DIABETES

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  • ACTOPLUS MET

    $1.00

    Drug Name

    Actoplus Met (Pioglitazone/Metformin)

    Drug Uses

    Actoplus Met is used for treating type 2 diabetes. It is used along with diet and exercise. It may be used alone or with other antidiabetic medicines.

    How to use

    Use Actoplus Met as directed by your doctor. Check the label on the medicine for exact dosing instructions.
    An extra patient leaflet is available with Actoplus Met . Talk to your pharmacist if you have questions about this information.
    Take Actoplus Met by mouth with meals.
    Take Actoplus Met on a regular schedule to get the most benefit from it. Taking Actoplus Met at the same times each day will help you remember to take it.
    Continue to take Actoplus Met even if you feel well. Do not miss any doses.

    Drug Class and Mechanism

    Actoplus Met is a biguanide and thiazolidinedione antidiabetic combination. It works by decreasing the amount of sugar the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce.

    Missed Dose

    If you miss a dose of Actoplus Met , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Storage

    Store this medicine at room temperature at 77 degrees F (25 degrees C) in a tightly-closed container, away from heat, moisture, and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted.

    Warnings/Precautions

    Do NOT use Actoplus Met if:
    you are allergic to any ingredient in Actoplus Met
    you have type 1 diabetes
    you have moderate to severe heart failure
    you have a severe infection, low blood oxygen levels, kidney or liver problems, or high blood ketone or acid levels (eg, diabetic ketoacidosis), or you are severely dehydrated
    you have had a stroke or a recent heart attack, or you are in shock
    you are 80 years old or more and have not had a kidney function test
    you will be having surgery or certain lab procedures
    you have a history of liver problems, including jaundice (yellowing of the skin or eyes), during therapy with a similar medicine called troglitazone

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Actoplus Met . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
    if you are pregnant, planning to become pregnant, or are breast-feeding
    if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    if you have allergies to medicines, foods, or other substances
    if you have a history of heart problems (eg, heart failure), abnormal liver function tests, lung or breathing problems, thyroid problems, stomach or bowel problems (eg, paralysis, blockage), adrenal or pituitary problems, eye or vision problems (eg, macular degeneration), bladder cancer, or lactic acidosis
    if you have fluid retention or swelling problems, vomiting, diarrhea, poor health or nutrition, low blood calcium or vitamin B12 levels, or anemia, or if you are dehydrated
    if you have an infection, fever, recent injury, or moderate to severe burns
    if you have a history of bone fracture, weak bones (eg, osteoporosis), or low calcium intake
    if you drink alcohol or have a history of alcohol abuse
    if you will be having surgery or certain lab procedures
    if you take a beta-blocker (eg, propranolol)
    Some MEDICINES MAY INTERACT with Actoplus Met . Tell your health care provider if you are taking any other medicines, especially any of the following:
    Amiloride, cimetidine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin because they may increase the risk of Actoplus Met ‘s side effects
    Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), insulin, isoniazid, nicotinic acid, oral antidiabetics (eg, glipizide), phenothiazines (eg, chlorpromazine), phenytoin, sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid hormones (eg, levothyroxine) because the risk of high or low blood sugar may be increased
    Gemfibrozil because it may increase the risk of Actoplus Met ‘s side effects
    Rifampin because it may decrease Actoplus Met ‘s effectiveness, resulting in high blood sugar
    Anticoagulants (eg, warfarin) because their effectiveness may be decreased or the risk of their side effects may be increased by Actoplus Met

    Possible Side Effects

    All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
    Cold-like symptoms; diarrhea; headache; indigestion; mild weight gain; nausea; stomach upset.

    Seek medical attention right away if any of these SEVERE side effects occur:
    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; bone pain; chest pain or discomfort; dark urine; difficult or painful urination; dizziness or lightheadedness; fainting; fast or difficult breathing; feeling of being unusually cold; general feeling of being unwell; muscle pain or weakness; pale stools; persistent loss of appetite; severe or persistent headache, nausea, or vomiting; shortness of breath; slow or irregular heartbeat; sudden unexplained weight gain; swelling of the hands, ankles, or feet; unusual stomach pain or discomfort; unusual drowsiness; unusual tiredness or weakness; yellowing of the eyes or skin.

    More Information

    If you have any questions about Actoplus Met , please talk with your doctor, pharmacist, or other health care provider.
    Actoplus Met is to be used only by the patient for whom it is prescribed. Do not share it with other people.
    If your symptoms do not improve or if they become worse, check with your doctor.
    If using Actoplus Met for an extended period of time, obtain refills before your supply runs out.

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  • ACTOS

    $1.00

    Common use

    Actos is used to control high blood sugar in type 2 diabetes (non-insulin-dependent diabetes mellitus). This form of the illness is usually caused by inability of the body to respond correctly to insulin: either the body does not produce enough insulin or the cells ignore the insulin. Insulin is the natural hormone that helps to transfer sugar out of the blood and into the cells, where it is metabolized to energy. Actos works by improving the response of the body to insulin, rather than increasing its insulin output. Actos also reduces the production of unneeded sugar in the liver.
    It is possible to use Actos (and rosiglitazone maleate as well) alone or together with insulin injections or other oral diabetes medications such as glipizide, glyburide, metformin hydrochloride.

    Dosage and directions

    Take this medication by mouth, with or without food, usually one time a day. Follow all directions of your health care advisor as dosage is based on your medical condition, possible reaction to therapy, and can be corrected if you are treated by other anti-diabetic medications. Take this drug each time the same day as this way you will get the most benefit from it. Regularly monitor blood glucose levels. It may take up to 2 to 3 months before the full benefit is realized. Take all other medications for diabetes according to recommendations of your doctor.

