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Precautions

Do NOT use Metformin if:

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• you're allergic to any ingredient in Metformin
• you might have congestive heart failure that is certainly treated by medicine

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• you use a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (eg, diabetic ketoacidosis), or severe dehydration
• you have experienced a stroke or even a recent cardiac event, or you are in shock

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• you happen to be 4 decades old or older and still have not stood a kidney function test

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• you will be having surgery or certain lab procedures.

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Contact a medical expert or doctor immediately if some of these apply to you.

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Some medical ailments may interact with Metformin. Tell your physician or pharmacist in case you have any health concerns, particularly if any with the following affect you:

• if you are pregnant, planning to get pregnant, or are breast-feeding

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• if you might be taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, or another substances

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• in case you have a very reputation cardiovascular disease (eg, heart failure), lung or breathing problems, thyroid problems, stomach or bowel obstruction (eg, paralysis, blockage), adrenal or pituitary problems, or lactic acidosis

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• for those who have vomiting, diarrhea, poor health or nutrition, low blood calcium or vitamin B₁₂ levels, or anemia, or if you happen to be dehydrated

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• when you have an infection, fever, recent injury, or moderate to severe burns

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• in case you drink alcohol or use a good alcohol abuse

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• if you will probably be having surgical treatment or certain lab procedures
• if you are taking a beta-blocker (eg, propranolol).

Some medicines may talk with Metformin. Tell your doctor if you might be taking another medicines, especially any with the following:

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• Amiloride, cimetidine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin because they might increase the risk of Metformin's side effects

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• Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), insulin, isoniazid, nicotinic acid, phenothiazine (eg, chlorpromazine), phenytoin, sulfonylureas (eg, glipizide), sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid hormones (eg, levothyroxine) as the risk of high or low blood glucose levels could possibly be increased.

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This might not be a complete list of all interactions that could occur. Ask your health care provider if Metformin may interact with other medicines which you take. Check with your health care provider prior to starting, stop, or affect the dose of the medicine.

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Important safety information:

• Dizziness may occur while you're taking Metformin. This effect could possibly be worse in case you get it with alcohol or certain medicines. Use Metformin with caution. Do not drive or perform other possible unsafe tasks unless you recognize how you respond to it.

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• Follow the eating and working out program provided to you from your physician.

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• Do not drink large amounts of alcohol whilst you use Metformin. Talk to a medical expert or health care provider prior to deciding to drink alcohol while you use Metformin.

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• Tell a medical expert or dentist that you just take Metformin when you receive any medical or dental treatments, emergency care, or surgery.

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• Be careful never to become dehydrated, especially during summer or while you're being active. Dehydration could raise the probability of Metformin's negative effects.
• If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.

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• Carry an ID card always that says you've got diabetes. Check your blood glucose levels as directed by your doctor. If they are often higher or under they must be and you take Metformin exactly as prescribed, tell your medical professional.

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• Metformin doesn't usually cause low blood sugar levels. Low blood sugar levels may be more prone to occur in the event you skip a meal, exercise heavily, or are drinking alcoholic beverages. It may also be likely if you take Metformin as well as certain medicines for diabetes (eg, sulfonylureas, insulin). It is often a good plan to hold a reliable supply of glucose (eg, tablets or gel) to help remedy low blood sugar. If this is not available, you ought to eat or drink a simple source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose level quickly. Tell your doctor without delay if this happens. To prevent low blood glucose, eat meals concurrently each day , nor skip meals.

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• Fever, infection, injury, or surgery may raise your risk for high or low blood glucose levels. If these occur, look at blood sugar levels closely and tell your physician without delay.

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• Metformin may commonly cause stomach upset, indigestion, nausea, vomiting, or diarrhea at the beginning of treatment. If you develop unusual or unexpected peptic issues, or in the event you develop peptic issues later during treatment, get hold of your doctor immediately. This might be a symbol of lactic acidosis.

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• Lab tests, including kidney function, fasting blood sugar, hemoglobin A_1c, and blood counts, might be performed as you use Metformin. These tests could possibly be used to monitor your complaint or look for unwanted effects. Be sure to keep all doctor and lab appointments.

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• Use Metformin with caution inside the elderly; they might be more sensitive to its effects. Low blood glucose levels levels may also be difficult to realize inside the elderly.

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• Metformin shouldn't be utilized in children younger 10 years; safety and effectiveness during these children weren't confirmed.
• Pregnancy and breast-feeding: If you get pregnant, speak to your doctor. You will need to discuss the advantages and perils of using Metformin while you happen to be pregnant. It is not known if Metformin is found in breast milk. Do not breastfeed while taking Metformin.

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When used by long periods of time, Metformin may well not be well. If your blood sugar levels continues to be in order after which becomes hard to manage, speak to your doctor. Do not customize the dose of your medicine without checking using your doctor.

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