This medicine is a sulfonylurea and biguanide combination used along with a diet and exercise program to control high blood sugar in patients with type 2 diabetes.

This medicine is a sulfonylurea and biguanide combination used along with a diet and exercise program to control high blood sugar in patients with type 2 diabetes.
CAUTIONS: DO NOT TAKE THIS MEDICINE if you are allergic to any ingredient in this medicine. TELL YOUR DOCTOR if you have had a severe allergic reaction to any other sulfonamide medicine (eg, sulfamethoxazole). If you have questions about whether you are allergic to sulfonamides or if a certain medicine is a sulfonamide, contact your doctor. DO NOT EXCEED THE RECOMMENDED DOSE without checking with your doctor. Lab tests may be performed to monitor your progress or to check for side effects. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, LABORATORY TESTS, OR SURGERY, tell the doctor or dentist that you are using this medicine. This medicine may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. DO NOT DRIVE OR PERFORM OTHER POSSIBLY UNSAFE TASKS until you know how you react to it. DO NOT DRINK LARGE AMOUNTS OF ALCOHOL while you use this medicine. Alcohol may increase the risk of this medicine's side effects. Also, alcohol may rarely interact with this medicine and cause a serious reaction with symptoms such as flushing, nausea, vomiting, dizziness, or stomach pain. Talk with your doctor or health care provider before you drink alcohol while you use this medicine. BE CAREFUL NOT TO BECOME DEHYDRATED, especially during hot weather, while you are being active, or if you have vomiting or diarrhea. Dehydration may increase your risk of side effects from this medicine. THIS MEDICINE MAY CAUSE LOW BLOOD SUGAR LEVELS. Signs of low blood sugar include increased heartbeat, headache, chills, sweating, tremor, increased hunger, changes in vision, nervousness, weakness, dizziness, drowsiness, or fainting. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you do not have a reliable source of glucose available, eat a quick source of sugar such as table sugar, honey, or candy, or drink a glass of orange juice or non-diet soda to quickly raise your blood sugar level. TELL YOUR DOCTOR IMMEDIATELY about the reaction. To prevent hypoglycemia, eat meals on a regular schedule and do not skip meals. RISK OF LOW BLOOD SUGAR MAY BE INCREASED by heavy or prolonged exercise, drinking alcohol, or skipping meals. DURING TIMES OF STRESS, such as fever, infection, injury or surgery, it may be more difficult to control your blood sugar. 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. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE in the elderly because they may be more sensitive to the effects of the medicine. Low blood sugar levels may also be more difficult to recognize in the elderly. FOR WOMEN: THIS MEDICINE SHOULD NOT BE USED IF YOU ARE PREGNANT. If you think you may be pregnant, contact your doctor. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.
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