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{|class="wikitable" align="right" width="300" bgcolor="powderblue"|
{{Insulin|
 
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! colspan="2" style="background:#cae1ff; width:300px;font-size:10pt" | Humulin S
bgcolor=#d1eeee|
 
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|-
fgcolor=#000080|
 
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| colspan="2" style="background:aliceblue; width:300px; text-align:center;font-size:9pt" |[[R]], [[Neutral]] by [[Eli Lilly]]
name=Humulin S|
 
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|-
generic=[[R]],[[Neutral]]|
 
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|colspan="2" style="background:#bcd2ee; width:300px; text-align:center;font-size:9pt"|[[short-acting]]
mfg=[[Eli Lilly]]|
 
  +
|-
|- align="center" style="background:#cae1ff;border-bottom:3px solid grey;"|
 
  +
| colspan="2" style="background:#bcd2ee; width:300px; text-align:center;font-size:9pt"|[[r-DNA/GE/GM]]
action=[[short-acting]]|
 
  +
|-
origin=[[r-DNA/GE/GM]]|
 
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! colspan="1" style="background:#bcd2ee; width:150px; text-align:center;font-size:9pt" | U40, U100
strength=U100|
 
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|colspan="1" style="background:#bcd2ee; width:150px;text-align:center;font-size:9pt"|'''none'''
suspension=none|
 
  +
|-
line=[[Humulin ]]|
 
  +
|colspan="2" style="background:aliceblue; width:300px;font-size:9pt; text-align:left" | '''Action in dogs:'''
aliases=[[Humulin R]], [[Huminsulin Normal]], [[Humulin Regular]], [[Umuline Rapide]]<br>[http://images3.wikia.nocookie.net/__cb20100602042136/diabetesindogs/images/2/23/WW_Humuline.pdf Names of Lilly r-DNA/GE/GM insulins worldwide]|
 
similar=&nbsp;
 
*[[Novolin R]],
 
*[[Actrapid]],
 
*[[ReliOn/Novolin R]],
 
*[[Insuman Rapid]]
 
*[[Winthrop Rapid]]|
 
dogaction=&nbsp;
 
 
*onset 10-30 minutes,
 
*onset 10-30 minutes,
 
*peak 1-5h,
 
*peak 1-5h,
*duration 4-10h<ref>[http://web.archive.org/web/20061101114701/http://www.cliniciansbrief.com/cms/portals/_default/pdfs/capsules/Jan_05_Cap11.pdf Insulins-North American Veterinary Conference-2005]</ref>|
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*duration 4-10h <ref>{{cite web|url=http://web.archive.org/web/20061101114701/http://www.cliniciansbrief.com/cms/portals/_default/pdfs/capsules/Jan_05_Cap11.pdf |title=Insulins|year=2006|publisher=North American Veterinary Conference Clinicians Brief}}</ref>
  +
|-
cloudyorsoluble=[[soluble]]|
 
  +
| colspan="2" style="background:aliceblue; width:300px;font-size:9pt; text-align:left" | '''Line:''' [[Humulin]]
shelflife= 24 months|
 
  +
|-
openedlife= 28 days room temp.|
 
  +
| colspan="2" style="background:aliceblue; width:300px; font-size:9pt;text-align:left"| '''Also known as:''' [[Huminsulin Normal]]<br> [[Humulin C]],&nbsp;[[Humulin R]], [[Humuline R]]<br> [[Humuline Regular]], [[Humulin Regular]]<br> [[Humulina Regular]],&nbsp;[[Humulin ReliOn R]]<br> [[Umuline Rapide]], [[Umuline Regular]]
penlife= 28 days room temp.|
 
  +
|-
handlingnotes=&nbsp;
 
 
| colspan="2" style="background:aliceblue; width:300px;font-size:9pt;text-align:left"| '''Similar to:''' [[Insuman Rapid]], [[Winthrop Rapid]]<br> [[Actrapid]], [[Novolin R]], [[ReliOn/Novolin R]]<br><br>[http://images3.wikia.nocookie.net/__cb20100602042136/diabetesindogs/images/2/23/WW_Humuline.pdf Names of Lilly r-DNA/GE/GM insulins worldwide]
*protect from light and heat
 
