INSULIN HUMAN, BIPHASIC 30-70 IU/ml, 10ml, vial N
Valid Article
INSULIN BIPHASIC human
Full Name
Mixtard 30®
- Not in the WHO list of Essential Medicines 2023
Therapeutic Action
Pancreatic hormone, antidiabetic
Pre-mixed (or biphasic) insulin containing Isophane (NPH) human insulin (intermediate-acting) combined with regular human insulin (rapid-acting) at 30:70 ratio.
The insulin action profile is a combination of the rapid and intermediate acting insulins.
Action profile:
- onset of action: 30 - 90 min
- peak action: 2 - 8 hrs
- duration of action: 10 - 16 hrs
These action profiles are based on subcutaneous injections and are only approximations. They depend on the dose injected, the type and brand of insulin and are highly variable from one patient to another.
See Preliminary remarks on Insulins.
Indications
Instructions for use
Must be given as SC injection only.
Before using insulin for the first time, store it at room temperature for 1 or 2 hours (cold insulin is more painful).
Preparation for administration:
- Wash hands.
- Check the insulin vial (type and strength of insulin, expiry date) and the solution (opaque, white and aqueous).
- Use an insulin syringe with fixed needle: 1 ml syringe graduated in 2 IU or 0.5 ml syringe graduated in 1 IU (intended for children).
- Stir the insulin by gently rolling the vial between the palms of the hands.
- Pull air into the syringe and inject air into the vial.
- Draw up the required dose of insulin into the syringe.
How to administer SC insulin:
- Insulin can be injected into the abdomen (two fingers away from the belly button), upper arm, buttocks, hips, buttocks, or the front or side of the thigh.
- Injecting insulin in the same area repeatedly can cause lumps, swelling and thickened skin, and it may keep insulin from absorbing properly. See the picture below on “rotating” injection sites.
- Do not inject insulin into areas that have wounds or bruising.
- Clean the chosen injection site with soap and water. Allow to dry.
- Pinch the skin.
- Hold the syringe like a pencil at a 90-degree angle to the skin and insert the needle with one quick motion.
- Inject the dose of insulin. Wait for 5 seconds before removing the needle from the skin.
- Apply gentle pressure on the injection site with the finger for 5-10 seconds to keep insulin from leaking out.
- Do not recap the syringe. Safety discard the needle into a sharps container.
Precautions for Use
It is not recommended to switch the patient from insulin type or brand (manufacturer).
The manufacturer is identified by a letter at the end of the code and the label: L = Lilly, N = Novo Nordisk, S = Sanofi.
Caution! In order to simplify ordering and the medical list, the biphasic insulins from Lily (DINJINSHB1VL) and Sanofi (DINJINSHB1VS) became non-standard. The standard is the biphasic insulin from Novo Nordisk (DINJINSHB1VN).
Storage
- Unopened vials: keep refrigerated between 2°C and 8°C - Protect from sunlight
- Keep the vial in the outer packaging.
- Opened vials (in-use) Mixtard 30®: may be kept for a maximum of 6 weeks not above 25ºC.
- Do not freeze. Discard any vial that has been frozen.