It works by stimulating the body to produce more insulin. Insulin is a natural substance that allows the body to properly use sugar from the diet.
How to use Repaglinide Read the Patient Information leaflet if one is available from your pharmacist before you start using repaglinide and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth 15 minutes before each meal, usually times daily depending on the number of meals or as directed by your doctor.
Take this drug no earlier than 30 minutes before the meal. You may also take it just before the meal if necessary. Do not take a dose of medication if you are skipping that meal or if your blood sugar is low. The dosage is based on your medical condition, response to treatment, and other medications you may be taking.
Be sure to tell your doctor and pharmacist about all the products you use including prescription drugs , nonprescription drugs, and herbal products. If you are changing from a different diabetes drug such as chlorpropamide to repaglinide, follow your doctor's directions carefully for stopping the old drug and starting this medication. Use this medication regularly as directed by your doctor in order to get the most benefit from it.
Carefully follow the medication treatment plan, meal plan, and exercise program your doctor has recommended. Check your blood sugar regularly as directed by your doctor. Keep track of the results, and share them with your doctor.
This is very important in order to determine the correct dose. Tell your doctor if your blood sugar measurements are too high or too low. Your treatment plan may need to be changed. What conditions does Repaglinide treat? Side Effects Weight gain, diarrhea , and joint pain may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
Many people using this medication do not have serious side effects. Repaglinide can cause low blood sugar hypoglycemia especially if you are taking other medicines for diabetes.
Consuming large quantities of alcohol, not getting enough calories from food, or doing unusually heavy exercise may also lead to low blood sugar. Symptoms may include chills, cold sweat, dizziness , drowsiness, shaking, fast heartbeat, weakness , headache , fainting , tingling of the hands or feet, or hunger. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you don't have these reliable forms of glucose, raise your blood sugar quickly by eating a quick source of sugar such as table sugar, honey, candy, or drinking a glass of fruit juice or non-diet soda.
Check with your doctor or pharmacist to find out what you should do if you miss a meal. 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 doctor right away. Your doctor may need to adjust your diabetes medication s. A very serious allergic reaction to this drug is rare. Repaglinide Teva is not recommended. It has not been studied in these age groups. Talk to your doctor if any of the above applies to you. Repaglinide Teva may not be suitable for you. Your doctor will advise you If you get a hypo You may get a hypo short for a hypoglycaemic reaction and is symptoms of low blood sugar if your blood sugar gets too low.
If you take too much Repaglinide Teva. If you exercise more than usual. If you take other medicines or suffer from liver or kidney problems see other sections of 2. Before you take Repaglinide Teva. The warning signs of a hypo may come on suddenly and can include: If your blood sugar is low or you feel a hypo coming on: When symptoms of hypoglycaemia have disappeared or when blood sugar levels are stabilised continue Repaglinide Teva treatment.
Tell people you have diabetes and thatif you pass out become unconscious due to a hypo, they must turn you on your side and get medical help straight away. They must not give you any food or drink. It could choke you. If severe hypoglycaemia is not treated, it can cause brain damage temporary or permanent and even death. If you have a hypo that makes you pass out, or a lot of hypos, talk to your doctor. The amount of Repaglinide Teva, food or exercise may need to be adjusted.
If your blood sugar gets too high Your blood sugar may get too high hyperglycaemia. If you take too little Repaglinide Teva. If you have an infection or a fever.
If you eat more than usual. If you exercise less than usual. The warning signs appear gradually. Talk to your doctor. The amount of Repaglinide, food or exercise may need to be adjusted. Taking other medicines You can take Repaglinide Teva with metformin, another medicine for diabetes, if your doctor prescribes it.
If you take gemfibrozil used to lower increased fat levels in the blood you should not take Repaglinide Teva. Monoamine oxidase inhibitors MAOI used to treat depression.
Elderly, debilitated, or malnourished patients, and those with adrenal, pituitary, hepatic, or severe renal insufficiency may be particularly susceptible to the hypoglycemic action of glucose-lowering drugs. Hypoglycemia may be difficult to recognize in the elderly and in people taking beta-adrenergic blocking drugs. Hypoglycemia is more likely to occur when caloric intake is deficient, after severe or prolonged exercise, when alcohol is ingested, or when more than one glucose-lowering drug is used.
