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+ | {|class="wikitable" align="right" width="300" bgcolor="powderblue"| |
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− | {{Insulin| |
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+ | ! colspan="2" style="background:#cae1ff; width:300px;font-size:10pt" | Humulin S |
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− | bgcolor=#d1eeee| |
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+ | |- |
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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]] |
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− | name=Humulin S| |
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+ | |- |
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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]] |
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− | mfg=[[Eli Lilly]]| |
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+ | |- |
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− | |- align="center" style="background:#cae1ff;border-bottom:3px solid grey;"| |
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+ | | colspan="2" style="background:#bcd2ee; width:300px; text-align:center;font-size:9pt"|[[r-DNA/GE/GM]] |
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− | action=[[short-acting]]| |
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+ | |- |
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− | origin=[[r-DNA/GE/GM]]| |
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+ | ! colspan="1" style="background:#bcd2ee; width:150px; text-align:center;font-size:9pt" | U40, U100 |
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− | strength=U100| |
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+ | |colspan="1" style="background:#bcd2ee; width:150px;text-align:center;font-size:9pt"|'''none''' |
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− | suspension=none| |
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+ | |- |
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− | line=[[Humulin ]]| |
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+ | |colspan="2" style="background:aliceblue; width:300px;font-size:9pt; text-align:left" | '''Action in dogs:''' |
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⚫ | |||
− | similar= |
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⚫ | |||
− | *[[Actrapid]], |
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− | *[[ReliOn/Novolin R]], |
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⚫ | |||
⚫ | |||
− | dogaction= |
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*onset 10-30 minutes, |
*onset 10-30 minutes, |
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*peak 1-5h, |
*peak 1-5h, |
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− | *duration 4-10h<ref> |
+ | *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> |
+ | |- |
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− | cloudyorsoluble=[[soluble]]| |
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+ | | colspan="2" style="background:aliceblue; width:300px;font-size:9pt; text-align:left" | '''Line:''' [[Humulin]] |
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− | shelflife= 24 months| |
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+ | |- |
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− | openedlife= 28 days room temp.| |
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+ | | colspan="2" style="background:aliceblue; width:300px; font-size:9pt;text-align:left"| '''Also known as:''' [[Huminsulin Normal]]<br> [[Humulin C]], [[Humulin R]], [[Humuline R]]<br> [[Humuline Regular]], [[Humulin Regular]]<br> [[Humulina Regular]], [[Humulin ReliOn R]]<br> [[Umuline Rapide]], [[Umuline Regular]] |
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− | penlife= 28 days room temp.| |
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+ | |- |
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− | handlingnotes= |
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⚫ | | 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] |
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− | *protect from light and heat |
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+ | |- |
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− | *Do Not Freeze |
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+ | | colspan="2" style="background:#cae1ff; width:300px;text-align:center;font-size:9pt" | '''Use and Handling:''' |
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− | *May be used [[intravenously]] |
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+ | |- |
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⚫ | |||
+ | | colspan="1" style="background:aliceblue; width:150px;font-size:9pt;text-align:left"| '''Shelf Life:''' 24 months |
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+ | |colspan="1" style="background:aliceblue; width:150px;font-size:9pt;text-align:left" | '''Type:''' [[soluble]], [[clear]] |
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+ | |- |
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+ | |colspan="2" style="background:aliceblue; width:300px;font-size:9pt;text-align:left" | '''When Opened:''' 28 days room temp. |
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+ | |- |
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+ | |colspan="2" style="background:aliceblue; width:300px;font-size:9pt;text-align:left"| '''In Pen:''' 28 days room temp. |
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+ | |- |
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+ | |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]] |
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⚫ | |||
+ | |||
+ | [[Image:21944f.png|200px|thumb|left|Humulin S-a fast-acting, neutral, soluble insulin. Note package similarity of comparable insulin [[Insuman Rapid]].]] |
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+ | <br clear=left> |
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− | + | 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]]". |
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− | It's known in North America as [[Humulin R]]<ref> |
+ | 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> |
+ | 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> |
+ | 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> |
+ | 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.]] |
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− | + | 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> |
+ | 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> |
+ | 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== |
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− | {| 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: |
+ | ! 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: |
+ | !width="300" align="center" style="background:#cae1ff;"|All [[:Category:Short-acting|Short acting]]<br> All [[soluble]] |
|- |
|- |
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− | ! width="200"align="center" style="background: |
