Prandin (repaglinide) is definitely an oral diabetes medicine that can help control glucose levels. This medication lowers blood sugar levels by resulting in the pancreas to generate insulin.
Prandin is utilized together with eating and working out to treat diabetes type 2. Other diabetes medicines are sometimes employed in conjunction with repaglinide as needed.
Prandin may aso be used for purposes unlisted in this medication guide.
Take Prandin just as prescribed by your doctor. Do not take in larger or smaller amounts or for more than recommended. Follow the directions on your prescription label.
Prandin is usually taken two to four times daily, within thirty minutes before eating meals. Follow your medical professional's instructions. If you skip a meal, don't take on your dose of Prandin. Wait until the following meal.
Your blood glucose will need to be checked often, and you'll need other blood tests at your doctor's office. Visit your medical professional regularly.
Know the signs of low blood sugar (hypoglycemia) and how to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a method to obtain sugar accessible in case you have signs and symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. If you've got severe hypoglycemia and can't eat or drink, make use of an injection of glucagon. Your doctor can present you with a prescription for any glucagon emergency injection kit and show you the best way to provide injection.
Also watch out for indications of blood sugar levels that is certainly too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and fat loss.
Check your blood glucose carefully throughout a period of stress or illness, in case you travel, exercise more than usual, are drinking alcoholic beverages, or skip meals. These things can affect your blood sugar plus your dose needs could also change.
Your doctor may wish one to stop taking Prandin for the small amount of time if you get ill, have a fever or infection, or if you might have surgical treatment or a medical emergency.
Ask a medical expert how you can adjust your Prandin dose if required. Do not improve your medication dose or schedule without a medical expert's advice.
Prandin is just part of a total program of treatment that also includes diet, exercise, and weight control. Follow your daily diet, medication, and employ routines very closely. Changing any of these factors can impact your blood sugar.
Use Prandin regularly to get the most benefit. Get your prescription refilled before you run out of drugs completely.
Active ingredient: Repaglinide
Repaglinide can be a white to off-white powder with molecular formula C27 H36 N2 O4 as well as 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 2 mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.
Weight gain, diarrhea, and joint pain may occur. If all of these effects persist or worsen, notify your medical professional or pharmacist promptly.
Remember that a medical expert has prescribed prescription drugs as they or she gets judged the advantage of you is higher than the chance of negative effects. Many people using this medication don't have serious unwanted side effects.
Repaglinide can cause low blood sugar (hypoglycemia) especially in the event you take other medicines for diabetes. Consuming large volumes of alcohol, to not get enough calories from food, or doing unusually heavy exercise can also cause low blood sugar levels. Symptoms might include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling with the hands or feet, or hunger. It is really a good habit to carry glucose tablets or gel to deal with low blood glucose. If you don't have these reliable forms of glucose, raise your blood glucose quickly to eat an instant way to obtain sugar such as white sugar, honey, candy, or drinking a glass of fruit juice or non-diet soda. Check with a medical expert or pharmacist to discover list of positive actions should you miss dinner.
Symptoms of high blood sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your physician immediately. Your doctor may need to adjust your diabetes medication(s).
A very serious allergic reaction to this particular drug is rare. However, seek immediate medical attention if you notice any from the following signs of a serious allergic attack: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not an entire list of possible side effects. If you notice other effects not listed above, contact your physician or pharmacist.
Tell a medical expert about all other medications you use, especially:
cyclosporine (Gengraf, Neoral, Sandimmune);
St. John's wort;
an antibiotic including clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);
an antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);
a barbiturate like phenobarbital (Solfoton);
heart or blood pressure level medication for example diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), yet others;
HIV/AIDS medicine like delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), among others;
rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or
seizure medication for example carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), among others.
You might be more prone to have hyperglycemia (high blood glucose) in case you take Prandin with other drugs that raise blood glucose, such as:
diuretics (water pills);
steroids (prednisone while others);
phenothiazines (Compazine yet others);
thyroid medicine (Synthroid yet others);
birth control pills and other hormones;
seizure medicines (Dilantin while others); and
diet pills or medicines to treat asthma, colds or allergies.
You may be prone to have hypoglycemia (low blood sugar) if you take other drugs that lower blood sugar, including:
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin or another salicylates (including Pepto-Bismol);
a blood thinner (warfarin, Coumadin, Jantoven, yet 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 certainly not complete high are numerous other medicines that will increase or say goodbye of Prandin on reducing your blood sugar. Using certain medicines causes it to be tougher for one to tell when you have low blood sugar. Tell your medical professional about all medications you utilize. This includes prescription, over-the-counter, vitamin, and herbal products. Do not find a new medication without telling your doctor.
Do not use Prandin should you are allergic to repaglinide, if you have type 1 diabetes, or in case you are in a state of diabetic ketoacidosis (call a medical expert for treatment with insulin). You should not use Prandin in addition to gemfibrozil (Lopid) or NPH insulin (including isophane insulin).
Before taking repaglinide, tell your physician or pharmacist in the event you are allergic into it; or if you've got any other allergies. This product might have inactive ingredients, which can cause allergy symptoms or other problems. Talk to your pharmacist for additional information.
Before using prescription drugs, tell your physician or pharmacist your medical history, especially of: kidney disease, liver disease.
You can experience blurred vision, dizziness, or drowsiness as a result of extremely low or high blood sugar. Do not drive, use machinery, or inflict activity that requires alertness or clear vision before you are sure it is possible to perform such activities safely.
Limit alcohol while taking medicines because it can increase the risk of developing low blood sugar.
During times of stress, like fever, infection, injury, or surgery, it might be harder to regulate your blood sugar levels. Consult your medical professional because increased stress might require a modification of your treatment plan, medications, or blood glucose testing.
During pregnancy prescription drugs should be utilized only when clearly needed. Pregnancy could potentially cause or worsen diabetes. Discuss a plan with your medical professional for managing your blood sugar when pregnant. Your doctor may change your diabetes treatment during your pregnancy. Discuss the risks and advantages of different treatments (for example diet, exercise, and medications including insulin).
FDA pregnancy category C. It is not known whether Prandin will harm an developing fetus. Tell your medical professional in the event you are pregnant or prefer to get pregnant while using the Prandin. It is not known whether repaglinide passes into breast milk or if it could be harmful to a nursing baby. You should not breast-feed while you are taking Prandin.
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