Diabetes in Pets
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{{Insulin|
  
{{Insulin|
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fgcolor=#fd0|
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fgcolor=#000080|
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bgcolor=#906|
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bgcolor=#d1eeee|
 
name=Humulin N|
  
name=Humulin N|
 
generic=[[NPH]]/[[Isophane]]|
  
generic=[[NPH]]/[[Isophane]]|
 
mfg=[[Eli Lilly]]|
  
mfg=[[Eli Lilly]]|
  +
|- align="center" style="background:#cae1ff;border-bottom:3px solid grey;"|
 
action=[[intermediate-acting]]|
  
action=[[intermediate-acting]]|
 
origin=[[r-DNA/GE/GM]]|
  
origin=[[r-DNA/GE/GM]]|
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*onset 1-2h,
 
*onset 1-2h,
 
*sharp peak 4-6h,
 
*sharp peak 4-6h,
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*duration 8-12h<ref>[http://www.cliniciansbrief.com/cms/portals/_default/pdfs/capsules/Jan_05_Cap11.pdf Insulins-North American Veterinary Conference-2005]</ref><ref>[http://www.royalcanin.us/documents/OSUProceedings.pdf Selecting an Insulin for Treatment of Diabetes Mellitus in Dogs & Cats-Nelson-OSU Endocrinology Symposium 2006-Page 41]</ref>|
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*duration 8-12h<ref>[http://web.archive.org/web/20061101114701/http://www.cliniciansbrief.com/cms/portals/_default/pdfs/capsules/Jan_05_Cap11.pdf Insulins-North American Veterinary Conference-2005]</ref><ref>[http://images3.wikia.nocookie.net/petdiabetes/images/8/87/2006symposiumproceedings.pdf Selecting an Insulin for Treatment of Diabetes Mellitus in Dogs & Cats-Nelson-OSU Endocrinology Symposium 2006-Page 41]</ref>|
 
dogaction=&nbsp;
  
dogaction=&nbsp;
 
*onset 0.5-3h,
 
*onset 0.5-3h,
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*peak 2-10h<ref>[http://www.cliniciansbrief.com/cms/portals/_default/pdfs/capsules/Jan_05_Cap11.pdf Insulins-North American Veterinary Conference-2005]</ref>,
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*peak 2-10h<ref>[http://web.archive.org/web/20061101114701/http://www.cliniciansbrief.com/cms/portals/_default/pdfs/capsules/Jan_05_Cap11.pdf Insulins-North American Veterinary Conference-2005]</ref>,
 
*duration 4-24h|
  
*duration 4-24h|
 
cloudyorsoluble=[[cloudy]]|
  
cloudyorsoluble=[[cloudy]]|
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It is an [[:Category:intermediate-acting|intermediate-acting]] insulin, though in cats this tends to be closer to [[:Category:short-acting|short-acting]] in practise.
 
It is an [[:Category:intermediate-acting|intermediate-acting]] insulin, though in cats this tends to be closer to [[:Category:short-acting|short-acting]] in practise.
   
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Like all other [[isophane]]/[[protamine]] suspended insulins<ref>[http://www.fda.gov/cder/foi/label/2003/18781scm074_humulin_lbl.pdf FDA-Humulin N]</ref>, it is a crystalline suspension with [[protamine]].
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Like all other [[isophane]]/[[protamine]] suspended insulins<ref>[http://web.archive.org/web/20061010214819/http://www.fda.gov/cder/foi/label/2003/18781scm074_humulin_lbl.pdf FDA-Humulin N]</ref>, it is a crystalline suspension with [[protamine]].
   
 
NPH (Isophane) insulin was originally developed by [[:Category:Novo Nordisk|Novo Nordisk]] labs in 1946, as an insulin with intermediate action. The versions currently sold are identical to human insulin and therefore differ slightly from feline and canine insulin.
  
NPH (Isophane) insulin was originally developed by [[:Category:Novo Nordisk|Novo Nordisk]] labs in 1946, as an insulin with intermediate action. The versions currently sold are identical to human insulin and therefore differ slightly from feline and canine insulin.
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Cats seem instead to experience a 1-2 hour onset, a peak action of 4-6 hours, and a total duration of 8-12 hours maximum, according to user surveys on [http://www.felinediabetes.com/ Felinediabetes.com]
  
Cats seem instead to experience a 1-2 hour onset, a peak action of 4-6 hours, and a total duration of 8-12 hours maximum, according to user surveys on [http://www.felinediabetes.com/ Felinediabetes.com]
   
