Lyumjev (Insulin)

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    Description

    LYUMJEV (Insulin aspart) is a prescription insulin product that can treat high blood sugar in people with diabetes mellitus. LYUMJEV is indicated to treat both type 1 and type 2 diabetes.

    People with diabetes are not able to regulate their levels of blood glucose. They either (1) cannot produce enough insulin from their pancreas, or (2) they can produce insulin, but their body is resistant to it.

    LYUMJEV replaces the missing insulin and helps to improve glycemic control.

    Fact Table

    Formula

    C257H383N65O77S6

    License

    US FDA

    Bioavailability

    ~55–60%

    Legal status

    Prescription only (Rx)

    Chemical Name

    Insulin Lispro-aabc

    Elimination half-life

    ~1 hour; onset within ~1 minute

    Dosage (Strength)

    100 units/mL (U-100), 200 units/mL (U-200)

    Pregnancy

    Category B – No evidence of risk in humans

    Brands

    Lyumjev

    Protein binding

    Low

    PubChem CID

    16129678

    MedlinePlus

    a620041

    ChEBI

    6932

    ATC code

    A10AB

    DrugBank

    DB15672

    KEGG

    D11756

    Routes of administration

    Subcutaneous injection

    Directions

    Inject LYUMJEV subcutaneously at mealtime, between one and three times daily.

    LYUMJEV is rapid-acting insulin and should be taking at the start of a meal or within 20 minutes after starting the meal.

    Rotate injection sites to decrease the risk of lipodystrophy.

    Store LYUMJEV in the refrigerator until opening. Once opened, it can be stored at room temperature for 28 days.

    Ingredients

    Insulin Aspart is the active ingredient in LYUMJEV.

    Interactions

    Some medications can interfere with blood sugar and increase it or decrease it. Changes to blood sugar may require the dose of insulin to be adjusted. Use caution if you are taking any of the following:

    • Alcohol
    • Atypical Antipsychotics
    • Corticosteroids
    • Disopyramide
    • Diuretics
    • Estrogens/Progesterones
    • Fibrates
    • Fluoxetine
    • Isoniazid
    • Lithium
    • Monoamine Oxidase Inhibitors (MAOIs)
    • Niacin
    • Oral antidiabetic agents
    • Pentoxifylline
    • Phenothiazine derivatives
    • Pramlintide
    • Propoxyphene
    • Protease inhibitors
    • Salicylates
    • Somatostatin Analogues
    • Somatropin
    • Sulfonamide Antibiotics
    • Sympathomimetic agents
    • Thyroid replacement medication

    Cautions

    Hypoglycemia is a common and dangerous side effect of insulin treatment. Some of the signs and symptoms include:

    • Anxiety
    • Confusion
    • Dizziness
    • Fatigue
    • Hunger
    • Irritability
    • Pale skin
    • Sweating
    • Tremor

    Tell your doctor about any changes to your diet or activity because the dose of insulin may need to be adjusted.

    Monitor blood sugar frequently while taking insulin or other antidiabetic agents.

    The doctor may monitor the function of your heart, kidneys, and liver while taking insulin.

    Side Effects

    Common adverse reactions to LYUMJEV include:

    • Allergic reactions
    • Edema
    • Hypoglycemia
    • Injection site reactions
    • Lipodystrophy
    • Pruritis
    • Rash
    • Weight gain

    References

    Lyumjev [package insert]. Plainsboro, NJ: Novo Nordisk; 2019.




    Frequently Asked Questions about Lyumjev


    What is Lyumjev?

    Lyumjev is an ultra-rapid-acting insulin analog used to control blood sugar spikes during meals in people with type 1 or type 2 diabetes. It contains insulin lispro-aabc.


    How is Lyumjev different from Humalog?

    Both contain insulin lispro, but Lyumjev is formulated to work faster due to added excipients (like citrate and treprostinil) that enhance absorption.


    How quickly does Lyumjev start working?

    Lyumjev starts working in about 1 minute, peaks in ~1 hour, and lasts for 4 to 5 hours.


    When should I take Lyumjev?

    Lyumjev should be taken at the start of a meal or within 20 minutes after beginning to eat.


    How is Lyumjev administered?

    It can be injected under the skin (subcutaneously) or used via an insulin pump. It comes in KwikPens, vials, and cartridges.


    Is Lyumjev used with other insulins?

    Yes. Lyumjev is a mealtime (bolus) insulin, often used with a basal insulin (like Lantus, Tresiba, or Basaglar).


    Can Lyumjev be used in children?

    Yes. Lyumjev is approved for children 1 year and older with diabetes, under medical supervision.


    What are common side effects of Lyumjev?

    Common side effects include:

    Low blood sugar (hypoglycemia)
    Redness or irritation at injection site
    Weight gain

    Rare: Allergic reactions


    How should I store Lyumjev?

    Unopened: Refrigerate (36°F–46°F / 2°C–8°C)

    In use: Store at room temperature (below 86°F / 30°C) for up to 28 days
    Do not freeze.


    Can Lyumjev be mixed with other insulins?

    No. Lyumjev should not be mixed with any other insulin in the same syringe or infusion reservoir.

    IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

    Product Code : 13378

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