    Precautions

    Before taking Actos, tell your doctor or pharmacist if you are allergic to it; if you are allergic to other “glitazones” (such as rosiglitazone, troglitazone); or if you have any other types of allergy. Do not use Actos if you have certain medical conditions. Before starting treatment with Actos, notify you doctor or pharmacist if you have: type 1 diabetes (insulin-dependent diabetes), heart failure (acute congestive heart failure) either newly diagnosed or worsening, dangerously high blood glucose (diabetic ketoacidosis), liver dysfunctions. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (chronic congestive heart failure), liver problems, fluid in your lungs, swelling (edema), anemia. Extremely low or high blood sugar levels may cause blurred vision, dizziness, or drowsiness; be cautious engaging in activities requiring alertness for example driving or operating machinery. Limit alcohol as much as possible when you are treated with this medication because it can increase the risk of developing hypoglycemia. If you have fever, infection, injury or surgery, it may complicate controlling of your blood sugar. Consult your doctor, as you may need correction of dose or a change in your medication may be required. Women with certain fertility problems may have changes in the menstrual cycle (ovulation) taking this medication. Consult your doctor or pharmacist about prescription of reliable contraception while you are taking Actos. This medication should be used in pregnant women only in life threating conditions. Discuss its risks and benefits with your physician. If you are pregnant your doctor may substitute insulin for Actos. Follow all instructions carefully. There are no reports whether this drug excretes with breast milk. Breastfeeding is not advised while using this drug. Before starting breastfeeding consult your physician.

    Possible side effects

    Actos side effects include rapid heartbeat, sweating, confusion, blurred vision, headache, numbness or tingling of the mouth, weakness,shakiness, dizziness, tiredness, paleness and sudden hunger.

    Missed dose

    If you miss a dose, take it as soon as you remember unless just a few hours remained till your next dose. Skip the missed dose and return to the dosing schedule in case it is near the time of the next dose. Do not double the dose to make up the dose you missed.

    Overdose

    Seek emergency medical attention if you think you have taken too much of this medicine. You may have signs of low blood sugar, such as hunger, weakness, dizziness, headache, irritability, drowsiness, fainting, sweating, confusion, tremors, fast heartbeat, seizure (convulsions), or coma.

    Drug interactions

    Inform your health care advisor if you are taking any other anti-diabetic medications (insulin, metformin, or sulfonylureas such as glyburide), herbal/natural products (fenugreek, ginseng, gymnema). This medication is able to decrease the effectiveness of certain contraceptives which may result in pregnancy. Take care about additional form of reliable birth control while using Actos. Do not begin or discontinue an intake of any medicine without doctor or pharmacist approval.

    Storage

    Store at room temperature in a tight container, away from moisture and humidity.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information on the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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  • Amaryl 4mg

    $1.00

    Common use
    Amaryl is an oral blood sugar-lowering drug which belongs to the class of sulfonylureas. Active substance is Glimepiride. It is used together with diet and exercise to treat type 2 (non-insulin dependent) diabetes. The mechanism of its action is to stimulate the secretion and release of insulin from beta cells of the pancreas (pancreatic effect). Amaryl is used to treat non-insulin depending diabetes (type 2) as monotherapy or in combination with insulin (or metformin).

    Dosage and direction

    The best dose is determined by a physician on a basis of regular measurements of blood sugar content.

    Precautions

    Be careful your sugar does not fall too low due to stress, skipping a meal, exercising too long, or drinking alcohol. Know signs of hypoglycemia and keep a source of sugar at hand. If your sugar level is too high you may feel very thirsty or hungry. You may also urinate more than usual. Take this medication exactly as prescribed as it is a part of a complicated program consisting of diet, medication, and exercise routines. Tell your doctor if you are pregnant or plan to become pregnant, have adrenal or pituitary gland problems before taking this medication.

    Contraindication

    Amaryl is contraindicated in patients with history of diabetic ketoacidosis, diabetic coma and prekoma, insulin-dependent diabetes (type 1), severe renal dysfunction, severe hepatic impairment, individual hypersensitivity to Amaryl, other members of sulfonylurea class and sulfonamides.

    Possible side effect

    If you have any signs of allergic reaction to this medication such as hives, swelling of face and throat, rash or other major symptoms (severe skin rash, itching, redness, pale skin, easy bruising or bleeding, numbness, dark urine, clay-colored stools, abdominal pain, fever, nausea)seek for immediate medical help.

    Drug interaction

    Diuretics like hydrochlorothiazide (Hydrodiuril, Ezide, Hydro-Par, Microzide, furosemide (Lasix)), corticosteroids such as prednisone and methylprednisolone (Medrol), phenytoin (Dilantin), niacin, and sympathomimetics such as pseudoephedrine (Sudafed) are able to increase blood sugar and diminish effect of Amaryl. Propranolol (Inderal) and atenolol (Tenormin) belong to beta-blockers and also are able to affect blood levels and decrease activity of Amaryl.

    Missed dose

    Take the missed dose as soon as you remember about it. If it is almost time of your next dose just skip it and return to your regular schedule.

    Overdose

    Immediate medical attention is needed in case you took too much medicine. Possible side effects include: extreme weakness, confusion, blurred vision, stomach pain, trouble speaking, tremors, sweating, seizure, and coma.

