| Glucophage
(Metformin) is used to treat a type of diabetes mellitus (sugar
diabetes) called type 2 diabetes. With this type of diabetes insulin
produced by the pancreas is not able to get sugar into the cells
of the body where it can work properly.
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About Glucophage (Metformin):
Product Type: Diabetes
Brand name: Glucophage
Generic name: Metformin What is the most important information I
should know about Glucophage? • Do not use Glucophage if you have
kidney disease or congestive heart failure or if you are in a state
of diabetic ketoacidosis (call your doctor for treatment with insulin).
• Before taking Glucophage tell your doctor if you have liver disease
or a history of heart disease. • Some people have developed a life-threatening
condition called lactic acidosis while taking Glucophage. Get emergency
medical help if you have any of these symptoms of lactic acidosis:
weakness increasing sleepiness slow heart rate cold feeling muscle
pain shortness of breath stomach pain feeling light-headed and fainting.
• If you need to have any type of x-ray or CT scan using a dye that
is injected into a vein you may need to temporarily stop taking
Glucophage. Be sure the surgeon knows ahead of time that you are
using this medicaton. • Know the signs of low blood sugar (hypoglycemia)
and how to recognize them including hunger headache confusion irritability
drowsiness weakness dizziness tremors sweating fast heartbeat seizure
(convulsions) fainting or coma (severe hypoglycemia can be fatal).
Always keep a source of sugar available in case you have symptoms
of low blood sugar. What is Glucophage? • Glucophage is an oral
diabetes medicine that helps control blood sugar levels. • Glucophage
is for people with type 2 diabetes who do not use daily insulin
injections. This medication is not for treating type 1 diabetes.
• Glucophage may also be used for purposes other than those listed
in this medication guide. What should I discuss with my healthcare
provider before taking Glucophage? • Some people have developed
a life-threatening condition called lactic acidosis while taking
Glucophage. Get emergency medical help if you have any of these
symptoms of lactic acidosis: weakness increasing sleepiness slow
heart rate cold feeling muscle pain shortness of breath stomach
pain feeling light-headed and fainting. • You may be more likely
to develop lactic acidosis if you have congestive heart failure.
• Do not use Glucophage if you have kidney disease or congestive
heart failure or if you are in a state of diabetic ketoacidosis
(call your doctor for treatment with insulin). • Before taking this
medication tell your doctor if you have: liver disease; or a history
of heart disease. • If you have any of these conditions you may
not be able to use Glucophage or you may need a dosage adjustment
or special tests during treatment. • FDA pregnancy category B. This
medication is not expected to be harmful to an unborn baby. Tell
your doctor if you are pregnant or plan to become pregnant during
treatment. • It is not known whether Glucophage passes into breast
milk or if it could harm a nursing baby. Do not take Glucophage
without first talking to your doctor if you are breast-feeding a
baby. • Older adults may have a higher risk of developing lactic
acidosis. Talk with your doctor about your individual risk. • Glucophage
should not be given to a child younger than 10 years old. Extended-release
Glucophage (Glucophage XR) should not be given to a child younger
than 17 years old. How should I take Glucophage? • Take this medication
exactly as it was prescribed for you. Do not take the medication
in larger or smaller amounts or take it for longer than recommended
by your doctor. Your doctor may occasionally change your dose to
make sure you get the best results from this medication. • Take
Glucophage once daily with your evening meal unless your doctor
tells you otherwise. • Glucophage is only part of a complete program
of treatment that also includes diet exercise and weight control.
It is important to use this medicine regularly to get the most benefit.
Get your prescription refilled before you run out of medicine completely.
• Do not crush chew or break an extended-release tablet (Glucophage
XR). Swallow the pill whole. It is specially made to release medicine
slowly in the body. Breaking the pill would cause too much of the
drug to be released at one time. • To be sure this medication is
helping your condition your blood will need to be tested on a regular
basis. Your kidney function may also need to be tested. It is important
that you not miss any scheduled visits to your doctor. • Your medication
needs may change if you become sick or injured if you have a serious
infection or if you have any type of surgery. Your doctor may want
you to stop taking Glucophage for a short time if any of these situations
affect you. • Take care not to let your blood sugar get too low
causing hypoglycemia. You may have hypoglycemia if you skip a meal
exercise too long drink alcohol or are under stress. • Know the
signs of low blood sugar (hypoglycemia) and how to recognize them:
hunger headache confusion irritability; drowsiness weakness dizziness
tremors; sweating fast heartbeat; seizure (convulsions); or fainting
coma (severe hypoglycemia can be fatal). • Always keep a source
of sugar available in case you have symptoms of low blood sugar.
Sugar sources include orange juice glucose gel candy or milk. If
you have severe hypoglycemia and cannot eat or drink use an injection
of glucagon. Your doctor can give you a prescription for a glucagon
emergency injection kit and tell you how to give the injection.
• Your doctor may have you take extra vitamin B12 while you are
taking Glucophage. Take only the amount of vitamin B12 that your
doctor has prescribed. • If you need to have any type of x-ray or
CT scan using a dye that is injected into a vein you may need to
temporarily stop taking Glucophage. Be sure the surgeon knows ahead
of time that you are using this medicaton. • Store Glucophage at
room temperature away from moisture heat and light. What happens
if I miss a dose? • Take the missed dose as soon as you remember
(be sure to take the medicine with food). If it is almost time for
your next dose skip the missed dose and take the medicine at the
next regularly scheduled time. Do not take extra medicine to make
up the missed dose. What happens if I overdose? • Seek emergency
medical attention if you think you have used too much of this medicine.