Loss of Control of Blood Glucose: When a patient stabilized on any diabetic regimen is exposed to stress such as fever, trauma, infection, or surgery, a loss of glycemic control may occur.
The effectiveness of any hypoglycemic drug in lowering blood glucose to a desired level decreases in many patients over a period of time, which may be due to progression of the severity of diabetes or to diminished responsiveness to the drug. This phenomenon is known as secondary failure, to distinguish it from primary failure in which the drug is ineffective in an individual patient when the drug is first given.
Adequate adjustment of dose and adherence to diet should be assessed before classifying a patient as a secondary failure. They should also be informed about the importance of adherence to dietary instructions, of a regular exercise program, and of regular testing of blood glucose and HbA1c.
The risks of hypoglycemia, its symptoms and treatment, and conditions that predispose to its development and concomitant administration of other glucose-lowering drugs should be explained to patients and responsible family members.
Primary and secondary failure should also be explained. Patients who skip a meal or add an extra meal should be instructed to skip or add a dose for that meal. Laboratory tests Response to all diabetic therapies should be monitored by periodic measurements of fasting blood glucose and glycosylated hemoglobin levels with a goal of decreasing these levels towards the normal range.
During dose adjustment, fasting glucose can be used to determine the therapeutic response. Thereafter, both glucose and glycosylated hemoglobin should be monitored. Glycosylated hemoglobin may be especially useful for evaluating long-term glycemic control. Postprandial glucose level testing may be clinically helpful in patients whose pre-meal blood glucose levels are satisfactory but whose overall glycemic control HbA1c is inadequate. The effect may be very significant if both enzymes are inhibited at the same time resulting in a substantial increase in repaglinide plasma concentrations.
Drugs that are known to inhibit CYP3A4 include antifungal agents like ketoconazole, itraconazole, and antibacterial agents like erythromycin. Drugs that are known to inhibit CYP2C8 include agents like trimethoprim, gemfibrozil and montelukast. In vivo data from a study that evaluated the co-administration of a cytochrome P enzyme 3A4 inhibitor, clarithromycin, with PRANDIN resulted in a clinically significant increase in repaglinide plasma levels.
In addition, an increase in repaglinide plasma levels was observed in a study that evaluated the co-administration of PRANDIN with trimethoprim, a cytochrome P enzyme 2C8 inhibitor. In vivo data from a study that evaluated the co-administration of gemfibrozil with PRANDIN in healthy subjects resulted in a significant increase in repaglinide blood levels.
0.5mg Do not share this medication with others. Possible side effects Common: How to use Repaglinide Read the Patient Information leaflet if one is available from your pharmacist before you start using repaglinide and each time you get a refill. Because animal reproduction studies are not always predictive of human response, PRANDIN should be used during pregnancy only if it is clearly needed. Known hypersensitivity teva the drug or its inactive ingredients. Tell your doctor if you have recently taken or 0.5mg planning to take any of repaglinide medicines, or any medicines obtained without a prescription. How to store Repaglinide tablets 6. Hypoglycemia is more likely to occur when caloric intake is deficient, after achat cialis original ligne or prolonged exercise, when alcohol is ingested, or when more than one glucose-lowering drug is used. Thyroid products used to treat low levels of thyroid hormones, repaglinide teva 0.5mg. Information last revised February The warning signs of a hypo may come on suddenly teva can include: Judgments should be based on regular clinical and laboratory evaluations. Ask your doctor or pharmacist about repaglinide these products safely, repaglinide teva 0.5mg. What should I know regarding pregnancy, nursing and administering Repaglinide to children or the elderly?
Check with your doctor repaglinide you are not sure. You should not 0.5mg Repaglinide Teva teva you are breast-feeding. If you teva taking Repaglinide Teva Be aware that the desired effect is not achieved if you stop taking Repaglinide Teva. Cross fostering studies indicated that skeletal changes see Nonteratogenic effects could be induced in control pups nursed by treated dams, although this occurred to a lesser degree than 0.5mg pups treated in utero. If any of 0.5mg effects persist or worsen, notify your doctor or pharmacist promptly. Repaglinide must not give you any food or drink. Limit repaglinide while taking this medication because it can increase the risk of developing low blood sugar, repaglinide teva 0.5mg. ACE-inhibitors used to treat heart conditions. Sympathomimetics used to treat asthma.
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