+ | ! width="200"align="center" style="background:aliceblue;"| |
[[Bovine]]/[[Beef]] |
[[Bovine]]/[[Beef]] |
||
− | !!width="300" align="center" style="background: |
+ | !!width="300" align="center" style="background:ivory;"|[[Hypurin Bovine Neutral]]<br>[[Betasint Bovine Corriente]] |
|- |
|- |
||
− | ! width="200"align="center" style="background: |
+ | ! width="200"align="center" style="background:aliceblue;"| |
[[Bovine]]/[[Beef]] |
[[Bovine]]/[[Beef]] |
||
− | !!width="300" align="center" style="background:# |
+ | !!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.) |
+ | |||
|- |
|- |
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− | ! width="200"align="center" style="background: |
+ | ! width="200"align="center" style="background:aliceblue;"| |
[[Bovine]]/[[Beef]]<br />[[Porcine]]/[[Pork]] |
[[Bovine]]/[[Beef]]<br />[[Porcine]]/[[Pork]] |
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− | !!width="300" align="center" style="background:# |
+ | !!width="300" align="center" style="background:#dcdcdc;"|[[Iletin I R]] (No longer produced.) |
|- |
|- |
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− | ! width="200"align="center" style="background: |
+ | ! width="200"align="center" style="background:aliceblue;"| |
[[Porcine]]/[[Pork]] |
[[Porcine]]/[[Pork]] |
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− | !!width="300" align="center" style="background: |
+ | !!width="300" align="center" style="background:ivory;"|[[Betasint Porcine Corriente]]<br>[[Hypurin Porcine Neutral]]<br>[[Hypurin Pork Regular]]<br>[[Maxirapid CHO]] |
|- |
|- |
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− | ! width="200"align="center" style="background: |
+ | ! width="200"align="center" style="background:aliceblue;"| |
[[Porcine]]/[[Pork]] |
[[Porcine]]/[[Pork]] |
||
− | !width="300" align="center" style="background:# |
+ | !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.) |
|- |
|- |
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− | ! width="200"align="center" style="background: |
+ | ! width="200"align="center" style="background:aliceblue;"| |
[[R-DNA]] |
[[R-DNA]] |
||
− | + | !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]] |
|
+ | |- |
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+ | !width="200" align="center" style="background:aliceblue;"|[[R-DNA]] |
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+ | !width="300" slign="center" style="background:#dcdcdc;"|[[ReliOn/Novolin R]] (No longer produced.) |
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|} |
|} |
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==References== |
==References== |
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+ | {{Reflist|colwidth=30em}} |
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− | <references/> |
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==More Information== |
==More Information== |
||
− | *[http:// |
+ | *[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 |
+ | *[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" |
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− | A discussion of regular/neutral/normal insulins. |
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+ | !||||Related Pages|| |
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+ | |- |
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+ | |[[Image:A1833110.jpg|120px]] |
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+ | |[[Image:HumilinLILLY.jpg|120px]] |
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+ | |[[Image:Rtap.gif|120px]] |
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+ | |[[Image:DSC02818.jpg|120px]] |
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+ | |[[Image:Actrapid.jpg|120px]] |
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+ | |- |
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⚫ | |||
+ | |<center>[[Humulin R]]</center> |
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⚫ | |||
⚫ | |||
+ | |<center>[[Actrapid]]</center> |
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+ | |} |
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+ | [[Category:GE R]] |
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[[Category:Insulins]] |
[[Category:Insulins]] |
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[[Category:short-acting]] |
[[Category:short-acting]] |
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[[Category:Meta-cresol]] |
[[Category:Meta-cresol]] |
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[[Category:Content]] |
[[Category:Content]] |
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+ | [[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:
| |
Line: Humulin | |
Also known as: Huminsulin Normal Humulin C, Humulin R, Humuline R Humuline Regular, Humulin Regular Humulina Regular, Humulin 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 |
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.
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[]
R/Neutral Insulins | |
---|---|
All Short acting All soluble | |
Hypurin Bovine Neutral Betasint Bovine Corriente | |
Iletin R (No longer produced.) Hypurin Vet Neutral (No longer produced.) Insuvet Neutral (No longer produced.) | |
Iletin I R (No longer produced.) | |
Betasint Porcine Corriente Hypurin Porcine Neutral Hypurin Pork Regular Maxirapid CHO | |
Pork Actrapid (No longer produced.) Iletin II R (No longer produced.) Leo Neutral (No longer produced.) | |
Actrapid, Huminsulin Normal Humulin C, Humulin R Humulin Regular, Humulina Regular Humuline R, Humuline Regular Humulin S, Insuman Rapid Novolin R, Umuline Rapide Umuline Regular, Winthrop Rapid Humulin ReliOn R | |
R-DNA | ReliOn/Novolin R (No longer produced.) |
References[]
- ↑ Insulins. North American Veterinary Conference Clinicians Brief (2006).
- ↑ Patient Information Leaflet-Humulin S. Eli Lilly.
- ↑ Humulin S Prescribing Information.
- ↑ Lilly EU/UK Product Sheet & Time Activity Profiles. Eli Lilly.
- ↑ Humulin S. Medguides UK.
- ↑ Humulin R patient leaflet. Eli Lilly.
- ↑ Humulin R Regular Human Insulin. Revolution Health.
- ↑ Novolin R. Revolution Health.
- ↑ Patient Information Leaflet-Actrapid. Novo Nordisk.
- ↑ Scientific Discussion-Actrapid. EMEA.
- ↑ Prescribing Novo Insulins.
- ↑ Patient information Leaflet-Insuman Rapid. Sanofi-Aventis.
- ↑ Prescribing Insuman Insulins.
- ↑ Humulin R patient leaflet. Eli Lilly.
- ↑ 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 - ↑ Maddison, Jill E.,Page, Stephen W.,Church, David B. (2008). Small Animal Clinical Pharmacology. Saunders Ltd..
- ↑ Deckert, T. (1980). Intermediate-Acting Insulin Preparations: NPH (Isophane) & Lente. Diabetes Care.
Note--in 1980, there were no r-DNA/GE/GM insulins - ↑ Resource Guide. American Diabetes Association (2005).
More Information[]
- NACDS-Insulin Chart-Page 2
- Leeds NHS UK Insulin Guide
- Insulin therapy for dogs and cats Dowling, Patricia, September 1995, Canadian Veterinary Journal
A discussion of regular/neutral/normal insulins.
Related Pages | ||||
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