    Storage

    Store at room temperature in a tight container and keep away from sunlight, moisture, kids and pets.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information on the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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  • Avapro 300mg

    $1.66

    Common use

    Antihypertensive drug, antagonist of angiotensin receptors II. It specifically and irreversibly blocks receptors of angiotensin which leads to diminishing of biological effects of angiotensin II. Angiotensin II effects include vasoconstriction and stimulating influence on excretion of aldosterone and activation of sympathetic nervous system. As a consequence arterial pressure diminishes and the heart does not have to work as hard to pump blood. It does not influence concentration or triglycerides, content of cholesterol, glucose, uric acid in blood plasma and excretion of uric acid with urine.

    Dosage and direction

    Initial dose is 150 mg and it can be increased up to 300 mg on necessity. In some cases as low chloride diet, treatment with certain diuretics and others initial dose size should be smaller. Avapro is taken once a day preferably at the same time.

    Precautions

    It should be administered with kidney or liver failure, congestive heart failure, after strong vomit or diarrhea and also during simultaneous treatment with potassium saving diuretics or medications containing potassium. This drug causes serious harm to unborn baby (possibly death) if it is administered and used during the last six months of pregnancy.

    Contraindications

    Pregnancy, infancy, hypersensitivity to Avapro.

    Possible side effect

    The most common side effects include diarrhea, abdominal pain or heartburn. In case you experience allergic reaction to the medication (fever, difficult breathing, hives) contact your doctor. Avapro can cause a condition that results in the breakdown of skeletal muscle tissue and then in kidney failure. Also call your doctor if you have muscle pain, tenderness, or weakness especially if you also have vomiting, and dark colored urine, difficult urination.

    Drug interaction

    No important drug interactions were described for this medication. At simultaneous intake with potassium-saving diuretics level of potassium may be increased in blood plasma.

    Missed dose

    Never take a double dose of this medication. If it is almost time of the next dose just skip the missed portion and continue to take the medicine according to the schedule.

    Overdose

    Immediate medical help is needed in case of overdose which symptoms include fast or slow heartbeat, dizziness.

    Storage

    Tablets should be stored at room temperature, 15-30 C (59-86 F).

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information on the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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  • COZAAR 50mg

    $1.00

    INDICATIONS

    Cozaar is used for treating high blood pressure alone or with other medicines. It is used in certain patients to decrease the risk of stroke. It is used in certain patients to treat kidney problems caused by diabetes (diabetic nephropathy). Cozaar is an angiotensin II receptor blocker (ARB). It works by relaxing blood vessels. This helps to lower blood pressure.

    INSTRUCTIONS 

    Use Cozaar as directed by your doctor.

    • Take Cozaar by mouth with or without food.
    • Take Cozaar on a regular schedule to get the most benefit from it. Taking Cozaar at the same time each day will help you remember to take it.
    • Continue to take Cozaar even if you feel well. Do not miss any dose.
    • If you miss a dose of Cozaar, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Ask your health care provider any questions you may have about how to use Cozaar.

    STORAGE

    Store Cozaar at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Cozaar out of the reach of children and away from pets.

    MORE INFO:

    Active Ingredient: Losartan potassium.

    SAFETY INFORMATION

    Do NOT use Cozaar if:

    • you are allergic to any ingredient in Cozaar
    • you are in your second or third trimester of pregnancy
    • the patient is a child with severe kidney problems.

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Cozaar. Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:

    • if you are pregnant, planning to become, or are breast-feeding
    • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    • if you have allergies to medicines, foods, or other substances
    • if you are able to become pregnant
    • if you have a history of angioedema (swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness), including angioedema caused by treatment with an angiotensin-converting enzyme (ACE) inhibitor (eg, lisinopril)
    • if you have a history of heart problems (eg, heart failure), blood vessel problems, blood flow problems, liver or kidney problems, or diabetes
    • if you have a history of stroke or recent heart attack
    • if you are dehydrated or have low blood volume
    • if you have electrolyte problems (eg, high blood potassium levels, low blood sodium levels) or are on a low-salt (sodium) diet
    • if you are on dialysis or are scheduled to have major surgery.

    Some medicines may interact with Cozaar. Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood pressure may be increased
    • Potassium-sparing diuretics (eg, spironolactone, triamterene) or potassium supplements because the risk of high blood potassium levels may be increased
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, indomethacin, celecoxib) or rifampin because they may decrease Cozaar’s effectiveness
    • Lithium because the risk of its side effects may be increased by Cozaar.

    This may not be a complete list of all interactions that may occur. Ask your health care provider if Cozaar may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

    Important safety information:

    • Cozaar may cause dizziness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Cozaar with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
    • Cozaar may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
    • Cozaar may cause a serious side effect called angioedema. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes throat, or tongue; difficulty swallowing or breathing; or hoarseness.
    • Cozaar may not work as well to reduce the risk of stroke in black patients. Discuss any questions or concerns with your doctor.
    • Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. Contact your health care provider at once if any of these occur.
    • Check with your doctor before you use a salt substitute or a product that has potassium in it.
    • Tell your doctor or dentist that you take Cozaar before you receive any medical or dental care, emergency care, or surgery.
    • Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel “normal.” Tell your doctor if you develop any new symptoms.
    • If you have high blood pressure, do not use nonprescription products that contain stimulants. These products may include diet pills or cold medicines. Contact your doctor if you have any questions or concerns.
    • Diabetes patients- This may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
    • Lab tests, including blood pressure, blood electrolyte levels, and heart, kidney, or liver function, may be performed while you use Cozaar. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
    • Cozaar should not be used in children younger 6 years; safety and effectiveness in these children have not been confirmed.
    • Pregnancy and breast-feeding: Cozaar may cause birth defects or fetal death if you take it while you are pregnant. If you think you may be pregnant, contact your doctor right away. It is not known if Cozaar is found in breast milk. Do not breastfeed while taking Cozaar.

