Levemir; Levemir FlexPen [DSC]; Levemir FlexTouch
- It is used to lower blood sugar in patients with high blood sugar (diabetes).
- 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 low blood sugar.
- Tell dentists, surgeons, and other doctors that your child is using this drug.
- Low blood sugar may happen with this drug. Very low blood sugar can lead to seizures, passing out, long lasting brain damage, and sometimes death. Talk with the doctor.
- Low blood potassium may happen with this drug. If not treated, this can lead to a heartbeat that is not normal, very bad breathing problems, and sometimes death. Talk with the doctor.
- Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
- Taking some diabetes drugs like pioglitazone or rosiglitazone with this drug may cause heart failure in some people. It may happen even in people who have never had heart failure or heart problems in the past. Talk with the doctor.
- Be sure your child has the right insulin product. Insulin products come in many containers like vials, cartridges, and pens. Be sure that you know how to measure and get your child’s dose ready. If you have any questions, call the doctor or pharmacist.
- 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.
- Have your child wear disease medical alert ID (identification).
- If your child can drive, do not let your child drive if his/her blood sugar has been low. There is a greater chance of a crash.
- Have your child’s blood sugar checked as you have been told by your child’s doctor.
- Have your child’s blood work checked often. Talk with your child’s doctor.
- Alcohol may interact with this drug. Be sure your child does not drink alcohol.
- Use caution 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.
Cartridges and prefilled pens:
- Do not share pen or cartridge devices with another person even if the needle has been changed. Sharing these devices may pass infections from one person to another. This includes infections you may not know your child has.
- 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.
- Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal.
- Very bad irritation where the shot was given.
- Blurred eyesight.
- Change in eyesight.
- Very bad dizziness or passing out.
- Mood changes.
- Slurred speech.
- Shortness of breath, a big weight gain, swelling in the arms or legs.
- Change in skin to thick or thin where the shot was given.
- Low blood sugar can happen. The chance of low blood sugar may be raised when this drug is used with other drugs for high blood sugar (diabetes). Signs may be dizziness, headache, feeling sleepy, feeling weak, shaking, a fast heartbeat, confusion, hunger, or sweating. Call the doctor right away if your child has any of these signs. Keep glucose tablets or liquid glucose on hand for low blood sugar.
- Irritation where the shot is given.
- Give as you have been told, even if your child feels well.
- Give this drug at the same time of day.
- It is given as a shot into the fatty part of the skin.
- Your child’s doctor will teach you how to give this drug.
- Follow how to give this drug as you have been told by your child’s doctor or read the package insert.
- Move site where you give the shot each time.
- Do not give into red or irritated skin.
- Do not use if the solution is cloudy, leaking, or has particles.
- Do not use if solution changes color.
- Do not mix this insulin in the same syringe with other types of insulin.
- Throw away needles in a needle/sharp disposal box. Do not reuse needles or other items. 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.
- Do not give out dated insulin.
- Have your child follow the diet and workout plan your child’s doctor told you about.
- Do not draw into a syringe and store for future use.
- Give a missed shot as soon as you think about it.
- If it is close to the time for your child’s next shot, skip the missed shot and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Store unopened containers in a refrigerator or at room temperature. If stored at room temperature, throw away any part not used after 42 days.
- Do not freeze.
- You may store opened vials at room temperature or in a refrigerator. Throw away any part not used after 42 days.
Cartridges and prefilled pens:
- Store opened cartridges and pens at room temperature. Throw away any part not used after 42 days.
- Take off the needle after each shot. Do not store this device with the needle on it.
- Do not use if it has been frozen.
- Protect opened containers from heat.
- Protect opened containers from light.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Check with your pharmacist about how to throw out unused drugs.
- 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, nurse, 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.
If you have any questions or concerns, talk with a member of your healthcare team. You can reach them Monday through Friday from 9:00 am to 5:00 pm at ____________________. After 5:00 pm, during the weekend, and on holidays, please call____________________. If there’s no number listed, or you’re not sure, call 212-639-2000.
Insulin Detemir©2016 Memorial Sloan Kettering Cancer Center - Generated on February 5, 2016