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Uses

INDICATIONS

Micronase (Glyburide) is definitely an oral diabetes medicine that can help control blood sugar levels.

Glyburide can be used to deal with diabetes type 2.

This drugs are not for treating type 1 diabetes.

Glyburide doubles for other purposes unpublished on this medication guide.

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INSTRUCTIONS

Take exactly as prescribed because of your doctor. Do not take in larger or smaller amounts or longer than recommended. Follow the directions in your prescription label. Your doctor may occasionally alter your dose to make sure you acquire the best results.

Take glyburide along with your first meal during the day, unless a medical expert informs you otherwise.

Your blood glucose should be checked often, and you will need other blood tests at a medical expert's office. Visit your medical professional regularly.
Know the signs of low blood sugar levels (hypoglycemia) and the ways to recognize them: headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating.

Always keep a supply of sugar available in case you've signs of low blood sugar levels. Sugar sources include orange juice, glucose gel, candy, or milk. If you might have severe hypoglycemia and cannot eat or drink, work with an injection of glucagon. Your doctor can present you with a prescription to get a glucagon emergency injection kit and inform you the best way to provide injection.

Also watch for indications of blood glucose which is way too high (hyperglycemia). These symptoms include increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dermititis, blurred vision, and weight reduction.

Check your blood glucose carefully during a period of stress or illness, in the event you travel, exercise more than usual, drink alcohol, or skip meals. These things may affect your sugar levels and your dose needs could also change.

Your doctor might prefer one to stop taking glyburide to get a small amount of time if you become ill, have a very fever or infection, or if you might have surgical treatment or a medical emergency.
Ask your medical professional how you can adjust your glyburide dose if required. Do not make positive changes to medication dose or schedule without your physician's advice.

If there are any adjustments to the brand, strength, or form of glyburide you employ, your dosage needs may change. Always check your refills to make sure you have received the right brand and sort of medicine prescribed by your doctor.

DOSAGE

Take as prescribed by your doctor.

STORAGE

Store at room temperature, protected from moisture, heat, and light.

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Active ingredient: Glyburide

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Side Effects

Stop using glyburide and get emergency medical help if you might have these indications of an allergic reaction: hives; lack of breath; swelling of your face, lips, tongue, or throat. Stop taking prescription drugs and call your doctor immediately if you've got all of these serious unwanted side effects:

nausea, stomach pain, low fever, decrease of appetite, dark urine, clay-colored stools, jaundice (yellowing of the epidermis 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 side effects while others may occur. Call a medical expert for health advice about side effects.

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Precautions

You should not use this medication if you are allergic to glyburide, or:

if you are undergoing treatment with bosentan (Tracleer);

if you've got type 1 diabetes; or

in the event you are in a state of diabetic ketoacidosis (call your physician for treatment with insulin).

To be sure to can safely take glyburide, tell your doctor if you've got all of these other concerns:

hemolytic anemia (a lack of red blood cells);

an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD);

a nerve disorder affecting bodily functions;

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liver or kidney disease;

should you are allergic to sulfa drugs; or

if you might have been using insulin or taking chlorpropamide (Diabinese).

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Certain oral diabetes medications may improve your chance of serious heart problems. However, not your diabetes may damage your heart and also other organs. Talk to your medical professional concerning the risks and advantages of taking care of your diabetes with glyburide.

FDA pregnancy category C. It is not known whether glyburide will harm an baby. Similar diabetes medications have caused severe hypoglycemia in babies whose mothers had used the medication nearby the time of delivery. Tell your physician should you are pregnant or plan to conceive while using the prescription drugs. It is not known whether glyburide passes into breast milk or if it could possibly harm a nursing baby.

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Do not use this medication without telling your physician should you are breast-feeding an infant. Older adults may be very likely to have low blood glucose levels while taking glyburide.

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Important safety information:

You should not use prescription drugs should you are allergic to glyburide, if you are being treated with bosentan (Tracleer), if you've got type 1 diabetes, or in the event you are in a state of diabetic ketoacidosis (call your physician for treatment with insulin).

Before taking glyburide, tell a medical expert in case you are allergic to sulfa drugs, if you've got been using insulin or chlorpropamide (Diabinese), or if you've hemolytic anemia (too little red blood cells), an enzyme deficiency (G6PD), a nerve disorder, liver disease, or kidney disease.

Take care never to let your blood glucose levels get too low. Low blood sugar levels (hypoglycemia) can occur in case you skip dinner, exercise to much time, are drinking alcoholic beverages, or are under stress. Symptoms include headache, hunger, weakness, sweating, tremor, irritability, or trouble concentrating. Carry hard candy or glucose tablets along with you in case you might have low blood sugar. Other sugar sources include orange juice and milk. Be sure your household and good friends know the best way to help you in an emergency.

Drug interactions

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Tell a medical expert about other medications you utilize, especially:

a blood thinner such as warfarin (Coumadin, Jantoven);

cyclosporine (Gengraf, Neoral, Sandimmune);

disopyramide (Norpace);

fluconazole (Diflucan), ketoconazole (Nizoral);

fluoxetine (Prozac);

rifampin (Rifadin, Rimactane, Rifater);

an ACE inhibitor like enalapril (Vasotec), lisinopril (Prinivil, Zestril), ramipril (Altace), yet others; or

an antibiotic for example ciprofloxacin (Cipro), levofloxacin (Levaquin), while others.

Using certain medicines makes it tougher for that you tell when you've low blood sugar. Tell your medical professional if you use these things:

albuterol (Proventil, Ventolin);

clonidine (Catapres);

reserpine; or

beta-blockers like atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), yet others.

You may be more prone to have hyperglycemia (high blood glucose levels) should you take glyburide with:

isoniazid;

diuretics (water pills);

steroids (prednisone among others);

phenothiazines (Compazine yet others);

thyroid medicine (Synthroid while others);

birth control pills and other hormones;

heart or blood pressure levels medications (Cartia, Cardizem, Nifedical, Covera, Verelan, while others);

niacin (Advicor, Niaspan, Niacor, Simcor, Slo-Niacin, and others);

seizure medicines (Dilantin among others); and

diet pills or medicines to take care of asthma, colds or allergies.


You could possibly be more prone to have hypoglycemia (low blood sugar) if you take glyburide with:

clarithromycin (Biaxin);

exenatide (Byetta);

probenecid (Benemid);

heart or blood pressure level medication (Accupril, Altace, Lotensin, Prinivil, Vasotec, Zestril, yet others);

some nonsteroidal anti-inflammatory drugs (NSAIDs);

aspirin or any other salicylates (including Pepto-Bismol);

sulfa drugs (Bactrim, Gantanol, Septra, among 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 aren't complete and you will find many other medicines that may increase or minimizing the effects of glyburide on lowering your blood glucose levels. Tell your physician about all medications you employ. This includes prescription, over-the-counter, vitamin, and herbal products. Do not find a new medication without telling a medical expert.

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