Toujeo Dosage/Direction for Use

Always use this medicine exactly as the doctor has told the patient. Check with the doctor, pharmacist or nurse if the patient is not sure.
Although Toujeo contains the same active substance as insulin glargine 100 units/mL, these medicines are not interchangeable. The switch from one insulin therapy to another requires medical prescription, medical supervision and blood glucose monitoring. Please, consult the doctor for further information.
How Much to Use: The Toujeo SoloStar pre-filled pen can provide a dose of 1 to 80 units in one injection, in steps of 1 unit.
The dose window of the SoloStar pen shows the number of units of Toujeo to be injected. Do not make any dose re-calculation.
Based on the lifestyle, the blood sugar tests and the previous insulin use, the doctor will tell the patient: How much Toujeo the patient needs each day and at what time; When to check the blood sugar level and if the patient needs to carry out urine tests; When the patient may need a higher or lower dose.
Toujeo is a long-acting insulin. The doctor may tell the patient to use it with a short-acting insulin, or with other medicines for high blood sugar.
If the patient uses more than one insulin always ensure to use the right insulin by checking the insulin label before each injection. Medication errors due to mix-up between insulins, particularly between long-acting insulins and rapid-acting insulins have been reported. The strength "300" is highlighted in honey gold on the label of the Toujeo SoloStar pre-filled pen. Ask the doctor or pharmacist if the patient is not sure.
Many factors may affect the blood sugar level. The patient should know these factors so that the patient can take the right action if the blood sugar level changes and help step it becoming too high or too low.
Flexibility in Time of Administration: Use Toujeo once a day, preferably at the same time every day.
When needed, the patient can inject it up to 3 hours before or after the usual time that the patient uses it.
Use in Elderly Patients (65 Years and Over): If the patient is 65 years or older, talk to a doctor as the patient may need a lower dose.
If the Patient has Kidney or Liver Problems: If the patient has kidney or liver problems, talk to a doctor as the patient may need a lower dose.
Before Injecting Toujeo: See Instructions for Use under Cautions for Usage. If the patient does not follow all of these instructions, the patient may get too much or too little insulin.
How to Inject: Toujeo is injected under the skin (subcutaneous use or "SC").
Inject it into the front of the thighs, upper arms or the front of the waist (abdomen).
Change the place within the area the patient injects each day. This will reduce the risk of skin shrinking or thickening (for more information, see Other Side Effects under Side Effects).
To prevent the possible transmission of disease, insulin pens should never be used for more than one person, even when the needle is changed.
Always attach a new sterile needle before each injection. Never re-use needles. If the patient re-uses a needle this increases the risk of it becoming blocked and of the patient getting too much or too little insulin.
Throw away the used needle in a puncture resistant container, or as told by the pharmacist or local authority.
Do Not Use Toujeo: In a vein. This will change the way it works and may cause the blood sugar to become too low.
In an insulin infusion pump.
If there are particles in the insulin. The solution should be clear, colourless and water-like.
Never use a syringe to remove Toujeo from the SoloStar pen or severe overdose can result.
If the SoloStar pen is damaged, has not been stored correctly, if the patient is not sure that it is working properly or the patient notices that the blood sugar control is unexpectedly getting worse: Throw the pen away and use a new one; Talk to a doctor, pharmacist or nurse if the patient thinks there is a problem with the pen.
If the Patient Use More Toujeo Than It Should Be: If the patient had injected too much of this medicine, the blood sugar level may become too low. Check the blood sugar and eat more food to prevent the blood sugar getting too low.
If the Patient Forgets to Use Toujeo: When needed, Toujeo can be injected up to 3 hours before or after the time the patient usually injects it.
If the patient has missed a dose of Toujeo or if the patient had not injected enough insulin, the blood sugar level may become too high (hyperglycaemia): Do not inject a double dose to make up for a forgotten dose.
Check the blood sugar and then inject the next dose at the usual time.
If the Patient Stops Using Toujeo: Do not stop using this medicine without talking to a doctor. If the patient does, it could lead to very high blood sugar and a build-up of acid in the blood (ketoacidosis).