glucovance
(Glyburide-Metformin)

ly, metformin may cause an acid health problem in the blood (lactic acidosis). The risk of lactic acidosis is higher in people with kidney problems and in people who take certain other drugs like topiramate. The risk is also higher in people with liver problems or heart failure, in older people (65 or older), or with alcohol use. If lactic acidosis happens, it can lead to other health problems and can be deadly. Lab tests to check the kidneys may be done while taking this drug. Talk with the doctor. Call your doctor right away if you have signs of too much lactic acid in the blood (lactic acidosis) like fast breathing, fast heartbeat, a heartbeat that does not feel normal, very bad upset stomach or throwing up, feeling very sleepy, shortness of breath, feeling very tired or weak, very bad dizziness, feeling cold, or muscle pain or cramps. Do not take this drug if you are 80 years of age or older and have not had your kidneys tested. Do not take this drug if you have a very bad infection, low oxygen, or a lot of fluid loss. If you have liver disease, talk with your doctor. Talk with your doctor before you drink alcohol. If you are having an exam or test with dye or have had one within the past 48 hours, talk with your doctor. Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. null COMMON USES: It is used to lower blood sugar in patients with high blood sugar (diabetes).

ly, metformin may cause an acid health problem in the blood (lactic acidosis). The risk of lactic acidosis is higher in people with kidney problems and in people who take certain other drugs like topiramate. The risk is also higher in people with liver problems or heart failure, in older people (65 or older), or with alcohol use. If lactic acidosis happens, it can lead to other health problems and can be deadly. Lab tests to check the kidneys may be done while taking this drug. Talk with the doctor. Call your doctor right away if you have signs of too much lactic acid in the blood (lactic acidosis) like fast breathing, fast heartbeat, a heartbeat that does not feel normal, very bad upset stomach or throwing up, feeling very sleepy, shortness of breath, feeling very tired or weak, very bad dizziness, feeling cold, or muscle pain or cramps. Do not take this drug if you are 80 years of age or older and have not had your kidneys tested. Do not take this drug if you have a very bad infection, low oxygen, or a lot of fluid loss. If you have liver disease, talk with your doctor. Talk with your doctor before you drink alcohol. If you are having an exam or test with dye or have had one within the past 48 hours, talk with your doctor. Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. null COMMON USES: It is used to lower blood sugar in patients with high blood sugar (diabetes).
CAUTIONS: Do not drive if your blood sugar has been low. There is a greater chance of you having a crash. Be careful if you have G6PD deficiency. Anemia may happen. Check your blood sugar as you have been told by your doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. If you also take colesevelam, take it at least 4 hours after you take this drug. It may be harder to control your blood sugar during times of stress like when you have a fever, an infection, an injury, or surgery. A change in level of physical activity or exercise and a change in diet may also affect your blood sugar. Talk with your doctor. Be careful in hot weather or while being active. Drink lots of fluids to stop fluid loss. This drug may raise the chance of death from heart disease. Talk with your doctor. You may get sunburned more easily. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun. If you have been taking this drug for a long time or at high doses, it may not work as well and you may need higher doses to get the same effect. This is known as tolerance. Call your doctor if this drug stops working well. Do not take more than ordered. If you are 65 or older, use this drug with care. You could have more side effects. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant. Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
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