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Insulin

Insulin glargine

Also sold as: Lantus, Basaglar, Toujeo

Prescription neededInsulin
Comes as:Injection

Usual adult dose

Dose is set by your doctor. It is a long-acting insulin, injected under the skin once a day at the same time each day. Do not mix it with other insulins in the same syringe.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • low blood sugar (shaking
  • sweating
  • hunger
  • headache)
  • redness
  • pain or lumps at the injection site

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe low blood sugar (confusion
  • fits
  • unconsciousness)
  • severe allergic reaction

Do not take it, or take care, if

  • Low blood sugar at the time of the dose
  • Not for emergency treatment of ketoacidosis
  • Kidney or liver disease (dose may need to be lower)
  • Always carry sugar or sweets to treat low blood sugar

Interactions

Medicines that can react with this one.

Moderate4 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Empagliflozin

    The combination increases the risk of low blood sugar; the insulin dose may need to be lowered.

  • Pioglitazone

    The combination increases fluid retention and the risk of heart failure.

  • Prednisolone

    Steroids raise blood sugar; the insulin dose may need to be increased.

  • Propranolol

    Beta blockers can hide the warning signs of low blood sugar.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Insulin isophane (NPH)
  • Biphasic isophane insulin 30/70
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.