Is repaglinide available as a generic drug? Take this medication by mouth 15 minutes before a meal, usually 2-3 times a day or as directed by your doctor. Take this drug no earlier than 30 minutes before the meal. You may also take it just before the meal if necessary. Do not take a dose of medication if you are skipping a meal. Drink plenty of fluids while taking this medication unless otherwise directed by your doctor. If you are changing from a different anti-diabetes drug such as chlorpropamide to repaglinide, follow your doctor's directions carefully for stopping the old drug and starting this medication.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. Controlling high helps prevent damage, blindness, nerve problems, loss of limbs, and sexual function problems. During pregnancy, this medication should be used only when clearly needed. Insulin treatment may be preferred during pregnancy. Discuss the risks and benefits with your doctor. Follow your doctor's instructions carefully. RE2 on one side. Both patients had a prior history of and recovered after treatment with agents. No comparable cases in the monotherapy treatment groups were reported.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. HCl overdosage is suspected. Treatment should be initiated as an adjunct to diet and exercise to lower the blood glucose in relation to meals. What is Repaglinide Teva? Drink plenty of fluids while taking this medication unless otherwise directed by your doctor. Other medications can affect the removal of repaglinide from your body, which may affect how repaglinide works. Examples include clopidogrel, gemfibrozil, trimethoprim, azole antifungals such as itraconazole, ketoconazole macrolide antibiotics such as erythromycin rifamycins such as rifabutin St. John's wort, among others.
Make sure your insulin hasn't expired. Don't use it if it has clumps. Insulin should either be clear or evenly cloudy with small flecks. It may take up to 2 to 3 months before the full benefit of this drug takes effect. Keep track of the results, and share them with your doctor. Tell your doctor if your measurements are too high or too low. This may not be a complete list of all interactions that may occur. Polacrilin potassium; Magnesium stearate.
If your symptoms do not improve or if they become worse, check with your doctor. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Check with your doctor or pharmacist to find out what you should do if you miss a meal. Refraction disorders have been known to result due to changes in blood glucose levels. Nordisk, Inc. March, 2012. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. Discuss the risks and benefits with your doctor. Follow your doctor's instructions carefully. Low blood sugar hypoglycemia can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Always keep a source of sugar with you in case you have low blood sugar. Sugar sources include fruit juice, hard candy, crackers, raisins, and non-diet soda. Be sure your family and close friends know how to help you in an emergency. There was no average gain in body weight when patients previously treated with oral hypoglycemic agents were switched to PRANDIN. Be sure to drink enough fluids to prevent unless your doctor directs you otherwise.
It may be harder to control your when your body is stressed such as fever, infection, injury, or surgery. Tell your doctor if you get a serious infection or injury. Tell your doctor all medications you are taking. During pregnancy Prandin should be used only when prescribed. Your doctor may change your during your pregnancy. It is not known whether this drug passes into breast milk and the effect on a nursing infant is unknown. Breastfeeding while using this drug is not recommended. Consult your doctor or pharmacist about using alcohol safely. What brand names are available for repaglinide? Keep track of the results and share them with your doctor. Tell your doctor if your measurements are too high or too low. Your treatment plan may need to be changed. Store in the original package. Follow the diet and exercise program given to you by your health care provider. Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist. Cimetidine is a nonprescription drug that is commonly used to treat extra stomach acid. Because it may interact with metformin, ask your pharmacist about other products to treat stomach acid.
An empty tablet shell may appear in your stool. Repaglinide is not indicated for use in combination with NPH-insulin. Other symptoms of low blood sugar such as dizziness, hunger, or sweating are unaffected by these drugs. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. PrandiMet dose for that meal. Type-2 diabetes is a disease in which the pancreas does not make enough insulin to control the level of glucose in the blood or when the body is unable to use insulin effectively. Repaglinide Teva helps the pancreas to produce more insulin at mealtimes and is used to control type-2 diabetes. How has Repaglinide Teva been studied? Muscle destruction: If you have a condition that causes the breakdown of your muscles, the broken down muscle tissue can get into your bloodstream and impair your kidneys. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. 'Multum' is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. The warning signs of too high blood sugar appear gradually. St. John's wort, among others. If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Each pack contains 30, 90 or 120 tablets.
