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insulin aspart

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Brand names: NovoLog, Fiasp

Rapid-Acting Insulin Rx

NovoLog (insulin aspart) is a rapid-acting insulin that helps control blood sugar in people with diabetes. It works quickly to lower blood sugar levels after meals.

Drug Pricing (NADAC)

Brand Price

$35.76/unit

Generic Price

$6.95/unit

Generic Savings

81%

Generic Available

Yes (0 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

NovoLog is used to improve blood sugar control in adults and children with diabetes.

Common side effects

Headache, Accidental injury, Nausea

Key warnings

Never share your NovoLog FlexPen, FlexTouch, PenFill cartridge, or PenFill cartridge device with anyone else, even if the needle is changed.

How It Works

NovoLog is a man-made form of insulin that works like the insulin your body naturally makes. It helps sugar (glucose) move from your blood into your cells, where it can be used for energy. This lowers the amount of sugar in your blood.

How to Take It

Inject NovoLog under your skin 5 to 10 minutes before you eat a meal. You can inject it into your belly area, thigh, buttocks, or upper arm. Change your injection site each time to avoid skin problems. You may also use an insulin pump to administer NovoLog.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or plan to become pregnant. Good control of diabetes is important during pregnancy for both you and your baby. Discuss the best way to manage your blood sugar with your doctor.

Missed Dose

If you miss a dose of NovoLog, take your next dose as soon as you remember and then continue with your regular schedule. However, do not take a double dose to make up for a missed dose.

Storage

Store NovoLog in the refrigerator until you are ready to use it. Do not freeze. Keep away from heat and light.

Side Effects (from patient reports)

Based on 34,906 FDA adverse event reports.

High blood sugar
10,423
Feeling sick to your stomach
3,724
Low blood sugar
3,343
The medicine is not working
3,287
Feeling tired
2,663
Difficulty breathing
2,553
Loose stools
2,543
Throwing up
2,386
Feeling lightheaded
2,013
Using the medicine for something it's not approved for
1,971

FDA Adverse Event Report Analysis

Detailed analysis of 63,536 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

63,536

Death-Related Reports

4,425

Hospitalization Reports

20,996

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 33,246 (55%)
Male 26,957 (45%)

Age Distribution

0–17 905
18–44 4,738
45–64 16,053
65–74 11,250
75+ 7,192

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 BLOOD GLUCOSE INCREASED 10,424
2 NAUSEA 3,724
3 BLOOD GLUCOSE DECREASED 3,344
4 DRUG INEFFECTIVE 3,286
5 FATIGUE 2,664
6 DYSPNOEA 2,553
7 DIARRHOEA 2,542
8 VOMITING 2,387
9 DIZZINESS 2,013
10 OFF LABEL USE 1,971
11 WEIGHT DECREASED 1,843
12 FALL 1,828
13 HEADACHE 1,813
14 MALAISE 1,789
15 PAIN 1,768

Reactions in Death Reports

DEATH 1,748
SEPSIS 432
NAUSEA 364
VOMITING 345
DYSPNOEA 344
OFF LABEL USE 342
RENAL FAILURE 342
ABDOMINAL PAIN 310
GENERAL PHYSICAL HEALTH DETERIORATION 296
ASCITES 277

Reactions in Hospitalization Reports

BLOOD GLUCOSE INCREASED 2,457
DYSPNOEA 1,367
NAUSEA 1,342
PNEUMONIA 1,258
VOMITING 1,177
DIABETIC KETOACIDOSIS 1,120
FALL 1,059
ACUTE KIDNEY INJURY 1,019
DIARRHOEA 1,012
FATIGUE 892

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Never share your NovoLog FlexPen, FlexTouch, PenFill cartridge, or PenFill cartridge device with anyone else, even if the needle is changed. Sharing insulin pens or cartridges can spread blood-borne diseases. Changes in your insulin regimen should be made carefully under medical supervision. Low blood sugar can be life-threatening. Monitor your blood sugar regularly. Fluid retention and heart failure can occur if you take NovoLog with thiazolidinediones (TZDs).

Known Drug Interactions

moderate fluoxetine

Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics. • Drugs that may increase the risk of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulf...

Mechanism: Fluoxetine can make insulin work more strongly, which may cause your blood sugar to drop to a level that is too low.

What to do: Monitor your blood sugar levels closely if you take both of these medications. Your doctor may need to adjust your insulin dose.

moderate pramlintide

Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics. • Drugs that may increase the risk of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulf...

Mechanism: Both of these medications are used to lower blood sugar, so taking them together increases the chance of your blood sugar falling to a dangerous level.

What to do: Watch for signs of low blood sugar and check your levels often. Your healthcare provider might need to change your insulin dosage.

moderate octreotide

Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulfonamide antibiotics. • Drugs that may increase the risk of hypoglycemia: antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analog (e.g., octreotide), and sulf...

