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Levemir Flextouch
Levemir FlexTouch is an FDA-approved prescription medication used to treat diabetes mellitus. It contains the active ingredient Insulin detemir, a long-acting insulin that effectively controls blood sugar levels in adults and children with type 1 or type 2 diabetes. Flexpen is available in a 3-ml pen with a strength of 100U/ml. The dosage varies based on the individual’s needs and is typically taken once or twice daily. Levemir works by mimicking natural insulin, regulating glucose metabolism, and controlling blood sugar levels. It is administered subcutaneously in the abdomen, thigh, or upper arm. Common side effects include weight gain, skin reactions, and low blood sugar. Following the prescribed regimen and consulting your doctor for personalized advice is crucial.
Product Overview
Levemir FlexTouch is a long-acting insulin used to manage type 1 and type 2 diabetes in adults and children. It helps maintain consistent insulin levels in the body over a day, aiding blood sugar control and reducing diabetes complications. This insulin comes in a liquid form in a 3-ml FlexTouch pen, with a concentration of 100 units per ml (U100).
For type 1 diabetes patients, the starting dosage of Levemir usually ranges from one-third to one-half of total daily insulin needs, complemented by insulin at meals. The exact dose is determined based on body weight, typically between 0.2 to 0.4 units per kg. Type 2 diabetes patients might start with a dose of 10 units once daily in the evening, adjusted based on individual response. Levemir functions by replicating the actions of natural insulin, enabling muscle and fat cells to absorb glucose from the bloodstream and preventing the liver from producing too much glucose. Consistent use as prescribed is crucial for optimal benefits. Abrupt discontinuation can lead to dangerously high blood sugar levels and a risk of severe complications.
A key to effective treatment includes maintaining a healthy diet, regular physical activity, and weight control, as recommended by a healthcare provider. Levemir is not for people with diabetic ketoacidosis (increased ketones in the blood or urine) and should not be mixed with other solutions or insulins. It should be injected subcutaneously. The most common side effect is hypoglycemia, or low blood sugar levels, which emphasizes the importance of correct dosing, regular meals, and blood sugar monitoring. Other possible side effects are injection site reactions and weight gain. It’s deemed safe for use during pregnancy and breastfeeding under medical advice. Always consult your doctor regarding any existing health conditions like kidney, liver, or heart issues before starting Levemir FlexTouch.
Uses of Levemir Flextouch
Levemir is used in the treatment of diabetes mellitus, including type 1 and type 2.
How to Use Levemir Flextouch?
Dosage
Levemir liquid solution that comes in two forms:
- 10 ml vial and syringe
- 3-ml FlexTouch pen
Levemir comes in a strength of:
- 100U/ml (100 units of insulin detemir per ml)
Recommended Dosage for Levemir Flextouch
For Patients with Type 1 Diabetes
When you start using Levemir, the initial dose is typically one-third to one-half of your total daily insulin needs. You’ll get the rest of your daily insulin from mealtime insulin injections. If you’re new to taking insulin, the total amount of insulin you need each day will be based on your body weight in kgs. Generally, the total daily insulin dose ranges from 0.2 units per kg of body weight to 0.4 units per kg.
[Note: Levemir is used as part of a treatment plan that includes taking insulin at mealtimes.]
For Patients with Type 2 Diabetes
The typical starting dose of Levemir is 10 units taken once daily in the evening. Alternatively, your doctor may determine your dose based on your body weight in kgs, with the usual range being from 0.1 units per kg to 0.2 units per kg, taken once daily in the evening.
For Children
In children, the amount of Levemir needed is calculated just like it is for adults. The dose for children is determined by their total daily insulin needs or by their body weight.
[Note: Remember these recommendations may vary depending on person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]
How to Take It?
Here are the steps you can follow for the safe and effective use of Levemir Flextouch:
Step:1 Prepare Your Pen
Gather your Levemir FlexPen, NovoFine disposable needles, alcohol swabs, and sharps disposal container. Wash your hands thoroughly. Check the insulin label for correctness. Ensure the insulin is clear and colorless. Clean the rubber stopper with an alcohol swab.
Step:2 Attach the Needle
Remove the protective tab from the needle. Screw the needle onto the FlexPen securely, ensuring it’s straight. Use a new needle for each injection. Remove the outer and inner needle caps, discarding the inner cap.
Step:3 Prime Your Pen
Prime the pen by selecting 2 units and performing an airshot. With the needle pointing up, tap the cartridge to remove air bubbles. Press the green push button and check for a drop of insulin at the needle tip
Step:4 Select Your Dose
Turn the dose selector to your required units. Adjust the dose if necessary by turning the selector without pressing the green push button.