Avoid drinking alcohol. It lowers blood sugar and may interfere with your diabetes treatment. This effect may be worse if you take it with alcohol or certain medicines. AUC and Cmax values 98. The amount of repaglinide in your blood may increase and it may lower your blood sugar too much. This dose may need to be increased after one or two weeks. If patients are transferred from another anti-diabetes medicine, the recommended starting dose is 1 mg. How does Repaglinide Teva work? PrandiMet should be withdrawn until the situation is clarified. For these reasons, FAERS case reports cannot be used to calculate incidence or estimates of risk for a particular product or compare risks between products. Repaglinide may not be suitable for you. Many other medicines that can increase or decrease the effects of repaglinide on lowering your blood sugar. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using. They must not give you any food or drink. Low blood sugar may be more likely to occur if you skip a meal, exercise heavily, or drink alcohol. HCl therapy, are unlikely to be drug related.
Renal failure or impairment: If your kidneys are damaged, they cannot filter creatinine out of your body through glomerular filtration as they are supposed to. Glomerular filtration is the outflow of filtered fluid passing through your kidney. To help prevent low sugar, eat meals on a regular schedule, and do not skip meals. Talk with your doctor or pharmacist about what to do if you miss a meal. Check the labels on all your medicines such as cough-and-cold products carefully. Some products may contain sugar or alcohol and may affect your blood sugar levels. Ask your doctor or pharmacist about using these products safely. Follow your meal plan closely. Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Fasting blood glucose concentrations are generally used to adjust doses, however, postprandial glucose levels may be used in patients whose pre-meal blood glucose levels are satisfactory but whose overall glycemic control HbA1c is inadequate. Repaglinide are available in blister packs of 30 or 90 tablets. Not all pack sizes may be marketed. By reporting side effects you can help provide more information on the safety of this medicine. If your blood sugar has been under control and then becomes hard to manage, contact your doctor. Do not change the dose of your medicine without checking with your doctor. If any of these effects persist or worsen, tell your doctor or promptly. If symptoms return later after taking the same dose for several days or weeks tell your doctor right away. It may be harder to control your blood sugar when your body is stressed such as fever, infection, injury, or surgery. Tell your doctor if you get a serious infection or injury. Your doctor may need to adjust your diabetes medication, exercise program, or diet. No data are available with regard to overdose of PrandiMet. If your blood sugar is low or you feel a hypo coming on: eat glucose tablets or a high sugar snack or drink, then rest.
About FAERS: The FDA Adverse Event Reporting System FAERS is used by FDA for activities such as looking for new safety concerns that might be related to a marketed product, evaluating a manufacturer's compliance to reporting regulations and responding to outside requests for information. Reporting of adverse events is a voluntary process, and not every report is sent to FDA and entered into FAERS. You should not take Repaglinide if you are breast-feeding. Controlling high sugar helps prevent damage, blindness, nerve problems, loss of limbs, and sexual function problems. Metabolites do not contribute to the glucose-lowering effect of repaglinide. PrandiMet and of alternative modes of therapy. Contact a doctor immediately. During times of stress, such as fever, infection, injury, or surgery, it may be more difficult to control your blood sugar. Consult your doctor because increased stress may require a change in your treatment plan, medications, or blood sugar testing. Repaglinide Teva can also be used for type-2 diabetes patients whose blood glucose levels are usually controlled well on diet, but are experiencing temporary loss of blood glucose control. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Check your blood sugar regularly as directed by your doctor. Keep track of the results and share them with your doctor. Tell your doctor if your blood sugar measurements are too high or too low. Your treatment plan may need to be changed. It is not known whether this drug passes into breast milk and the effect on a nursing infant is unknown. Therefore, breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding. Symptoms of severe hypoglycemia include extreme weakness, blurred vision, sweating, trouble speaking, tremors, stomach pain, confusion, and seizure convulsions. What should I avoid while taking repaglinide? Be aware that the desired effect is not achieved if you stop taking Repaglinide. Saxagliptin works by increasing levels of natural substances called incretins. Incretins help to control sugar by increasing release, especially after a meal. They also decrease the amount of sugar your makes. If you skip a meal, do not take the dose for the skipped meal. Following the surgery, as soon as I was well enough to begin walking a bit, my blood sugars dropped immediately into the normal range. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Your doctor may change your dose, or the kind you use, to prevent it from happening again. You should drink more water and sugar-free, non- beverages. What are the side effects of repaglinide? US Food and Drug Administration FDA. At 100, she doesn't exercise much which makes figuring easier. Diarrhea; gas; headache; indigestion; nausea; stomach upset; temporary metallic taste; vomiting. Do not take 2 doses at once.