    SIDE EFFECTS

    All medicines may cause side effects, but many people have no, or minor, side effects.

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Diarrhea; dizziness; tiredness.

    Seek medical attention right away if any of these severe side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; hoarseness); change in the amount of urine produced; chest pain; dark urine; difficulty swallowing; fast, slow, or irregular heartbeat; muscle pain or cramps; severe or persistent stomach pain (with or without nausea or vomiting); symptoms of low blood pressure (eg, fainting, severe dizziness, lightheadedness); unusual bruising or bleeding; vision changes; yellowing of the eyes or skin.

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider

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  • Diabecon 60caps

    $45.00

    Diabecon promotes glucose utilization and helps maintain normal blood sugar levels. It helps maintain healthy triglycerides and cholesterol levels.

    INSTRUCTIONS

    Take 2 tablets twice daily, 30 minutes before meals on an empty stomach. Not intended as a substitute for blood sugar level testing or professional medical care. If needed, may increase to 2 tablets three times daily. Natural products treat not just the symptoms but the body as a whole and take time for absorption and results.

    If you miss a dose of this medicine and you are using it regularly, take it as soon as possible. Do not take 2 doses at once.

    DOSAGE

    2 tablets twice daily, 30 minutes before meals on an empty stomach. If needed, may increase to 2 tablets three times daily.

    STORAGE

    Store at the room temperature away from moisture and sunlight. Keep out of reach of children.

    SAFETY INFORMATION

    There are no warnings or precautions for Diabecon usage.

    SIDE EFFECTS

    Diabecon tablets are not known to have any side effects if taken as per the prescribed dosage.

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  • Duetact 30mg

    $0.99

    Drug Name

    Duetact (Glimepiride/Pioglitazone)

    Drug Uses

    Duetact is used for treating type 2 diabetes in certain patients. It is used along with diet and exercise.

    How to use

    Use Duetact as directed by your doctor. Check the label on the medicine for exact dosing instructions.

    An extra patient leaflet is available with Duetact . Talk to your pharmacist if you have questions about this information.

    Take Duetact by mouth with breakfast or the first main meal of the day unless instructed otherwise by your doctor. Continue to take Duetact even if you feel well. Do not miss any doses.

    Taking Duetact at the same time each day will help you remember to take it.

    Drug Class and Mechanism

    Duetact is a thiazolidinedione and sulfonylurea antidiabetic combination. It lowers blood sugar by making the cells of the body more sensitive to the action of insulin. It also causes the pancreas to release insulin, which helps to lower blood sugar.

    Missed Dose

    If you miss a dose of Duetact , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Storage

    Store Duetact at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Duetact out of the reach of children and away from pets.

    Warnings/Precautions

    Do NOT use Duetact if:
    you are allergic to any ingredient in Duetact
    you have moderate to severe heart failure, liver problems or abnormal liver function tests, certain severe problems associated with diabetes (eg, diabetic ketoacidosis, diabetic coma), moderate to severe burns, or very high blood acid levels (acidosis)
    you have type 1 diabetes
    you are taking bosentan

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Duetact . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
    if you are pregnant, planning to become pregnant, or are breast-feeding
    if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    if you have allergies to medicines, foods, or other substances
    if you have had a severe allergic reaction (eg, severe rash, hives, breathing difficulties, dizziness) to any other sulfonamide medicine such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), glipizide, probenecid, sulfamethoxazole, valdecoxib, or zonisamide
    if you have a history of kidney, thyroid, heart, or blood vessel problems; stroke; certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]); or low blood sodium levels
    if you have stomach or bowel problems (eg, stomach or bowel blockage, stomach paralysis), drink alcohol, or have had poor nutrition
    if you have very poor health, a high fever, a severe infection, severe diarrhea, or high blood acid levels, or if you have had a severe injury
    if you have swelling problems (edema) or certain eye problems (macular edema)
    if you will be having surgery

    Some MEDICINES MAY INTERACT with Duetact . Tell your health care provider if you are taking any other medicines, especially any of the following:
    Bosentan because liver problems may occur, and the effectiveness of both medicines may be decreased
    Beta-blockers (eg, propranolol) because the risk of low blood sugar may be increased. They may also hide certain signs of low blood sugar and make it more difficult to notice
    Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), azole antifungals (eg, miconazole, ketoconazole), chloramphenicol, clofibrate, fenfluramine, insulin, metformin, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), phenylbutazone, probenecid, quinolone antibiotics (eg, ciprofloxacin), salicylates (eg, aspirin), and sulfonamides (eg, sulfamethoxazole) because the risk of low blood sugar may be increased
    Calcium channel blockers (eg, diltiazem), corticosteroids (eg, prednisone), decongestants (eg, pseudoephedrine), diazoxide, diuretics (eg, furosemide, hydrochlorothiazide), estrogens, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, promethazine), phenytoin, rifamycins (eg, rifampin), sympathomimetics (eg, albuterol, epinephrine), or thyroid supplements (eg, levothyroxine) because they may decrease Duetact ‘s effectiveness, resulting in high blood sugar
    Gemfibrozil because blood sugar may be increased or decreased
    Anticoagulants (eg, warfarin) because their effectiveness may be decreased or the risk of their side effects may be increased by Duetact

    Possible Side Effects

    All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
    Diarrhea; headache; limb pain; muscle aches; nausea; upper respiratory tract infection; weight gain.

