Hypersensitivity reactions including anaphylactic shock (unknown frequency). Immediately suspend & start other therapeutic measures in case of pruritus, nausea, malaise. Consider insulin autoimmune syndrome in the differential diagnosis of spontaneous hypoglycaemia in patients using α-lipoic acid (unknown frequency). Caucasians, Japanese & Korean patients. Hepatic impairment. Pregnancy. Not recommended during breastfeeding. Not to be used in childn.