Step:5 Inject Your Dose
Choose an injection site on your stomach, upper legs, or upper arms. Rotate sites with each injection. Clean the site with an alcohol swab. Insert the needle and press the green push button until the dose is delivered. Hold the needle in place for at least 6 seconds before removing it.
Step:6 Dispose of the Needle
Remove the needle without recapping and place it in a sharps container. Replace the pen cap and store the pen without the needle attached.
Important Guidelines Regarding Using Levemir
- Levemir FlexTouch is administered as a subcutaneous injection under the skin in areas like the abdomen, thigh, or upper arm.
- Keep in mind that factors such as exercise, stress, illness, changes in medication, and meal patterns can influence its absorption and effectiveness, as is the case with all insulins.
- For those using this medication once a day, it’s recommended to take the dose with your evening meal or at bedtime.
- If you need to take Levemir twice a day, you can do so in the evening with your meal, at bedtime, or 12 hours after your morning dose.
- Do not dilute Levemir FlexTouch or mix it with any other insulin or solution, and avoid injecting it into a vein or muscle.
[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]
How Does Levemir Flextouch Work?
Insulin detemir in Levemir Flextouch pens works by mimicking the natural hormone that regulates glucose metabolism in your body. It binds to the insulin receptors on your muscle and fat cells and allows them to take up glucose from your blood. It also prevents your liver from releasing too much glucose into your blood. The Levemir insulin pen offers remarkable convenience in insulin administration as it comes with an adjustable dial to set your dosage to be injected. Once opened, the Levemir pen can be safely used for up to 42 days without refrigeration, enhancing its practicality in day-to-day management.
Important Safety Information
Side Effects
Common side effects of Levemir Flextouch
- Weight gain
- Skin thickening or pits at the injection site (lipodystrophy)
- Injection site reactions
- Swelling of your hands and feet, rash, and itching
Mild side effects of Levemir Flextouch:
- Weight gain
- Nausea
- Itching
- Mild low blood sugar
- Belly pain
- Upper respiratory infection, like the common cold
- Sore throat
- Headache
- Back pain
- Swelling in the arms or legs
- Injection site reactions
- Changes to the skin near an injection site
Serious side effects of Levemir Flextouch:
- Severe low blood sugar (hypoglycemia)
- Severe allergic reactions
- Low potassium in your blood (hypokalemia)
- Heart failure
[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]
Warnings
Low Blood Sugar: Insulin detemir can cause low blood sugar (hypoglycemia), which can be dangerous. Severe low blood sugar can lead to heart or brain damage, unconsciousness, seizures, and even death. It can happen quickly and sometimes without warning. Check your blood sugar levels regularly as advised by your doctor. Symptoms of low blood sugar are more common when your blood sugar level is below 70 mg/dL.
Allergic Reaction: Do not take insulin detemir if you have had an allergic reaction to it or any of its ingredients in the past. A second allergic reaction could be fatal. Symptoms and signs of allergy can include:
- Itching
- Swelling of your throat or tongue
- Feeling faint
- Fast heart rate
- Trouble breathing
- Rash all over your body
- Sweating
Proper Usage: Insulin detemir should not be used to treat diabetic ketoacidosis, a serious condition in people with type 1 diabetes. If you have type 1 diabetes and high blood sugar levels, your body may produce ketones, which can lead to diabetic ketoacidosis. Seek medical help immediately if you have symptoms of this condition.
Heart Failure: Taking diabetes medications called thiazolidinediones (TZDs) with insulin can cause heart failure. Inform your doctor if you experience new or worsening symptoms of heart failure, such as:
- Shortness of breath
- Swelling in your ankles or feet
- Sudden weight gain
Your doctor may need to adjust your TZD dosage.
Infection: Never share insulin vials, syringes, or prefilled pens between patients. Sharing or reusing needles or syringes can put you at risk for various infections.
Precautions
Pregnant Women: Insulin detemir is classified as pregnancy category B. This means:
- Animal studies have not shown any harm to the unborn baby.
- There are limited studies in pregnant women, so the risk to the unborn baby is not clear.
If you are pregnant or planning to become pregnant, discuss it with your doctor. Use insulin detemir during pregnancy only if the benefits outweigh the potential risks.
Breastfeeding Women: It is not known if insulin detemir passes into breast milk. If you are breastfeeding, you and your doctor should decide whether to use insulin detemir or breastfeed.
