Management of Nasopharyngitis in Patients Taking Lyumjev and Toujeo

Symptomatic Management

The American Academy of Allergy, Asthma, and Immunology recommends using analgesics and antipyretics, such as acetaminophen or NSAIDs, for moderate to severe symptoms or fever control in patients with nasopharyngitis 1
The American Academy of Allergy, Asthma, and Immunology suggests using warm facial packs, steamy showers, adequate hydration, and adequate rest as comfort measures for patients with nasopharyngitis 2
Warm salt water gargles can provide symptom relief for patients old enough to gargle, according to the American Academy of Allergy, Asthma, and Immunology 1
Topical agents containing anesthetics, such as ambroxol, lidocaine, or benzocaine, may provide temporary symptomatic relief for patients with nasopharyngitis, as recommended by the American Academy of Allergy, Asthma, and Immunology 1
Sleeping with the head of the bed elevated may improve comfort for patients with nasopharyngitis, according to the American Academy of Allergy, Asthma, and Immunology 2

The American Academy of Allergy, Asthma, and Immunology states that nasopharyngitis is typically viral and does not require antibiotic therapy 1, 2
The American Academy of Allergy, Asthma, and Immunology recommends that testing for Group A Streptococcus is not necessary when clinical features strongly suggest viral etiology, including cough, rhinorrhea, hoarseness, and oral ulcers 1
The American Academy of Allergy, Asthma, and Immunology advises that antibiotics provide no benefit for viral pharyngitis and contribute to antibiotic resistance 1

The American Diabetes Association recommends continuing both Lyumjev (rapid-acting insulin lispro-aabc) and Toujeo (long-acting insulin glargine) at current doses unless the patient develops complications 3
The American Diabetes Association suggests monitoring blood glucose more frequently during acute illness, as viral infections can affect glycemic control 4
If the patient develops poor oral intake, temporary insulin dose adjustments may be needed to prevent hypoglycemia, according to the American Diabetes Association 4
If hyperglycemia develops, additional correction doses of rapid-acting insulin may be warranted, as recommended by the American Diabetes Association 4

The American Academy of Allergy, Asthma, and Immunology recommends contacting a physician if symptoms worsen, especially with severe headache, high fever, or symptoms not improved within 3-5 days 2
The American Academy of Allergy, Asthma, and Immunology suggests evaluating for bacterial sinusitis if purulent nasal discharge persists beyond 10 days or worsens after initial improvement 2, 5
The American Academy of Allergy, Asthma, and Immunology advises considering bacterial pharyngitis only if sudden onset of fever, cervical lymphadenopathy, and absence of cough or nasal symptoms develop 1

The American Academy of Allergy, Asthma, and Immunology recommends not prescribing antibiotics for uncomplicated viral nasopharyngitis 1
The American Diabetes Association advises not discontinuing insulin therapy during minor viral illness unless specifically directed by a physician 3
The American Academy of Allergy, Asthma, and Immunology recommends not using aspirin if the patient is a child due to risk of Reye syndrome 1
The American Academy of Allergy, Asthma, and Immunology suggests not routinely using corticosteroids, as they provide only minimal symptom reduction with potential adverse effects 1
The American Diabetes Association advises not assuming insulin requirements remain unchanged during illness; increased monitoring is essential 4