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Insulin

Insulin soluble (regular)

Also sold as: Actrapid, Humulin R

Prescription neededInsulin
Comes as:Injection

Usual adult dose

Dose is set by your doctor and depends on blood sugar, weight and meals. It is usually injected under the skin 15 to 30 minutes before a meal. Never change the dose on your own.

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 or lumps at the injection site
  • weight gain

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
  • low potassium (muscle weakness
  • irregular heartbeat)

Do not take it, or take care, if

  • Low blood sugar at the time of the dose
  • Kidney or liver disease (dose may need to be lower)
  • Skipping meals after the injection (risk of low blood sugar)
  • Always carry sugar or sweets to treat low blood sugar

Interactions

Medicines that can react with this one.

Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • 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 B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Insulin aspart
  • Biphasic isophane insulin 30/70
  • Insulin isophane (NPH)
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.