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Precautions

Do NOT use Metformin if:

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• you might be allergic to the ingredient in Metformin

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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

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• you also have a stroke or even a recent cardiac event, otherwise you have been in shock

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• you are 4 decades old or older and have not had a kidney function test

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

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Contact a medical expert or physician immediately if these sign up for you.

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Some medical conditions may interact with Metformin. Tell your doctor or pharmacist if you have any medical conditions, especially if any in the following affect you:

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• if you happen to be pregnant, intending to conceive, or are breast-feeding

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

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• if you have allergies to medicines, foods, and other substances

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• in case you use a history of heart problems (eg, heart failure), lung or breathing problems, an under active thyroid, stomach or bowel irregularity (eg, paralysis, blockage), adrenal or pituitary problems, or lactic acidosis

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• if 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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• in case you have an infection, fever, recent injury, or moderate to severe burns

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• in the event you are drinking alcohol or have a very good alcohol abuse

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• if you will be having surgical procedures or certain lab procedures

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

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Some medicines may communicate with Metformin. Tell your medical provider if you might be taking any other medicines, especially any of the following:

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• Amiloride, cimetidine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin simply because they could raise the likelihood of Metformin's unwanted 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 likelihood of high or low blood sugar levels could be increased.

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

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Important safety information:

• Dizziness may occur while you happen to be taking Metformin. This effect might 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 before you recognize how you react to it.

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• Follow the exercise and dieting program provided to you from your doctor.

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• Do not drink huge amounts of alcohol while you use Metformin. Talk to your medical professional or doctor prior to deciding to are drinking alcoholic beverages whilst you use Metformin.

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• Tell your medical professional or dentist that you simply take Metformin before you decide to have any medical or dental care, emergency care, or surgery.

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• Be careful to never become dehydrated, especially during summer or while you might be being active. Dehydration could raise the risk of Metformin's side effects.

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

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• Carry an ID card constantly saying you've diabetes. Check your blood glucose levels as directed from your doctor. If they are often higher or less than they must be and you take Metformin just as prescribed, tell your medical professional.

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• Metformin won't usually cause low blood sugar. Low blood sugar might be more likely to occur in case you skip meals, exercise heavily, or consume alcohol. It may also be a little more likely if you adopt Metformin together with certain medicines for diabetes (eg, sulfonylureas, insulin). It is a good plan to handle a reliable method to obtain glucose (eg, tablets or gel) to deal with low blood glucose. If this is not available, you need to eat or drink a quick method to obtain sugar like white sugar, honey, candy, orange juice, or non-diet soda. This will raise the blood glucose levels level quickly. Tell your doctor without delay if this happens. To prevent low blood glucose levels, eat meals as well each day and don't skip meals.

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

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

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

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• Use Metformin with caution within the elderly; they could possibly be more sensitive to its effects. Low blood glucose levels may also become more difficult to identify in the elderly.

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• Metformin mustn't be found in children younger ten years; safety and effectiveness of these children haven't been confirmed.

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• Pregnancy and breast-feeding: If you get pregnant, contact your doctor. You will need to discuss the advantages and perils associated with using Metformin while you are 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 might not exactly are well. If your blood glucose levels may be in check after which becomes difficult to manage, speak to your doctor. Do not alter the dose of the medicine without checking using your doctor.

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