Treatment of children
From the age of 2 years on, children can also be treated with Lantus®, but there is no experience for younger children.
Pregnancy/nursing period
Again, consultation with the treating physician is urgently required, as the dosage may need to be adjusted. A constant blood sugar level without drastic fluctuations is necessary for the development of the child, so that the monitoring of blood and urine values must be even more careful. For breastfeeding, it is also possible that an adjustment of the insulin dose may be necessary.
Roadworthiness and the operation of machines
When a state of hypoglycemia occurs, the ability to concentrate and react may be reduced or even lost. Here it can help to learn the initial symptoms of hypoglycaemia through training and to be able to treat them directly (plug in glucose).
Interactions with other drugs
Some medications influence blood sugar levels, so there may be interactions with insulin (Lantus®), which is supposed to lower blood sugar levels. The drugs that can lead to hypoglycemia (low blood sugar) include In addition to the blood sugar-lowering drugs, there are also drugs that can raise the blood sugar level, which may make it necessary to increase the dose of Lantus®. These include: Both hyperglycaemia and hypoglycaemia are possible if the following medications are taken: During therapy with Lantus® , the blood sugar level can both rise and fall when alcohol is consumed, so this should be avoided if possible.
- Antidiabetics
- ACE inhibitors (for treatment of high blood pressure)
- Disopyramide (for the treatment of certain heart diseases)
- Fluoxetine (for the treatment of depression)
- Fibrate (to lower high blood lipid levels)
- Monoamine oxidase (MAO) inhibitors (for the treatment of depression)
- Pentoxifylline, propoxyphene, salicylates (z.B. Acetylsalicylic acid (ASA) against pain and fever)
- Sulfonamide antibiotics
- Corticosteroids (including cortisone, for the treatment of inflammation and the like)
- Danazol (to influence ovulation)
- Diazoxide (for treatment of high blood pressure)
- Diuretics (for treatment of high blood pressure or for drainage)
- Glucagon (for treatment of severe hypoglycemia)
- Isonazide (for the treatment of tuberculosis)
- Estrogens and progestagens (e.g. birth control pills)
- Phenothiazine drugs (for treatment of psychiatric disorders)
- Somatropin (for the treatment of growth disorders)
- Sympathomimetics (e.g. for the treatment of asthma)
- Thyroid hormones (for treatment of thyroid dysfunction)
- Clozapine, olanzapine (atypical, antipsychotic drugs)
- Protease inhibitors (for the treatment of HIV)
- Beta-blocker (for treatment of high blood pressure)
- Clonidine (for treatment of high blood pressure)
- Lithium salts (for the treatment of psychiatric complaints)
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