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PharmacyVis

Common uses
This medicine (Glucophage - Metformin)
is a biguanide-type medicine (Glucophage - Metformin)
used along with a diet and exercise program to control high
blood sugar in patients with type 2 diabetes. This medicine
(Glucophage - Metformin) works by helping restore
your body's proper response to the insulin you naturally
produce, and by decreasing the amount of sugar that your
liver makes and that your stomach/intestines absorb. Controlling
high blood sugar helps prevent heart disease, strokes, kidney
disease, blindness, circulation problems, and sexual function
problems. This medicine (Glucophage - Metformin)
may be used to treat other conditions as determined by your
doctor.
Before using
WARNING: Metformin may rarely cause a condition
called lactic acidosis, which is sometimes fatal. Seek immediate
medical attention if you develop any symptoms of lactic
acidosis including unusual tiredness, severe drowsiness,
cold skin, muscle pain, breathing trouble or rapid breathing,
or unusually slow or irregular heartbeat. Lactic acidosis
is more likely to occur in patients who have heart failure,
kidney or liver problems, excessive alcohol use, a lack
of body fluids or dehydration, x-ray or scanning procedures
that require an injectable iodinated contrast drug, surgery,
a serious infection, heart attack, or stroke. Also at higher
risk are the elderly, especially if over 80 years of age
and have not had kidney and liver tests. Discuss the benefits
and risks of using this medicine (Glucophage - Metformin)
with your doctor.
Additional monitoring of your dose or condition
may be needed if you are taking other diabetes medicine
(Glucophage - Metformin)s such as glyburide or insulin,
or cimetidine. Certain medicine (Glucophage - Metformin)s
may make your diabetes more difficult to control by affecting
blood sugar. Report any medicine (Glucophage - Metformin)s
to your doctor that may affect your blood sugar including,
"water pills" (diuretics such as hydrochlorothiazide, furosemide);
birth control pills; estrogens; corticosteroids such as
prednisone; niacin; phenytoin; decongestants; high blood
pressure medicine (Glucophage - Metformin)s including
beta-blockers such as propranolol; calcium channel blockers
such as nifedipine; ace-inhibitors such as captopril; phenothiazines
such as chlorpromazine; isoniazid; thyroid medicine (Glucophage
- Metformin)s; clomiphene; fenugreek; or ginseng.
Use of this medicine (Glucophage -
Metformin) is not recommended if you have a history of kidney
disease, liver disease, congestive heart failure, heart
failure, lactic acidosis, metabolic acidosis, diabetic ketoacidosis,
recent heart attack, recent stroke, serious infection, or
dehydration. Inform your doctor of any other medical conditions
including burns, heart or lung problems, recent trauma,
blood problems (anemia, vitamin B-12 deficiency), scheduled
upcoming surgery, scheduled upcoming x-ray or scanning procedures,
alcohol use, any allergies, pregnancy, or breast-feeding.
If you are scheduled to undergo any x-ray or scanning procedure
using injectable iodinated contrast material, be sure to
inform your doctor that you are taking this medicine (Glucophage
- Metformin). You will need to temporarily stop this medicine
(Glucophage - Metformin) around the time of your
procedure. Consult your doctor for further instructions.
Do not start or stop any medicine (Glucophage - Metformin)
without doctor or pharmacist approval.
How should I take this medicine?
Generic Glucophage comes in tablets to take by mouth.
It usually is taken two or three times a day with meals.
Follow the directions on your prescription label carefully,
and ask your doctor or pharmacist to explain any part you
do not understand. Take Generic Glucophage exactly
as directed. Do not take more or less of it or take it more
often than prescribed by your doctor. Metformin hydrochloride
extended-release tablets should be swallowed whole. Do not
break, chew, or crush. Continue to take Metformin hydrochloride
even if you feel well. Do not stop taking Metformin hydrochloride
without talking to your doctor.
Directions
Take this medicine (Glucophage - Metformin)
with food. Drink plenty of fluids while taking this medicine
(Glucophage - Metformin). Continue to take this medicine
(Glucophage - Metformin) even if you feel well. Do
not miss any doses. Use this medication regularly in order
to get the most benefit from it. To help you remember, use
it at the same time(s) each day. This medicine (Glucophage
- Metformin) may come with a patient information leaflet.
Read it carefully. Ask your doctor, nurse, or pharmacist
any questions that you may have about this medicine (Glucophage
- Metformin).
Store this medicine (Glucophage -
Metformin) at room temperature in a tightly-closed container,
away from heat, moisture, and light. If you miss a dose
of this medicine (Glucophage - Metformin), take it
as soon as possible. If it is almost time for your next
dose, skip the missed dose and go back to your regular dosing
schedule. Do not take 2 doses at once.
Cautions
Do not take this medicine (Glucophage
- Metformin) if you have had an allergic reaction to it
or are allergic to any ingredient in this product. Laboratory
and/or medical tests such as liver and kidney function tests,
fasting blood glucose, glycosylated hemoglobin, or complete
blood counts, should be done to monitor your progress or
to check for side effects. Regularly check your blood or
urine sugar as directed by your doctor. If your blood sugars
have been under control and suddenly are difficult to manage,
contact your doctor as soon as possible.
Before you have any medical or dental treatments,
emergency care, laboratory tests, or surgery, tell the doctor
or dentist that you are using this medicine (Glucophage
- Metformin). During times of stress such as fever, infection,
injury, or surgery it may be more difficult to control your
blood sugar. Consult your doctor, as a change in your medicine
(Glucophage - Metformin) may be required.
