Prandin (repaglinide) is surely an oral diabetes medicine which enables control glucose levels. This medication lowers blood sugar by creating the pancreas to create insulin.
Prandin is employed in addition to exercise and dieting to take care of type 2 diabetes. Other diabetes medicines are sometimes found in conjunction with repaglinide if needed.
Prandin may aso be used for purposes not listed with this medication guide.
Take Prandin just as prescribed because of your doctor. Do not take in larger or smaller amounts and for more than recommended. Follow the directions on the prescription label.
Prandin is often taken three to five times daily, within half an hour before eating dinner. Follow your doctor's instructions. If you skip a meal, do not take your dose of Prandin. Wait until your following meal.
Your blood glucose levels will have to be checked often, and you may need other blood tests your doctor's office. Visit a medical expert regularly.
Know warning signs of low blood glucose levels (hypoglycemia) and the way to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a method to obtain sugar obtainable in case you've symptoms of low blood sugar 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 a prescription for any glucagon emergency injection kit and show you how you can provide the injection.
Also watch for signs and symptoms of blood glucose that is certainly too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dried-out skin, blurred vision, and weight loss.
Check your blood sugar levels carefully after a period of stress or illness, in the event you travel, exercise more than usual, are drinking alcohol, or skip meals. These things can affect your glucose levels plus your dose needs could also change.
Your doctor may want you to definitely stop taking Prandin for any small amount of time should you get sick, have a very fever or infection, or if you've got surgical procedures or a medical emergency.
Ask your physician how you can adjust your Prandin dose as needed. Do not alter your medication dose or schedule without your medical professional's advice.
Prandin is part of a total program of treatment which includes diet, exercise, and weight management. Follow what you eat, medication, and workout routines very closely. Changing some of these factors could affect your blood sugar levels.
Use Prandin regularly to have the most benefit. Get your prescription refilled before you run out of medication completely.
Active ingredient: Repaglinide
Repaglinide is often a white to off-white powder with molecular formula C27 H36 N2 O4 plus 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.
Weight gain, diarrhea, and pain may occur. If 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 that the profit to you is more than the chance of side effects. Many people using medicines would not have serious negative effects.
Repaglinide could cause low blood glucose (hypoglycemia) especially if you consider other medicines for diabetes. Consuming large volumes of alcohol, not getting enough calories from food, or doing unusually heavy exercise might also result in low blood sugar. 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 deal with low blood glucose. If you don't have these reliable varieties of glucose, lift up your blood glucose levels quickly by eating an instant method to obtain sugar including white sugar, honey, candy, or drinking a glass of veggie juice or non-diet soda. Check with your doctor or pharmacist to discover do the following in the event you miss dinner.
Symptoms of high blood sugar levels (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 much more severe hypersensitivity to this drug is rare. However, seek immediate medical assistance in case you notice any with the following signs and symptoms of a serious allergic attack: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete set of possible negative effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Tell your medical professional about all the other medications you use, especially:
cyclosporine (Gengraf, Neoral, Sandimmune);
St. John's wort;
an antibiotic for example 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 such as phenobarbital (Solfoton);
heart or blood pressure level medication like diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), yet others;
HIV/AIDS medicine like delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), while others;
rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or
seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), while others.
You may be more prone to have hyperglycemia (high blood sugar) in case you consider Prandin with other drugs that raise blood sugar, like:
diuretics (water pills);
steroids (prednisone and others);
phenothiazines (Compazine yet others);
thyroid medicine (Synthroid and others);
birth control pills and also other hormones;
seizure medicines (Dilantin while others); and
diet pills or medicines to help remedy asthma, colds or allergies.
You could be more likely to have hypoglycemia (low blood glucose levels) if you are taking other drugs that lower blood glucose, like:
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin and other salicylates (including Pepto-Bismol);
a blood thinner (warfarin, Coumadin, Jantoven, and 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 not complete there are numerous other medicines that could increase or decrease the effects of Prandin on cutting your blood sugar. Using certain medicines causes it to be more difficult for one to tell when you might have low blood glucose levels. Tell your medical professional 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.
Do not use Prandin if you are allergic to repaglinide, if you've type 1 diabetes, or should you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). You should not use Prandin together with gemfibrozil (Lopid) or NPH insulin (including isophane insulin).
Before taking repaglinide, tell your physician or pharmacist if you are allergic with it; or if you've got some other allergies. This product might have inactive ingredients, which could cause allergy symptoms or other problems. Talk to your pharmacist for more details.
Before using this medication, tell a medical expert or pharmacist your history, especially of: kidney disease, liver disease.
You can experience blurred vision, dizziness, or drowsiness as a result of extremely low or high blood sugar levels. Do not drive, use machinery, or inflict activity that will need alertness or clear vision until you are sure you are able to perform such activities safely.
Limit alcohol while taking this medication because it can increase the risk of developing low blood glucose levels.
During points during the stress, including fever, infection, injury, or surgery, it may be tougher to manage your blood glucose. Consult your medical professional because increased stress may necessitate a change in your plan for treatment, medications, or blood glucose levels testing.
During pregnancy this medication should be utilized only once clearly needed. Pregnancy could potentially cause or worsen diabetes. Discuss an agenda with your doctor for managing your blood sugar levels when pregnant. Your doctor may improve your diabetes treatment during your pregnancy. Discuss the hazards and great things about different treatments (including diet, exercise, and medications including insulin).
FDA pregnancy category C. It is not known whether Prandin will harm an developing fetus. Tell a medical expert in case you are pregnant or prefer to conceive when using Prandin. It is not known whether repaglinide passes into breast milk or if it can be bad for a nursing baby. You should not breast-feed while you are taking Prandin.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.