Common Uses: This anti-diabetic medicine is a combination of two medicines (a sulfonylurea and a biguanide). It is used along with a diet and exercise program to control high blood sugar in patients with type 2 diabetes (non-insulin-dependent diabetes). This medicine works by stimulating the release of your body's natural insulin and by restoring your body's proper response to insulin. Controlling high blood sugar helps prevent heart disease, strokes, kidney disease, blindness, and circulation problems, as well as sexual function problems (impotence).
Generic Name: E: GLYBURIDE (GLYE-byoo-ride) and METFORMIN (met-FOR-min)
[Glucovance]. Medications should only be taken in accordance with the advice of your medical professional.
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More about Glucovance :
How to use this Medicine: Follow the directions for using this medicine provided by your doctor. This medicine may come with a patient leaflet. Ask your doctor, nurse or pharmacist any questions you may have about this medicine. TAKE THIS MEDICINE WITH A MEAL. DRINKING EXTRA FLUIDS while you are taking this medicine is recommended. Check with your doctor or nurse for instructions. Your dosage is based on your medical condition and your response to therapy. Use this medicine regularly in order to receive the most benefit from it. Taking this medicine at the same time each day will help you remember. STORE THIS MEDICINE in a tightly-closed container at room temperature 77 degrees F (25 degrees C), away from heat, moisture, and light. CONTINUE TO TAKE THIS MEDICINE even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.
Mexican name is Glucovance
Cautions: KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are using this medicine. Laboratory and/or medical tests (e.g., liver and kidney function tests, fasting blood glucose, glycosylated hemoglobin, complete blood counts) should be performed periodically to monitor your progress or check for side effects. Regularly check your blood or urine for sugar, as directed by your doctor or pharmacist. YOU MAY EXPERIENCE BLURRED VISION, DIZZINESS, OR DROWSINESS due to extremely low or high blood sugar levels; use caution engaging in activities requiring alertness such as driving or using machinery. LIMIT ALCOHOL INTAKE while using this medicine because it can increase the risk of developing hypoglycemia. Rarely, alcohol can interact with glyburide and cause a serious reaction (disulfiram-like reaction) with symptoms such as facial flushing, nausea, vomiting, dizziness, or stomach pain. Consult your doctor or pharmacist about the safe use of alcohol. During times of stress, such as fever, infection, injury, or surgery, it may be more difficult to control your blood sugar. Consult your doctor, as a change in your medicine may be required. THIS MEDICINE MAY CAUSE increased sensitivity to the sun. Avoid exposure to the sun or sunlamps until you know how you react to this medicine. Use a sunscreen or protective clothing if you must be outside for a prolonged period. If you are scheduled to undergo any x-ray or scanning procedure using injectable iodinated contrast material, be sure to inform your doctor that you are taking this medicine. You will need to temporarily stop this medicine around the time of your procedure. Consult your doctor for further instructions. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. CAUTION IS ADVISED WHEN USING THIS MEDICINE IN THE ELDERLY because they may be more sensitive to the effects of this medicine. FOR WOMEN: This medicine can cause changes in the menstrual cycle (promote ovulation) in women with certain fertility problems, increasing the risk of becoming pregnant. Consult your doctor or pharmacist about the use of reliable birth control while using this medicine. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. USE OF THIS MEDICINE IS NOT RECOMMENDED for at least 2 weeks prior to delivery due to the potential for fetal harm. Insulin may be preferred during pregnancy. Discuss all options with your doctor. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast milk. DO NOT BREAST-FEED while taking this medicine.
Possible Side Effects: Also see the BEFORE USING THIS MEDICINE section. SIDE EFFECTS, that may occur initially during treatment, include nausea, stomach upset, diarrhea, or weight gain. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if your stomach symptoms recur later (after you are taking the same dose for several days or weeks). A later recurrence of stomach symptoms may be due to lactic acidosis. CONTACT YOUR DOCTOR IMMEDIATELY if you experience persistent sore throat or fever, easy bleeding or bruising, severe stomach pain, yellowing eyes or skin, dark urine, unusual tiredness or weakness, unusual or sudden weight gain, mental/mood changes, swelling of the hands or feet, or seizures. THIS MEDICINE CAN CAUSE LOW BLOOD SUGAR (hypoglycemia). This effect may occur if you do not consume enough calories (from food, juices, fruit, etc). The symptoms include chills, cold sweat, blurred vision, dizziness, drowsiness, shaking, rapid heartbeat, weakness, headache, fainting, tingling of the hands or feet, or hunger. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you are in a situation where you don't have these reliable forms of glucose, eat a quick source of sugar such as table sugar, honey, or candy, or drink a glass of orange juice or non-diet soda to quickly raise your blood sugar level. TELL YOUR DOCTOR IMMEDIATELY about the reaction. To help prevent hypoglycemia, eat meals on a regular schedule and do not skip meals. Symptoms of high blood sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, or fruity breath odor. If these symptoms occur, TELL YOUR DOCTOR IMMEDIATELY. Your medicine dosage may need to be increased. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.
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For years, Americans living near Canada and Mexico have taken advantage of the low cost prescription drugs available across the border, allowing them to purchase brand name and generic medicines like Glucovance at
substantial savings compare to prices in the United States. You must only take medications in accordance with the advice of your doctor or medical professional and you must only take prescription drugs if you are in possession of a valid prescription.
[Glucovance]
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Drug interactions with over-the-counter
cough medicines : There are two general types of cough medicine that are available
over the counter. (There are also some types of cough medicines with significant
amounts of narcotics like codeine, but these stronger cough medicines are only
available by prescription.) Some over-the counter cough medicines are antitussives.
Dextromethorphan is one of the more common ingredients in antitussives. An antitussive
is a cough suppressant. It works by partially blocking the cough reflex. It
lessens your body's tendency to allow a cough to be triggered involuntarily.
Some common antitussive over-the-counter cough medicines include Triaminic Cold
and Cough, and Vicks 44 Cough and Cold.
The other type of over-the-counter cough medicine is an expectorant. The main
ingredient for over-the-counter expectorants is guaifenesin. Expectorants work
by thinning the mucus that can clog your airway and cause you to cough to clear
it. Some common expectorant over-the-counter cough medicines include Mucinex
and Robitussin Chest Congestion. With any medication, including fairly tame
over-the-counter medications, you always want to be aware of the risk of it
interacting adversely with some other medication - over-the-counter or prescription
- that you are taking. In the case of over-the-counter cough medicine, the primary
risk is consuming too much of an ingredient because you're not aware it's in
multiple medications you're taking. This happens most often because some products
are designed to treat multiple symptoms of, say, a cold. So you need to read
your labels and check the ingredients.
For instance, you may be taking something you think
of as a cough medicine, when in fact if you look closely you'll see that it
treats other symptoms as well. Then if you're also taking something else for
those other symptoms, you could be inadvertently doubling up. You might be taking,
say, an antihistamine, a decongestant, and/or a pain reliever, and if one or
more of these is also contained in your cough medicine, then you may exceed
the recommended dose. Or, your cough medicine may indeed be solely a cough medicine,
but you may be also taking a general cold remedy which itself contains cough
medicine, thus exceeding the recommended dosage in that way. Beyond that, there
is a small risk of an over-the-counter cough medicine interacting adversely
with certain prescription drugs. If you are on any prescription medications,
always ask your doctor before taking cough medicine, or any other medication.
Specifically, some patients taking a monoamine oxidase inhibitor (MAOI), a prescription
drug used to treat depression among other conditions, have had problematic interactions
with over-the-counter cough medicines.
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