What should I watch for?
Visit your doctor or health care professional for regular checks on your progress.
Dangerously low blood sugar can occur when this medicine is injected and no food is eaten within 20 minutes. Checking and recording your blood glucose is very important when you start this medicine and when your dose is changed. You should avoid participating in any high-risk activities like driving within 2 to 3 hours after a dose until a well-tolerated dose of this medicine has been established.
You should be aware of signs and symptoms of low blood sugar including: dizziness, tiredness, restlessness, hunger, irritability, trouble concentrating, sweating, nausea, or fast or irregular heartbeat. Always have a source a sugar such as orange juice, glucose gel, candy, or milk available in case symptoms of low blood sugar occur. In some cases severely low blood sugar may result in unconsciousness. If a child becomes unresponsive, and can not ingest a sugar source, you may need to administer an injection of glucagon. Make sure you understand how to do this before starting therapy with this medicine.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
bluish skin color of the fingertips
cool, pale skin
loss of hearing
rapid growth of normal cells of the thymus (no symptoms)
thickening of the skin
unusual tiredness or weakness
Incidence not known
Change in the ability to see colors, especially blue or yellow
difficult or labored breathing
difficulty with swallowing
hives or welts
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
pain in the hip or knee
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
redness of the skin
shortness of breath
tightness in the chest
Get emergency help immediately if any of the following symptoms of overdose occur:
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Abnormal response of the tympanic membrane to air pressure
difficulty with moving
difficulty with swallowing
large, flat, blue or purplish patches in the skin
muscle pain or stiffness
redness or swelling in the ear
sense of fullness in the ear
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.