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Glucovance (Glyburide And Metformin) Description
Glibenclamide and Metformin tablet
What is this medicine?
GLIBENCLAMIDE;METFORMIN helps to treat type 2 diabetes. Treatment is combined with diet and exercise. The medicine helps your body to use insulin better.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
- diabetic ketoacidosis
- heart disease
- kidney disease
- liver disease
- severe infection or injury
- thyroid disease
- an unusual or allergic reaction to glyburide, sulfa drugs, other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding
How should I use this medicine?
Take this medicine by mouth with a glass of water. If you take this medicine once a day, take it with breakfast or the first main meal of the day. Take your medicine at the same time each day. Do not take more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Elderly patients over 65 years old may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
- bosentan
- chloramphenicol
- cisapride
- medicines for fungal or yeast infections
- metoclopramide
- probenecid
- warfarin
Many medications may cause an increase or decrease in blood sugar, these include:
- alcohol containing beverages
- aspirin and aspirin-like drugs
- chloramphenicol
- chromium
- female hormones, like estrogens or progestins and birth control pills
- heart medicines
- isoniazid
- male hormones or anabolic steroids
- medicines for weight loss
- medicines for allergies, asthma, cold, or cough
- medicines for mental problems
- medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl
- niacin
- NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
- pentamidine
- phenytoin
- probenecid
- quinolone antibiotics like ciprofloxacin, levofloxacin, ofloxacin
- some herbal dietary supplements
- steroid medicines like prednisone or cortisone
- thyroid medicine
- water pills or diuretics
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. Learn how to check your blood sugar. Tell your doctor or health care professional if your blood sugar is high, you might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine. Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol. If you have symptoms of low blood sugar, eat or drink something containing sugar at once and contact your doctor or health care professional. Make sure family members know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, like seizures or unconsciousness. They must get medical help at once.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.
What side effects may I notice from this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing problems
- dark urine
- fever, chills, sore throat
- low blood sugar (ask your doctor or healthcare professional for a list of these symptoms)
- unusual bleeding or bruising
- yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- diarrhea
- headache
- heartburn
- nausea, vomiting
- stomach discomfort
This list may not describe all possible side effects.
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
Diabetes, Type 2 Medications
Definition of Diabetes, Type 2: Type 2 diabetes is characterized by "insulin resistance" as body cells do not respond appropriately when insulin is present. This is a more complex problem than type 1, but is sometimes easier to treat, since insulin is still produced, especially in the initial years. Type 2 may go unnoticed for years in a patient before diagnosis, since the symptoms are typically milder (no ketoacidosis) and can be sporadic. However, severe complications can result from unnoticed type 2 diabetes, including renal failure, and coronary artery disease. Type 2 diabetes was formerly known by a variety of partially misleading names, including "adult-onset diabetes", "obesity-related diabetes", "insulin-resistant diabetes", or "non-insulin-dependent diabetes" (NIDDM). It may be caused by a number of diseases, such as hemochromatosis and polycystic ovary syndrome, and can also be caused by certain types of medications (e.g. long-term steroid use). About 90-95% of all North American cases of diabetes are type 2, and about 20% of the population over the age of 65 is a type 2 diabetic. The fraction of type 2 diabetics in other parts of the world varies substantially, almost certainly for environmental and lifestyle reasons. There is also a strong inheritable genetic connection in type 2 diabetes: having relatives (especially first degree) with type 2 is a considerable risk factor for developing type 2 diabetes. The majority of patients with type 2 diabetes mellitus are obese - chronic obesity leads to increased insulin resistance that can develop into diabetes, most likely because adipose tissue is a (recently identified) source of chemical signals (hormones and cytokines).
Drugs associated with Diabetes, Type 2
The following drugs and medications are in some way related to, or used in the treatment of Diabetes, Type 2. This service should be used as a supplement to, and NOT a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.
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