  +
|-
*Do Not Freeze
 
  +
| colspan="2" style="background:#cae1ff; width:300px;text-align:center;font-size:9pt" | '''Use and Handling:'''
*May be used [[intravenously]]
 
  +
|-
}}
 
  +
| colspan="1" style="background:aliceblue; width:150px;font-size:9pt;text-align:left"| '''Shelf Life:''' 24 months
  +
|colspan="1" style="background:aliceblue; width:150px;font-size:9pt;text-align:left" | '''Type:''' [[soluble]], [[clear]]
  +
|-
  +
|colspan="2" style="background:aliceblue; width:300px;font-size:9pt;text-align:left" | '''When Opened:''' 28 days room temp.
  +
|-
  +
|colspan="2" style="background:aliceblue; width:300px;font-size:9pt;text-align:left"| '''In Pen:''' 28 days room temp.
  +
|-
  +
|colspan="2" style="background:aliceblue; width:300px;font-size:9pt;text-align:left" | '''Notes:''' Protect from light and heat<br> Do Not Freeze,<br>May be used [[intravenously]]
 
|}
  +
  +
[[Image:21944f.png|200px|thumb|left|Humulin S-a fast-acting, neutral, soluble insulin. Note package similarity of comparable insulin [[Insuman Rapid]].]]
   
  +
<br clear=left>
[[Image:21944f.png|thumb|left|200px|Humulin S-a fast-acting, neutral, soluble insulin.]]<br clear=left>UK brand name for Lilly's short-acting r-DNA/GE/GM human insulin<ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=13402 Electronic Medicines Compendium (EMC) UK Patient Information Leaflet-Humulin S]</ref><ref>[http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Humulin_S.htm Humulin S Prescribing Information]</ref><ref>[http://www.yorkshirediabetes.com/downloads/1071_LLY_Diabetes_RangeChar.pdf Lilly EU/UK Product Sheet & Time Activity Profiles]</ref><ref>[http://medguides.medicines.org.uk/document.aspx?name=Humulin%20S&use=Diabetes Humulin S-Medguides UK]</ref>.
+
UK brand name for Lilly's short-acting r-DNA/GE/GM human insulin. <ref>{{cite web|url=http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=13402 |title=Patient Information Leaflet-Humulin S|publisher=Eli Lilly}}</ref><ref>{{cite web|url=http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Humulin_S.htm|title= Humulin S Prescribing Information}}</ref><ref>{{cite web|url=http://www.yorkshirediabetes.com/downloads/1071_LLY_Diabetes_RangeChar.pdf|title= Lilly EU/UK Product Sheet & Time Activity Profiles|publisher=Eli Lilly}}</ref><ref>{{cite web|url=http://medguides.medicines.org.uk/document.aspx?name=Humulin%20S&use=Diabetes |title=Humulin S|publisher=Medguides UK}}</ref>
   
 
The "S" in the product's name is an abbreviation for "[[soluble]]".
 
The "S" in the product's name is an abbreviation for "[[soluble]]".
   
It's known in North America as [[Humulin R]]<ref>[http://web.archive.org/web/20061010214428/http://www.fda.gov/cder/foi/label/2003/18780scm078,slr067_Humalog_lbl.pdf FDA-Humulin R]</ref><ref>[http://www.revolutionhealth.com/drugs-treatments/humulin-r Humulin R Regular Human Insulin]</ref>, elsewhere as [[Huminsulin Normal]], and can also be referred to as [[Toronto insulin]] instead of the [[R]] classification.
+
It's known in North America as [[Humulin R]], <ref>{{cite web|url=http://web.archive.org/web/20061010214428/http://www.fda.gov/cder/foi/label/2003/18780scm078,slr067_Humalog_lbl.pdf |title=Humulin R patient leaflet|publisher=Eli Lilly}}</ref><ref>{{cite web|url=http://www.revolutionhealth.com/drugs-treatments/humulin-r |title=Humulin R Regular Human Insulin|publisher=Revolution Health}}</ref> elsewhere as [[Huminsulin Normal]], and can also be referred to as [[Toronto insulin]] instead of the [[R]] classification.
   
