Insuhuman Comb 50

Insuhuman Comb 50
R/Neutral/NPH/Isophane Mix by Aventis
intermediate-acting
r-DNA/GE/GM
U40, U100	isophane
Action in dogs: onset 0.5-3h, peak 2-10h, duration 4-24h
Line: Insuman
Also known as: Insuman Comb 50 Winthrop Comb 50
Similar to: Huminsulin 50/50,Humulin M5 Humulin 50/50,Humulina 50/50, Humuline 50/50 Actraphane 50/50, Mixtard 50, Penmix 50 Names of Lilly r-DNA/GE/GM insulins worldwide
Use and Handling:
Shelf Life: 24 months	Type: cloudy
When Opened: 4 weeks room temp.
In Pen: 4 weeks room temp.
Notes: Protect from light and heat Do Not Freeze, Resuspend Do not use if product does not re-suspend Do not use intravenously

Time activity profile for 50/50 insulins.

Note that some countries have the brand name in U40 strength.

This is an Aventis mixed, intermediate-acting insulin comprised of 50% R/neutral and 50% NPH/isophane crystal insulin , one of its Insuman line of products.

Eli Lilly produced a comparable insulin for North America: Humulin 50/50 ; they also formerly produced this insulin in the EU & UK under the brand name Humulin M5. M5 was discontinued in July 2004. Other Lilly insulin that are similar are Humulina 50/50 and Humuline 50/50.

Novo Nordisk produced two: Actraphane 50/50 and the now discontinued Mixtard 50.

Mixed insulins cover a wide range as they can be animal origin, r-DNA/GE/GM origin or analog insulins. The non-analog mixed insulins are made up of intermediate-acting NPH/isophane insulin and short-acting R/neutral. normal insulin. The analog mixes are made from intermediate-acting protamine-suspended analog insulin (suspended similar to NPH/isophane insulin) and fast-acting analog insulin. They can also vary in the fraction (amount or percent) of the two types (R/neutral and NPH/isophane) of insulin used to make a non-analog mix, and in the percentage of fast/rapid-acting analog insulin and slower-acting protamine suspended analog insulin.

For some reason, those in the US choose to list the slower, NPH/isophane based insulin fraction first, such as Humulin or Novolin 70/30. The rest of the world gives the faster insulin top billing and the result is 30/70. Regardless of how this is written, it means that the insulin is made up of 70% NPH/isophane insulin and 30% R/neutral insulin.

The most common mixes are 70/30 (30/70) (non analog) or 75/25 (25/75) (analog). There are no currently-marketed mixes which combine insulins of different origins. Eli Lilly's form of beef/pork Iletin and Novo Nordisk's Lentard were discontinued some time ago. Here are the most common ones that could cause confusion:

Non-Analog Mixed Insulins
	All Intermediate-acting
Insulin Is	Expressed As	Expressed As
10% R/Neutral Insulin 90% NPH/Isophane Insulin	90/10	10/90
20% R/Neutral Insulin 80% NPH/Isophane Insulin	80/20	20/80
30% R/Neutral Insulin 80% NPH/Isophane Insulin	70/30	30/70
40% R/Neutral Insulin 60% NPH/Isophane Insulin	60/40	40/60
50% R/Neutral Insulin 50% NPH/Isophane Insulin	50/50	50/50

More Information

• Chart of Insuman Insulin Ranges Yorkshire Diabetes
• NACDS-Insulin Chart-Page 2

Related pages

Humulin M5	Mixtard 50	Humulin 50/50	Penmix 50