Prandin

Prandin

     * Generic Name: repaglinide
     * Brand Name: Prandin


     * What is repaglinide (Prandin)?
     * What are the possible side effects of repaglinide (Prandin)?
     * What is the most important information I should know about
       repaglinide (Prandin)?
     * What should I discuss with my healthcare provider before taking
       repaglinide (Prandin)?
     * How should I take repaglinide (Prandin)?
     * What happens if I miss a dose (Prandin)?
     * What happens if I overdose (Prandin)?
     * What should I avoid while taking repaglinide (Prandin)?
     * What other drugs will affect repaglinide (Prandin)?
     * Where can I get more information (Prandin)?

What is repaglinide (Prandin)?

   Repaglinide is an oral diabetes medicine that helps control blood
   sugar levels by causing the pancreas to produce insulin.

   Repaglinide is used together with diet and exercise to improve
   blood sugar control in adults with type 2 diabetes mellitus. This
   medicine is not for treating type 1 diabetes.

   Repaglinide may also be used for purposes not listed in this medication
   guide.

What are the possible side effects of repaglinide (Prandin)?

   Get emergency medical help if you have signs of an allergic reaction:
   hives; difficulty breathing; swelling of your face, lips, tongue, or
   throat.

   Call your doctor at once if you have:
     * severe pain in your upper stomach spreading to your back,
       nausea and vomiting, fast heart rate;
     * pale or yellowed skin, dark colored urine, fever, confusion or
       weakness; or
     * severe skin reaction--fever, sore throat, swelling in your face
       or tongue, burning in your eyes, skin pain, followed by a red or
       purple skin rash that spreads (especially in the face or upper
       body) and causes blistering and peeling.

   Common side effects may include:
     * low blood sugar;
     * nausea, diarrhea;
     * headache, back pain;
     * joint pain; or
     * cold symptoms such as stuffy nose, sneezing, sore
       throat.

   This is not a complete list of side effects and others may occur. Call
   your doctor for medical advice about side effects. You may report side
   effects to FDA at 1-800-FDA-1088.

What is the most important information I should know about repaglinide
(Prandin)?

   You should not use repaglinide if you have type 1 diabetes, severe
   liver disease, or diabetic ketoacidosis.

   You should not use repaglinide together with gemfibrozil
   (Lopid) or NPH insulin (such as isophane insulin).

   Prandin Patient Information including How Should I Take
   Type 2 Diabetes Diagnosis, Treatment, Medication

   Type 2 Diabetes: Learn the Warning Signs
   Diabetes: Best and Worst Meals for Diabetes-Savvy Dining

   Diabetes Friendly Dining
   RxList

   Type 2 Diabetes Quiz

What should I discuss with my healthcare provider before taking repaglinide
(Prandin)?

   You should not use repaglinide if you are allergic to it, or if you
   have:
     * severe liver disease;
     * diabetic ketoacidosis (call your doctor for treatment with
       insulin); or
     * if you also take gemfibrozil.

   To make sure repaglinide is safe for you, tell your doctor if you have:
     * liver disease; or
     * if you also take metformin or other diabetes medicines.

   Follow your doctor's instructions about using this medicine if you are
   pregnant. Blood sugar control is very important during pregnancy, and
   your dose needs may be different during each trimester.

   It is not known whether repaglinide passes into breast milk or if it
   could harm a nursing baby. You should not breast-feed while using this
   medicine.

   Repaglinide is not approved for use by anyone younger than 18 years
   old.

How should I take repaglinide (Prandin)?

   Follow all directions on your prescription label. Your doctor may
   occasionally change your dose. Do not take this medicine in larger or
   smaller amounts or for longer than recommended.

   Repaglinide is usually taken 2 to 4 times daily, within 30 minutes
   before eating a meal. Follow your doctor's instructions. If you skip a
   meal, do not take your dose of repaglinide. Wait until your next meal.

