Drugs and Foods to Avoid: Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products. - Make sure your doctor knows if you are also using diabetes medicines that you take by mouth (such as chlorpropamide, glimepiride, glipizide, glyburide, tolbutamide, Diabeta®, Glucotrol®, or Orinase®), certain blood pressure medicines (such as hydrochlorothiazide [HCTZ], propranolol, timolol, Inderal®, or Timoptic®), or an MAO inhibitor (such as Eldepryl®, Marplan®, Nardil®, or Parnate®).
- Tell your doctor if you are also using St. John's wort, amiodarone (Cordarone®), fluconazole (Diflucan®), guanethidine (Ismelin®), miconazole (Monistat®), oxandrolone (Oxandrin®), phenytoin (Dilantin®), rifampin (Rifadin®, Rimactane®), somatropin (Nutropin®), pain or arthritis medicine, sometimes called “NSAIDs” (such as such as aspirin, celecoxib, ibuprofen, naproxen, rofecoxib, valdecoxib, Advil®, Aleve®, Bextra®, Celebrex®, Motrin®, or Vioxx®), a steroid medicine (such as dexamethasone, prednisolone, prednisone, or Medrol®), or thyroid medicines (such as levothyroxine, Levothroid®, Levoxyl®, Synthroid®, or Unithroid®).
- Do not drink alcohol while you are using this medicine.
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Warnings While Using This Medicine: - Make sure your doctor knows if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart or blood vessel disease, an adrenal disorder, a pituitary gland disorder, or nerve problems.
- Some things that can lead to low blood sugar are exercising more than normal or waiting too long to eat. Tell your doctor about any sudden change in your medical condition.
- This medicine may not work as well if you have surgery, get hurt, or get sick. If you have severe vomiting, diarrhea, or fever, call your doctor for instructions.
- Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments. You will also need to check your blood sugar on a regular basis at home.
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Possible Side Effects While Using This Medicine: Call your doctor right away if you notice any of these side effects: - Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Increased hunger or thirst.
- Rapid weight gain.
- Swelling in your hands, ankles, or feet.
If you notice these less serious side effects, talk with your doctor: - Back or joint pain.
- Diarrhea, nausea.
- Dizziness.
- Rash or itching skin.
- Stuffy or runny nose, cough, sneezing, or sore throat.
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