Both [[Novo Nordisk]]<ref>[http://www.revolutionhealth.com/drugs-treatments/novolin-r Novolin R]</ref> and [[Aventis]] produce comparable insulins.
+
Both [[Novo Nordisk]] <ref>{{cite web|url=http://www.revolutionhealth.com/drugs-treatments/novolin-r|title= Novolin R|publisher=Revolution Health}}</ref> and [[Aventis]] produce comparable insulins.
   
Novo's names for them are [[Actrapid]]<ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=15204 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Actrapid]</ref><ref>[http://www.emea.europa.eu/humandocs/PDFs/EPAR/actrapid/204302en6.pdf EMEA Scientific Discussion-Actrapid]</ref><ref>[http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Novo_insulins.htm Prescribing Novo Insulins]</ref> and [[Novolin R]]; [[Aventis]]' is [[Insuman Rapid]]<ref>[http://images2.wikia.nocookie.net/diabetesindogs/images/8/82/Insuman_Rapid_patient_info_leaflet.pdf Electronic Medicines Compendium (EMC) UK-Patient information Leaflet-Insuman Rapid]</ref><ref>[http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Insuman_insulins.htm Prescribing Insuman Insulins]</ref> and [[Winthrop Rapid]].
+
Novo's names for them are [[Actrapid]] <ref>{{cite web|url=http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=15204 |title=Patient Information Leaflet-Actrapid|publisher=Novo Nordisk}}</ref><ref>{{cite web|url=http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Scientific_Discussion/human/000424/WC500021655.pdf|title=Scientific Discussion-Actrapid|publisher=EMEA}}</ref><ref>{{cite web|url=http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Novo_insulins.htm |title=Prescribing Novo Insulins}}</ref> and [[Novolin R]]; [[Aventis]]' is [[Insuman Rapid]] <ref>{{cite web|url=http://images2.wikia.nocookie.net/diabetesindogs/images/8/82/Insuman_Rapid_patient_info_leaflet.pdf |title=Patient information Leaflet-Insuman Rapid|publisher=Sanofi-Aventis}}</ref><ref>{{cite web|url=http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Insuman_insulins.htm |title=Prescribing Insuman Insulins}}</ref> and [[Winthrop Rapid]].
   
Like all R or [[neutral]] insulins, nothing is added (suspensions) to alter the insulin's action or speed<ref>[http://www.fda.gov/cder/foi/label/2003/18780scm078,slr067_Humalog_lbl.pdf FDA-Humulin R]</ref>.
+
Like all R or [[neutral]] insulins, nothing is added (suspensions) to alter the insulin's action or speed. <ref>{{cite web|url=http://web.archive.org/web/20061010214428/http://www.fda.gov/cder/foi/label/2003/18780scm078,slr067_Humalog_lbl.pdf |title=Humulin R patient leaflet|publisher=Eli Lilly}}</ref>
   
 
A [[short-acting]], soluble, non-suspended insulin produced from [[r-DNA/GE/GM]], [[bovine]], or [[porcine]] sources. From 1921 to the 1930's when PZI was developed, R was the only kind of insulin available.
 
A [[short-acting]], soluble, non-suspended insulin produced from [[r-DNA/GE/GM]], [[bovine]], or [[porcine]] sources. From 1921 to the 1930's when PZI was developed, R was the only kind of insulin available.
  +
[[Image:Rtap.gif|250px|thumb|left|'''Human''' activity profile for r-DNA/GE/GM R (Regular)/Neutral insulin. See links for dog activity.]]
   