   Your blood sugar will need to be checked often, and you may need other
   blood tests at your doctor's office.

   Low blood sugar (hypoglycemia) can happen to everyone who has diabetes.
   Symptoms include headache, hunger, sweating, irritability, dizziness,
   nausea, fast heart rate, and feeling anxious or shaky. To quickly treat
   low blood sugar, always keep a fast-acting source of sugar with you
   such as fruit juice, hard candy, crackers, raisins, or non-diet soda.

   Your doctor can prescribe a glucagon emergency injection kit to use
   in case you have severe hypoglycemia and cannot eat or drink. Be
   sure your family and close friends know how to give you this injection
   in an emergency.

   Blood sugar levels can be affected by stress, illness, surgery,
   exercise, alcohol use, or skipping meals. Ask your doctor before
   changing your dose or medication schedule.

   Repaglinide is only part of a treatment program that may also include
   diet, exercise, weight control, blood sugar testing, and special
   medical care. Follow your doctor's instructions very closely.

   Store repaglinide at room temperature away from moisture and heat.

   Prandin Patient Information including If I Miss a Dose
   Type 2 Diabetes Diagnosis, Treatment, Medication

   Type 2 Diabetes: Learn the Warning Signs
   Diabetes: Best and Worst Meals for Diabetes-Savvy Dining

   Diabetes Friendly Dining
   RxList

   Type 2 Diabetes Quiz

What happens if I miss a dose (Prandin)?

   Take the missed dose as soon as you remember, but only if you are
   getting ready to eat a meal. Skip the missed dose if it is almost time
   for your next scheduled dose. Do not take extra medicine to make up the
   missed dose.

What happens if I overdose (Prandin)?

   Seek emergency medical attention or call the Poison Help line at
   1-800-222-1222. A repaglinide overdose can cause life-threatening
   hypoglycemia.

   Symptoms of severe hypoglycemia include extreme weakness, blurred
   vision, sweating, trouble speaking, tremors, stomach pain,
   confusion, and seizure (convulsions).

What should I avoid while taking repaglinide (Prandin)?

   Avoid drinking alcohol. It lowers blood sugar and may interfere with
   your diabetes treatment.

What other drugs will affect repaglinide (Prandin)?

   Many other medicines that can increase or decrease the effects of
   repaglinide on lowering your blood sugar. This includes prescription
   and over-the-counter medicines, vitamins, and herbal products. Tell
   each of your health care providers about all medicines you use now and
   any medicine you start or stop using.

Where can I get more information (Prandin)?

   Your pharmacist can provide more information about repaglinide.
     __________________________________________________________________

   Remember, keep this and all other medicines out of the reach of
   children, never share your medicines with others, and use this
   medication only for the indication prescribed.
   Every effort has been made to ensure that the information provided by
   Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
   but no guarantee is made to that effect. Drug information contained
   herein may be time sensitive. Multum information has been compiled for
   use by healthcare practitioners and consumers in the United States and
   therefore Multum does not warrant that uses outside of the United
   States are appropriate, unless specifically indicated otherwise.
   Multum's drug information does not endorse drugs, diagnose patients or
   recommend therapy. Multum's drug information is an informational
   resource designed to assist licensed healthcare practitioners in caring
   for their patients and/or to serve consumers viewing this service as a
   supplement to, and not a substitute for, the expertise, skill,
   knowledge and judgment of healthcare practitioners. The absence of a
   warning for a given drug or drug combination in no way should be
   construed to indicate that the drug or drug combination is safe,
   effective or appropriate for any given patient. Multum does not assume
   any responsibility for any aspect of healthcare administered with the
   aid of information Multum provides. The information contained herein is
   not intended to cover all possible uses, directions, precautions,
   warnings, drug interactions, allergic reactions, or adverse effects. If
   you have questions about the drugs you are taking, check with your
   doctor, nurse or pharmacist.

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