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insulin detemir (cont.)


What happens if I miss a dose (Levemir, Levemir FlexPen)?

Follow your doctor's directions if you miss a dose of insulin. It is important to keep insulin detemir on hand at all times. Get your prescription refilled before you run out of medicine completely.

What happens if I overdose (Levemir, Levemir FlexPen)?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An insulin overdose can cause life-threatening hypoglycemia.

Symptoms of severe hypoglycemia include extreme weakness, confusion, tremors, sweating, fast heart rate, trouble speaking, nausea, vomiting, rapid breathing, fainting, and seizure (convulsions).

What should I avoid while using insulin detemir (Levemir, Levemir FlexPen)?

Do not change the brand of insulin detemir or syringe you are using without first talking to your doctor or pharmacist.

Avoid drinking alcohol. It can lower your blood sugar.

What other drugs will affect insulin detemir (Levemir, Levemir FlexPen)?

Tell your doctor about all other medications you use, especially other diabetes medications such as:

  • exenatide (Byetta, Bydureon);
  • liraglutide (Victoza); or
  • any oral (taken by mouth) diabetes medications, especially metformin (Glucophage, Actoplus Met, Avandamet, Glucovance, Janumet, Jentadueto, Kombiglyze, Metaglip, or Prandimet).

Using certain medicines can make it harder for you to tell when you have low blood sugar. Tell your doctor if you use any of the following:

  • asthma medication;
  • cholesterol-lowering medication;
  • heart or blood pressure medication, including a diuretic (water pill);
  • medicine to treat depression or psychiatric disorders;
  • steroid medication;
  • sulfa drugs; or
  • thyroid replacement medication.

This list is not complete and there are many other drugs that can increase or decrease the effects of insulin detemir on lowering your blood sugar. Tell your doctor about all medications you use; prescription and over the counter drugs, vitamins, minerals, or herbal products. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about insulin detemir.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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