[[Image:Rtap.gif|thumb|250px|left|'''Human''' activity profile for r-DNA/GE/GM R (Regular)/Neutral insulin. See links for dog activity.]]While both R/neutral and [[semilente]] insulins are considered [[:Category:Fast-acting|fast-acting]], they differ in a few ways. As above, there's no [[suspension]] or buffer<ref>[http://www.duc.auburn.edu/~deruija/insulin_preparations.pdf Auburn University:Insulin Preparations-Regular Insulin]</ref> in R/neutral; it's totally dissolved and [[soluble]], meaning it can safely be used [[:Category:Intravenous_use_YES|intravenously]].
+
While both R/neutral and [[semilente]] insulins are considered [[:Category:Fast-acting|fast-acting]], they differ in a few ways. As above, there's no [[suspension]] or buffer <ref name=Auburn>{{cite web|url=http://www.duc.auburn.edu/~deruija/insulin_preparations.pdf |title=Insulin Preparations-Regular Insulin|author=DeRuiter, Jack|publisher=Auburn University}}</ref> in R/neutral; it's totally dissolved and [[soluble]], meaning it can safely be used [[:Category:Intravenous_use_YES|intravenously]]. <ref>{{cite web|title=Small Animal Clinical Pharmacology|author=Maddison, Jill E.,Page, Stephen W.,Church, David B.|year=2008|publisher=Saunders Ltd.|isbn=0702028584|page=510|url=http://www.amazon.com/Animal-Clinical-Pharmacology-Maddison-DipVetClinStud/dp/0702028584/ref=sr_1_1?s=books&ie=UTF8&qid=1296451134&sr=1-1}}</ref>
   
The very small insulin particles in semilente insulin are suspended by [[Suspension#Zinc_suspension_insulins|zinc]]<ref>[http://www.duc.auburn.edu/~deruija/insulin_preparations.pdf Auburn University: Insulin Preparations-Lente]</ref>. Semilente is [[cloudy]], has an acetate buffer and cannot be used [[:Category:Intravenous_use_NO|intravenously]].
+
The very small insulin particles in semilente insulin are suspended by [[Suspension#Zinc_suspension_insulins|zinc]]. <ref name=Auburn>{{cite web|url=http://www.duc.auburn.edu/~deruija/insulin_preparations.pdf |title=Insulin Preparations-Lente|author=DeRuiter, Jack|publisher=Auburn University}}</ref> Semilente is [[cloudy]], has an acetate buffer and cannot be used [[:Category:Intravenous_use_NO|intravenously]].
   
R/Neutral insulin cannot be reliably mixed with [[Lente]] or [[Ultralente]] insulins<ref>[http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=7192205 Intermediate-Acting Insulin Preparations: NPH (Isophane) & Lente Diabetes Care-1980]<br>Note--in 1980, there was only [[bovine|beef]] Lente-type insulin--no [[porcine|pork]] or [[r-DNA/GE/GM]][[Lente]] insulins</ref><ref>[http://web.archive.org/web/20080526072116/http://www.diabetes.org/rg2005/insulin.jsp Resource Guide 2005-American Diabetes Association]</ref>. Semilente can; the ratio of 3 parts [[semilente]] insulin to 7 parts [[ultralente]] insulin produces [[Lente]] insulin<ref>[http://www.duc.auburn.edu/~deruija/insulin_preparations.pdf Auburn University: insulin Preparations-Lente Insulin]</ref>.
+
R/Neutral insulin cannot be reliably mixed with [[Lente]] or [[Ultralente]] insulins. <ref>{{cite web|url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=7192205 |title=Intermediate-Acting Insulin Preparations: NPH (Isophane) & Lente |author=Deckert, T.|year=1980|publisher=Diabetes Care}}<br>Note--in 1980, there were no [[r-DNA/GE/GM]] insulins </ref><ref>{{cite web|url=http://web.archive.org/web/20080526072116/http://www.diabetes.org/rg2005/insulin.jsp |title=Resource Guide |year=2005|publisher=American Diabetes Association}}</ref> Semilente can; the ratio of 3 parts [[semilente]] insulin to 7 parts [[ultralente]] insulin produces [[Lente]] insulin. <ref name=Auburn>{{cite web|url=http://www.duc.auburn.edu/~deruija/insulin_preparations.pdf |title=Insulin Preparations-Lente Insulin|author=DeRuiter, Jack|publisher=Auburn University}}</ref>
 