    Seek medical attention right away if any of these SEVERE side effects occur:
    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; chest pain; confusion; fever, chills, or sore throat; increased or painful urination; irregular heartbeat; symptoms of heart failure (eg, shortness of breath; sudden unexplained weight gain; swelling of the hands, ankles, or feet); symptoms of liver problems (eg, dark urine, severe or persistent nausea, stomach pain, unexplained vomiting or loss of appetite, yellowing of the skin or eyes); symptoms of low blood sugar (eg, anxiety, chills, dizziness or drowsiness, headache, increased hunger, increased sweating, tremors); unusual bone pain; unusual bruising or bleeding; unusual tiredness or weakness.

    More Information

    If you have any questions about Duetact , please talk with your doctor, pharmacist, or other health care provider.
    Duetact is to be used only by the patient for whom it is prescribed. Do not share it with other people.
    If your symptoms do not improve or if they become worse, check with your doctor.

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  • Forxiga 10mg

    $3.00

    Drug Name

    Forxiga (Dapagliflozin)

    Drug Uses

    Forxiga is indicated in adults aged 18 years and older with type 2 diabetes mellitus to improve glycaemic control as:

    Monotherapy

    When diet and exercise alone do not provide adequate glycaemic control in patients for whom use of metformin is considered inappropriate due to intolerance.

    Add-on combination therapy

    In combination with other glucose-lowering medicinal products including insulin, when these, together with diet and exercise, do not provide adequate glycaemic control (see sections 4.4, 4.5 and 5.1 for available data on different combinations).

    Drug Class and Mechanism 

    Dapagliflozin belongs to the class of medications known as oral antihyperglycemic agents. It is used alone and in combination with other medications for the control of blood glucose in people with type 2 diabetes. This medication should be used as part of an overall diabetes management plan that includes a diet and exercise program. Dapagliflozin works by increasing the amount of glucose being removed from the body by the kidneys, which decreases the amount of sugar in the blood.

    How to use 

    The recommended starting dose for dapagliflozin is 5 mg taken by mouth once a day. Your doctor may adjust the dose up to a maximum 10 mg daily, depending on how effective it is and how well it is tolerated.

    Dapagliflozin should be taken at the same time every day. The tablets should be swallowed whole with some fluid and may be taken with food or on an empty stomach.

    Warnings/Precautions

    Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health.

    Dapagliflozin is not suitable for people who:
    Have type 1 diabetes
    Are pregnant or breastfeeding
    Have low kidney function
    Are galactose intolerant
    Have low salt levels in their body
    Are under the age of 18 or over the age 75
    People on a course of Actos (pioglitazone) or loop diuretics should also avoid taking Forxiga.

    Possible Side Effects 

    Side effects of Forxiga may include:
    Hypoglycemia –if taken with sulphonylureas or insulin
    Thrush
    Urinary tract infections
    Increased need to visit the toilet (polyuria)
    Pain when urinating
    Changes in levels of blood fats
    Lowering of blood pressure

    Check with your doctor as soon as possible if any of the following side effects occur:

    redness or rash of the penis or foreskin (yeast infection)
    signs of dehydration (e.g., decreased urine, dry skin, dry and sticky mouth, sleepiness, dizziness, headache, thirst, confusion)
    signs of vaginal yeast infection (e.g., vaginal odour, curd-like discharge, itching)
    symptoms of low blood sugar (e.g., cold sweat, cool pale skin, headache, fast heartbeat, weakness, blurred vision)
    symptoms of a urinary tract infection (e.g. pain when urinating, urinating more often than usual, low back or flank pain, strong odour)

    Stop taking the medication and seek immediate medical attention if any of the following occur:

    fainting or lightheadedness when standing
    severe dehydration (e.g., confusion, sweating stops, heart palpitations)
    severe hypoglycemia (low blood sugar; disorientation, loss of consciousness, seizure)
    signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)

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  • Glucophage 850mg

    $0.55

    Glucophage is an oral diabetes medicine used to treat type 2 of diabetes. Its active substance is Metformin which belongs to biguanide class of substances. It reduces concentration of glucose in blood suppressing metabolism of glucose in the liver, reducing absorption of glucose from the gastrointestinal tract, and enhancing its utilization in tissues. Glucophage stabilizes or reduces body weight. The therapeutic effect is not observed in the absence of insulin in the blood. It does not cause hypoglycemic reactions. It improves fibrinolytic properties of blood. It is used to treat diabetes mellitus (type 2) in adults also in patients for whom the treatment with sulfonylurea was ineffective, especially in cases followed by obesity.

    Dosage and direction

    Do not take if this medication was not prescribed to you and do not exceed the recommended dose. Take it with a meal if your doctor did not recommend you to take it differently. Glucophage is administered for taking twice daily by 500 mg or 850 mg once daily to treat type 2 diabetes in adults. Basing on the glucose levels in the blood the dose of Glucophage can be increased to the maximum daily dose of 2550 mg given in three divided doses.

    Precautions

    This medication is able to cause a life threatening condition in some people which is characterized by weakness, increasing sleepiness, slow heartbeat, cold feeling, muscle pain, abdominal pain, shortness of breath, feeling light-headed, and fainting. It is called lactic acidosis. If you experience such symptoms get immediate medical attention. Also be attentive to symptoms of low blood sugar which include hunger, confusion, irritability, drowsiness, headache, weakness, fast heartbeat, tremors, sweating, seizure and have a source of sugar at hand always. Avoid drinking alcohol.

    Contraindications

    Hypersensitivity, hyperglycemic coma, ketoacidosis, kidney failure, liver disease, heart failure, acute myocardial infarction, respiratory failure, dehydration, infectious diseases, extensive surgery and trauma, alcoholism, reduced-calorie diet (less than 1000 kcal / day), lactic acidosis (including history), pregnancy, breastfeeding. The drug is not prescribed to take 2 days before a surgery, radioisotope and X-ray examinations, CAT scanning (CT). Glucophage is contraindicated in patients over 60 y.o., or doing hard physical work (risk of lactic acidosis increases).

