INDICATIONS
Prandin (repaglinide) is an oral diabetes medicine that can help control blood glucose levels. This medication lowers blood sugar by inducing the pancreas to generate insulin.
Prandin is utilized together with diet and exercise to take care of type 2 diabetes. Other diabetes medicines are often used in combination with repaglinide if required.
Prandin may aso supply for purposes unlisted with this medication guide.
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INSTRUCTIONS
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Take Prandin just as prescribed from your doctor. Do not take in larger or smaller amounts or more than recommended. Follow the directions in your prescription label.
Prandin is usually taken two to four times daily, within thirty minutes before eating a meal. Follow your medical professional's instructions. If you skip meals, don't take on your dose of Prandin. Wait until your following meal.
Your blood glucose levels will have to be checked often, and you will need other blood tests for your doctor's office. Visit your physician regularly.
Know the signs of low blood sugar levels (hypoglycemia) and the ways to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a supply of sugar obtainable in case you might have signs and symptoms of low blood glucose levels. Sugar sources include orange juice, glucose gel, candy, or milk. If you've severe hypoglycemia and cannot eat or drink, make use of an injection of glucagon. Your doctor can provide you with a prescription for the glucagon emergency injection kit and tell you the way to give the injection.
Also look for signs of blood glucose which is too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dried-out skin, blurred vision, and weight-loss.
Check your blood sugar carefully within a period of stress or illness, in the event you travel, exercise more than usual, consume alcohol, or skip meals. These things may affect your glucose levels and your dose needs may also change.
Your doctor may want you to definitely stop taking Prandin to get a limited time in case you become ill, possess a fever or infection, or if you've surgical treatment or a medical emergency.
Ask your physician the best way to adjust your Prandin dose as needed. Do not change your medication dose or schedule without a medical expert's advice.
Prandin is merely a part of a complete program of treatment which also includes diet, exercise, and weight management. Follow your diet plan, medication, and use routines very closely. Changing these factors can impact your blood glucose levels.
Use Prandin regularly to have the most benefit. Get your prescription refilled before you run out of medication completely.
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DOSAGE
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Active ingredient: Repaglinide
Repaglinide is often a white to off-white powder with molecular formula C27 H36 N2 O4 along with a molecular weight of 452.6. PRANDIN tablets contain 0.5 mg, 1 mg, or 2 mg of repaglinide. In addition each tablet contains the following inactive ingredients: calcium hydrogen phosphate (anhydrous), microcrystalline cellulose, maize starch, polacrilin potassium, povidone, glycerol (85%), magnesium stearate, meglumine, and poloxamer. The 1 mg and a pair of mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.
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Weight gain, diarrhea, and joint pain may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your physician has prescribed this medication while he or she's got judged that this help to you is higher than potential risk of side effects. Many people using prescription drugs will not have serious unwanted effects.
Repaglinide may cause low blood sugar (hypoglycemia) especially in case you are taking other medicines for diabetes. Consuming large quantities of alcohol, not getting enough calories from food, or doing unusually heavy exercise could also result in low blood glucose levels. Symptoms can sometimes include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling with the hands or feet, or hunger. It is a good habit to handle glucose tablets or gel to treat low blood sugar. If you don't have these reliable types of glucose, increase your blood sugar levels quickly when you eat a fast method to obtain sugar such as white sugar, honey, candy, or drinking a glass of liquid or non-diet soda. Check with your doctor or pharmacist to determine what you should do should you miss meals.
Symptoms of high blood sugar levels (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your physician immediately. Your doctor might need to adjust your diabetes medication(s).
A grave allergic reaction for this drug is rare. However, seek immediate medical help if you notice any in the following symptoms of a serious allergic reaction: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
This is not a total listing of possible unwanted effects. If you notice other effects unlisted above, contact your doctor or pharmacist.
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Tell your medical professional about all the other medications you use, especially:
cyclosporine (Gengraf, Neoral, Sandimmune);
St. John's wort;
an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);
an antifungal medication like fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);
a barbiturate like phenobarbital (Solfoton);
heart or blood pressure levels medication for example diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), among others;
HIV/AIDS medicine for example delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), yet others;
rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or
seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), and others.
You might be very likely to have hyperglycemia (high blood sugar) in case you take Prandin along with other drugs that raise blood sugar, including:
isoniazid;
diuretics (water pills);
steroids (prednisone among others);
phenothiazines (Compazine among others);
thyroid medicine (Synthroid yet others);
birth control pills along with other hormones;
seizure medicines (Dilantin and others); and
diet pills or medicines to treat asthma, colds or allergies.
You may be prone to have hypoglycemia (low blood sugar) in the event you are taking other drugs that lower blood glucose levels, like:
probenecid (Benemid);
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin or other salicylates (including Pepto-Bismol);
a blood thinner (warfarin, Coumadin, Jantoven, among others);
sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, and others);
a monoamine oxidase inhibitor (MAOI); or
other oral diabetes medications, especially acarbose (Precose), metformin (Glucophage), miglitol (Glyset), pioglitazone (Actos, Duetact, Actoplus Met), or rosiglitazone (Avandia, Avandaryl, Avandamet).
These lists are not complete there are lots of other medicines that could increase or decrease the effects of Prandin on cutting your blood sugar. Using certain medicines makes it more difficult for that you tell when you might have low blood sugar levels. Tell your medical professional about all medications you have. This includes prescription, over-the-counter, vitamin, and herbal products. Do not find a new medication without telling your doctor.
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Do not use Prandin should you are allergic to repaglinide, if you've got type 1 diabetes, or in case you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). You should not use Prandin in addition to gemfibrozil (Lopid) or NPH insulin (including isophane insulin).
Before taking repaglinide, tell a medical expert or pharmacist in the event you are allergic with it; or if you've got some other allergies. This product could have inactive ingredients, which can cause allergy symptoms or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your history, especially of: kidney disease, liver disease.
You may experience blurred vision, dizziness, or drowsiness on account of extremely low or high glucose levels. Do not drive, use machinery, or inflict activity that needs alertness or clear vision before you are sure you can perform such activities safely.
Limit alcohol while taking prescription drugs because it can increase the chance of developing low blood glucose.
During times of stress, such as fever, infection, injury, or surgery, it could possibly be more difficult to manage your blood sugar levels. Consult your physician because increased stress might require a change in your treatment solution, medications, or blood sugar levels testing.
During pregnancy prescription drugs should be utilized only if clearly needed. Pregnancy might cause or worsen diabetes. Discuss a strategy with your doctor for managing your blood sugar levels in pregnancy. Your doctor may make positive changes to diabetes treatment during your pregnancy. Discuss the risks and great things about different treatments (such as diet, exercise, and medications including insulin).
FDA pregnancy category C. It is not known whether Prandin will harm an baby. Tell your doctor if you are pregnant or plan to conceive with all the Prandin. It is not known whether repaglinide passes into breast milk or if it can be harmful to a nursing baby. You should not breast-feed while you consider Prandin.
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