If you have type 2, especially when you're older, you're more likely to have a condition with some similar symptoms called HHNS hyperosmolar hyperglycemic nonketotic syndrome. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. PrandiMet dose for that meal. The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions.
Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. Pharmaceuticals, Inc. June, 2009. Avoid drinking alcohol. It lowers blood sugar and may interfere with your diabetes treatment. To help prevent low sugar, eat meals on a regular schedule, and do not skip meals. Talk with your doctor or pharmacist about what to do if you miss a meal. Muscle destruction: If you have a condition that causes the breakdown of your muscles, the broken down muscle tissue can get into your bloodstream and impair your kidneys.
Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may interact with metformin, ask your pharmacist about other products to treat stomach acid. AUC and Cmax values 98. It may take up to 2 to 3 months before the full benefit of this drug takes effect.
Repaglinide is metabolized by CYP2C8 and to a lesser extent by CYP3A4. If you are under 18 or over 75 years of age. Repaglinide 2 mg also contains: Iron oxide red E172. Included as part of the PRECAUTIONS section.
This dose may need to be increased after one or two weeks. If patients are transferred from another anti-diabetes medicine, the recommended starting dose is 1 mg. How does Repaglinide Teva work? What you need to know before you take Repaglinide. Many other medicines that can increase or decrease the effects of repaglinide on lowering your blood sugar. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. Nausea, diarrhea, and upset stomach may occur as your body adjusts to the metformin. Weight gain and joint pain may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. If stomach symptoms return later after you are on the same dose for several days or weeks tell your doctor right away. Stomach symptoms that occur after the first days of your treatment may be a sign of lactic acidosis. If you exercise less than usual.
If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. At such times diabetic control may be lost. PrandiMet is not recommended for use in children. CYP2C8 with subtherapeutic gemfibrozil doses. Store at room temperature away from light and moisture. not store in the bathroom. Keep all medicines away from children and pets. Repaglinide works by stimulating the release of your body's natural insulin. PrandiMet repaglinide-metformin US prescribing information. If severe hypoglycaemia is not treated, it can cause brain damage temporary or permanent and even death.
Most of these cases have occurred in diabetic patients who also have certain kidney problems. The risk of lactic acidosis may be greater if you have liver problems, kidney problems, or heart failure. The risk may also be greater in patients who are elderly or drink alcohol. Controlling high helps prevent damage, blindness, nerve problems, loss of limbs, and sexual function problems. The warning signs of too high blood sugar appear gradually. Repaglinide is usually taken 2 to 4 times daily, within 30 minutes before eating a meal. Follow your doctor's instructions. If you skip a meal, do not take your dose of repaglinide. Wait until your next meal. Symptoms may include seizures; severe or persistent diarrhea; symptoms of lactic acidosis eg, unusual drowsiness, dizziness, or light-headedness; fast or difficult breathing; feeling of being unusually cold; general feeling of being unwell; muscle pain or tenderness; slow or irregular heartbeat; unusual stomach discomfort; unusual weakness or tiredness; symptoms of low blood sugar eg, increased hunger or sweating, fast heartbeat, anxiety, dizziness or headache, tremors, chills, vision changes. Limit alcohol while taking this medication because it can increase the risk of developing low blood sugar. This may not be a complete list of all interactions that may occur. Consult your doctor or pharmacist about using reliable while taking this medication. If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. By reporting side effects you can help provide more information on the safety of this medicine. Do not flush down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. Low blood sugar may be more likely to occur if you skip a meal, exercise heavily, or drink alcohol. Gemfibrozil may slow down how quickly your liver processes repaglinide. If you take gemfibrozil used to lower increased fat levels in the blood you should not take Repaglinide.
In a 24-week placebo controlled trial, patients who were naïve to oral agent therapy and patients with a HbA 1c below 8% at baseline had a higher frequency of hypoglycemia. Use this medication regularly as directed by your doctor in order to get the most benefit from it. Carefully follow the medication treatment plan, meal plan, and exercise program your doctor has recommended. St. John's wort, among others. If you are under 18 or over 75 years of age. Repaglinide is not recommended. Follow the diet and exercise program given to you by your health care provider. It may be harder to control your blood sugar when your body is stressed such as fever, infection, injury, or surgery. Tell your doctor if you get a serious infection or injury. Your doctor may need to adjust your diabetes medication, exercise program, or diet. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. Repaglinide is not recommended. Use: As an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. What other drugs will affect repaglinide? If you don't have these reliable forms of glucose, rapidly raise your sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda. Tell your doctor right away about the reaction and the use of this product. Take this medication by mouth 15 minutes before each meal, usually 2-4 times daily depending on the number of meals or as directed by your doctor. Take this drug no earlier than 30 minutes before the meal. You may also take it just before the meal if necessary. Do not take a dose of medication if you are skipping that meal or if your blood sugar is low. The following additional adverse reactions have been identified during post approval use of PRANDIN. Because these reactions are reported voluntarily from a population of uncertain size, it is generally not possible to reliably estimate their frequency or a causal relationship to drug exposure. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions.
Remember that your doctor has prescribed this because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication not have serious side effects. Talk with your doctor or pharmacist about all your diabetic medications. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. If you have kidney problems. Repaglinide should be taken with caution. Treatment should be initiated as an adjunct to diet and exercise to lower the blood glucose in relation to meals. What is Repaglinide Teva? Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your or local waste disposal company. Talk to your doctor. If you are changing from a different anti-diabetic drug such as chlorpropamide follow your doctor's directions carefully for stopping the old drug and starting this combination medication. This medication may cause low blood sugar hypoglycemia especially if you drink large amounts of alcohol, do unusually heavy exercise, or do not consume enough calories from food. Prandin repaglinide is an oral diabetes medicine in the meglitinide class used together with and to treat type 2 non-insulin dependent diabetes. Other diabetes medicines are sometimes used in combination with Prandin. Good blood sugar control will help you avoid ketoacidosis. HCl therapy, are unlikely to be drug related.
Diarrhea; gas; headache; indigestion; nausea; stomach upset; temporary metallic taste; vomiting. Following the surgery, as soon as I was well enough to begin walking a bit, my blood sugars dropped immediately into the normal range. Keep this leaflet. You may need to read it again. Repaglinide may not be suitable for you. Other medications can affect the removal of repaglinide from your body, which may affect how repaglinide works. Examples include clopidogrel, gemfibrozil, trimethoprim, azole antifungals such as itraconazole macrolide antibiotics such as erythromycin rifamycins such as rifabutin St. John's wort, among others.
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How should I take repaglinide? HCl overdosage is suspected. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. 'Multum' is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy.
Alcohol potentiates the effect of metformin on lactate metabolism. The tablets are colored to indicate strength. If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
Consult your doctor before breast-feeding. Hypoglycemia low blood sugar may result if you take Prandin with drugs that lower blood sugar, such as: probenecid, blood thinners, non-steroidal anti-inflammatory drugs aspirin or other salicylates, sulfa drugs, monoamine oxidase inhibitors MAOIs or beta-blockers. Take this by 15 minutes before a meal, usually 2-3 times a day or as directed by your doctor. Take this drug no earlier than 30 minutes before the meal. You may also take it just before the meal if necessary. not take a dose of medication if you are skipping a meal. Drink plenty of fluids while taking this medication unless otherwise directed by your doctor.
Your doctor will work out your dose. Because Repaglinide Teva is a generic medicine, studies have been limited to tests to determine that it is bioequivalent to the reference medicine this means that the two medicines produce the same levels of the active substance in the body. What are the benefit and risk of Repaglinide Teva? Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.