    Side effects

    The following side effects are most common and rather severe to stop taking the medication: swelling or rapid weight gain, nausea, vomiting, gas, bloating, diarrhea and loss of appetite. In case of lactic acidosis get emergency medical help: weakness, increasing drowsiness, slow heartbeat, cold feeling, shortness of breath, abdominal pain, muscle pain, lightheadedness, and fainting. Allergic reaction is also possible: hives, swelling, rash.

    Drug interaction

    Cimetidine (Tagamet) increases blood levels of Glucophage affecting its metabolism. Glucophage is not compatible with alcohol. Concomitant administration with indirect anticoagulants and Cimetidine should be done with cautiousness. Glucophage enhances metabolism of Furosemide. Derivatives of sulfonylurea, insulin, acarbose, inhibitors of MAO, oxytetracycline, cyclophosphamide and salicylates increase the effects of Glucophage. Decrease of hypoglycemic effect of Glucophage is caused by co-administration with thyroid medicines, birth control pills and other hormones, Epinephrine, Glucagon, thiazide diuretics, nicotinic acid derivates.

    Missed dose

    If you forgot to take your dose in time, please do it as soon as you remember. But do not take if it is too late or time for your next dose is in a short while. Do not take double doses of this medication or extra doses of it. Take your usual dose next day in the same regular time.

    Overdose

    Symptoms of Glucophage overdose are ones of low blood sugar: hunger, confusion, irritability, drowsiness, headache, weakness,, tremors, sweating, fast heartbeat, seizure. Do not forget to have a source of sugar at hand always. If you experience one of them or any unusual symptoms call your doctor immediately.

    Storage

    Store at room temperature between 20-25 C (68-77 F). Store away from moisture, heat, and sunlight. It is not recommended to store it in a bathroom and places available for children.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information on the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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  • Glucotrol XL 10mg

    $0.50

    Common use

    Glipizide is used to treat type 2 of diabetes and belongs to sulfonylurea class of drugs together with glimepiride (Amaryl), glyburide (Micronase, Diabeta), tolbutamide (Orinase) and tolazamide (Tolinase). It stimulates insulin secretion by beta-cells of pancreas.

    Dosage and direction

    Do not change your dose of Glipizide without first talking to your doctor. A starting dose for immediate release tablets is 5 mg which should be taken 30 minutes before a meal. The maximum dose is 40 mg daily. Maximum dose of extended release tablets should not exceed 20 mg daily. Take it with a full glass of water before a meal. The best result of treatment is achieved when this medication is taken on a regular basis.

    Precautions

    Treatment with Glipizide may increase the risk of death from cardiovascular disease. Avoid drinking alcoholic beverages as it lowers blood sugar. Do not chew, divide, or crush extended release tablets of Glipizide, swallow them whole.

    Contraindications

    Hypersensitivity, insulin-dependent diabetes mellitus (juvenile diabetes, diabetes, accompanied by ketoacidosis or precoma) severe kidney or liver failure, stenosis of the gastrointestinal tract, infancy.

    Side effects

    Besides signs of allergy (hives, rash, swelling of face and tongue) in some patients other symptoms are described: headache, dizziness, diarrhea, gas, hepatitis, jaundice, and a low sodium concentration.

    Drug interaction

    Alcohol delays effects of Glipizide by slowing its absorption. Glipizide should be administered 1-2 hours before cholestyramine as the latter affects its absorption. Fluconazole (Diflucan) increases absorption and effectiveness of Glipizide. Medications which lower and rise blood sugar are able to change Glipizide effect: aspirin or another salicylate, nonsteroidal anti-inflammatory drugs, sulfa-based drugs such as sulfamethoxazole-trimethoprim (Bactrim, Septra), MAO- inhibitors, beta-blockers such as propranolol (Inderal), thiazide diuretics, steroid medicines such as prednisone (Deltasone, Orasone),estrogens, corticosteroids, thyroid medicines, phenothiazines such as chlorpromazine (Thorazine), niacin, phenytoin, and calcium channel blocking drugs.

    Missed dose

    If you forgot to take your dose in time, please do it as soon as you remember. But do not take if it is too late or time for your next dose is in a short while. Do not take double doses of this medication or extra doses of it. Take your usual dose next day in the same regular time.

    Overdose

    Symptoms of Glipizide overdose are ones of low blood sugar: hunger, nausea, anxiety, cold sweats, weakness, drowsiness, unconsciousness, and coma. If you experience one of them or any unusual symptoms call your doctor immediately.

    Storage

    Store at room temperature between 20-25 C (68-77 F). Store away from moisture, heat, and sunlight. It is not recommended to store in a bathroom and places available for children.

    Disclaimer

    We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information on the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

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  • Glycomet 500mg

    $0.99

    Glycomet is used to treat type 2 (noninsulin-dependent) diabetes. Glycomet (Glucomin) decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Glycomet (Glucomin) increases your body’s response to insulin, a natural substance that controls the amount of glucose in the blood.

    INSTRUCTIONS

    Take exactly as prescribed by your Health Provider. Do not stop taking this medication with out consulting your Health provider first.

    If you miss a dose of Glycomet, take as soon as possible. Do not double doses.

    DOSAGE

    Mostly you will be prescribed one 500mg Glycomet (Generic Glucomin) tablet 3 times a day, while the 850mg tablets are usually taken twice daily to give effective diabetes control. You should use Glycomet (Generic Glucomin) only as directed by your doctor.

