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Pramlintide (PRAM lin tide)

Pediatric Medication

Brand Names: U.S.

SymlinPen 120; SymlinPen 60

Warning

  • Unsafe low blood sugar may happen when giving this drug to your child along with insulin. The chance may be raised in people with type 1 diabetes. If low blood sugar happens, it is seen within 3 hours after giving this drug. Be sure your child does not do any tasks or actions that could be unsafe until you know the effects of this drug on your child’s blood sugar. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles. If very low blood sugar happens while your child is doing these kinds of things, very bad injuries or death may happen. Talk with the doctor.

What is this drug used for?

  • It is used to lower blood sugar in patients with high blood sugar (diabetes).

What do I need to tell the doctor BEFORE my child takes this drug?

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If your child has slow stomach clearing.
  • If your child cannot tell when his/her blood sugar is low.
  • If your child is taking any of these drugs: Acarbose or atropine.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of their drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

  • Tell dentists, surgeons, and other doctors that your child is using this drug.
  • Have your child’s blood sugar checked as you have been told by your child’s doctor.
  • Have your child wear disease medical alert ID (identification).
  • Tell your child’s doctor if your child has had repeated low blood sugar or if you do not know the signs of very low blood sugar.
  • Have your child’s blood work checked often. Talk with your child’s doctor.
  • It may be harder to control your child’s blood sugar during times of stress like when your child has a fever, an infection, an injury, or surgery. Talk with the doctor.
  • Alcohol may interact with this drug. Be sure your child does not drink alcohol.
  • Have your child follow the diet and workout plan your child’s doctor told you about.
  • This drug stops many drugs from getting into the body. If your child takes other drugs, check with the doctor to see if you need to give them at some other time than this drug.
  • This drug is not approved for use in children. Talk with the doctor.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Seizures.
  • Very upset stomach or throwing up.
  • Low blood sugar may occur. Signs may be dizziness, headache, feeling sleepy, feeling weak, shaking, a fast heartbeat, confusion, hunger, or sweating. Keep glucose tablets or liquid glucose on hand for low blood sugar.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
  • Headache.
  • Upset stomach or throwing up.
  • Not hungry.
  • Irritation or swelling where the shot was given.
  • Belly pain.
  • Feeling tired or weak.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read and follow the dosing on the label closely.
  • Your child’s doctor will teach you how to give the shot.
  • Follow how to give this drug as you have been told by your child’s doctor or read the package insert.
  • It is given as a shot into the fatty part of the skin on the right or left side of the belly or thigh.
  • Give right before a meal.
  • Move the site where you give the shot with each shot.
  • Give as you have been told, even if your child feels well.
  • Throw away needles in a needle/sharp disposal box. When the box is full, follow all local rules for getting rid of it. Talk with a doctor or pharmacist if you have any questions.
  • Give this drug at some other site from where you gave your child’s insulin.
  • Do not mix this drug in the same syringe with insulin.
  • Before giving the shot, let it come to room temperature. Do not heat this drug.
  • Do not use if the solution is cloudy, leaking, or has particles.
  • Do not use if solution changes color.

What do I do if my child misses a dose?

  • Skip the missed dose and go back to your child’s normal time.
  • Do not give 2 doses at the same time or extra doses.
  • If you stop giving this drug, talk with the doctor. Your child may need to be restarted at a lower dose and raise the dose slowly.

How do I store and/or throw out this drug?

  • Store unopened pens in a refrigerator. Do not freeze.
  • Store opened pens at room temperature or in a refrigerator. Do not freeze.
  • After opening, throw away any part not used after 30 days.
  • Do not use if it has been frozen.
  • Protect from heat.
  • Protect from light.
  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Last Reviewed Date

2014-07-16

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.