Watch for signs of a hypo. If you don't have these reliable forms of glucose, rapidly raise your by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda. Tell your doctor right away about the reaction and the use of this product. Symptoms of high blood sugar hyperglycemia include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your doctor right away. Your doctor may need to adjust your diabetes medications. Hypoglycemia was reported in 16% of 1228 PRANDIN patients, 20% of 417 glyburide patients, and 19% of 81 glipizide patients in 1year controlled trials. Of PRANDIN-treated patients with symptomatic hypoglycemia, none developed coma or required hospitalization. Your doctor will advise you. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Repaglinide was approved by the FDA in 1997. Do not miss any doses. Dosing adjustments are determined by blood glucose response. Pioglitazone does not usually cause . may occur if this drug is prescribed with other such as or a sulfonylurea. If you have kidney problems. The most frequently reported adverse reactions were changes in blood glucose levels; the occurrence of these reactions was dependent on individual factors such as dietary habits, dose, exercise, and stress.
Also watch for signs of high blood sugar hyperglycemia such as increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss. Talk to your doctor about the risks and benefits of pioglitazone. Call your doctor or go to the emergency room right away if that doesn't work, if you have any of the symptoms below and your ketones aren't normal, or if you have more than one symptom. This anti-diabetic medication is a combination of 2 drugs repaglinide and metformin. It is used along with a diet and exercise program to control high blood sugar in patients with type 2 diabetes. M2 the aromatic amine M1 and the acyl glucuronide M7. Most of these cases have occurred in diabetic patients who also have certain kidney problems. The risk of lactic acidosis may be greater if you have liver problems, kidney problems, or heart failure. The risk may also be greater in patients who are elderly or drink alcohol. Contact your doctor right away if you notice symptoms such as muscle pain or tenderness; unusual drowsiness, dizziness, or light-headedness; slow or irregular heartbeat; fast or difficult breathing; unusual stomach discomfort; or unusual weakness or tiredness. Contact your doctor right away if you start to feel unusually cold, or if you have a general feeling of being unwell. Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals. These things can affect your glucose levels and your dose needs may also change. Do not change your medication dose or schedule without your doctor's advice. It is not known if this medicine is found in breast milk. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule. Older adults may be more sensitive to the side effects of this drug, especially or lactic acidosis. Hypoglycemia low blood sugar may result if you take Prandin with drugs that lower blood sugar, such as: probenecid, blood thinners, non-steroidal anti-inflammatory drugs aspirin or other salicylates, sulfa drugs, monoamine oxidase inhibitors MAOIs or beta-blockers. Use this medication regularly in order to get the most benefit from it. Carefully follow the medication treatment plan, meal plan, and exercise program your doctor has recommended. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; chest pain or discomfort; dark urine; dizziness or light-headedness; fast or difficult breathing; feeling of being unusually cold; fever, chills, or persistent sore throat; general feeling of being unwell; muscle pain or weakness; slow or irregular heartbeat; unusual bruising or bleeding; unusual drowsiness; unusual or persistent stomach pain or discomfort; unusual tiredness or weakness; yellowing of the skin or eyes. Humphreys WG, Rodrigues AD. Repaglinide-gemfibrozil drug interaction: inhibition of repaglinide glucuronidation as a potential additional contributing mechanism.
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HCl or vitamin B12 supplementation. Severe. These medicines may interact and cause very harmful effects and are usually not taken together. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.
The following additional adverse reactions have been identified during post approval use of PRANDIN. Because these reactions are reported voluntarily from a population of uncertain size, it is generally not possible to reliably estimate their frequency or a causal relationship to drug exposure. Do I need a prescription for repaglinide? Carefully follow the medication treatment plan, meal plan, and your doctor has recommended. Prandin repaglinide US prescribing information.
Be aware that the desired effect is not achieved if you stop taking Repaglinide. Your diabetes may get worse. Not all pack sizes may be marketed. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Carefully follow the medication treatment plan, meal plan, and your doctor has recommended.
Talk to your doctor if any of the above applies to you. Repaglinide may not be suitable for you. Your doctor will advise you. If any of these effects persist or worsen, notify your doctor or promptly. Symptoms of high blood sugar hyperglycemia include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your doctor right away. Your dosage may need to be increased.