    STORAGE

    Store Glycomet below 86 degrees F (30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Glycomet out of the reach of children and away from pets.

     

    SAFETY INFORMATION

    Tell your doctor If you have had:

    • a history of heart,
    • thyroid disease, or
    • pituitary;
    • any adrenal gland problems;
    • hormone problems; or
    • a severe infection.

    Tell your doctor about all kind of medications you are taking, as these may interfere with the ability of Glycomet (Generic Glucomin) to control your blood sugar level.

    SIDE EFFECTS

    If you have any of these symptoms, eat or drink a food or beverage with sugar in it, and call your doctor immediately; the side effects include:

    • fast heartbeat
    • sweating
    • confusion
    • vision problems
    • shakiness
    • dizziness
    • numbness/tingling of the mouth
    • fatigue

    If you have any of these symptoms, call your doctor immediately:

    • trouble breathing
    • thirst
    • dry mouth
    • flushing
    • dry skin
    • loss of appetite
    • frequent urination

    Glycomet may cause side effects. Tell your doctor if any of these symptoms are severe,or do not go away:

    • bloating
    • stomach pain
    • constipation
    • diarrhea
    • stomach upset
    • vomiting
    • heartburn
    • flushing of the skin
    •  sweating

    The following symptoms are uncommon, but if you experience any of them, call your doctor immediately: chest pain, rash.

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  • Glyset 50mg

    $1.50

    Glyset is used for treating type 2 diabetes in adults whose diabetes cannot be managed with diet alone. Glyset may be used alone, in combination with other oral diabetes medicines, or with insulin.

    INSTRUCTIONS

    Use Glyset as directed by your doctor. Check the label on the medicine for exact dosing instructions.
    Take Glyset with the first bite of each main meal, unless directed otherwise by your doctor.
    If you are also taking charcoal or digestive enzyme preparations with Glyset, space them at least 2 to 4 hours apart for maximum effectiveness.
    Carefully follow the diet and exercise program given to you by your health care provider.
    Temporary insulin therapy may be necessary during stressful periods (such as fever, trauma, infection, or surgery).
    If you miss a dose of Glyset, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Ask your health care provider any questions you may have about how to use Glyset.

    DOSAGE

    The recommended starting dosage of Glyset is 25 mg, given orally three times daily at the start (with the first bite) of each main meal. However, some patients may benefit by starting at 25 mg once daily to minimize gastrointestinal adverse effects, and gradually increasing the frequency of administration to 3 times daily.

    STORAGE

    Store Glyset at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Glyset out of the reach of children and away from pets.

    SAFETY INFORMATION

    Notify your dentist or doctor that you are taking Glyset before you have any dental work or surgery.
    Carefully follow the regular testing of urine or blood glucose schedules given to you by your health care provider.
    Glyset, used with other diabetes medicines, may cause a loss of blood sugar control. Your health care provider may need to change the amount of medicine that you are taking. Because Glyset prevents the breakdown of table (cane) sugar, be sure to use glucose (dextrose), not sugar or fruits, to treat symptoms of low blood sugar (tiredness, excessive hunger and sweating, numbness in arms or legs). Contact your health care provider if these symptoms occur.
    LAB TESTS, including blood glucose and glycosylated hemoglobin levels, may be performed to monitor your progress and to check for side effects. Be sure to keep all doctor and lab appointments.
    Use Glyset with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
    PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Glyset, discuss with your doctor the benefits and risks of using Glyset during pregnancy. Glyset is excreted in breast milk. Do not breast feed while taking Glyset.

    SIDE EFFECTS

    All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

    • Bloating; diarrhea; gas; soft stools; stomach pain.

    Seek medical attention right away if any of these SEVERE side effects occur:

    • Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); severe stomach pain.

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects.

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  • Januvia 100mg

    $7.00

    Januvia is used for treating type 2 diabetes in patients who cannot control blood sugar levels by diet and exercise alone. It is used along with diet and exercise. It may be used alone or with other antidiabetic medicines. Januvia is a dipeptidyl peptidase-4 (DPP-4) inhibitor. It works by increasing the amount of insulin released by your body, and decreasing the amount of sugar made by your body.

    INSTRUCTIONS

    Use Januvia as directed by your doctor.

    • Take Januvia by mouth with or without food.
    • Take Januvia on a regular schedule to get the most benefit from it.
    • Continue to take Januvia even if you feel well. Do not miss any doses.
    • If you miss a dose of Januvia, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Ask your health care provider any questions you may have about how to use Januvia.

    STORAGE

    Store Januvia at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Januvia out of the reach of children and away from pets.

    MORE INFO:

    Active Ingredient: Sitagliptin.

    SAFETY INFORMATION

    Do NOT use Januvia if:

    • you are allergic to any ingredient in Januvia
    • you have type 1 diabetes
    • you have high blood ketone levels (diabetic ketoacidosis).

    Contact your doctor or health care provider right away if any of these apply to you.

    Some medical conditions may interact with Januvia. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

    • if you are pregnant, planning to become pregnant, or are breast-feeding
    • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
    • if you have allergies to medicines, foods, or other substances
    • if you have kidney problems
    • if you have a history of inflammation of the pancreas (pancreatitis).

    Some medicines may interact with Januvia. Tell your health care provider if you are taking any other medicines, especially any of the following:

    • Digoxin or sulfonylureas (eg, glipizide) because the risk of their side effects may be increased by Januvia.

