HUMULIN I 100IU/ML SUSPENSION FOR INJECTION IN VIAL

Active substance: INSULIN HUMAN (PRB)

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1. What Humulin I is and what it is used for
Humulin I contains the active substance human insulin, which is used to treat diabetes. You get diabetes if your pancreas does not
make enough insulin to control the level of glucose in your blood (blood sugar). Humulin I is used to control glucose in the long
term. Its action is prolonged by the inclusion of protamine sulphate in the suspension.
Your doctor may tell you to use Humulin I as well as a fast-acting insulin. Each kind of insulin comes with its own patient
information leaflet to tell you about it.
Do not change your insulin unless your doctor tells you to. Be very careful if you do change insulin. Each type of insulin has a
different colour and symbol on the pack and the vial so that you can easily tell the difference.

DATE:

Using other medicines
Please tell your doctor or diabetes specialist nurse, if you are taking or have recently taken any other medicines, including
medicines obtained without a prescription.
Your insulin needs may change if you are taking any of the following:
• steroids,
• thyroid hormone replacement therapy,
• oral hypoglycaemics (antidiabetic medication),
• acetylsalicylic acid (aspirin),
• growth hormone,
• octreotide, lanreotide,
• beta2 stimulants (for example ritodrine, salbutamol or terbutaline),
• beta-blockers,
• thiazides or some antidepressants (monoamine oxidase inhibitors),
• danazol,
• some angiotensin converting (ACE) inhibitors (for example captopril, enalapril) or angiotensin II receptor blockers.

12/10/12
DATE OF PROOF:

UK PIL GRANTED MAY 2012

6464/2229F

DT

CODE:

04-1957

Pregnancy and breast-feeding
Ask your doctor or diabetes specialist nurse for advice before taking any medicine.
The amount of insulin you need usually falls during the first three months of pregnancy and increases for the remaining six months.
If you are breast-feeding, you may need to alter your insulin intake or diet.

Humulin I 100IU/ml injection

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Take special care with Humulin I
• If your blood sugar levels are well controlled by your current insulin therapy, you may not feel the warning symptoms when
your blood sugar is falling too low. Warning signs are listed later in this leaflet. You must think carefully about when to
have your meals, how often to exercise and how much to do. You must also keep a close watch on your blood sugar
levels by testing your blood glucose often.
• A few people who have had hypoglycaemia (low blood sugar) after switching from animal insulin to human insulin have
reported that the early warning symptoms were less obvious or different. If you often have hypoglycaemia or have difficulty
recognising the symptoms, please discuss this with your doctor.
• If you answer YES to any of the following questions, tell your diabetes specialist nurse, doctor or pharmacist.
- Have you recently become ill?
- Do you have trouble with your kidneys or liver?
- Are you exercising more than usual?
• The amount of insulin you need may also change if you drink alcohol.
• You should also tell your diabetes specialist nurse, doctor or pharmacist if you are planning to go abroad.
The time difference between countries may mean that you have to have your injections and meals at different times to
when you are at home.
• Some patients with long-standing type 2 diabetes mellitus and heart disease or previous stroke who were treated with
pioglitazone and insulin experienced the development of heart failure. Inform your doctor as soon as possible, if you
experience signs of heart failure such as unusual shortness of breath or rapid increase in weight or localised swelling
(oedema).

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2. Before you use Humulin I
Do not use Humulin I if you:
- think hypoglycaemia (low blood sugar) is starting. Further in this leaflet it tells you how to deal with mild
hypoglycaemia (see A in Section 4).
- are allergic (hypersensitive) to human insulin or any of the other ingredients of Humulin I (see Section 6).

Driving and using machines
Your ability to concentrate and react may be reduced if you have hypoglycaemia (low blood sugar). Please remember this in all
situations where you might put yourself and others at risk (e.g. driving a car or operating machinery). You should contact your
diabetes specialist nurse or doctor about the advisability of driving if you have:
• frequent episodes of hypoglycaemia
• reduced or absent warning signs of hypoglycaemia.
3. How to use Humulin I
Always check the pack and the vial label for the name and type of the insulin when you get it from your pharmacy. Make
sure you get the Humulin that your doctor has told you to use.
Always use Humulin I exactly as your doctor has told you. You should check with your doctor if you are not sure.
Dosage
• You should normally inject Humulin I as your basal insulin. Your doctor has told you which insulin to use, how much, when
and how often to inject. These instructions are only for you. Follow them exactly and visit your diabetes clinic regularly.
• If you change your insulin type (for example from animal to human), you may have to take more or less than before. This
might just be for the first injection or it may be a gradual change over several weeks or months.
• Inject Humulin I under the skin. You should not administer it using a different administration route.
Under no circumstances should Humulin I be given into a vein.
Preparing Humulin I
• Vials containing Humulin I should be rotated several times in the palms of the hands before use to resuspend insulin until
it appears uniformly cloudy or milky. If not, repeat the above procedure until contents are mixed. Do not shake vigorously
as this may cause frothing which may interfere with the correct measurement of the dose. The vials should be examined
frequently and should not be used if clumps of material are present or if solid white particles stick to the bottom or sides of
the vial, giving it a frosted appearance. Check each time you inject yourself.
Injecting Humulin I
• First wash your hands.
• Before you make an injection, clean your skin as you have been instructed. Clean the rubber stopper on the vial, but do not
remove the stopper.
• Use a clean, sterile syringe and needle to pierce the rubber stopper and draw in the amount of Humulin I you want. Your
doctor or clinic will tell you how to do this. Do not share your needles and syringes.
• Inject under the skin, as you were taught. Do not inject directly into a vein. After your injection, leave the needle in the skin
for 5 seconds to make sure you have taken the whole dose. Do not rub the area you have just injected. Make sure you
inject at least half an inch (1 cm) from where you last injected and that you ‘rotate’ the places you inject, as you have been
taught.
• Your doctor will tell you if you have to mix Humulin S with Humulin I. For example if you do need to inject a mixture, draw
the Humulin S into the syringe before the long acting insulin. Inject the liquid as soon as you have mixed it. Do the same
thing every time. You should not normally mix Humulin I with a mixture of human insulins. You should never mix Humulin I
with insulins produced by other manufacturers or animal insulins.
• You must not inject Humulin I into a vein. Inject Humulin I as your diabetes specialist nurse or doctor has taught you.
If you take more Humulin I than you need
If you take more Humulin I than you need, your blood sugar may become low.
Check your blood sugar (see A in Section 4).

