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Novolin N vs. Apidra

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Novolin N (insulin NPH) and Apidra (insulin glulisine) are both insulins used to manage blood sugar levels in people with Type 1 and 2 diabetes, but they have some key differences. Novolin N is an intermediate-acting insulin that works throughout the day and is typically injected once or twice daily under the skin. It’s available both by prescription and over the counter. In contrast, Apidra is a rapid-acting insulin that starts working within 15 minutes and is usually taken before or right after meals. Apidra is a prescription medication available in a vial or pre-filled pen injected under the skin. It can also be used in an insulin pump or given through an IV in a hospital setting. Novolin N can be mixed with other insulins, such as insulin regular (Novolin R) and Apidra, whereas Apidra can only be mixed with Novolin N. Both medications are only available as brand name and can cause low blood sugar and weight gain.

Novolin N

 

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Apidra

(insulin glulisine)

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Summary for Novolin N

Prescription or over-the-counter

Novolin N, a brand name of insulin NPH, is an intermediate-acting insulin. It helps control blood sugar levels in adults and children with Type 1 diabetes or Type 2 diabetes. This type of insulin comes in a vial (Novolin N) and a pen (Novolin N Flexpen). There's also a Novolin N ReliOn brand name. Novolin N is injected under the skin once or twice daily to regulate blood sugar levels. Side effects include low blood sugar (hypoglycemia) and reactions at the injection site.

Indications for Novolin N

Pros and Cons for Novolin N

Pros

  • Available over the counter without a prescription
  • Can help manage both Type 1 and Type 2 diabetes
  • Available as a pen and vial
  • Pens are small enough to fit in your purse or pocket

Cons

  • Might need to inject twice daily
  • Must give as an injection under the skin
  • Risk of low blood sugar and weight gain
  • Only available as a brand-name medication

Common Side Effects for Novolin N

  • Low blood sugar
  • Reactions where the medication is injected (e.g., redness, swelling, itching)

Warnings for Novolin N

  • Risk of infections from sharing injection supplies
  • Risk of changes to blood sugar levels with changes to your insulin regimen
  • Dangerously low blood sugar levels (hypoglycemia)
  • Low blood potassium levels
  • Swelling from fluid buildup and risk of heart failure when taken with certain diabetes medications

Summary for Apidra

Prescription only

Apidra (insulin glulisine) is a fast-acting (or rapid-acting) insulin. It's used to control blood sugar from meals for people with either Type 1 diabetes (T1D) or Type 2 diabetes (T2D). This insulin comes in vials (Apidra) and prefilled pens (Apidra Solostar). It's injected under the skin within 15 minutes before or within 20 minutes after starting a meal. It can also be given continuously under the skin through an insulin pump. And in the hospital, it can be given as an infusion into a vein (IV). Side effects include low blood sugar and cold symptoms.

Indications for Apidra

Pros and Cons for Apidra

Pros

  • Works within 15 minutes to lower blood sugar
  • Available as a prefilled pen, which might be easier to use than the vial
  • Can be used with some insulin pumps

Cons

  • Given as an injection
  • Might need to inject multiple times a day because it's used at mealtimes
  • Has a risk of low blood sugar and weight gain

Common Side Effects for Apidra

Type 1 diabetes:

Type 2 diabetes:

  • Upper respiratory tract infection (11%)
  • Common cold (8%)
  • Swelling in the hands, ankles, or legs (8%)
  • Flu (6%)
  • Joint pain (6%)
  • High blood pressure (4%)

Warnings for Apidra

  • Don't share Apidra SoloStar pens, syringes, or needles
  • Risk of too high or too low blood sugar with changes to your insulin regimen
  • Low blood sugar levels (hypoglycemia)
  • Allergic reaction
  • Low potassium levels
  • Fluid buildup and risk of heart failure when used with certain diabetes medications
  • High blood sugar or buildup of ketones if insulin pump isn't working properly

Prices with our coupons for Novolin N vs. Apidra

Price Card Drug Icon
Novolin N1 vial / 10ml of 100 units/ml
$54.04$174.40
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Apidra1 carton / 5 solostar pens of 3ml
$173.42$355.03
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