This medicine (Glucophage - Metformin)
usually does not cause low blood sugar, or hypoglycemia,
but this effect may occur if you do not consume enough calories
from food, juices, fruit, or other sources. The symptoms
of hypoglycemia include chills, cold sweat, dizziness, drowsiness,
shaking, rapid heartbeat, weakness, headache, fainting,
tingling of the hands or feet, or hunger. It is a good habit
to carry glucose tablets or gel to treat low blood sugar.
If you are in a situation where you don't have these reliable
forms of glucose, eat a quick source of sugar such as table
sugar, honey, candy, or drink a glass of orange juice or
non-diet soda to quickly raise your blood sugar level. Tell
your doctor immediately about the reaction. To help prevent
hypoglycemia, eat meals on a regular schedule and do not
skip meals. Symptoms of high blood sugar, or hyperglycemia,
include thirst, increased urination, confusion, drowsiness,
flushing, rapid breathing, or fruity breath odor. If these
symptoms occur, tell your doctor immediately. Your medicine
(Glucophage - Metformin) dosage may need to be increased.
Limit alcohol intake while using this medicine
(Glucophage - Metformin). Before you begin taking
any new medicine (Glucophage - Metformin), either
prescription or over-the-counter, check with your doctor
or pharmacist. Caution is advised when using this medicine
(Glucophage - Metformin) in the elderly since they
may be more sensitive to the effects of this medicine (Glucophage
- Metformin). For women: this medicine (Glucophage
- Metformin) can cause changes in the menstrual cycle of
women with certain fertility problems, therefore increasing
the risk of becoming pregnant. Consult your doctor or pharmacist
about the use of reliable birth control while using this
medicine (Glucophage - Metformin). If you plan on
becoming pregnant, discuss with your doctor the benefits
and risks of using this medicine (Glucophage - Metformin)
during pregnancy. It is unknown if this medicine (Glucophage
- Metformin) is excreted in breast milk. Do not breast-feed
while taking this medicine (Glucophage - Metformin).
Possible side effects
Side effects, that may go away during treatment,
include metallic taste in mouth, nausea, stomach upset,
flatulence, and diarrhea. If they continue or are bothersome,
check with your doctor. If stomach symptoms recur after
you are on the same dose for several days or weeks, tell
your doctor immediately. A late recurrence of stomach symptoms
may be due to a serious medical condition called lactic
acidosis. Contact your doctor immediately if you experience
unusual tiredness, severe drowsiness, cold skin, muscle
pain or aches, rapid breathing, or unusually slow or irregular
heartbeat. An allergic reaction to this medicine (Glucophage
- Metformin) is unlikely, but seek immediate medical attention
if it occurs. Symptoms of an allergic reaction include rash,
itching, swelling, dizziness, or trouble breathing. If you
notice other effects not listed above, contact your doctor,
nurse, or pharmacist.
If you take too much
If overdose is suspected, contact your local
poison control center or emergency room immediately. Symptoms
of overdose may include rapid or trouble breathing, severe
drowsiness, and slow or irregular heartbeat.
Additional information
This medicine (Glucophage - Metformin)
is not a substitute for proper diet and regular exercise.
It is recommended you attend a diabetes education program
to better understand diabetes, prevention of complications,
and all the important aspects of its treatment. These include
meals/diet, exercise, weight loss, personal hygiene, medicine
(Glucophage - Metformin) and blood glucose monitoring,
and the need for regular eye, foot, and medical exams. Follow
your doctor's instructions carefully.
Do not share this medicine (Glucophage
- Metformin) with others for whom it was not prescribed.
Keep this medicine (Glucophage - Metformin) out of
the reach of children and pets. If using this medicine (Glucophage
- Metformin) for an extended period of time, obtain refills
before your supply runs out.
Drug interactions
Drug interactions can result in unwanted
side effects or prevent a medicine (Glucophage -
Metformin) from doing its job. Some medicine (Glucophage
- Metformin)s or medical conditions may interact with this
medicine (Glucophage - Metformin). Inform your doctor
or pharmacist of all prescription and over-the-counter medicine
(Glucophage - Metformin) that you are taking.Although
certain medicines should not be used together at all, in
other cases two different medicines may be used together
even if an interaction might occur. In these cases, your
doctor may want to change the dose, or other precautions
may be necessary. Do not take any other medicine unless
prescribed or approved by your doctor . When you are taking
metformin, it is especially important that your health care
professional know if you are taking any of the following:
* Alcohol Small amounts of alcohol taken with meals do not
usually cause a problem; however, either larger amounts
of alcohol taken for a long time or a large amount of alcohol
taken in one sitting without food can increase the effect
of metformin. This can keep the blood sugar low for a longer
period of time than normal * Amiloride (e.g., Midamor) or
* Calcium channel blocking agents (amlodipine [e.g., Norvasc],
bepridil [e.g., Bepadin], diltiazem [e.g., Cardizem], felodipine
[e.g., Plendil], flunarizine [e.g., Sibelium], isradipine
[e.g., DynaCirc], nicardipine [e.g., Cardene], nifedipine
[e.g., Procardia], nimodipine [e.g., Nimotop], verapamil
[e.g., Calan]) or * Cimetidine (e.g., Tagamet) or * Digoxin
(heart medicine) or * Furosemide (e.g., Lasix) or * Morphine
(e.g., M S Contin) or * Procainamide (e.g., Pronestyl) or
* Quinidine (e.g., Quinidex) or * Quinine (malaria medicine)
or * Ranitidine (e.g., Zantac) or * Triamterene (e.g., Dyrenium)
or * Trimethoprim (e.g., Proloprim) or * Vancomycin (e.g.,
Vancocin)Use with metformin may cause high blood levels
of metformin, which may increase the chance of low blood
sugar or side effects.
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