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Directions on how to take
Take this medicine with food. Drink plenty of fluids while taking this medicine. Continue to take this medicine 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. If you miss a dose of this medicine, 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.
Warnings and Precautions
This medicine 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 dosage may need to be increased. Limit alcohol intake while using this medicine. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. Caution is advised when using this medicine in the elderly since they may be more sensitive to the effects of this medicine.
Possible side effects
Possible side effects
Side effects may include metallic taste in mouth, nausea, stomach upset, flatulence, and diarrhea, unusual tiredness, severe drowsiness, cold skin, muscle pain or aches, rapid breathing, or unusually slow or irregular heartbeat. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If symptoms persist, consult your doctor.
Storage
Store this medicine at room temperature in a tightly-closed container, away from heat, moisture, and light and keep out of reach of children.
Additional information
Rarely this medicine 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 with your doctor. Additional monitoring of your dose or condition may be needed if you are taking other diabetes medicines such as glyburide or insulin, or cimetidine. Certain medicines may make your diabetes more difficult to control by affecting blood sugar. Report any medicines 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 medicines including beta-blockers such as propranolol; calcium channel blockers such as nifedipine; ace-inhibitors such as captopril; phenothiazines such as chlorpromazine; isoniazid; thyroid medicines; clomiphene; fenugreek; or ginseng. Use of this medicine 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. You will need to temporarily stop this medicine around the time of your procedure. Consult your doctor for further instructions. Do not start or stop any medicine without doctor or pharmacist approval.
Disclaimer
The drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
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