind that the need for insulin usually decreases in the first trimester of pregnancy and increases significantly in the II and III trimesters. After the baby is born, the level of need for blood sugar returns.

Method of administration and dosage
The daily human need for insulin depends on the neglect of the disease, body weight, age, diet, physical activity, the degree of insulin resistance and the dynamics of the glycemic level.
Therefore, the dosage is strictly individual and can fluctuate and be adjusted depending on the blood sugar level, physical activity, the amount of carbohydrates consumed, infectious and other diseases, based on the fact that the average daily requirement is in the range from 0.3 to 1 IU per kg of weight per day. With obesity, pregnancy, and with existing insulin resistance, the need for insulin increases.
Insulin is injected 30 minutes before the start of a meal, which must contain carbohydrates.
It is injected subcutaneously (into the drawn skin on the thigh, buttocks, shoulder, abdomen) or intravenously (performed only by a doctor). After insertion, the needle remains under the skin for an additional 6 seconds to facilitate full dose delivery.
Periodic change of the injection site reduces lipodystrophy.

Overdose
In case of an overdose, a sharp drop in blood sugar levels is possible, which threatens with loss of consciousness, coma and death.
When a hypoglycemic attack is approaching, you should take a short carbohydrate as soon as possible – preferably sugar. When sugar is diluted in liquid at a high concentration, its entry into the blood will be most effective.
In case of loss of consciousness and the inability to consume carbohydrates orally, subcutaneous or intramuscular administration of glucagon (0.5-1 mg) is recommended.
In case of mortal danger, if within 15 minutes the patient does not respond to the administration of glucagon, glucose is injected intravenously (only a doctor!)
After the patient has regained consciousness, he is allowed to take foods with a high glycemic index.

Side effects
The most common side effect of insulin administration is hypoglycemia.
You can also observe:

• refractive errors, swelling reactions at the injection site (pain, redness, urticaria, inflammation, bruising, swelling, itching at the injection site) – passing, usually observed at the beginning of treatment;
• temporary exacerbation of diabetic retinopathy (long-term glycemic control reduces the risk of diabetic retinopathy progression);
• anaphylactic reactions, peripheral neuropathies (painful neuropathies);
• refractive errors, diabetic retinopathy;
• lipodystrophy.

Storage conditions and periods
The shelf life is up to 2.5 years.
The storage temperature of Mixtard 30HM should not be below 2 ° C or above 8 ° C. Do not freeze!
After the first opening, it is suitable for up to 6 weeks, at a storage temperature not lower than 15, not higher than 25 ° C.