Seniors: Older adults may be more sensitive to insulin detemir and may have a higher risk of low blood sugar. Your doctor may start you on a lower dose and adjust it carefully.
Levemir Flextouch Contraindications
- Severe hypoglycemia
- Systemic allergic reactions
Missed Dose
When you miss a dose of Levemir you can take it whenever you remember it (as soon as you possibly can). But If it’s time for your next scheduled dose, skip the one you missed and take your next dose at the regular time. Don’t take 2 doses at once to make up for the missed dose, as this could lead to side effects like low blood sugar. To help remember your doses, consider using a medication reminder. This could be an alarm, a timer, or a reminder app on your phone.
[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]
Overdose
Taking more Levemir than your doctor recommends can cause severely low blood sugar, known as severe hypoglycemia. This is a medical emergency and can be life-threatening.
[Note: If you consumed more than the recommended dose, get medical help right away, or call the Poison Help line at 1-800-222-1222.]
Storage
If your healthcare provider or pharmacist has provided you with any specific guidance or instructions for storage, be sure to adhere to those recommendations.
[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]
Levemir Flextouch Interactions
Certain medications may alter your insulin requirements, potentially increasing the risk of low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia). Combining Levemir with drugs known as thiazolidinediones (TZDs) can lead to fluid retention (edema) and potentially trigger heart failure. It’s essential to monitor for any signs and symptoms of heart failure. If such signs appear, your healthcare provider may need to adjust your dose or discontinue TZD use. Levemir should not be taken alongside these drugs:
- ACE inhibitors
- GLP-1 receptor agonists
- Disopyramide
- Angiotensin II receptor blocking agents
- Somatostatin analogs (such as octreotide)
- Fibrates
- Fluoxetine
- DPP-4 inhibitors
- Monoamine oxidase inhibitors
- Pentoxifylline
- SGLT-2 inhibitors
- Pramlintide
- Salicylates
- Antidiabetic agents
It may be necessary to adjust their dosage and increase the frequency of glucose monitoring as these drugs may affect the blood sugar level.
[Note: This isn’t a complete list, and there could be other drugs that interact with Levemir Flextouch. Make sure to tell your doctor any prescription, over-the-counter medicines, and herbal products you’re taking.]
Levemir Flextouch Alternatives
- Afrezza (rapid-acting insulin inhaler)
- Admelog (insulin lispro)
- Apidra (insulin glulisine)
- Basaglar (insulin glargine)
- Fiasp (insulin aspart)
- Humalog (insulin lispro)
- Humalog 50/50 (insulin lispro protamine)
- Humalog 75/25 (insulin lispro)
- Humulin N (insulin NPH)
- Humulin 50/50 (insulin NPH)
- Humulin 70/30 (insulin regular)
- Humulin R (insulin regular)
- Lantus (insulin glargine)
- Lyumjev (insulin lispro)
- Myxredlin (insulin regular)
- Novolin R (insulin regular)
- Novolin N (insulin NPH)
- Novolin 70/30 (insulin NPH/insulin regular)
- Novolog (insulin aspart)
- Novolog 70/30
- Semglee (insulin glargine)
- Soliqua 100/33 (insulin glargine/lixisenatide)
- Toujeo (insulin glargine)
- Tresiba (insulin degludec)
- Xultophy 100/3.6 (insulin degludec/liraglutide)
[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]
Frequently Asked Questions
What if I miss my dose of Levemir?
If you miss a dose of Levemir, administer it as soon as you remember. Proceed with your regular schedule and avoid taking a double dose to compensate for the missed one, as this could raise the risk of hypoglycemia or low blood sugar.
Does Levemir’s dosage need to be adjusted during pregnancy?
Your body’s insulin needs will likely increase as you gain weight during pregnancy. Your healthcare provider will guide how frequently to monitor your blood sugar while using Levemir. You and your healthcare provider can use this data to make necessary dosage adjustments throughout pregnancy and you can buy Levemir online.
Is Levemir a long-term treatment?
Indeed, Levemir is recommended as a long-term treatment. It is intended for ongoing, continuous management of diabetes to help regulate blood sugar levels effectively and maintain your overall health. If you and your healthcare provider agree that Levemir is safe and effective for your needs, it will likely be used over an extended period.
What strength is Levemir available in?
Levemir is available in a single strength, which is 100 units of insulin detemir per milliliter (abbreviated as “U-100”). This means that every milliliter of Levemir contains 100 units of the insulin detemir hormone. This concentration, U-100, is the standard strength for Levemir and is commonly used for insulin injections in diabetes management.
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