Prandin (repaglinide) is surely an oral diabetes medicine that assists control glucose levels. This medication lowers blood sugar by creating the pancreas to generate insulin.
Prandin is utilized in addition to diet and exercise to deal with diabetes type 2 symptoms. Other diabetes medicines are occasionally found in in conjunction with repaglinide if required.
Prandin may aso provide for purposes not listed on this medication guide.
Take Prandin the same manner prescribed by your doctor. Do not take in larger or smaller amounts and over recommended. Follow the directions on the prescription label.
Prandin is often taken 2 to 4 times daily, within half an hour before eating meals. Follow your physician's instructions. If you skip a meal, do not take on your dose of Prandin. Wait until your next meal.
Your blood sugar levels will have to be checked often, and you will need other blood tests your doctor's office. Visit your physician regularly.
Know signs and symptoms of low blood glucose (hypoglycemia) and ways to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a method to obtain sugar accessible in case you've got symptoms of low blood sugar levels. Sugar sources include orange juice, glucose gel, candy, or milk. If you've severe hypoglycemia and can't eat or drink, readily injection of glucagon. Your doctor can present you with a prescription for the glucagon emergency injection kit and inform you how you can provide injection.
Also look for warning signs of blood glucose levels that is certainly too much (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dried-out skin, blurred vision, and fat loss.
Check your blood sugar levels carefully throughout a time of stress or illness, in the event you travel, exercise more than usual, are drinking alcoholic beverages, or skip meals. These things can affect your glucose levels plus your dose needs can also change.
Your doctor may wish one to stop taking Prandin for any short period of time in case you get sick, have a fever or infection, or if you have surgical procedures or a medical emergency.
Ask your medical professional the way to adjust your Prandin dose if required. Do not improve your medication dose or schedule without a medical expert's advice.
Prandin is merely section of an entire program of treatment which includes diet, exercise, and weight loss. Follow your daily diet, medication, and exercise routines very closely. Changing some of these factors could affect your blood sugar levels.
Use Prandin regularly to obtain the most benefit. Get your prescription refilled before you run out of medicine completely.
Active ingredient: Repaglinide
Repaglinide is really 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 has 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 two mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.
Weight gain, diarrhea, and joint pain may occur. If any of these effects persist or worsen, notify your physician or pharmacist promptly.
Remember that your doctor has prescribed prescription drugs while he or she's judged how the profit to you is greater than the potential risk of unwanted side effects. Many people using medicines do not have serious unwanted side effects.
Repaglinide might cause low blood sugar (hypoglycemia) especially in the event you consider other medicines for diabetes. Consuming large quantities of alcohol, not getting 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 from the hands or feet, or hunger. It is often a good habit to carry glucose tablets or gel to help remedy low blood glucose. If you don't have these reliable kinds of glucose, raise the blood sugar quickly by consuming a fast way to obtain sugar including table sugar, honey, candy, or drinking a glass of fruit juice or non-diet soda. Check with your doctor or pharmacist to find out list of positive actions should you miss meals.
Symptoms of high blood glucose 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 may need to adjust your diabetes medication(s).
A serious allergic attack to this particular drug is rare. However, seek immediate medical attention in the event you notice any in the following signs and symptoms of a serious hypersensitive reaction: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.
This is not an entire report on possible negative effects. If you notice other effects unlisted above, contact your physician or pharmacist.
Tell your physician about all the medications you utilize, 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 like fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);
a barbiturate including phenobarbital (Solfoton);
heart or blood pressure levels medication like diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), and others;
HIV/AIDS medicine for example 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 including carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), yet others.
You could possibly be prone to have hyperglycemia (high blood sugar levels) should you take Prandin along with other drugs that raise blood sugar, for example:
diuretics (water pills);
steroids (prednisone among others);
phenothiazines (Compazine and others);
thyroid medicine (Synthroid yet others);
birth control pills and also other hormones;
seizure medicines (Dilantin while others); and
diet pills or medicines to treat asthma, colds or allergies.
You might be more likely to have hypoglycemia (low blood sugar) in the event you consider other drugs that lower blood glucose, like:
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin and other salicylates (including Pepto-Bismol);
a blood thinner (warfarin, Coumadin, Jantoven, while 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 and there are numerous other medicines that will increase or minimizing the effects of Prandin on lowering your blood sugar levels. Using certain medicines makes it harder for you to definitely tell when you have low blood glucose levels. Tell a medical expert about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not begin a new medication without telling a medical expert.
Do not use Prandin if 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 medical professional for treatment with insulin). You should not use Prandin in addition to gemfibrozil (Lopid) or NPH insulin (for example isophane insulin).
Before taking repaglinide, tell a medical expert or pharmacist should you are allergic to it; or if you've got any other allergies. This product might have inactive ingredients, which can cause hypersensitive reactions or another problems. Talk to your pharmacist for additional information.
Before using prescription drugs, tell your physician or pharmacist your health background, especially of: kidney disease, liver disease.
You can experience blurred vision, dizziness, or drowsiness on account of extremely low or high blood glucose levels. Do not drive, use machinery, or go activity that will require alertness or clear vision unless you are sure you can perform such activities safely.
Limit alcohol while taking prescription drugs as it can increase the risk of developing low blood sugar levels.
During times during the stress, such as fever, infection, injury, or surgery, it may be tougher to regulate your blood glucose levels. Consult your physician because increased stress may require a modification of your treatment solution, medications, or blood sugar testing.
During pregnancy this medication should be utilized not until clearly needed. Pregnancy may cause or worsen diabetes. Discuss a strategy with your doctor for managing your blood sugar levels when pregnant. Your doctor may improve your diabetes treatment during your pregnancy. Discuss the potential risks and great 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 doctor in the event you are pregnant or plan to get pregnant while using Prandin. It is not known whether repaglinide passes into breast milk or if it can be damaging to a nursing baby. You should not breast-feed while you take Prandin.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.