Prandin (repaglinide) is definitely an oral diabetes medicine that can help control glucose levels. This medication lowers blood sugar levels by inducing the pancreas to generate insulin.
Prandin can be used in addition to exercise and dieting to help remedy type 2 diabetes. Other diabetes medicines are occasionally employed in conjunction with repaglinide as required.
Prandin may aso provide for purposes unpublished with this medication guide.
Take Prandin just as prescribed because of your doctor. Do not take in larger or smaller amounts or longer than recommended. Follow the directions on the prescription label.
Prandin is often taken three to five times daily, within 30 minutes before eating meals. Follow your physician's instructions. If you skip a meal, don't take on your dose of Prandin. Wait until your next meal.
Your blood sugar should be checked often, and you might need other blood tests for your doctor's office. Visit your doctor regularly.
Know signs of low blood glucose (hypoglycemia) and ways to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a method to obtain sugar for sale in case you've symptoms of low blood glucose. Sugar sources include orange juice, glucose gel, candy, or milk. If you've got severe hypoglycemia and can't eat or drink, readily injection of glucagon. Your doctor can give you a prescription to get a glucagon emergency injection kit and let you know how you can give the injection.
Also watch out for warning signs of blood glucose levels that's too much (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dried-out skin, blurred vision, and weight reduction.
Check your blood glucose carefully within a time of stress or illness, in case you travel, exercise more than usual, drink alcohol, or skip meals. These things could affect your glucose levels as well as your dose needs may also change.
Your doctor may wish you to definitely stop taking Prandin to get a short time if you get sick, use a fever or infection, or if you have surgery or a medical emergency.
Ask your doctor how you can adjust your Prandin dose as needed. Do not change your medication dose or schedule without your physician's advice.
Prandin is merely portion of a whole program of treatment that also includes diet, exercise, and weight management. Follow your diet, medication, and employ routines very closely. Changing some of these factors could affect your blood sugar.
Use Prandin regularly to find the most benefit. Get your prescription refilled before you run out of medicine completely.
Active ingredient: Repaglinide
Repaglinide is really 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 couple of mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.
Weight gain, diarrhea, and joint pain may occur. If some of these effects persist or worsen, notify your doctor or pharmacist promptly.
Remember that your medical professional has prescribed this medication while he or she gets judged that the profit to you is higher than the risk of unwanted side effects. Many people using this medication would not have serious side effects.
Repaglinide might cause low blood sugar levels (hypoglycemia) especially if you take other medicines for diabetes. Consuming bulk of alcohol, to not get enough calories from food, or doing unusually heavy exercise might also result in low blood sugar levels. Symptoms can include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tingling of the hands or feet, or hunger. It is often a good habit to transport glucose tablets or gel to help remedy low blood sugar. If you don't have these reliable types of glucose, raise your blood sugar levels quickly by eating an instant way to obtain sugar for example white sugar, honey, candy, or drinking a glass of fruit juice or non-diet soda. Check with your physician or pharmacist to determine list of positive actions if you miss a meal.
Symptoms of high blood glucose levels (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your doctor immediately. Your doctor might need to adjust your diabetes medication(s).
A much more severe hypersensitivity for this drug is rare. However, seek immediate medical help if you notice any of the following signs of a serious allergic attack: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete report on possible side effects. If you notice other effects unpublished above, contact your medical professional or pharmacist.
Tell your physician about other medications you have, 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 for example phenobarbital (Solfoton);
heart or blood pressure medication including diltiazem (Cartia, Cardizem), nicardipine (Cardene), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), yet others;
HIV/AIDS medicine including delavirdine (Rescriptor), efavirenz (Sustiva, Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), ritonavir (Norvir), among others;
rifabutin (Mycobutin), rifampin (Rifadin, Rifater, Rifamate), or rifapentine (Priftin); or
seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol), phenytoin (Dilantin), primidone (Mysoline), and others.
You may be more likely to have hyperglycemia (high blood sugar levels) if you take Prandin along with other drugs that raise blood glucose levels, like:
diuretics (water pills);
steroids (prednisone among others);
phenothiazines (Compazine yet others);
thyroid medicine (Synthroid yet others);
birth control pills and other hormones;
seizure medicines (Dilantin while others); and
diet pills or medicines to help remedy asthma, colds or allergies.
You could be more prone to have hypoglycemia (low blood sugar levels) should you take other drugs that lower blood sugar, like:
a blood thinner (warfarin, Coumadin);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin or another 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 where there are numerous other medicines that can increase or decrease the effects of Prandin on cutting your blood glucose. Using certain medicines can make it harder for you to tell when you've got low blood sugar levels. Tell your physician about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not begin a new medication without telling a medical expert.
Do not use Prandin if you are allergic to repaglinide, if you've got type 1 diabetes, or in the event 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 (such as isophane insulin).
Before taking repaglinide, tell your physician or pharmacist in the event you are allergic with it; or if you've another allergies. This product may contain inactive ingredients, which can cause hypersensitive reactions or any other problems. Talk to your pharmacist for more information.
Before using this medication, tell a medical expert or pharmacist your health background, 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 inflict activity that needs alertness or clear vision and soon you are sure you can perform such activities safely.
Limit alcohol while taking prescription drugs given it can increase the chance of developing low blood sugar levels.
During times of stress, for example fever, infection, injury, or surgery, it may be tougher to control your blood sugar. Consult your doctor because increased stress may require changing your treatment solution, medications, or blood sugar testing.
During pregnancy this medication should supply not until clearly needed. Pregnancy might cause or worsen diabetes. Discuss an agenda with your doctor for managing your blood sugar levels when pregnant. Your doctor may change your diabetes treatment during your pregnancy. Discuss the risks and advantages of 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 your doctor should you are pregnant or prefer to become pregnant while using Prandin. It is not known whether repaglinide passes into breast milk or if it may be bad for a nursing baby. You should not breast-feed while you take Prandin.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.