Lilly's Withdrawal of Human Insulin Has Veterinary Ramifications; Owners of Diabetic Dogs Advised to Consult Their Veterinarians Immediately.MILLSBORO, Del. -- Eli Lilly and Company's forthcoming discontinuation of four human insulin human insulin n. A protein that has the normal structure of insulin produced by the human pancreas but that is prepared by recombinant DNA techniques and by semisynthetic processes. products has surprised an unlikely group of doctors -- veterinarians -- as they scramble to plan for treatment of dogs with diabetes. Approximately one in 500 dogs in the United States suffers from diabetes mellitus diabetes mellitus Disorder of insufficient production of or reduced sensitivity to insulin. Insulin, synthesized in the islets of Langerhans (see Langerhans, islets of), is necessary to metabolize glucose. In diabetes, blood sugar levels increase (hyperglycemia). and a significant number are treated with one of the discontinued products. As a result, veterinarians are urging pet owners with diabetic dogs to check with them immediately about which brand of insulin they're administering. In July 2005, Lilly announced it is discontinuing four insulin products -- Humulin(R) L Lente(R), Humulin(R) U Ultralente(R), regular Iletin(R) II and NPH NPH 3-nitropropionic acid. isophane insulin suspension (NPH) and insulin injection (regular) Humulin 50/50 (50% isophane insulin and 50% insulin injection), Humulin 70/30 (70% isophane insulin and 30% insulin injection), Humulin 70/30 PenFill, Iletin(R) II -- citing a drop in sales and use by human diabetics. Based on inventories and client demand, the products should be available in pharmacies until year's end. Although the Food and Drug Administration (FDA FDA abbr. Food and Drug Administration FDA, n.pr See Food and Drug Administration. FDA, n.pr the abbreviation for the Food and Drug Administration. ) has approved these medications for use in people, veterinarians have been prescribing Humulin L and Iletin II for their diabetic canine patients for decades because no veterinary alternatives were available. Only 15 months ago, the FDA approved the first insulin medication for diabetic dogs, Vetsulin(R) (porcine porcine /por·cine/ (por´sin) pertaining to swine. porcine pertaining to pig. See also hog (1), swine. porcine circovirus 1 a nonpathogenic virus. insulin zinc suspension). Because it is formulated for dogs rather than people, Vetsulin is less concentrated than human insulin products, making it easier to dose dogs with less risk of under- or over-dosing. An added benefit is that about one-third of dogs treated with Vetsulin can be regulated with one daily injection versus the two injections required when treating with a human insulin. Pet owners who are in the position of switching their dogs from human insulin to the canine-formulated insulin can expect only minor changes in their daily routine, noted Michael J. Coyne, VMD VMD [L.] Veterina´riae Medici´nae Doc´tor (Doctor of Veterinary Medicine). VMD abbr. Latin Veterinariae Medicinae Doctor (Doctor of Veterinary Medicine) VMD Veterinary Medical Doctor. , PhD, market development manager for Intervet and a practicing veterinarian veterinarian /vet·er·i·nar·i·an/ (vet?er-i-nar´e-an) a person trained and authorized to practice veterinary medicine and surgery; a doctor of veterinary medicine. vet·er·i·nar·i·an n. in Bear, Del. "Since Vetsulin was launched in January 2005, veterinarians have been able to successfully regulate many diabetic dogs with Vetsulin, including dogs that were previously difficult to manage," said Dr. Coyne. "And with a fast-approaching deadline to switch regulated patients from products such as Humulin L to Vetsulin, we want to assure dog owners and their veterinarians that the transition can be smooth and safe. "While diabetic dogs can live normal, healthy lives, we know that providing the best care requires information and support for their owners," stated Dr. Coyne. For more information about canine diabetes and Vetsulin -- including what dog owners should tell or ask their veterinarian before starting Vetsulin -- visit www.vetsulin.com. About Vetsulin(R) (porcine insulin zinc suspension) Vetsulin is a porcine insulin zinc suspension approved by the U.S. Food and Drug Administration for treating the clinical signs of diabetes mellitus in dogs. Prescribed by a veterinarian, Intervet International's porcine insulin zinc suspension has been approved and sold in 24 other countries -- in some for more than a decade -- under the name Caninsulin(R). Vetsulin should not be used in dogs known to have a systemic allergy to pork or pork products, and is contraindicated during periods of hypoglycemia hypoglycemia: see diabetes. hypoglycemia Below-normal levels of blood glucose, quickly reversed by administration of oral or intravenous glucose. Even brief episodes can produce severe brain dysfunction. . Keep out of the reach of children. Animals presenting with severe ketoacidosis, anorexia, lethargy, and/or vomiting should be stabilized with short-acting insulin and appropriate supportive therapy Supportive therapy Any form of treatment intended to relieve symptoms or help the patient live with them rather than attempt changes in character structure. until their condition is stabilized. As with all insulin products, careful patient monitoring for hypoglycemia and hyperglycemia hyperglycemia: see diabetes. are essential to attain and maintain adequate glycemic Glycemic The presence of glucose in the blood. Mentioned in: Cholesterol, High glycemic pertaining to the level of glucose in the blood. control and associated complications. Overdosage can result in profound hypoglycemia and death. Please refer to the package insert package insert Pharmacology A synopsis of key physicochemical, pharmacologic, clinical efficacy, and clinical safety properties of a prescription drug, bundled therewith, intended to be highly readable and helpful to clinicians looking for specific for complete product information. About Intervet Intervet Inc. is the manufacturer of Vetsulin(R), Panacur(R) C, Salix(R), Progard(R), ProLyme(R), Protex(R) and Prorab(R) vaccines. Intervet Inc. is an affiliate of Intervet International bv, one of the world's leading animal health companies and currently ranked third among global animal health suppliers. The company is a leader in research and is dedicated to the development, production and marketing of innovative, high-quality animal health products and feed additives. Intervet's product range includes vaccines for use in livestock, companion animals, poultry and fish; anti-parasitics; anti-infectives; endocrine products for regulation and improvement of breeding performance; diagnostics; feed additives; and productivity enhancers. Intervet International employs more than 4,800 personnel and maintains a global distribution network in 120 countries. Vetsulin, Caninsulin, Panacur, Salix, Progard, ProLyme, Protex and Prorab are registered trademarks of Intervet Inc. Humulin and Iletin are registered trademarks of Eli Lilly and Company Eli Lilly and Company (NYSE: LLY) is a global pharmaceutical company and one of the world's largest corporations. Eli Lilly's global headquarters is located in Indianapolis, Indiana, in the United States. . Lente and Ultralente are registered trademarks of Novo Nordisk Pharmaceuticals. |
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