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Baqsimi

Pronunciation: BAK-see-mee
Generic name: glucagon
Dosage form: intranasal device (3 mg)
Drug class: Glucose elevating agents

Medically reviewed by Carmen Pope, BPharm. Last updated on May 14, 2025.

What is Baqsimi?

Baqsimi is used to treat very low blood sugar (severe hypoglycemia) in adults and children aged 1 year and older with diabetes. It is a nasal powder that is administered into the nose, making it easier to administer than traditional injectable glucagon. After giving Baqsimi, the caregiver should call for emergency help.

Baqsimi (glucagon) works by activating liver glucagon receptors, stimulating glycogen breakdown, and releasing glucose from the liver, increasing blood glucose levels. Liver stores of glycogen are necessary for glucagon to produce an antihypoglycemic effect.

Baqsimi gained FDA approval on July 24, 2019. There is no generic.

Side effects

The most common side effects of Baqsimi include:

Serious side effects and warnings

Baqsimi may cause the following serious side effects:

It is not known if Baqsimi is safe and effective in children under 1 year of age.

These are not all the possible side effects of Baqsimi. For more information, ask your healthcare provider. Call your healthcare provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Before taking

You should not use Baqsimi if you are allergic to glucagon, or if you have:

Before taking, tell your healthcare provider about all your medical conditions, including if you:

How should I use Baqsimi?

Read the detailed Instructions for Use that comes with Baqsimi. Use Baqsimi exactly how your healthcare provider tells you to use it.

Make sure your caregiver and those around you know where you keep your Baqsimi and how to use Baqsimi the right way before you need their help.

When you can safely swallow food or drink, your caregiver should give you a fast-acting source of sugar (such as a regular soft drink or fruit juice) and a long-acting source of sugar (such as crackers with cheese or peanut butter).

If the person does not respond after 15 minutes, another dose of Baqsimi from a new device may be given, if available, while waiting for emergency services.

Tell your healthcare provider each time you use Baqsimi.

What happens if I miss a dose?

Since Baqsimi is used as needed, it does not have a daily dosing schedule.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, constipation, rapid pulse, or increased blood pressure (severe headache, blurred vision, pounding in your neck or ears).

What should I avoid while using Baqsimi?

Do not take by mouth. Nasal medicine is for use only in the nose.

Avoid drinking alcohol. It can lower your blood sugar.

What other drugs will affect Baqsimi?

Many other medicines can affect your blood sugar, and some medicines can increase or decrease the effects of medicines used to treat diabetes. Some drugs can also cause you to have fewer symptoms of hypoglycemia, making it harder to tell when your blood sugar is low. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all medicines you start or stop using.

Does Baqsimi interact with my other drugs?

Enter medications to view a detailed interaction report using our Drug Interaction Checker.

Storage

Store Baqsimi at temperatures up to 86ºF (30ºC).

Keep out of the reach of children.

Baqsimi ingredients

Active Ingredient: glucagon

Inactive Ingredients: betadex and dodecylphosphocholine.

Available in an intranasal device containing one dose of glucagon 3 mg.

Manufacturer

Baqsimi (glucagon nasal powder) is made by Eli Lilly and Company (Lilly), whose global headquarters are in Indianapolis, Indiana, USA.

Popular FAQ

When should you use glucagon?

Glucagon is usually given in an emergency to people with insulin-dependent diabetes who develop very low blood sugar levels and pass out or are unable to take some form of sugar by mouth. Glucagon injection or nasal powder (Baqsimi) increases low blood sugar levels back to normal. Continue reading

What are the signs and symptoms of hypoglycemia?

Low blood sugar happens in people when the level of sugar in their blood gets too low. Signs and symptoms of hypoglycemia (low blood sugar) include:

  • feeling hungry
  • feeling nervous or worried
  • trembling or shaky feeling
  • sweating
  • dizziness or light-headedness
  • sleepiness
  • confusion
  • passing out (if low blood sugar is left untreated)
Continue reading
How long does Baqsimi last?

One dose of Baqsimi lasts for at least 90 minutes. Baqsimi starts working within 7 to 8 minutes of administration, with peak levels being reached 30 minutes after administration.

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How does Baqsimi work?

Baqsimi works by activating glucagon receptors in the liver, which stimulates the breakdown of glycogen and the release of glucose from the liver into the bloodstream.

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More FAQ

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.