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Precautions

Do NOT use Metformin if:

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• you are allergic to your ingredient in Metformin

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• you might have congestive heart failure that is certainly treated by medicine

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• you possess a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (eg, diabetic ketoacidosis), or severe dehydration

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• you have had a stroke or a recent cardiac arrest, or else you are in shock

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• you're 80 years old or older and possess not stood a kidney function test

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• you will probably be having surgical procedures or certain lab procedures.

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Contact your doctor or health care provider straight away if any of these apply to you.

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Some medical conditions may interact with Metformin. Tell your medical professional or pharmacist when you have any health conditions, in particular when any in the following connect with you:

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• if you're pregnant, intending to get pregnant, or are breast-feeding

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• if you're taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• for those who have allergies to medicines, foods, or other substances

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• in the event you have a good heart disease (eg, heart failure), lung or breathing problems, an under active thyroid, stomach or irregularity (eg, paralysis, blockage), adrenal or pituitary problems, or lactic acidosis

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• in case you have vomiting, diarrhea, bad health or nutrition, low blood calcium or vitamin B₁₂ levels, or anemia, or if you're dehydrated

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• if you are taking a beta-blocker (eg, propranolol).

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Some medicines may connect to Metformin. Tell your health care provider if you are taking some other medicines, especially any of 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 negative 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) for the reason that probability of high or low blood sugar could be increased.

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This will not be an entire listing of all interactions that may occur. Ask your medical provider if Metformin may interact along with other medicines which you take. Check with your health care provider prior to starting, stop, or change the dose associated with a medicine.

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Important safety information:

• Dizziness may occur while you happen to be taking Metformin. This effect may be worse in the event you take it with alcohol or certain medicines. Use Metformin with caution. Do not drive or perform other possible unsafe tasks and soon you know how you reply to it.

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

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• Do not drink a lot of alcohol while you use Metformin. Talk to a medical expert or physician when you are drinking alcoholic beverages when you use Metformin.

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• Tell your doctor or dentist that you take Metformin when you receive any medical or dental treatments, emergency care, or surgery.

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• Be careful to not become dehydrated, especially during summer or while you're being active. Dehydration might increase the likelihood of Metformin's negative effects.

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• If vomiting or diarrhea occurs, you will need to adopt care to not become dehydrated. Contact a medical expert for instructions.

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• Carry an ID card at all times which says you might have diabetes. Check your blood sugar levels as directed because of your doctor. If they are often higher or under they must be and you take Metformin exactly as prescribed, tell your doctor.

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• Metformin won't usually cause low blood sugar levels. Low blood glucose levels might be more prone to occur if you skip dinner, exercise heavily, or consume alcohol. It may also be more likely if you're taking Metformin together with certain medicines for diabetes (eg, sulfonylureas, insulin). It is often a wise decision to transport a dependable supply of glucose (eg, tablets or gel) to treat low blood sugar levels. If this is not available, you need to eat or drink a quick supply of sugar like countertop sugar, honey, candy, orange juice, or non-diet soda. This will increase your blood sugar level quickly. Tell a medical expert right away take place. To prevent low blood glucose levels, eat meals simultaneously daily and do not skip meals.

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• Fever, infection, injury, or surgery may increase your risk for high or low blood glucose levels levels. If some of these occur, look at your blood sugar levels closely and tell your physician straight away.

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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 nausea, or in case you develop peptic issues later during treatment, speak to your doctor simultaneously. This could be a sign 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 may be used to monitor your complaint or pay attention to unwanted side effects. Be sure to keep all doctor and lab appointments.

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• Use Metformin with caution in the elderly; they could possibly be more understanding of its effects. Low blood sugar levels levels may also be a little more difficult to acknowledge in the elderly.

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• Metformin should not be employed in children younger 10 years; safety and effectiveness during these children weren't confirmed.

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• Pregnancy and breast-feeding: If you become pregnant, get hold of your doctor. You will need to discuss the huge benefits and risks of using Metformin while you are pregnant. It is not known if Metformin is located in breast milk. Do not breastfeed while taking Metformin.

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When employed for a long time, Metformin might not exactly work as well. If your blood glucose has been under control then becomes difficult to manage, get hold of your doctor. Do not affect the dose of the medicine without checking with your doctor.

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