    This may not be a complete list of all interactions that may occur. Ask your health care provider if Januvia may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

    Important safety information:

    • Follow the diet and exercise program given to you by your health care provider. Proper diet, regular exercise, and regular blood sugar testing are important for best results with Januvia.
    • Check your blood sugar levels as directed by your doctor. If they are often higher or lower than they should be and you take Januvia exactly as prescribed, tell your doctor.
    • It may be harder to control your blood sugar during times of stress such as fever, infection, injury, or surgery. Talk with your doctor about how to control your blood sugar if any of these occur. Do not change the dose of your medicine without checking with your doctor.
    • Januvia usually does not cause low blood sugar. However, low blood sugar may occur when it is used along with certain other medicines for diabetes (eg, sulfonylureas). Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or make you hungrier. It is a good idea to carry a reliable source of glucose (eg, tablets, gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.
    • Lab tests, including fasting blood glucose, glycosylated hemoglobin, and kidney function, may be performed while you use Januvia. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
    • Use Januvia with caution in the elderly; they may be more sensitive to its effects.
    • Januvia should be used with extreme caution in children younger 18 years; safety and effectiveness in these children have not been confirmed.
    • Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Januvia while you are pregnant. It is not known if Januvia is found in breast milk. If you are or will be breast-feeding while you use Januvia, check with your doctor. Discuss any possible risks to your baby.

    SIDE EFFECTS

    All medicines may cause side effects, but many people have no, or minor, side effects.

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Diarrhea; headache; nausea; runny or stuffy nose; sore throat; upper respiratory infection; upset stomach.

    Seek medical attention right away if any of these severe side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); fever, chills, or persistent sore throat; red, blistered, swollen, or peeling skin; symptoms of pancreas inflammation (eg, severe stomach or back pain with nausea or vomiting, stomach tenderness or swelling, fast heartbeat, dizziness).

    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.

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  • Metformin 850mg

    $0.43

    Drug Uses

    Metformin is used for treating type 2 diabetes. It is used along with diet and exercise. It may be used alone or with other anti-diabetic medicines.

    How to use

    Use Metformin as directed by your doctor.

    Take Metformin by mouth with food.
    Take Metformin on a regular schedule to get the most benefit from it. Taking Metformin at the same time each day will help you remember to take it.
    Continue  taking Metformin even if you feel good. Do not miss any doses.
    Ask your health care provider any questions you may have about its usage.

    Drug Class and Mechanism

    Metformin is a biguanide antidiabetic. It works by decreasing the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce.

    Missed Dose

    If you miss a dose of Metformin and are using it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

    Storage

    Store Metformin between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Metformin out of the reach of children and away from pets.

    Warnings/Precautions

    Do not use Metformin if:

    you are allergic to any ingredient in Metformin;
    you have congestive heart failure that is treated by medicine;
    you have a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (e.g., diabetic ketoacidosis), or severe dehydration;
    you have had a stroke or a recent heart attack, or you are in shock;
    you are 80 years old or older and have not had a kidney function test;
    you will be having surgery or certain lab procedures.
    Contact your doctor or health care provider right away if any of these apply to you.

    Important :

    Dizziness may occur while you are taking Metformin. This effect may be worse if you take it with alcohol or certain medicines. Use Metformin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
    Follow the diet and exercise program given to you by your health care provider.
    Do not drink large amounts of alcohol while you use Metformin. Talk to your doctor or health care provider before you drink alcohol while you use Metformin.
    Tell your doctor or dentist that you take Metformin before you receive any medical or dental care, emergency care, or surgery.
    Be careful not to become dehydrated, especially during hot weather or while you are being active. Dehydration may increase the risk of Metformin ‘s side effects.
    Carry an ID card at all times that says you have diabetes. Check your blood sugar levels as directed by your doctor. If they are often higher or lower than they should be and you take Metformin exactly as prescribed, tell your doctor.
    This medicine does not usually lower your blood sugar levels. Low blood sugar may be more likely to occur if you skip a meal, exercise heavily, or drink alcohol. It may also be more likely if you take Metformin along with certain medicines for diabetes (e.g., sulfonylureas, insulin). It is a good idea to carry a reliable source of glucose (e.g., tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.
    Fever, infection, injury, or surgery may increase your risk for high or low blood sugar levels. If any of these occur, check your blood sugar closely and tell your doctor right away.
    Metformin may commonly cause stomach upset, indigestion, nausea, vomiting, or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems, or if you develop stomach problems later during treatment, contact your doctor at once. This may be a sign of lactic acidosis.
    Lab tests, including kidney function, fasting blood glucose, hemoglobin A1c, and blood counts, may be performed while you use Metformin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
    Use Metformin with caution in the elderly; they may be more sensitive to its effects. Low blood sugar levels may also be more difficult to recognize in the elderly.
    Metformin should not be used in children younger than 10 years old; safety and effectiveness in these children have not been confirmed.
    Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Metformin while you are pregnant. It is not known if Metformin is found in breast milk. Do not breast-feed while taking Metformin.

    Possible Side Effects

    Check with your doctor if any of these most common side effects persist or become bothersome:

    Diarrhea; gas; headache; indigestion; nausea; stomach upset; temporary metallic taste; vomiting.
    Seek medical attention right away if any of these severe side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain or discomfort; dizziness or lightheadedness; fast or difficult breathing; feeling of being unusually cold; fever, chills, or persistent sore throat; general feeling of being unwell; muscle pain or weakness; slow or irregular heartbeat; unusual drowsiness; unusual or persistent stomach pain or discomfort; unusual tiredness or weakness.

    More Information

    If you have any questions about Hydrochlorothiazide, please talk with your doctor, pharmacist, or other health care provider.
    Metformin is to be used only by the patient for whom it is prescribed. Do not share it with other people.

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