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Prandin (repaglinide) is definitely an oral diabetes medicine which enables control blood sugar levels. This medication lowers blood glucose by creating the pancreas to produce insulin.
Prandin is utilized together with diet and exercise to treat diabetes. Other diabetes medicines are occasionally found in in conjunction with repaglinide as needed.
Prandin may aso be utilized for purposes unpublished within this medication guide.
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Take Prandin the same manner prescribed by your doctor. Do not take in larger or smaller amounts and more than recommended. Follow the directions in your prescription label.
Prandin is usually taken 2 to 4 times daily, within 30 minutes before eating lunch. Follow a medical expert's instructions. If you skip lunch, don't take your dose of Prandin. Wait until the following meal.
Your blood glucose will have to be checked often, and you may need other blood tests at your doctor's office. Visit your medical professional regularly.
Know signs and symptoms of low blood glucose 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 have symptoms of low blood glucose levels. Sugar sources include orange juice, glucose gel, candy, or milk. If you've severe hypoglycemia and can't eat or drink, work with an injection of glucagon. Your doctor can provide you with a prescription to get a glucagon emergency injection kit and let you know how to provide injection.
Also watch for signs of blood glucose that is excessive (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dermititis, blurred vision, and weight-loss.
Check your blood glucose levels carefully throughout a period of stress or illness, should you travel, exercise more than usual, are drinking alcohol, or skip meals. These things can impact your blood sugar levels plus your dose needs could also change.
Your doctor might want that you stop taking Prandin for the limited time should you get ill, use a fever or infection, or if you've got surgical procedures or a medical emergency.
Ask your medical professional the way to adjust your Prandin dose as required. Do not make positive changes to medication dose or schedule without your physician's advice.
Prandin is only a part of a complete program of treatment this includes diet, exercise, and weight loss. Follow your diet plan, medication, and workout routines very closely. Changing any of these factors can affect your blood glucose levels.
Use Prandin regularly to find the most benefit. Get your prescription refilled before you run out of medicine completely.
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Active ingredient: Repaglinide
Repaglinide is 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 2 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 prescription drugs as he or she's got judged the advantage of you is higher than the potential risk of unwanted side effects. Many people using medicines would not have serious negative effects.
Repaglinide can cause low blood sugar levels (hypoglycemia) especially in case you take other medicines for diabetes. Consuming large quantities of alcohol, to not get enough calories from food, or doing unusually heavy exercise could also bring about low blood glucose. Symptoms might include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling from the hands or feet, or hunger. It can be a good habit to carry glucose tablets or gel to take care of low blood sugar. If you don't have these reliable types of glucose, increase your blood sugar quickly by eating a quick way to obtain sugar such as ordinary sugar, honey, candy, or drinking a glass of liquid or non-diet soda. Check with your physician or pharmacist to learn do the following should you miss lunch.
Symptoms of high blood glucose (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your medical professional immediately. Your doctor might need to adjust your diabetes medication(s).
A serious allergic attack to this drug is rare. However, seek immediate medical help should 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 complete report on possible negative effects. If you notice other effects unlisted above, contact your doctor or pharmacist.
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Tell your medical professional about all the medications you utilize, especially:
cyclosporine (Gengraf, Neoral, Sandimmune);
St. John's wort;
an antibiotic such as 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 like phenobarbital (Solfoton);
heart or blood pressure level medication including diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), among others;
HIV/AIDS medicine such as delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), and others;
rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or
seizure medication for example carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), and others.
You might be very likely to have hyperglycemia (high blood glucose levels) in case you consider Prandin with other drugs that raise blood glucose levels, such as:
diuretics (water pills);
steroids (prednisone among others);
phenothiazines (Compazine yet others);
thyroid medicine (Synthroid among others);
birth control pills and other hormones;
seizure medicines (Dilantin among others); and
diet pills or medicines to take care of asthma, colds or allergies.
You could be very likely to have hypoglycemia (low blood sugar levels) if you consider other drugs that lower blood glucose levels, such as:
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin or other salicylates (including Pepto-Bismol);
a blood thinner (warfarin, Coumadin, Jantoven, and 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 a wide range of other medicines that could increase or say goodbye of Prandin on reducing your blood sugar. Using certain medicines causes it to be more difficult for you to tell when you have low blood glucose. Tell your physician about all medications you utilize. This includes prescription, over-the-counter, vitamin, and herbal products. Do not find a new medication without telling your physician.
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Do not use Prandin in case you are allergic to repaglinide, if you have type 1 diabetes, or in case you are in a state of diabetic ketoacidosis (call your physician for treatment with insulin). You should not use Prandin in addition to gemfibrozil (Lopid) or NPH insulin (like isophane insulin).
Before taking repaglinide, tell your doctor or pharmacist should you are allergic for it; or if you've got every other allergies. This product might have inactive ingredients, which can cause allergy symptoms or 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 because of extremely low or high blood sugar. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you'll be able to perform such activities safely.
Limit alcohol while taking this medication as it can increase the chance of developing low blood glucose levels.
During times during the stress, such as fever, infection, injury, or surgery, it may be harder to control your blood sugar. Consult your physician because increased stress might require a modification of your plan of action, medications, or blood glucose testing.
During pregnancy medicines should be used only if clearly needed. Pregnancy could cause or worsen diabetes. Discuss a plan with your physician for managing your blood glucose in pregnancy. Your doctor may alter your diabetes treatment during your pregnancy. Discuss the potential for loss and important things about different treatments (such as diet, exercise, and medications including insulin).
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FDA pregnancy category C. It is not known whether Prandin will harm an child. Tell your doctor in case you are pregnant or prefer to get pregnant while using Prandin. It is not known whether repaglinide passes into breast milk or if maybe it's unhealthy for a nursing baby. You should not breast-feed while you consider Prandin.
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