Humuline NPH | |
---|---|
NPH/Isophane by Eli Lilly | |
intermediate-acting | |
r-DNA/GE/GM | |
U40, U100 | isophane |
Action in dogs: | |
Line: Humulin | |
Also known as: Humulin I, Huminsulin Basal, Humulin N, Humulin NPH, Humulina NPH, Humuline N, Umuline NPH Humulin ReliOn N | |
Similar to: Novolin N, Insulatard, Protaphan Insuhuman Basal, Protaphane, Winthrop Basal ReliOn/Novolin NPH, Insuman Basal Isuhuman Basal Names of Lilly r-DNA/GE/GM insulins worldwide | |
Use and Handling: | |
Shelf Life: 24 months | Type: cloudy |
When Opened: 28 days room temp. | |
In Pen: 28 days 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 [3] |
Humuline NPH is an Eli Lilly brand name for their NPH-based insulin product [4]. This insulin is the same as Humulin N, produced by Lilly in the US.
It is an intermediate-acting insulin.
Like all other isophane/protamine suspended insulins, [5] it is a crystalline suspension with protamine.
NPH (Isophane) insulin was originally developed by Novo Nordisk labs in 1946, as an insulin with intermediate action.
This type of insulin tends to have an onset of 2-4 hours, a peak action of 4-10 hours, and a total duration of 10-20 hours, in humans.
Humulin N or generic NPH, and their Novo Nordisk competitor Novolin N [6] aka Insulatard, [7][8][9] and aka Protaphane [10] are available in the USA with no prescription.
In the UK, Humulin N is known as Humulin I ("I" standing for its isophane suspension.); [11][12][13] elsewhere it's called Huminsulin Basal, Umuline NPH, and Humulina NPH. Aventis also makes two similar NPH insulins called Insuman Basal [14][15] and Winthrop Basal.
Specifications of NPH/isophane insulin[]
British National Formulary [16] defines this type as: A sterile suspension bovine or porcine or of human insulin in the form of a complex obtained by the addition of protamine sulphate or another suitable protamine.
British Pharmacoepia and United States Pharmacopia definitions: [16]
Isophane Insulin
Sterile buffered suspension of insulin in the form of a complex obtained by addition of suitable protamine. Prepared from crystalline insulin. pH 6.9 - 7.5 iso-osmotic with blood. Contains for each 100 units of insulin, 300 - 600 g protamine sulphate and not more than 40 g zinc, a suitable bactericide and sodium phosphate as buffering agent.
USP specification: Sterile suspension of zinc insulin crystalline and protamine sulphate in buffered water for injection. Solid phase contain crystals of insulin protamine and zinc; 40, 80, 100 units/ml. Contains glycerol, metacresol, phenol sodium phosphate and zinc.
NPH/isophane insulins[]
The following commercial insulins are all generically NPH insulins:
NPH/Isophane Insulins | |
---|---|
All Intermediate acting | |
Betasint Bovine NPH Hypurin Bovine Isophane [17][18][19] | |
Iletin NPH
(No longer produced.) | |
Iletin I NPH
(No longer produced.) | |
Betasint Porcine NPH Hypurin Porcine Isophane [20][21] Hypurin Pork NPH | |
Iletin II NPH (No longer produced.) Pork Insulatard [20][22][23] (No longer produced.) Leo Retard (No longer produced.) | |
Huminsulin Basal, Humulin I Humulin N, Humulin NPH Humulina NPH, Humuline N Humuline NPH, Umuline NPH Humulin ReliOn N | |
Insuhuman Basal, Insuman Basal Isuhuman Basal, Winthrop Basal | |
Insulatard, Novolin N Protaphan, Protaphane | |
ReliOn/Novolin NPH (No longer produced) |
Other commonly used names are:
- NPH insulin, NPH
- isophane insulin
References[]
- ↑ Insulins. North American Veterinary Conference (2005).
- ↑ Ruchinsky, Renee, et. al. (2010). Diabetes Management Guidelines for Dogs and Cats-page 7. American Animal Hospital Association.
- ↑ Maddison, Jill E.,Page, Stephen W.,Church, David B. (2008). Small Animal Clinical Pharmacology. Saunders Ltd..
- ↑ Humulin N NPH/Isophane Human Insulin. Revolution Health.
- ↑ Humulin N patient leaflet. Eli Lilly.
- ↑ Novolin N. Revolution Health.
- ↑ Patient Information Leaflet-Insulatard. Novo Nordisk.
- ↑ Prescribing Novo Insulins.
- ↑ Scientific Discussion-Insulatard. EMEA.
- ↑ Scientific Discussion-Protaphane. EMEA.
- ↑ Humulin I Prescribing Information.
- ↑ Patient Information Leaflet-Humulin I. Eli Lilly.
- ↑ Lilly EU/UK Product Sheet & Time Activity Profiles. Eli Lilly.
- ↑ Patient Information Leaflet-Insuman Basal. Sanofi-Aventis.
- ↑ Insuman Prescribing Information.
- ↑ 16.0 16.1 British National Formulary-Isophane/NPH Insulin Definition. InChem. Cite error: Invalid
<ref>
tag; name "InChem" defined multiple times with different content - ↑ Hypurin Bovine Isophane Patient Information. Net Doctor uk..
- ↑ Hypurin Bovine Isophane. Wockhardt UK.
- ↑ Prescribing Bovine Insulin.
- ↑ 20.0 20.1 Response to Withdrawal of Novo Porcine Insulins. CP/Wockhardt UK.
- ↑ Prescribing Porcine Insulin.
- ↑ Prescribing Novo Animal Insulin.
- ↑ Patient Information Leaflet-Pork Insulatard. Novo Nordisk.
More Information[]
- NACDS-Insulin Chart-Page 2
- Insulin therapy for dogs and cats Dowling, Patricia, September 1995, Canadian Veterinary Journal
A discussion of NPH/isophane insulins.
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