<br clear=both>
 
<br clear=both>
 
==R/Neutral Insulins==
 
==R/Neutral Insulins==
   
{| align=center width="500" border="1" style="background:powderblue;" |
+
{|class="collapsible collapsed" align=center width="500" border="1" style="background:powderblue;" |
! colspan=2 align="center" style="background:powderblue;"|
+
! colspan=2 align="center" style="background:#BCD2EE;"|
 
'''R/Neutral Insulins'''
 
'''R/Neutral Insulins'''
 
|-
 
|-
 
! width="200" align="center" style="background:lightcyan;"|[[Image:Short_acting.jpg|200px]]
 
! width="200" align="center" style="background:lightcyan;"|[[Image:Short_acting.jpg|200px]]
!width="300" align="center" style="background:lightcyan;"|All [[:Category:Short-acting|Short acting]]<br> All [[soluble]]
+
!width="300" align="center" style="background:#cae1ff;"|All [[:Category:Short-acting|Short acting]]<br> All [[soluble]]
 
|-
 
|-
! width="200"align="center" style="background:lightblue;"|
+
! width="200"align="center" style="background:aliceblue;"|
 
[[Bovine]]/[[Beef]]
 
[[Bovine]]/[[Beef]]
!!width="300" align="center" style="background:azure;"|[[Hypurin Bovine Neutral]], [[Insuvet Neutral]]<br>[[Betasint Bovine Corriente]]
+
!!width="300" align="center" style="background:ivory;"|[[Hypurin Bovine Neutral]]<br>[[Betasint Bovine Corriente]]
 
|-
 
|-
! width="200"align="center" style="background:lightblue;"|
+
! width="200"align="center" style="background:aliceblue;"|
 
[[Bovine]]/[[Beef]]
 
[[Bovine]]/[[Beef]]
!!width="300" align="center" style="background:#CCC"|[[Iletin R]] (No longer produced.)<br>[[Hypurin Vet Neutral]] (No longer produced.)
+
!!width="300" align="center" style="background:#dcdcdc;"|[[Iletin R]] (No longer produced.)<br>[[Hypurin Vet Neutral]] (No longer produced.)<br>[[Insuvet Neutral]] (No longer produced.)
  +
 
|-
 
|-
! width="200"align="center" style="background:lightblue;"|
+
! width="200"align="center" style="background:aliceblue;"|
 
[[Bovine]]/[[Beef]]<br />[[Porcine]]/[[Pork]]
 
[[Bovine]]/[[Beef]]<br />[[Porcine]]/[[Pork]]
!!width="300" align="center" style="background:#CCC"|[[Iletin I R]] (No longer produced.)
+
!!width="300" align="center" style="background:#dcdcdc;"|[[Iletin I R]] (No longer produced.)
 
|-
 
|-
! width="200"align="center" style="background:lightblue;"|
+
! width="200"align="center" style="background:aliceblue;"|
 
[[Porcine]]/[[Pork]]
 
[[Porcine]]/[[Pork]]
!!width="300" align="center" style="background:azure;"|[[Hypurin Porcine Neutral]]<br>[[Hypurin Pork Regular]]<br>[[Betasint Porcine Corriente]], [[Maxirapid CHO]]
+
!!width="300" align="center" style="background:ivory;"|[[Betasint Porcine Corriente]]<br>[[Hypurin Porcine Neutral]]<br>[[Hypurin Pork Regular]]<br>[[Maxirapid CHO]]
 
|-
 
|-
! width="200"align="center" style="background:lightblue;"|
+
! width="200"align="center" style="background:aliceblue;"|
 
[[Porcine]]/[[Pork]]
 