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Humulin N or generic NPH, and their [[:Category:Novo Nordisk|Novo Nordisk]] competitor [[Novolin N]] aka [[Insulatard]]<ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=3331 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Insulatard]</ref><ref>[http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Novo_insulins.htm Prescribing Novo Insulins]</ref><ref>[http://www.emea.eu.int/humandocs/PDFs/EPAR/insulatard/206002en6.pdf EMEA Scientific Discussion-Insulatard]</ref>and aka [[Protaphane]]<ref>[http://www.emea.eu.int/humandocs/PDFs/EPAR/protaphane/504402en6.pdf EMEA Scientific Discussion-Protaphane]</ref>, are available in the USA without a prescription.
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Humulin N or generic NPH, and their [[:Category:Novo Nordisk|Novo Nordisk]] competitor [[Novolin N]] aka [[Insulatard]]<ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=3331 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Insulatard]</ref><ref>[http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Novo_insulins.htm Prescribing Novo Insulins]</ref><ref>[http://www.emea.europa.eu/humandocs/PDFs/EPAR/insulatard/206002en6.pdf EMEA Scientific Discussion-Insulatard]</ref>and aka [[Protaphane]]<ref>[http://www.emea.europa.eu/humandocs/PDFs/EPAR/protaphane/504402en6.pdf EMEA Scientific Discussion-Protaphane]</ref>, are available in the USA without a valid prescription.
   
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In the UK, Humulin N is known as [[Humulin I]] ("I" standing for its isophane suspension.)<ref>[http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Humulin_I.htm Humulin I Prescribing Information]</ref><ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=13398 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Humulin I]</ref><ref>[http://www.yorkshirediabetes.com/downloads/1071_LLY_Diabetes_RangeChar.pdf Lilly EU/UK Product Sheet & Time Activity Profiles]</ref>. [[Aventis]] also makes a similar NPH insulin called [[Insuman Basal]]<ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=7841 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Insuman Basal]</ref><ref>[http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Insuman_insulins.htm Insuman Prescribing Information]</ref>.
 +
In the UK, Humulin N is known as [[Humulin I]] ("I" standing for its isophane suspension.)<ref>[http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Humulin_I.htm Humulin I Prescribing Information]</ref><ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=13398 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Humulin I]</ref><ref>[http://www.yorkshirediabetes.com/downloads/1071_LLY_Diabetes_RangeChar.pdf Lilly EU/UK Product Sheet & Time Activity Profiles]</ref>. [[Aventis]] also makes a similar NPH insulin called [[Insuman Basal]]<ref>[http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=7841 Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Insuman Basal]</ref><ref>[http://web.archive.org/web/20080208084240/http://www.drgc.cwc.net/Care_pathway/Patient_information/Insulin/Insuman_insulins.htm Insuman Prescribing Information]</ref>.
   
 
==Further Reading==
  
==Further Reading==

Latest revision as of 06:57, 18 May 2018

Humulin N
NPH/Isophane by Eli Lilly
intermediate-acting r-DNA/GE/GM
U100 Isophane
Line Humulin
Also known as Humulin I
Similar to  
Action in cats  
  • onset 1-2h,
  • sharp peak 4-6h,
  • duration 8-12h[1][2]
Action in dogs  
  • onset 0.5-3h,
  • peak 2-10h[3],
  • duration 4-24h
Use and Handling
Type cloudy
Shelf Life 24 months
When opened 28 days room temp.
In pen 28 days room temp.
Notes  


Humulin N is Eli Lilly's brand name for their NPH-based insulin product[4].

It is an intermediate-acting insulin, though in cats this tends to be closer to short-acting in practise.

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. The versions currently sold are identical to human insulin and therefore differ slightly from feline and canine insulin.

Technical details

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.

These times seem to be similar in dogs, but considerably compressed in cats, possibly because of cats' faster metabolism.

Cats seem instead to experience a 1-2 hour onset, a peak action of 4-6 hours, and a total duration of 8-12 hours maximum, according to user surveys on Felinediabetes.com

Humulin N or generic NPH, and their Novo Nordisk competitor Novolin N aka Insulatard[6][7][8]and aka Protaphane[9], are available in the USA without a valid prescription.

In the UK, Humulin N is known as Humulin I ("I" standing for its isophane suspension.)[10][11][12]. Aventis also makes a similar NPH insulin called Insuman Basal[13][14].

Further Reading

Wikicat3

References

  1. ↑ Insulins-North American Veterinary Conference-2005
  2. ↑ Selecting an Insulin for Treatment of Diabetes Mellitus in Dogs & Cats-Nelson-OSU Endocrinology Symposium 2006-Page 41
  3. ↑ Insulins-North American Veterinary Conference-2005
  4. ↑ Humulin N NPH/Isophane Human Insulin Remedyfind.com
  5. ↑ FDA-Humulin N
  6. ↑ Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Insulatard
  7. ↑ Prescribing Novo Insulins
  8. ↑ EMEA Scientific Discussion-Insulatard
  9. ↑ EMEA Scientific Discussion-Protaphane
  10. ↑ Humulin I Prescribing Information
  11. ↑ Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Humulin I
  12. ↑ Lilly EU/UK Product Sheet & Time Activity Profiles
  13. ↑ Electronic Medicines Compendium (EMC) UK-Patient Information Leaflet-Insuman Basal
  14. ↑ Insuman Prescribing Information
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