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Uses

INDICATIONS

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

Prandin is employed along with exercise and dieting to treat diabetes. Other diabetes medicines are sometimes used in in conjunction with repaglinide if needed.

Prandin may aso provide for purposes unlisted within this medication guide.

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INSTRUCTIONS  

Take Prandin just as prescribed because of your doctor. Do not take in larger or smaller amounts or over recommended. Follow the directions in your prescription label.

Prandin is generally taken three to five times daily, within half an hour before eating lunch. Follow your physician's instructions. If you skip lunch, do not take your dose of Prandin. Wait until your next meal.

Your blood sugar must be checked often, and you may need other blood tests at your doctor's office. Visit your medical professional regularly.

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

Always keep a source of sugar for sale in case you might 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 cannot eat or drink, readily injection of glucagon. Your doctor can provide you with a prescription for any glucagon emergency injection kit and let you know the way to provide the injection.

Also watch out for warning signs of blood sugar levels that is excessive (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and fat 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 alcoholic beverages, or skip meals. These things can affect your sugar levels along with your dose needs can also change.

Your doctor might want one to stop taking Prandin for a short time in case you become ill, use a fever or infection, or if you've surgical procedures or a medical emergency.

Ask your medical professional how you can adjust your Prandin dose as required. Do not make positive changes to medication dose or schedule without your medical professional's advice.

Prandin is a part of an entire program of treatment which also includes diet, exercise, and weight management. Follow your daily diet, medication, and employ routines very closely. Changing all of these factors can impact your blood glucose levels.

Use Prandin regularly to find the most benefit. Get your prescription refilled before you run out of medication completely.

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Active ingredient: Repaglinide

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Repaglinide is a white to off-white powder with molecular formula C27 H36 N2 O4 as well as a molecular weight of 452.6. PRANDIN tablets contain 0.5 mg, 1 mg, or 2 mg of repaglinide. In addition each tablet offers 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 couple of mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.

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Side Effects

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

Remember that a medical expert has prescribed prescription drugs as they or she's judged how the help to you is in excess of the chance of unwanted side effects. Many people using medicines would not have serious unwanted side effects.

Repaglinide may cause low blood glucose levels (hypoglycemia) especially should you consider other medicines for diabetes. Consuming large quantities of alcohol, not getting enough calories from food, or doing unusually heavy exercise could also bring about low blood sugar. Symptoms may include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling from the hands or feet, or hunger. It is a good habit to hold glucose tablets or gel to help remedy low blood glucose levels. If you don't have these reliable types of glucose, increase your blood sugar quickly by consuming an instant source of sugar such as countertop sugar, honey, candy, or drinking a glass of liquid or non-diet soda. Check with your physician or pharmacist to determine do the following should you miss lunch.

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 a medical expert immediately. Your doctor might need to adjust your diabetes medication(s).

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

This is not a complete listing of possible unwanted effects. If you notice other effects unlisted above, contact your physician or pharmacist.

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

cyclosporine (Gengraf, Neoral, Sandimmune);

St. John's wort;

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

an antifungal medication for example fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);

a barbiturate like phenobarbital (Solfoton);

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

HIV/AIDS medicine such as delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), and others;

rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or

seizure medication like carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), yet others.

You may be more prone to have hyperglycemia (high blood sugar) if you consider Prandin along with other drugs that raise blood sugar, including:

isoniazid;

diuretics (water pills);

steroids (prednisone while others);

phenothiazines (Compazine among others);

thyroid medicine (Synthroid while others);

birth control pills as well as other hormones;

seizure medicines (Dilantin among others); and

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

You may be prone to have hypoglycemia (low blood sugar) in the event you are taking other drugs that lower blood glucose levels, like:

probenecid (Benemid);

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, while 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 high a wide range of other medicines that may increase or say goodbye of Prandin on lowering your blood glucose levels. Using certain medicines can make it tougher for one to tell when you have low blood sugar. Tell your doctor 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 doctor.

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Precautions

Do not use Prandin in the event you are allergic to repaglinide, if you might have type 1 diabetes, or if you are in a state of diabetic ketoacidosis (call a medical expert for treatment with insulin). You should not use Prandin as well as gemfibrozil (Lopid) or NPH insulin (like isophane insulin).

Before taking repaglinide, tell your medical professional or pharmacist if you are allergic with it; or if you've some other allergies. This product could have inactive ingredients, which might cause allergic reactions or another problems. Talk to your pharmacist for more details. 

Before using this medication, tell your physician or pharmacist your medical history, especially of: kidney disease, liver disease.

You may go through blurred vision, dizziness, or drowsiness as a result of extremely low or high blood glucose levels. Do not drive, use machinery, or go activity that will require alertness or clear vision and soon you are sure you'll be able to perform such activities safely.

Limit alcohol while taking this medication because it can increase the potential risk of developing low blood sugar.

During points during the stress, such as fever, infection, injury, or surgery, it may be more difficult to manage your blood glucose levels. Consult your medical professional because increased stress may require a change in your treatment plan, medications, or blood sugar testing.

During pregnancy prescription drugs should provide only if clearly needed. Pregnancy might cause or worsen diabetes. Discuss a strategy with your doctor for managing your blood glucose in pregnancy. Your doctor may alter your diabetes treatment during your pregnancy. Discuss the risks and great things about different treatments (like diet, exercise, and medications including insulin).

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FDA pregnancy category C. It is not known whether Prandin will harm an baby. Tell your medical professional if you are pregnant or plan to conceive while using Prandin. It is not known whether repaglinide passes into breast milk or if maybe it's unhealthy for a nursing baby. You should not breast-feed while you consider Prandin.

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