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Prandin (repaglinide) can be an oral diabetes medicine which enables control blood glucose levels. This medication lowers blood glucose by resulting in the pancreas to make insulin.
Prandin is utilized together with diet and exercise to help remedy type 2 diabetes. Other diabetes medicines are sometimes employed in conjunction with repaglinide as required.
Prandin may aso supply for purposes not listed with this medication guide.
Take Prandin just as prescribed because of your doctor. Do not take in larger or smaller amounts and longer than recommended. Follow the directions on your own prescription label.
Prandin is normally taken 2 to 4 times daily, within 30 minutes before eating lunch. Follow a medical expert's instructions. If you skip meals, don't take on your dose of Prandin. Wait until the next meal.
Your blood glucose levels will need to be checked often, and you will need other blood tests for your doctor's office. Visit a medical expert regularly.
Know 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 for sale in case you've symptoms of low blood glucose. Sugar sources include orange juice, glucose gel, candy, or milk. If you've severe hypoglycemia and should not eat or drink, use an injection of glucagon. Your doctor can provide you with a prescription for the glucagon emergency injection kit and show you the best way to give the injection.
Also await indications of blood sugar 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 weight reduction.
Check your blood sugar carefully within a duration of stress or illness, in the event you travel, exercise more than usual, drink alcohol, or skip meals. These things can impact your blood sugar levels and your dose needs can also change.
Your doctor may want one to stop taking Prandin for any limited time if you get ill, have a very fever or infection, or if you've surgical treatment or a medical emergency.
Ask a medical expert how to adjust your Prandin dose as required. Do not change your medication dose or schedule without your physician's advice.
Prandin is only section of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet plan, medication, and employ routines very closely. Changing any of these factors could affect your blood sugar levels.
Use Prandin regularly to have the most benefit. Get your prescription refilled before you run out of drugs completely.
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Active ingredient: Repaglinide
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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 provides 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 couple of mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.
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Weight gain, diarrhea, and pain may occur. If any of these effects persist or worsen, notify your medical professional or pharmacist promptly.
Remember that your doctor has prescribed medicines while he or she's judged that the benefit to you is greater than potential risk of unwanted side effects. Many people using prescription drugs don't have serious side effects.
Repaglinide might cause low blood sugar (hypoglycemia) especially if you take other medicines for diabetes. Consuming large quantities of alcohol, not getting enough calories from food, or doing unusually heavy exercise may also lead to low blood glucose. Symptoms may include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling of the hands or feet, or hunger. It is a good habit to hold glucose tablets or gel to help remedy low blood glucose. If you don't have these reliable kinds of glucose, raise your blood glucose quickly by eating a fast source of sugar like countertop sugar, honey, candy, or drinking a glass of fruit juice or non-diet soda. Check with your medical professional or pharmacist to discover do the following if you miss a meal.
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 may need to adjust your diabetes medication(s).
A serious hypersensitivity to this particular drug is rare. However, seek immediate medical assistance in the event you notice any of the following signs of a serious hypersensitive reaction: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.
This is not a total report on possible side effects. If you notice other effects unlisted above, contact your doctor or pharmacist.
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Tell a medical expert about all other medications you employ, 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 like fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);
a barbiturate such as phenobarbital (Solfoton);
heart or hypertension medication like diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), and others;
HIV/AIDS medicine such as 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), while others.
You could possibly be more likely to have hyperglycemia (high blood glucose levels) if you are taking Prandin with other drugs that raise blood glucose levels, including:
diuretics (water pills);
steroids (prednisone yet others);
phenothiazines (Compazine and others);
thyroid medicine (Synthroid and others);
birth control pills and 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 case you consider other drugs that lower blood glucose, for example:
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, while others);
sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, among 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 usually are not complete where there a wide range of other medicines that may increase or minimizing the effects of Prandin on reducing your blood glucose levels. Using certain medicines can make it tougher for you to definitely tell when you might have low blood sugar levels. Tell your physician about all medications you have. This includes prescription, over-the-counter, vitamin, and herbal products. Do not take up a new medication without telling a medical expert.
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Do not use Prandin in the event you are allergic to repaglinide, if you've got 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 along with gemfibrozil (Lopid) or NPH insulin (for example isophane insulin).
Before taking repaglinide, tell your doctor or pharmacist in case you are allergic into it; or if you've got another allergies. This product may contain inactive ingredients, which may cause allergies or any other problems. Talk to your pharmacist for more information.
Before using medicines, tell your physician or pharmacist your history, especially of: kidney disease, liver disease.
You may feel blurred vision, dizziness, or drowsiness due to extremely low or high glucose levels. Do not drive, use machinery, or do any activity that will require alertness or clear vision before you are sure you can perform such activities safely.
Limit alcohol while taking medicines as it can increase the chance of developing low blood glucose levels.
During points in the stress, for example fever, infection, injury, or surgery, it might be tougher to manipulate your blood glucose levels. Consult a medical expert because increased stress may necessitate a change in your treatment plan, medications, or blood glucose testing.
During pregnancy this medication should be used not until clearly needed. Pregnancy could potentially cause or worsen diabetes. Discuss a strategy with your medical professional for managing your blood glucose levels in pregnancy. Your doctor may improve your diabetes treatment during your pregnancy. Discuss the risks and important things about different treatments (for example diet, exercise, and medications including insulin).
FDA pregnancy category C. It is not known whether Prandin will harm an child. Tell a medical expert if you are pregnant or intend to get pregnant with all the Prandin. It is not known whether repaglinide passes into breast milk or if it could be unhealthy for a nursing baby. You should not breast-feed while you take Prandin.
Airmail: 2-3 business weeks
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Airmail: 2-3 weeks, EMS: 3-8 business days.
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