INDICATIONS
Prandin (repaglinide) is surely an oral diabetes medicine which enables control blood sugar. This medication lowers blood sugar by causing the pancreas to generate insulin.
Prandin is employed together with exercise and dieting to help remedy type 2 diabetes. Other diabetes medicines are now and again found in conjunction with repaglinide if needed.
Prandin may aso be utilized for purposes unlisted in this medication guide.
INSTRUCTIONS
Take Prandin the same manner prescribed through your doctor. Do not take in larger or smaller amounts and for longer than recommended. Follow the directions on your own prescription label.
Prandin is usually taken three to five times daily, within a half-hour before eating dinner. Follow your medical professional's instructions. If you skip a meal, don't take your dose of Prandin. Wait until the next meal.
Your blood sugar will need to be checked often, and you may need other blood tests your doctor's office. Visit your physician regularly.
Know warning signs of low blood glucose levels (hypoglycemia) and the way to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a supply of sugar for sale in case you have signs and symptoms of low blood glucose levels. Sugar sources include orange juice, glucose gel, candy, or milk. If you might have severe hypoglycemia and should not eat or drink, work with an injection of glucagon. Your doctor can provide a prescription for the glucagon emergency injection kit and tell you the way to provide the injection.
Also look for indications of blood glucose levels that's excessive (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 levels carefully during a time of stress or illness, in case you travel, exercise more than usual, are drinking alcoholic beverages, or skip meals. These things could affect your blood sugar plus your dose needs might also change.
Your doctor might want one to stop taking Prandin for any short period of time in the event you become ill, possess a fever or infection, or if you've got surgery or a medical emergency.
Ask a medical expert how you can adjust your Prandin dose if needed. Do not improve your medication dose or schedule without your medical professional's advice.
Prandin is portion of a total program of treatment that also includes diet, exercise, and weight control. Follow your daily diet, medication, and use routines very closely. Changing these factors can affect your glucose levels.
Use Prandin regularly to obtain the most benefit. Get your prescription refilled before you run out of medicine completely.
DOSAGE
MORE INFO
Active ingredient: Repaglinide
Repaglinide is a white to off-white powder with molecular formula C27 H36 N2 O4 plus a molecular weight of 452.6. PRANDIN tablets contain 0.5 mg, 1 mg, or 2 mg of repaglinide. In addition each tablet offers 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.
Weight gain, diarrhea, and joint pain may occur. If all of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your doctor has prescribed medicines because he or she gets judged that the advantage of you is higher than the risk of side effects. Many people using prescription drugs don't have serious negative effects.
Repaglinide can cause low blood sugar (hypoglycemia) especially in the event you are taking other medicines for diabetes. Consuming bulk of alcohol, failing to get enough calories from food, or doing unusually heavy exercise might also bring about low blood sugar. Symptoms can include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling of the hands or feet, or hunger. It can be a good habit to carry glucose tablets or gel to help remedy low blood glucose. If you don't have these reliable forms of glucose, raise the blood sugar levels quickly by consuming an instant supply of sugar like table sugar, honey, candy, or drinking a glass of veggie juice or non-diet soda. Check with your medical professional or pharmacist to find out list of positive actions should you miss dinner.
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 doctor immediately. Your doctor might need to adjust your diabetes medication(s).
A much more severe allergic reaction to the drug is rare. However, seek immediate medical attention should you notice any from the following the signs of a serious hypersensitive reaction: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete report on possible unwanted effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.
More info:
Tell your medical professional about other medications you use, especially:
cyclosporine (Gengraf, Neoral, Sandimmune);
St. John's wort;
an antibiotic for example clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);
an antifungal medication including fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);
a barbiturate like phenobarbital (Solfoton);
heart or blood pressure medication including diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), while others;
HIV/AIDS medicine such as delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), while others;
rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or
seizure medication like carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), while others.
You could be more likely to have hyperglycemia (high blood sugar) should you consider Prandin with other drugs that raise blood glucose levels, including:
isoniazid;
diuretics (water pills);
steroids (prednisone and others);
phenothiazines (Compazine and others);
thyroid medicine (Synthroid yet others);
birth control pills as well as other hormones;
seizure medicines (Dilantin yet others); and
diet pills or medicines to help remedy asthma, colds or allergies.
You might be more likely to have hypoglycemia (low blood sugar levels) if you take other drugs that lower blood sugar levels, like:
probenecid (Benemid);
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin or any other salicylates (including Pepto-Bismol);
a blood thinner (warfarin, Coumadin, Jantoven, yet others);
sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, yet 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 high are lots of other medicines that may increase or decrease the effects of Prandin on lowering your blood sugar levels. Using certain medicines makes it more difficult for you to definitely tell when you've got low blood sugar levels. Tell your physician about all medications you employ. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your physician.
Do not use Prandin in the event you are allergic to repaglinide, if you might have type 1 diabetes, or in the event you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). You should not use Prandin as well as gemfibrozil (Lopid) or NPH insulin (including isophane insulin).
Before taking repaglinide, tell your doctor or pharmacist in case you are allergic with it; or if you've every other allergies. This product may contain inactive ingredients, which may cause allergy symptoms and other problems. Talk to your pharmacist for more details.
Before using prescription drugs, tell your medical professional or pharmacist your medical 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 will need alertness or clear vision and soon you are sure you can perform such activities safely.
Limit alcohol while taking this medication given it can increase the risk of developing low blood sugar.
During points during the stress, including fever, infection, injury, or surgery, it could possibly be more difficult to regulate your blood glucose levels. Consult a medical expert because increased stress may need changing your plan for treatment, medications, or blood glucose testing.
During pregnancy this medication should provide not until clearly needed. Pregnancy could potentially cause or worsen diabetes. Discuss an agenda with your doctor for managing your blood sugar levels when pregnant. Your doctor may improve your diabetes treatment during your pregnancy. Discuss the hazards and important things about different treatments (including diet, exercise, and medications including insulin).
FDA pregnancy category C. It is not known whether Prandin will harm an unborn baby. Tell your medical professional should you are pregnant or intend to get pregnant while using Prandin. It is not known whether repaglinide passes into breast milk or if it may be damaging to a nursing baby. You should not breast-feed while you are taking Prandin.
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