WARNING!

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CRESTOR 6464/2069 2070

In this leaflet:
1. What Humulin I is and what it is used for
2. Before you use Humulin I
3. How to use Humulin I
4. Possible side effects
5. How to store Humulin I
6. Further information

PROOF HISTORY:
v.1 - waymade - 12/10/12

Leaflet Flat Size = 180 x 429

Read all of this leaflet carefully before you start using this medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your diabetes specialist nurse, doctor or pharmacist.
• This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same
as yours.
• If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your diabetes specialist
nurse, doctor or pharmacist.

THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE
USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.

This medicine is known as the above name, but will be referred to as Humulin I throughout this leaflet.

WARNING!

27mm

WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY
ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY
MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.

HUMULIN I 100 IU/ml SUSPENSION FOR INJECTION IN VIAL
(human insulin (prb))
Patient Information Leaflet

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ARIAL BOLD
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BRIDGED TO
CRESTOR 6464/2069 2070

Local allergy is common (affects less than 1 person in 10). Some people get redness, swelling or itching around the area of the
insulin injection. This usually clears up in anything from a few days to a few weeks. If this happens to you, tell your doctor.
Lipodystrophy (thickening or pitting of the skin) is uncommon (affects less than 1 person in 100). If you notice your skin thickening
or pitting at the injection site, change your injection site and tell your doctor.
Oedema (e.g. swelling in arms, ankles; fluid retention) has been reported, particularly at the start of insulin therapy or during a
change in therapy to improve control of your blood glucose.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

PROOF HISTORY:
v.1 - waymade - 12/10/12

Leaflet Flat Size = 180 x 429

Possible side effects
Systemic allergy is very rare (affects less than 1 person in 10,000). The symptoms are as follows:
• fall in blood pressure
• rash over the whole body
• difficulty in breathing
• wheezing
• fast heart beat
• sweating
If you think you are having this sort of insulin allergy with Humulin I, tell your doctor at once.

Common problems of diabetes
A. Hypoglycaemia
Hypoglycaemia (low blood sugar) means there is not enough sugar in the blood. This can be caused if you:
• take too much Humulin I or other insulin;
• miss or delay meals or change your diet;
• exercise or work too hard just before or after a meal;
• have an infection or illness (especially diarrhoea or vomiting);
• have a change in your need for insulin; or
• have trouble with your kidneys or liver which gets worse.

DATE:
DATE:
12/10/12
DATE OF PROOF:

UK PIL GRANTED MAY 2012

6464/2229F
CODE:

04-1957

DT

Three simple steps to avoid hypoglycaemia or hyperglycaemia are:
• Always keep spare syringes and a spare vial of Humulin I.
• Always carry something to show you are diabetic.
• Always carry sugar with you.

Humulin I 100IU/ml injection

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The symptoms include the following:
• no appetite
• feeling sleepy
• fruity smell on the breath
• flushed face
• feeling or being sick
• thirst
Severe symptoms are heavy breathing and a rapid pulse. Get medical help immediately.
If hypoglycaemia (low blood sugar) or hyperglycaemia (high blood sugar) are not treated they can be very serious and cause
headaches, nausea, vomiting, dehydration, unconsciousness, coma or even death.

