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Baqsimi® Nasal Powder for Severe Hypoglycemia
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Baqsimi® Nasal Powder is a prescription glucagon powder given into the nose for severe low blood sugar. It treats emergencies when a person cannot eat or drink. This page explains how it works, how to use it, storage basics, and how to access Canadian pricing with US delivery from Canada, including options if paying without insurance.
What Baqsimi Is and How It Works
CanadianInsulin.com is a prescription referral platform. We verify prescriptions with your prescriber when required, and licensed Canadian pharmacies dispense your order.
This medicine contains glucagon, a human hormone that raises blood sugar. It signals the liver to release stored glucose and helps restore levels during a severe drop. Glucagon nasal powder enters through the nasal lining and does not require inhalation. A caregiver can give it even if the person is not responsive.
The treatment is single use. Each device delivers a fixed amount into one nostril. After use, the person should receive fast‑acting carbohydrates as soon as they can safely swallow. Emergency medical help is typically recommended after any severe episode.
Who It’s For
Glucagon nasal is indicated to treat severe hypoglycemia in adults and children aged 4 years and older who have diabetes. It is intended for situations when the person cannot take oral carbohydrate safely. People with a history of Severe Hypoglycemia or those using insulin or sulfonylureas often keep a rescue dose available. See background on Diabetes for context on low blood sugar risks.
Do not use in patients with pheochromocytoma or insulinoma. Avoid it if there is a known hypersensitivity to glucagon or device components. Response may be reduced with prolonged fasting, adrenal insufficiency, or chronic malnutrition.
Dosage and Usage
Baqsimi administration follows a straightforward, single‑use sequence suitable for caregivers. Remove the device from its protective tube just before use. Insert the tip gently into one nostril and press the plunger fully until it clicks. Normal breathing is fine; the person does not need to inhale.
Once the dose is given, place the person on their side to reduce the risk of aspiration if vomiting occurs. When the person can safely swallow, give fast‑acting carbohydrates as directed by a prescriber. Seek emergency medical help after a severe episode. If your household uses an injectable option, this training resource may help: How To Use Glucagon Injection.
Strengths and Forms
The approved strength is Baqsimi nasal glucagon 3 mg delivered as a single dose. It is supplied as a ready‑to‑use device in a moisture‑protective tube.
- Single‑use nasal device with a premeasured dose
- Available as single pack or two‑pack, depending on availability
- Protective container helps keep powder dry until use
Availability may vary by pharmacy and pack size.
Missed Dose and Timing
This is an emergency‑use product, not a scheduled medicine. If there is little or no response after the first dose, a second dose may be given with a new device according to the label and prescriber guidance. Call emergency services right away after a severe episode. Provide oral carbohydrates when the person is able to swallow safely.
Storage and Travel Basics
Keep the device at room temperature and in its shrink‑wrapped protective tube until use. Protect it from moisture. Do not open the tube early or test the device. Avoid excessive heat, cold, and humidity during storage or travel. Keep out of reach of children. Check the expiry date regularly and replace before it expires.
When traveling, carry the device in your hand luggage, not a checked bag. Keep it with your diabetes supplies and an emergency plan. Consider bringing an extra device in case one is used or damaged. Carry a copy of your prescription or a travel letter to ease security screening if needed.
Benefits
- Needle‑free option useful when injections are difficult
- Single, fixed dose designed for quick caregiver use
- No mixing steps; device is ready when removed from the tube
- Can be given without active inhalation by the patient
- Portable and discreet; suitable for school, work, or travel
- Room‑temperature storage in a protective container
Side Effects and Safety
- Nausea or vomiting
- Headache
- Nasal discomfort or congestion
- Watery eyes or eye irritation
- Throat irritation
Serious reactions are uncommon but can include hypersensitivity. People with pheochromocytoma may experience a marked rise in blood pressure. Those with insulinoma can have recurrent low blood sugar shortly after dosing. If the person does not improve, emergency dextrose may be required. Seek medical care immediately after rescue use.
Drug Interactions and Cautions
Beta‑blockers may increase heart rate and blood pressure responses to glucagon. Indomethacin can reduce its glucose‑raising effect. Warfarin’s anticoagulant effect may be increased. Use care in people with depleted glycogen stores, such as those with prolonged fasting, adrenal insufficiency, or chronic malnutrition. Follow the official label and your prescriber’s guidance for all interaction and safety considerations.
What to Expect Over Time
Caregivers should be prepared to act during a severe low. This medicine may raise blood glucose and help the person recover awareness. Afterward, oral carbohydrates are usually needed to maintain levels. Review your emergency plan regularly with your prescriber. Replace any used or expired devices promptly and consider keeping a spare.