Mechanism: Octreotide can change how your body handles sugar and may increase the blood-sugar-lowering effects of insulin.

What to do: Be sure to monitor your blood sugar frequently while using these drugs together. Your doctor may need to lower your insulin dose to keep you safe.

Drugs That May Decrease the Blood Glucose Lowering Effect of NOVOLOG Drugs: Atypical antipsychotics (e.g., olanzapine and clozapine), corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptives, phenothiazines, progestogens (e.g., in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol, epinephrine, terbutaline), and thyroid hormones. • Drugs that may decrease the blood glucose lowering effect: atypical antipsychotics, corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptive...

Mechanism: Albuterol can make insulin less effective at lowering your blood sugar. This means your blood sugar levels might stay higher than they should while using this medication.

What to do: You should monitor your blood sugar levels more closely when taking these drugs together to ensure they stay in a healthy range.

Drugs That May Increase or Decrease the Blood Glucose Lowering Effect of NOVOLOG Drugs: Alcohol, beta-blockers, clonidine, and lithium salts. Drugs That May Blunt Signs and Symptoms of Hypoglycemia Drugs: Beta-blockers, clonidine, guanethidine and reserpine Intervention: Increased frequency of glucose monitoring may be required when NOVOLOG is concomitantly administered with these drugs. • Drugs that may increase or decrease the blood glucose lowering effect: alcohol, beta-blockers, clonidine, lithium salts, and pentamidine ( 7 ).

Mechanism: Clonidine can cause your blood sugar to either rise or fall and may also hide the physical warning signs of low blood sugar. This makes it harder to tell if your blood sugar is dropping to a dangerous level.

What to do: You should check your blood sugar more often and talk to your doctor about how to stay safe if you cannot feel the symptoms of low blood sugar.

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Common Questions

What should I do if my blood sugar is too high?
Follow your doctor's instructions for managing high blood sugar. This may include taking extra insulin or adjusting your diet.
Can I mix NovoLog with other insulins?
Do not mix NovoLog with other insulins when administering using a continuous subcutaneous infusion pump.
What are the symptoms of low blood sugar?
Symptoms of low blood sugar can include sweating, shaking, dizziness, hunger, confusion, and rapid heartbeat.
How often should I check my blood sugar?
Check your blood sugar as often as your doctor recommends. This may be several times a day, especially when you first start taking NovoLog or if your insulin regimen changes.
What should I do if I have an allergic reaction to NovoLog?
Stop using NovoLog and get medical help right away if you have signs of an allergic reaction, such as rash, itching, swelling, or difficulty breathing.
Can other medications affect NovoLog?
Yes, many medications can affect your blood sugar levels and how NovoLog works. Tell your doctor about all the medicines you take, including prescription and over-the-counter drugs, vitamins, and herbal supplements.
What if my pump malfunctions?
Monitor your glucose and administer NovoLog by subcutaneous injection if pump malfunction occurs.
Can I use NovoLog if I have kidney or liver problems?
Talk to your doctor before using NovoLog if you have kidney or liver problems, as your dosage may need to be adjusted.
What if I change my injection site?
A sudden change in the injection site (to an unaffected area) has been reported to result in hypoglycemia.
What happens if I repeatedly inject into the same area?
Repeated insulin injections into areas of lipodystrophy or localized cutaneous amyloidosis have been reported to result in hyperglycemia.
What are the common side effects of insulin aspart?
The most commonly reported side effects of insulin aspart include Headache, Accidental injury, Nausea, Diarrhea, Low blood sugar. Based on 34,906 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does insulin aspart interact with other medications?
Yes, insulin aspart has 11 known drug interactions. Notable interactions include fluoxetine, pramlintide, octreotide. Always inform your doctor about all medications you are taking.
What drug class is insulin aspart?
insulin aspart belongs to the Rapid-Acting Insulin drug class. It requires a prescription (Rx). NovoLog is used to improve blood sugar control in adults and children with diabetes.
Is there a generic version of insulin aspart?
Yes, generic insulin aspart is available. The generic costs $6.95 per unit compared to $35.76 for the brand version, saving approximately 81%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
Is insulin aspart safe during pregnancy?
Tell your doctor if you are pregnant or plan to become pregnant. Good control of diabetes is important during pregnancy for both you and your baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for insulin aspart

The FDA label for insulin aspart (sold under brand names such as NovoLog, Fiasp) classifies it as a prescription-only medication in the Rapid-Acting Insulin class. NovoLog is used to improve blood sugar control in adults and children with diabetes. Official labeling lists 10 commonly reported side effects, including Headache, Accidental injury, Nausea.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 34,906 voluntary reports. The database also lists 11 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $6.95 versus $35.76 for the brand — a 81% generic savings.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: December 15, 2023

All federal data sources used on this page