You may have signs of low blood sugar such as hunger headache confusion
irritability drowsiness weakness dizziness tremors sweating fast
heartbeat seizure (convulsions) fainting or coma. • An overdose
of Glucophage may cause a life-threatening condition called lactic
acidosis. Get emergency medical help if you have any of these symptoms
of lactic acidosis: weakness increasing sleepiness slow heart rate
cold feeling muscle pain shortness of breath stomach pain feeling
light-headed and fainting. What should I avoid while taking Glucophage?
• Avoid drinking alcohol while taking Glucophage. Alcohol lowers
blood sugar and may increase the risk of lactic acidosis while you
are taking this medicine. What are the possible side effects of
Glucophage? • Get emergency medical help if you have any of these
symptoms of lactic acidosis: weakness increasing sleepiness slow
heart rate cold feeling muscle pain shortness of breath stomach
pain feeling light-headed and fainting. • Stop using Glucophage
and get emergency medical help if you have any of these signs of
an allergic reaction: hives; difficulty breathing; swelling of your
face lips tongue or throat. • Call your doctor at once if you have
any of these serious side effects: feeling short of breath even
with mild exertion; swelling or rapid weight gain; or fever chills
body aches flu symptoms. • Other less serious side effects may be
more likely to occur such as: headache; weakness; mild nausesa vomiting
diarrhea gas stomach pain; or muscle pain. • Side effects other
than those listed here may also occur. Talk to your doctor about
any side effect that seems unusual or that is especially bothersome.
What other drugs will affect Glucophage? • You may be more likely
to have hyperglycemia (high blood sugar) if you are taking Glucophage
with other drugs that raise blood sugar. Drugs that can raise blood
sugar include: isoniazid; diuretics (water pills); steroids (prednisone
and others); phenothiazines (Compazine and others); thyroid medicine
(Synthroid and others); birth control pills and other hormones;
seizure medicines (Dilantin and others); and diet pills or medicines
to treat asthma colds or allergies. • You may be more likely to
have hypoglycemia (low blood sugar) if you are taking Glucophage
with other drugs that lower blood sugar. Drugs that can lower blood
sugar include: nonsteroidal anti-inflammatory drugs (NSAIDs); aspirin
or other salicylates (including Pepto-Bismol); sulfa drugs (Bactrim
and others); a monoamine oxidase inhibitor (MAOI); beta-blockers
(Tenormin and others); probenecid (Benemid); or a blood thinner
(warfarin Coumadin and others). • Some medications may interact
with Glucophage. Tell your doctor if you are using any of the following
drugs: furosemide (Lasix); nifedipine (Adalat Procardia); cimetidine
(Tagamet) or ranitidine (Zantac); amiloride (Midamor) or triamterene
(Dyrenium); digoxin (Lanoxin); morphine (MS Contin Kadian Oramorph);
procainamide (Procan Pronestyl Procanbid); quinidine (Cardioquin
Quinidex Quinaglute); trimethoprim (Proloprim Primsol Bactrim Cotrim
Septra); or vancomycin (Vancocin Lyphocin). • If you are using any
of these drugs you may not be able to take Glucophage or you may
require a dosage adjustment or special monitoring. • There may be
other drugs not listed that can affect Glucophage. Tell your doctor
about all the prescription and over-the-counter medications you
use. This includes vitamins minerals herbal products and drugs prescribed
by other doctors. Do not start using a new medication without telling
your doctor.
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Errors and Omissions. We are not responsible for any typographical errors or inaccuracies set forth in this website. The information, prices, and discounts set forth herein are subject to change without notice.
Product Fulfilment : The pharmacy / Fulfilment Centre cannot be held liable for the accuracy of the diagnosis, treatment or medication prescribed or the correct use of products supplied. It lies on the purchaser to use any products supplied under the guidance of a physician.
Product Quality. The Pharmacy / Fulfilment Centre is responsible for ensuring that the correct product, in the correct amount and the correct strength is supplied to the correct patient. Product liability lies solely with the manufacturer.
World Drug News. Government funding crisis in Swaziland disrupts supply of HIV/AIDS supplies. "An acute government funding crisis in Swaziland, Africa's last absolute monarchy, is disrupting supplies of HIV/AIDS drugs and hampering the fight against the virus in the country with the world's highest infection rate, Medecins Sans Frontieres (MSF) said Friday," Reuters reports. "Stocks of testing kits and related chemicals were 'almost dry,' making it next-to-impossible to chart the progress of the 70,000 patients on therapy or more than 130,000 other people carrying the virus, the aid agency said," according to Reuters.
"With 26 percent of its adult population, or more than 200,000 people infected, Swaziland ranks as the most AIDS-affected country," Reuters writes (Cropley, (9/9). In related news, a new report from Swaziland's government "has found that more than half of [30,000 Swazis, mostly women, working] in Swaziland's garment industry are living with HIV, and officials are realizing that the once-hailed promise of manufacturing employment has become a financial and medical nightmare for tens of thousands of Swazi women," PlusNews reports (8/11).
This article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.
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