[[Porcine]]/[[Pork]]
!width="300" align="center" style="background:#CCC;"|[[Pork Actrapid]] (No longer produced.)<br>[[Iletin II R]] (No longer produced.)
+
!width="300" align="center" style="background:#dcdcdc;"|[[Pork Actrapid]] (No longer produced.)<br>[[Iletin II R]] (No longer produced.)<br>[[Leo Neutral]] (No longer produced.)
 
|-
 
|-
! width="200"align="center" style="background:lightblue;"|
+
! width="200"align="center" style="background:aliceblue;"|
 
[[R-DNA]]
 
[[R-DNA]]
!!width="300" align="center" style="background:azure;"|[[Humulin R]], [[Humulin S]], [[Insuman Rapid]]<br>[[Actrapid]], [[Novolin R]], [[ReliOn/Novolin R]]<br>[[Winthrop Rapid]], [[Huminsulin Normal]]<br>[[Humulin Regular]]<br>[[Umuline Rapide]]
+
!width="300" align="center" style="background:ivory;"|[[Actrapid]], [[Huminsulin Normal]]<br>[[Humulin C]], [[Humulin R]]<br>[[Humulin Regular]], [[Humulina Regular]]<br>[[Humuline R]], [[Humuline Regular]]<br> [[Humulin S]], [[Insuman Rapid]]<br>[[Novolin R]], [[Umuline Rapide]]<br> [[Umuline Regular]], [[Winthrop Rapid]]<br>[[Humulin ReliOn R]]
  +
|-
  +
!width="200" align="center" style="background:aliceblue;"|[[R-DNA]]
  +
!width="300" slign="center" style="background:#dcdcdc;"|[[ReliOn/Novolin R]] (No longer produced.)
 
|}
 
|}
   
 
==References==
 
==References==
  +
{{Reflist|colwidth=30em}}
<references/>
 
   
 
==More Information==
 
==More Information==
   
*[http://www.nacdsfoundation.org/user-assets/documents/PDF/chainpracticememos/020103cppm.pdf NACDS-Insulin Chart-Page 2]
+
*[http://images2.wikia.nocookie.net/__cb20100821055615/diabetesindogs/images/0/0a/NACDS_insulin_chart.pdf NACDS-Insulin Chart-Page 2]
 
*[http://www.leedsth.nhs.uk/sites/diabetes/insular/InsulinGuide.php Leeds NHS UK Insulin Guide]
 
*[http://www.leedsth.nhs.uk/sites/diabetes/insular/InsulinGuide.php Leeds NHS UK Insulin Guide]
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1687043/?page=1 Insulin therapy for dogs and cats-Dowling-Canadian Veterinary Journal-September 1995]
+
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1687043/?page=1 Insulin therapy for dogs and cats] Dowling, Patricia, September 1995, Canadian Veterinary Journal<br>A discussion of regular/neutral/normal insulins.
   
  +
{|align="center" width="650"
A discussion of regular/neutral/normal insulins.
 
  +
!||||Related Pages||
  +
|-
  +
|[[Image:A1833110.jpg|120px]]
  +
|[[Image:HumilinLILLY.jpg|120px]]
  +
|[[Image:Rtap.gif|120px]]
  +
|[[Image:DSC02818.jpg|120px]]
  +
|[[Image:Actrapid.jpg|120px]]
  +
|-
 
|<center>[[Novolin R]]</center>
  +
|<center>[[Humulin R]]</center>
 
|<center>[[Winthrop Rapid]]</center>
 
|<center>[[Insuman Rapid]]</center>
  +
|<center>[[Actrapid]]</center>
  +
|}
  +
[[Category:GE R]]
 
[[Category:Insulins]]
 
[[Category:Insulins]]
 
[[Category:short-acting]]
 
[[Category:short-acting]]
Line 104: Line 129:
 
[[Category:Meta-cresol]]
 
[[Category:Meta-cresol]]
 
[[Category:Content]]
 
[[Category:Content]]
  +
[[Category:Currently marketed insulins]]