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Do not use Humulin I if you think hypoglycaemia (low blood sugar) is starting.
If your blood sugar is low, eat glucose tablets, sugar or drink a sugary drink. Then eat fruit, biscuits, or a sandwich, as your doctor
has advised you and have some rest. This will often get you over mild hypoglycaemia or a minor insulin overdose. If you get worse
and your breathing is shallow and your skin gets pale, tell your doctor at once. A glucagon injection can treat quite severe
hypoglycaemia. Eat glucose or sugar after the glucagon injection. If you do not respond to glucagon, you will have to go to hospital.
Ask your doctor to tell you about glucagon.
B. Hyperglycaemia and diabetic ketoacidosis
Hyperglycaemia (too much sugar in the blood) means that your body does not have enough insulin.
Hyperglycaemia can be brought about by:
• not taking your Humulin I or other insulin;
• taking less insulin than your doctor tells you to;
• eating a lot more than your diet allows; or
• fever, infection or emotional stress.
Hyperglycaemia can lead to diabetic ketoacidosis. The first symptoms come on slowly over many hours or days.

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Alcohol and some medicines can affect your blood sugar levels.
The first symptoms of low blood sugar usually come on quickly and include the following:
• tiredness
• rapid heartbeat
• nervousness or shakiness
• feeling sick
• headache
• cold sweat
Until you become confident in recognising your warning symptoms, avoid situations such as driving a car, in which you or others
would be put at risk by hypoglycaemia.

C. Illness
If you are ill, especially if you feel sick or are sick, the amount of insulin you need may change. Even when you are not eating
normally, you still need insulin.
Test your urine or blood, follow your ‘sick rules’, and tell your diabetes specialist nurse or doctor.












5. How to store Humulin I
Keep out of the sight and reach of children.
Store in a refrigerator (2°C - 8°C). Do not freeze.
Do not expose to excessive heat or direct sunlight.
Keep the container in the outer carton.
Do not use after the expiry date printed on the carton or vial.
Once in use the vial may be used for up to 28 days.
Do not use beyond this period. When in use the vial should not be stored above 30°C. Please note that the temperature at
which Humalin I vials are stored should be controlled at all times. The expiry date refers to the last day of that month.
Do not use Humulin I, if clumps of material are present or if solid white particles stick to the bottom or sides of the vial,
giving it a frosted appearance. Check this each time you inject yourself.
If your doctor tells you to stop taking the injections, please take them back to the pharmacist for safe disposal. Only keep
the injection if your doctor tells you to.
If the solution becomes discoloured or shows any other signs of deterioration, you should consult your pharmacist who will
advise you what to do.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to protect the environment.

6. Further information
Your medicine is called Humulin I 100 IU/ml Suspension for Injection in Vial. It is a brand of human insulin. Its strength is 100 units
per ml and each vial contains 10ml (1000 units).
Humulin I 100 IU/ml Suspension for Injection in Vial are a sterile suspension of white crystals of isophane human insulin in an
isotonic phosphate liquid with a pH of 6.9-7.5.
Humulin I 100 IU/ml Suspension for Injection in Vial also contain the following inactive ingredients:
m-cresol, phenol, protamine sulphate, zinc oxide, glycerol, dibasic sodium phosphate heptahydrate and water for injections.
Sodium hydroxide or hydrochloric acid (or both) may have been used during manufacture to adjust acidity.
Humulin I 100 IU/ml Suspension for Injection in Vial are available as a single 10ml vial.
POM

PL No: 6464/2229

This product is manufactured by Lilly France S.A.S, rue du Colonel Lilly, 67640 Fegersheim, France and is procured from within
the EU and repackaged by the Product Licence holder:
Waymade plc, Miles Gray Road, Basildon, Essex SS14 3FR
Leaflet revision and issue date (Ref.) 3.10.2012
Humulin is a registered trademark of Eli Lilly and Company

WARNING!

4. Possible side effects
Like all medicines, Humulin I can cause side effects, although not everybody gets them.
Human insulin may cause hypoglycaemia (low blood sugar). See more information on hypoglycaemia below in the subsection
“Common problems of diabetes”.

THE COLOURS SHOWN ON THIS PROOF ARE FOR GENERAL REPRESENTATION PURPOSES ONLY. THEY ARE NOT ACCURATE AND MUST NOT BE
USED AS A COLOUR MATCH FOR THE FINISHED JOB. PLEASE REFER TO THE PANTONE COLOUR GUIDES FOR ACCURATE COLOUR REFERENCES.

If you stop using Humulin I
If you take less Humulin I than you need, your blood sugar levels may become too high. Do not change your insulin unless your
doctor tells you to.
If you have any further questions on the use of this product, ask your diabetes specialist nurse, doctor or pharmacist.

WARNING!

27mm

WE CANNOT ACCEPT RESPONSIBILITY FOR ANY ERRORS IN THIS PROOF AFTER APPROVAL. THE ARTWORK RECEIVED HAS BEEN SIGNIFICANTLY
ADJUSTED, REVISED OR RESET BY US FROM DISK OR HARD COPY. WHILST WE TAKE EXTREME CARE AT ALL TIMES TO ENSURE ACCURACY, THE FINAL RESPONSIBILITY
MUST BE TAKEN BY OUR CUSTOMER. IF YOU SIGN THIS PROOF YOU ARE SIGNIFYING FULL APPROVAL OF DESIGN AND TEXT.

If you forget to use Humulin I
If you take less Humulin I than you need, your blood sugar levels may increase.
Check your blood sugar.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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