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Glucophage (Metformin)

No Prescription Meds and Arthritis » Diabetes » Glucophage (Metformin)

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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No Prescription Meds and Arthritis: Arava (Leflunomide) Arava (Leflunomide) is a pyrimidine synthesis inhibitor used to treat rheumatoid arthritis. This medicine may be used to reduce the signs and symptoms of rheumatoid arthritis slow the development of damage to the joints and to improve physical function. Buy Arava (Leflunomide) and other Arthritis products online at Medstore. About Arava (Leflunomide): Product Type: Arthritis Brand name: Arava Generic name: Leflunomide What is the most important information I should know about Arava? • Arava is in the FDA pregnancy category X. There is an increased risk of birth defects and death of the unborn baby while taking Arava. Do not take this medication if you are pregnant or could become pregnant during treatment. Notify your doctor immediately if you think you have become pregnant during treatment. Birth control must be used during treatment with Arava. Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. What is Arava? • Arava affects the immune system and decreases inflammation. • Arava is used to reduce the signs and symptoms of rheumatoid arthritis reduce damage to the joints caused by rheumatoid arthritis and to improve physical function in people with rheumatoid arthritis. • Arava may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Arava? • Before taking Arava tell your doctor if you have liver disease or a history of hepatitis; a history of significant alcohol use; kidney disease; an immune system disease; recently received a live vaccine; poor bone marrow function; or a current or chronic infection. • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above. • Arava is in the FDA pregnancy category X. There is an increased risk of birth defects and death of the unborn baby while taking Arava. Do not take this medication if you are pregnant or could become pregnant during treatment. Notify your doctor immediately if you think you have become pregnant during treatment. Birth control must be used during treatment with Arava. Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. • It is not known whether Arava passes into breast milk. There is a potential for serious side effects in a nursing baby from Arava. Do not take Arava if you are breast-feeding a baby. How should I take Arava? • Take Arava exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Arava can be taken with or without food or milk. • It is important to take Arava regularly to get the most benefit. • Your doctor may want you to have blood tests or other medical evaluations while taking Arava to monitor side effects and progress. • Store Arava at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of a Arava overdose may include diarrhea abdominal pain blood problems and liver problems. What should I avoid while taking Arava? • Discuss with your doctor the use of alcohol while taking Arava. Alcohol and Arava can both be damaging to the liver. • Arava can lower the activity of the immune system making you more susceptible to infection. Avoid contact with people who have colds the flu or other contagious illnesses. In addition do not receive vaccines that contain a live strain of the virus (e.g. live oral polio vaccine) and avoid contact with individuals who have recently been vaccinated with a live virus. What are the possible side effects of Arava? • If you experience any of the following serious side effects stop taking Arava and seek medical treatment or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); changes in liver function (may be detected by blood tests or cause symptoms such as yellowing of the skin or eyes; pale colored stools or dark colored urine; unusual fatigue; or abdominal pain); decreased bone marrow function or blood problems (may be detected by blood tests or cause symptoms such as extreme or unusual fatigue; easy bruising or bleeding; black bloody or tarry stools; fever or chills; or signs of infection such as fever; chills or sore throat); or skin rash; or sores in the mouth. • Other less serious side effects may be more likely to occur. Continue to take Arava and talk to your doctor if you experience headache; increased blood pressure; muscle aches; nausea; diarrhea; or hair loss. • 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 Arava? • Before taking Arava tell your doctor if you are taking any of the following drugs: cholestyramine (Questran Prevalite LoCHOLEST); methotrexate (Rheumatrex); or rifampin (Rifadin Rimactane). • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Arava. 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