INDICATIONS
Micronase (Glyburide) is surely an oral diabetes medicine which enables control glucose levels.
Glyburide is employed to help remedy diabetes.
This drugs are not for treating type 1 diabetes.
Glyburide may also be used for other purposes unlisted on this medication guide.
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INSTRUCTIONS
Take exactly as prescribed from your doctor. Do not take in larger or smaller amounts and longer than recommended. Follow the directions on the prescription label. Your doctor may occasionally alter your dose to successfully get the best results.
Take glyburide using your first meal during the day, unless your doctor notifys you otherwise.
Your blood glucose levels should be checked often, and you will need other blood tests at your medical professional's office. Visit a medical expert regularly.
Know the warning signs of low blood sugar levels (hypoglycemia) and how to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.
Always keep a method to obtain sugar accessible in case you might have signs and symptoms of low blood glucose. Sugar sources include orange juice, glucose gel, candy, or milk. If you have severe hypoglycemia and should not eat or drink, work with an injection of glucagon. Your doctor can give you a prescription to get a glucagon emergency injection kit and inform you how you can provide the injection.
Also watch out for signs of blood sugar which is too much (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and fat loss.
Check your blood sugar carefully after a time of stress or illness, should you travel, exercise more than usual, drink alcohol, or skip meals. These things may affect your glucose levels as well as your dose needs may also change.
Your doctor may want you to stop taking glyburide for the limited time should you get ill, possess a fever or infection, or if you've got surgical treatment or a medical emergency.
Ask your medical professional the best way to adjust your glyburide dose if needed. Do not make positive changes to medication dose or schedule without your doctor's advice.
If there are any modifications in the emblem, strength, or kind of glyburide you utilize, your dosage needs may change. Always check your refills to ensure that you have received the proper brand and type of medicine prescribed through your doctor.
DOSAGE
Take as prescribed from your doctor.
STORAGE
Store at room temperature, protected from moisture, heat, and light.
MORE INFO:
Active ingredient: Glyburide
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Stop using glyburide and acquire emergency medical help if you've got some of these indications of an allergic reaction: hives; breathlessness; swelling of one's face, lips, tongue, or throat. Stop taking this medication and call your medical professional immediately if you've got all of these serious unwanted effects:
nausea, stomach pain, low fever, decrease of appetite, dark urine, clay-colored stools, jaundice (yellowing on the skin or eyes);
pale skin, confusion or weakness;
easy bruising or bleeding, purple or red pinpoint spots through your skin; or
headache, trouble concentrating, memory problems, feeling unsteady, hallucinations, fainting, seizure, shallow breathing or breathing that stops.
Less serious side effects can include:
mild nausea, heartburn, feeling full;
joint or muscle pain;
blurred vision; or
mild itching or skin rash.
This is not a complete set of negative effects while others may occur. Call your doctor for health advice about negative effects.
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You should avoid using prescription drugs in case you are allergic to glyburide, or:
should you are being treated with bosentan (Tracleer);
if you might have type 1 diabetes; or
if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).
To be sure you can safely take glyburide, tell your physician if you've got all of these other conditions:
hemolytic anemia (an absence of red blood cells);
an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD);
a nerve disorder affecting bodily functions;
liver or kidney disease;
in case you are allergic to sulfa drugs; or
if you've got been using insulin or taking chlorpropamide (Diabinese).
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Certain oral diabetes medications may raise your probability of serious heart disease. However, not your diabetes damages your heart as well as other organs. Talk to a medical expert regarding the risks and benefits of treating your diabetes with glyburide.
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FDA pregnancy category C. It is not known whether glyburide will harm an unborn baby. Similar diabetes medications have caused severe hypoglycemia in newborns whose mothers had used the medication at the period of delivery. Tell your physician in the event you are pregnant or prefer to become pregnant while using the medicines. It is not known whether glyburide passes into breast milk or if it may harm a nursing baby.
Do not use medicines without telling your doctor in case you are breast-feeding your baby. Older adults could be prone to have low blood sugar while taking glyburide.
Important safety information:
You should not use prescription drugs in case you are allergic to glyburide, if you are undergoing treatment with bosentan (Tracleer), if you have type 1 diabetes, or should you are in a state of diabetic ketoacidosis (call a medical expert for treatment with insulin).
Before taking glyburide, tell your medical professional in case you are allergic to sulfa drugs, if you've been using insulin or chlorpropamide (Diabinese), or if you might have hemolytic anemia (an absence of red blood cells), an enzyme deficiency (G6PD), a nerve disorder, liver disease, or kidney disease.
Take care to never let your blood sugar levels get too low. Low blood glucose levels (hypoglycemia) can take place in the event you skip a meal, exercise too much time, drink alcohol, or are under stress. Symptoms include headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating. Carry hard candy or glucose tablets with you in case you have low blood glucose levels. Other sugar sources include orange juice and milk. Be sure your household and good friends know how to assist you in an unexpected emergency.
Drug interactions
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Tell your medical professional about all the medications you utilize, especially:
a blood thinner like warfarin (Coumadin, Jantoven);
cyclosporine (Gengraf, Neoral, Sandimmune);
disopyramide (Norpace);
fluconazole (Diflucan), ketoconazole (Nizoral);
fluoxetine (Prozac);
rifampin (Rifadin, Rimactane, Rifater);
an ACE inhibitor including enalapril (Vasotec), lisinopril (Prinivil, Zestril), ramipril (Altace), while others; or
an antibiotic for example ciprofloxacin (Cipro), levofloxacin (Levaquin), yet others.
Using certain medicines can make it more difficult for that you tell when you've low blood sugar levels. Tell your doctor in case you use these things:
albuterol (Proventil, Ventolin);
clonidine (Catapres);
reserpine; or
beta-blockers for example atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), yet others.
You could be more likely to have hyperglycemia (high blood sugar) if you take glyburide with:
isoniazid;
diuretics (water pills);
steroids (prednisone yet others);
phenothiazines (Compazine yet others);
thyroid medicine (Synthroid and others);
birth control pills and other hormones;
heart or blood pressure medications (Cartia, Cardizem, Nifedical, Covera, Verelan, among others);
niacin (Advicor, Niaspan, Niacor, Simcor, Slo-Niacin, while others);
seizure medicines (Dilantin yet others); and
diet pills or medicines to treat asthma, colds or allergies.
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You could possibly be prone to have hypoglycemia (low blood sugar) in case you take glyburide with:
clarithromycin (Biaxin);
exenatide (Byetta);
probenecid (Benemid);
heart or hypertension medication (Accupril, Altace, Lotensin, Prinivil, Vasotec, Zestril, and others);
some nonsteroidal anti-inflammatory drugs (NSAIDs);
aspirin and other salicylates (including Pepto-Bismol);
sulfa drugs (Bactrim, Gantanol, Septra, yet others);
a monoamine oxidase inhibitor (MAOI); and
other oral diabetes medications, especially acarbose (Precose), metformin (Glucophage), miglitol (Glyset), pioglitazone (Actos), or rosiglitazone (Avandia).
These lists are not complete and there are many other medicines that will increase or minimizing the effects of glyburide on cutting your blood sugar. Tell your doctor about all medications you have. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
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