Latest revision as of 23:24, 23 May 2012

Humulin S
R, Neutral by Eli Lilly
short-acting
r-DNA/GE/GM
U40, U100 none
Action in dogs:
  • onset 10-30 minutes,
  • peak 1-5h,
  • duration 4-10h [1]
Line: Humulin
Also known as: Huminsulin Normal
Humulin CHumulin R, Humuline R
Humuline Regular, Humulin Regular
Humulina RegularHumulin ReliOn R
Umuline Rapide, Umuline Regular
Similar to: Insuman Rapid, Winthrop Rapid
Actrapid, Novolin R, ReliOn/Novolin R

Names of Lilly r-DNA/GE/GM insulins worldwide
Use and Handling:
Shelf Life: 24 months Type: soluble, clear
When Opened: 28 days room temp.
In Pen: 28 days room temp.
Notes: Protect from light and heat
Do Not Freeze,
May be used intravenously
21944f

Humulin S-a fast-acting, neutral, soluble insulin. Note package similarity of comparable insulin Insuman Rapid.


UK brand name for Lilly's short-acting r-DNA/GE/GM human insulin. [2][3][4][5]

The "S" in the product's name is an abbreviation for "soluble".

It's known in North America as Humulin R, [6][7] elsewhere as Huminsulin Normal, and can also be referred to as Toronto insulin instead of the R classification.

Both Novo Nordisk [8] and Aventis produce comparable insulins.

Novo's names for them are Actrapid [9][10][11] and Novolin R; Aventis' is Insuman Rapid [12][13] and Winthrop Rapid.

Like all R or neutral insulins, nothing is added (suspensions) to alter the insulin's action or speed. [14]

A short-acting, soluble, non-suspended insulin produced from r-DNA/GE/GM, bovine, or porcine sources. From 1921 to the 1930's when PZI was developed, R was the only kind of insulin available.

Rtap

Human activity profile for r-DNA/GE/GM R (Regular)/Neutral insulin. See links for dog activity.

While both R/neutral and semilente insulins are considered fast-acting, they differ in a few ways. As above, there's no suspension or buffer [15] in R/neutral; it's totally dissolved and soluble, meaning it can safely be used intravenously. [16]

The very small insulin particles in semilente insulin are suspended by zinc. [15] Semilente is cloudy, has an acetate buffer and cannot be used intravenously.

R/Neutral insulin cannot be reliably mixed with Lente or Ultralente insulins. [17][18] Semilente can; the ratio of 3 parts semilente insulin to 7 parts ultralente insulin produces Lente insulin. [15]

R/Neutral Insulins[]

References[]

  1. Insulins. North American Veterinary Conference Clinicians Brief (2006).
  2. Patient Information Leaflet-Humulin S. Eli Lilly.
  3. Humulin S Prescribing Information.
  4. Lilly EU/UK Product Sheet & Time Activity Profiles. Eli Lilly.
  5. Humulin S. Medguides UK.
  6. Humulin R patient leaflet. Eli Lilly.
  7. Humulin R Regular Human Insulin. Revolution Health.
  8. Novolin R. Revolution Health.
  9. Patient Information Leaflet-Actrapid. Novo Nordisk.
  10. Scientific Discussion-Actrapid. EMEA.
  11. Prescribing Novo Insulins.
  12. Patient information Leaflet-Insuman Rapid. Sanofi-Aventis.
  13. Prescribing Insuman Insulins.
  14. Humulin R patient leaflet. Eli Lilly.
  15. 15.0 15.1 15.2 DeRuiter, Jack. Insulin Preparations-Regular Insulin. Auburn University. Cite error: Invalid <ref> tag; name "Auburn" defined multiple times with different content Cite error: Invalid <ref> tag; name "Auburn" defined multiple times with different content
  16. Maddison, Jill E.,Page, Stephen W.,Church, David B. (2008). Small Animal Clinical Pharmacology. Saunders Ltd..
  17. Deckert, T. (1980). Intermediate-Acting Insulin Preparations: NPH (Isophane) & Lente. Diabetes Care.
    Note--in 1980, there were no r-DNA/GE/GM insulins
  18. Resource Guide. American Diabetes Association (2005).

More Information[]

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