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Uses

INDICATIONS

Prandin (repaglinide) is surely an oral diabetes medicine that assists control blood sugar. This medication lowers blood glucose by creating the pancreas to make insulin.

Prandin can be used along with eating and working out to treat diabetes type 2. Other diabetes medicines are now and again used in in conjunction with repaglinide if required.

Prandin may aso provide for purposes unpublished with this medication guide.

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INSTRUCTIONS  

Take Prandin the same manner prescribed from your doctor. Do not take in larger or smaller amounts and for longer than recommended. Follow the directions in your prescription label.

Prandin is usually taken 2 to 4 times daily, within a half-hour before eating a meal. Follow your physician's instructions. If you skip a meal, don't take on your dose of Prandin. Wait until the next meal.

Your blood sugar will need to be checked often, and you might need other blood tests for your doctor's office. Visit your doctor regularly.

Know the signs of low blood sugar levels (hypoglycemia) and the way to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.

Always keep a source of sugar obtainable in case you have the signs of low blood glucose levels. Sugar sources include orange juice, glucose gel, candy, or milk. If you might have severe hypoglycemia and should not eat or drink, use an injection of glucagon. Your doctor can give you a prescription for a glucagon emergency injection kit and tell you the way to give the injection.

Also await warning signs of blood sugar levels which 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 sugar carefully throughout a time of stress or illness, should you travel, exercise more than usual, are drinking alcohol, or skip meals. These things could affect your glucose levels plus your dose needs could also change.

Your doctor might want that you stop taking Prandin to get a short period of time in the event you get sick, have a fever or infection, or if you might have surgical treatment or a medical emergency.

Ask your physician how to adjust your Prandin dose as needed. Do not make positive changes to medication dose or schedule without your doctor's advice.

Prandin is just portion of a complete program of treatment which includes diet, exercise, and weight loss. Follow your diet, medication, and use routines very closely. Changing these factors could affect your glucose levels.

Use Prandin regularly to have the most benefit. Get your prescription refilled before you run out of medicine 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 along with 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 pair of mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.

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Side Effects

Weight gain, diarrhea, and joint pain may occur. If all of these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that a medical expert has prescribed medicines because he or she's judged that this advantage of you is in excess of potential risk of unwanted effects. Many people using prescription drugs do not have serious unwanted side effects.

Repaglinide can cause low blood sugar levels (hypoglycemia) especially if you consider other medicines for diabetes. Consuming vast amounts of alcohol, to not get enough calories from food, or doing unusually heavy exercise could also result in low blood glucose levels. Symptoms may include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling of the hands or feet, or hunger. It is really a good habit to hold glucose tablets or gel to help remedy low blood sugar levels. If you don't have these reliable forms of glucose, raise the blood sugar quickly when you eat a quick source of sugar for example countertop sugar, honey, candy, or drinking a glass of liquid or non-diet soda. Check with your doctor or pharmacist to discover what you should do in case you miss dinner.

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 medical professional immediately. Your doctor should adjust your diabetes medication(s).

A grave hypersensitive reaction to the drug is rare. However, seek immediate medical help should you notice any with the following the signs of a serious hypersensitivity: rash, itching/swelling (especially in the face/tongue/throat), severe dizziness, trouble breathing.

This is not an entire list of possible unwanted effects. If you notice other effects unlisted above, contact a medical expert or pharmacist.

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Tell your doctor about all other medications you utilize, especially:

cyclosporine (Gengraf, Neoral, Sandimmune);

St. John's wort;

an antibiotic like clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), or telithromycin (Ketek);

an antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);

a barbiturate for example phenobarbital (Solfoton);

heart or blood pressure levels medication like diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), among others;

HIV/AIDS medicine like 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 including carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), among others.

You may be more prone to have hyperglycemia (high blood glucose) in the event you take Prandin along with other drugs that raise blood glucose, like:

isoniazid;

diuretics (water pills);

steroids (prednisone among others);

phenothiazines (Compazine and others);

thyroid medicine (Synthroid yet others);

birth control pills and also other hormones;

seizure medicines (Dilantin and others); and

diet pills or medicines to help remedy asthma, colds or allergies.

You might be more prone to have hypoglycemia (low blood glucose) if you are taking other drugs that lower blood sugar, for example:

probenecid (Benemid);

a blood thinner (warfarin, Coumadin);

some nonsteroidal anti-inflammatory drugs (NSAIDs);

aspirin or other salicylates (including Pepto-Bismol);

a blood thinner (warfarin, Coumadin, Jantoven, while others);

sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, yet 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 are lots of other medicines that could increase or minimizing the effects of Prandin on reducing your blood glucose. Using certain medicines makes it more difficult for you to tell when you've 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 your physician.

Precautions

Do not use Prandin in case you are allergic to repaglinide, if you have 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 in addition to gemfibrozil (Lopid) or NPH insulin (like isophane insulin).

Before taking repaglinide, tell your doctor or pharmacist in the event you are allergic to it; or if you've got any other allergies. This product might have inactive ingredients, which may cause allergy symptoms or any other problems. Talk to your pharmacist for additional information. 

Before using medicines, tell your doctor or pharmacist your history, especially of: kidney disease, liver disease.

You may feel blurred vision, dizziness, or drowsiness due to extremely low or high blood glucose levels. Do not drive, use machinery, or do any activity that will need alertness or clear vision unless you are sure you'll be able to perform such activities safely.

Limit alcohol while taking prescription drugs given it can increase the potential risk of developing low blood sugar.

During times of stress, like fever, infection, injury, or surgery, it might be tougher to manage your blood sugar. Consult your medical professional because increased stress may necessitate a modification of your plan of action, medications, or blood glucose levels testing.

During pregnancy medicines should provide only when clearly needed. Pregnancy could potentially cause or worsen diabetes. Discuss an idea with your doctor for managing your blood glucose when pregnant. Your doctor may improve your diabetes treatment during your pregnancy. Discuss the potential for loss and benefits of different treatments (such as diet, exercise, and medications including insulin).

FDA pregnancy category C. It is not known whether Prandin will harm an child. Tell your physician should you are pregnant or prefer to get pregnant while using the Prandin. It is not known whether repaglinide passes into breast milk or if maybe it's harmful to a nursing baby. You should not breast-feed while you are taking Prandin.

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