Compare With Alternatives
Traditional emergency options include reconstituted glucagon for injection and ready‑to‑use formulations. Some households prefer an injectable kit that a caregiver can mix and give when needed. We offer a stocked option: Glucagon Injection Kit With Diluent. To browse additional rescue options and related supplies, see our Hypoglycemia category.
Pricing and Access
Check the Baqsimi nasal powder price to compare options and pack sizes. We list current pricing transparently and support US delivery from Canada. For comparison shopping, you may also review the glucagon nasal powder price and other rescue options in the same class.
See any current site offers on our Promotions page. Payment details are processed through encrypted checkout. To explore more medication classes, visit Diabetes or review severe low‑sugar use cases under Severe Hypoglycemia.
Availability and Substitutions
Supply can vary by pack size and season. If this item is temporarily unavailable, a prescriber may suggest an alternative rescue product. Pharmacists may also discuss emergency glucagon injectables if appropriate. Follow your prescriber’s plan and carry the product type you are trained to use.
Patient Suitability and Cost-Saving Tips
This therapy may suit adults and children aged 4 years and older who use insulin or have a history of severe lows. It is not appropriate for people with pheochromocytoma, insulinoma, or known glucagon hypersensitivity. Effectiveness may be limited in people with low glycogen stores.
- Keep a spare device for home, school, or travel
- Consider multi‑pack options to reduce per‑unit costs
- Use refill reminders to replace before expiry
- Store properly to avoid waste from moisture exposure
- Review your emergency plan with your prescriber annually
Questions to Ask Your Clinician
- Who should be trained as a caregiver for this rescue device?
- What steps should be taken after a dose is given?
- When is a second device appropriate if there is no response?
- How should this medicine be stored at home and during travel?
- Are there interactions with my current diabetes regimen?
- What signs suggest I need emergency dextrose instead?
- Which rescue option fits my household’s skills and preferences?
Authoritative Sources
Start your order at CanadianInsulin for US delivery from Canada with express shipping and temperature-controlled handling when required. This page is educational and not a substitute for medical advice; follow your prescriber’s instructions and the official label.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
How does the nasal glucagon powder work during a severe low?
This medicine contains glucagon, a hormone that prompts the liver to release stored glucose. It is absorbed through the nasal lining and does not require active inhalation. Caregivers can give it when the person cannot swallow. After dosing, turn the person on their side to reduce aspiration risk and seek emergency medical help. Provide fast‑acting carbohydrates when the person is alert enough to swallow safely, as directed by a prescriber.
Do you need to inhale for the dose to be effective?
No. The device delivers a measured spray into one nostril. It is absorbed through the nasal mucosa even if the person is not inhaling. Normal breathing is fine. A caregiver should follow the labeled steps and press the plunger fully until it clicks. Afterward, monitor the person and give oral carbohydrate when it is safe. Contact emergency services after any severe hypoglycemic episode.
Can it be used if the nose is congested or runny?
Effectiveness may be reduced by severe nasal pathology, but the product can be given in many real‑world situations where breathing through the nose is limited. Do not delay care during a severe low. If the person does not respond, a new device may be used according to the label. Seek emergency medical help and provide oral carbohydrates once the person can safely swallow.
Is the product appropriate for children?
The nasal powder is approved for patients aged 4 years and older with diabetes who experience severe hypoglycemia. Caregivers should be trained on device use and post‑dose steps. Keep the device secured but accessible at home, school, and during travel. Discuss caregiver training and emergency plans with the prescriber so teachers, relatives, or coaches know when and how to use the medicine.
What should caregivers do after giving a dose?
Place the person on their side to reduce aspiration risk, then call emergency services. Monitor closely. When the person can safely swallow, give fast‑acting carbohydrates and follow the prescriber’s plan to maintain levels. If there is little or no improvement, use a new device for a second dose per label guidance. Keep used devices for disposal and follow local instructions.
What side effects are most common?
Common effects include nausea, vomiting, headache, nasal discomfort, watery eyes, and throat irritation. Most effects are temporary. Rarely, serious allergic reactions can occur. People with pheochromocytoma may experience significant blood pressure changes. Those with insulinoma can have recurrent low glucose shortly after dosing. Seek medical care after any rescue use to ensure recovery and to adjust follow‑up plans if needed.
How does it compare with injectable glucagon kits?
Nasal powder avoids needles and mixing, which some caregivers find simpler during emergencies. Injectable kits require reconstitution or an autoinjector, depending on the product. The best choice depends on prescriber guidance, the home setting, and caregiver comfort. Some households keep more than one format for different scenarios. Training for whichever method you carry is important, and periodic review helps maintain readiness.
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