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Precautions

Do NOT use Metformin if:

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• you're allergic to any ingredient in Metformin
• you have congestive heart failure that's treated by medicine

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• you have a very severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (eg, diabetic ketoacidosis), or severe dehydration

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• you have experienced a stroke or even a recent cardiac event, or perhaps you will be in shock
• you might be 80 years old or older and still have not were built with a kidney function test

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• you is going to be having surgical treatment or certain lab procedures.

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Contact your medical professional or physician straight away if all of these connect with you.

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Some medical ailments may communicate with Metformin. Tell your medical professional or pharmacist for those who have any health concerns, particularly if any of the following sign up for you:

• if you happen to be pregnant, likely to become pregnant, or are breast-feeding

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• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or other substances

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• should you use a reputation cardiovascular disease (eg, heart failure), lung or breathing problems, an under active thyroid, stomach or bowel problems (eg, paralysis, blockage), adrenal or pituitary problems, or lactic acidosis

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• in case you have vomiting, diarrhea, illness or nutrition, low blood calcium or vitamin B₁₂ levels, or anemia, or if you might be dehydrated

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• if you have an infection, fever, recent injury, or moderate to severe burns

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• in case you drink alcohol or use a history of alcohol abuse

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• if you will likely be having surgical procedures or certain lab procedures

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• if you are taking a beta-blocker (eg, propranolol).

Some medicines may connect to Metformin. Tell your health care provider if you happen to be taking some other medicines, especially any from the following:

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• Amiloride, cimetidine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin because they may increase the probability of Metformin's negative effects

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• Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), insulin, isoniazid, nicotinic acid, phenothiazine (eg, chlorpromazine), phenytoin, sulfonylureas (eg, glipizide), sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid hormones (eg, levothyroxine) for the reason that risk of high or low blood sugar levels might be increased.

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This may not be a whole listing of all interactions that will occur. Ask your health care provider if Metformin may interact to medicines that you just take. Check with your health care provider prior to starting, stop, or affect the dose from a medicine.

Important safety information:

• Dizziness may occur while you happen to be taking Metformin. This effect could be worse should you go on it with alcohol or certain medicines. Use Metformin with caution. Do not drive or perform other possible unsafe tasks and soon you know how you answer it.

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• Follow the exercise and dieting program presented to you from your physician.
• Do not drink large amounts of alcohol while you use Metformin. Talk to a medical expert or health care provider prior to deciding to are drinking alcohol as you use Metformin.
• Tell a medical expert or dentist that you take Metformin before you decide to get any medical or dental treatments, emergency care, or surgery.

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• Be careful to never become dehydrated, especially during warm weather or while you're being active. Dehydration may increase the likelihood of Metformin's unwanted side effects.

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• If vomiting or diarrhea occurs, you will need to adopt care not to become dehydrated. Contact a medical expert for instructions.
• Carry an ID card constantly which says you've got diabetes. Check your blood glucose levels levels as directed from your doctor. If they are often higher or below they should be and you take Metformin exactly as prescribed, tell your doctor.
• Metformin will not usually cause low blood glucose levels. Low blood sugar levels might be more likely to occur if you skip a meal, exercise heavily, or consume alcohol. It may also be more likely if you're taking Metformin as well as certain medicines for diabetes (eg, sulfonylureas, insulin). It can be a good option to transport the best supply of glucose (eg, tablets or gel) to help remedy low blood glucose. If this is not available, you must eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will lift up your blood glucose levels level quickly. Tell your medical professional immediately if this happens. To prevent low blood sugar, eat meals at the same time each day , nor skip meals.

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• Fever, infection, injury, or surgery may enhance your risk for high or low blood glucose levels levels. If any of these occur, look at the blood glucose levels closely and tell your medical professional immediately.
• Metformin may commonly cause stomach upset, indigestion, nausea, vomiting, or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems, or in the event you develop nausea later during treatment, speak to your doctor simultaneously. This could possibly be a symbol of lactic acidosis.

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• Lab tests, including kidney function, fasting blood sugar, hemoglobin A_1c, and blood counts, may be performed while you use Metformin. These tests might be used to monitor your trouble or look for side effects. Be sure to keep all doctor and lab appointments.

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• Use Metformin with caution in the elderly; they may be more responsive to its effects. Low blood sugar levels levels may also become more difficult to acknowledge inside the elderly.

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• Metformin mustn't be employed in children younger ten years; safety and effectiveness of these children have not been confirmed.

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• Pregnancy and breast-feeding: If you become pregnant, get hold of your doctor. You will need to discuss the advantages and perils associated with using Metformin while you happen to be pregnant. It is not known if Metformin is situated in breast milk. Do not breastfeed while taking Metformin.

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When useful for a long time, Metformin might not exactly are well. If your blood glucose may be manageable and then becomes challenging to manage, contact your doctor. Do not change the dose of your medicine without checking along with your doctor.

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