chanaday amaryl beatrice
Glimepiride (glih MEH pih ride)
What is the most important information I should know about Amaryl?
• Treatment with Amaryl may increase the risk of death from cardiovasculardisease compared to treatment of diabetes with diet alone or diet plus insulin chanaday amaryl beatrice. Discuss with your doctor the risks and benefits of treatment with Amaryl chanaday amaryl beatrice.
• Know the signs and symptoms of low blood sugar (hypoglycemia), whichinclude headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea chanaday amaryl beatrice. Carry a piece of hard candy or glucose tablets with youto treat episodes of low blood sugar chanaday amaryl beatrice.
• Follow diet, medication, and exercise routines closely chanaday amaryl beatrice. Changing anyof them can affect your blood sugar levels chanaday amaryl beatrice.
• Do not change your dose of Amaryl without first talking to your doctor chanaday amaryl beatrice.
• Avoid alcohol chanaday amaryl beatrice. It lowers blood sugar and may interfere with your diabetestreatment chanaday amaryl beatrice.
What is Amaryl?
• Amaryl is in a class of drugs called sulfonylureas chanaday amaryl beatrice. It is used to helpcontrol blood sugar levels chanaday amaryl beatrice.
• Amaryl is used with diet and exercise to treat noninsulin-dependent (TypeII) diabetes mellitus (NIDDM) chanaday amaryl beatrice. Insulin or metformin (Glucophage) may also beused in combination with Amaryl, if necessary chanaday amaryl beatrice.
• Amaryl may also be used for purposes other than those listed in thismedication guide chanaday amaryl beatrice.
What should I discuss with my docotr before taking Amaryl?
• Before taking Amaryl, tell your doctor if you
· have kidney disease;
· have liver disease;
· have thyroid disease;
· have Type 1 diabetes mellitus (insulin-dependent diabetes);
· have a serious infection, illness, or injury; or
· need surgery chanaday amaryl beatrice.
• You may not be able to take Amaryl, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove chanaday amaryl beatrice.
• Amaryl is in the FDA pregnancy category C chanaday amaryl beatrice. This means that it is notknown whether Amaryl will be harmful to an unborn baby chanaday amaryl beatrice. Insulin is usually thedrug of choice to control diabetes during pregnancy chanaday amaryl beatrice. Do not take Amaryl withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment chanaday amaryl beatrice.
• It is not known whether Amaryl passes into breast milk chanaday amaryl beatrice. Do not take Amarylwithout first talking to your doctor if you are breast-feeding a baby chanaday amaryl beatrice.
How should I take Amaryl?
• Take Amaryl exactly as directed by your doctor chanaday amaryl beatrice. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou chanaday amaryl beatrice.
• Take each dose with a full glass of water chanaday amaryl beatrice.
• Amaryl is usually taken once a day, with breakfast or the first mainmeal chanaday amaryl beatrice. Follow your doctor's instructions chanaday amaryl beatrice.
• Do not change your dose of Amaryl without first talking to your doctor chanaday amaryl beatrice.
• Store Amaryl at room temperature away from moisture and heat chanaday amaryl beatrice.
What happens if I miss a dose?
• Take the missed dose as soon as you remember chanaday amaryl beatrice. However, if it is almosttime for the next dose, skip the missed dose and take only the next regularlyscheduled dose chanaday amaryl beatrice. Do not take a double dose of this medication chanaday amaryl beatrice.
What happens if I overdose?
• Seek emergency medical attention chanaday amaryl beatrice.
• Symptoms of a Amaryl overdose include hunger, nausea, anxiety, cold sweats,weakness, drowsiness, unconsciousness, and coma chanaday amaryl beatrice.
What should I avoid while taking Amaryl?
• Follow diet, medication, and exercise routines closely chanaday amaryl beatrice. Changing anyof these things can effect your blood sugar levels chanaday amaryl beatrice.
• Avoid alcohol chanaday amaryl beatrice. It lowers blood sugar and may interfere with your diabetestreatment chanaday amaryl beatrice.
• Tell your doctor and dentist that you are taking this medication beforeyou undergo any surgery chanaday amaryl beatrice.
• Do not take any over-the-counter cough, cold, allergy, pain, or weightloss medications without first talking to your doctor chanaday amaryl beatrice.
What are the possible side effects of Amaryl?
• Stop taking Amaryl and seek emergency medical attention if you experiencean allergic reaction (difficulty breathing; closing of your throat; swellingof your lips, tongue, or face; or hives) chanaday amaryl beatrice.
• Other, less serious side effects from Amaryl result mostly from bloodsugar levels that are either too high or too low chanaday amaryl beatrice. You should be familiar withthe symptoms of both high and low blood sugar levels and know how to treat bothconditions chanaday amaryl beatrice. Also, be sure your family and close friends know how to help youin an emergency situation chanaday amaryl beatrice.
• Low blood sugar may occur when too much Amaryl is taken; when meals aremissed or delayed; if you exercise more than usual; during illness, especiallywith vomiting or diarrhea; if you take other medications; after drinking alcohol;and in other situations chanaday amaryl beatrice.
• Hypoglycemia or Low blood sugar has the following symptoms:
· shaking;
· headache;
· cold sweats;
· pale, cool skin;
· anxiety; and
· difficulty concentrating chanaday amaryl beatrice.
• Keep hard, sugary candy; chocolate; fruit juice; or glucose tablets onhand to treat episodes of low blood sugar chanaday amaryl beatrice.
• Increased blood sugar may occur when not enough Amaryl is taken; if youeat significantly more food then usual; if you exercise less than usual; ifyou take other medications; during fever or other illness; and in other situations chanaday amaryl beatrice.
• Hyperglycemia or High blood sugar has the following symptoms:
· increased thirst,
· increased hunger, and
· increased urination chanaday amaryl beatrice.
• There may be an increased risk of death due to cardiovascular (heartand blood vessels) complications with the use of Amaryl when compared to thetreatment of diabetes with diet or diet plus insulin chanaday amaryl beatrice. The long-term use of Amarylshould be discussed with your doctor chanaday amaryl beatrice.
• Side effects other than those listed here may also occur chanaday amaryl beatrice. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome chanaday amaryl beatrice.
What other drugs will affect Amaryl?
• Many other medicines may increase or decrease the effects of Amaryl oraffect your condition chanaday amaryl beatrice. Before taking Amaryl, tell your doctor if you are takingany of the following medicines:
· aspirin or another salicylate such as magnesium/choline salicylate(Trilisate), salsalate (Disalcid, others), choline salicylate (Arthropan), magnesiumsalicylate (Magan), or bismuth subsalicylate (Pepto-Bismol);
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, Nuprin, others), ketoprofen (Orudis, Orudis KT, Oruvail), diclofenac(Voltaren, Cataflam), etodolac (Lodine), indomethacin (Indocin), nabumetone(Relafen), oxaprozin (Daypro), and naproxen (Anaprox, Naprosyn, Aleve);
· a sulfa-based drug such as sulfamethoxazole-trimethoprim (Bactrim,Septra), sulfisoxazole (Gantrisin), or sulfasalazine (Azulfidine);
· a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan),tranylcypromine (Parnate), or phenelzine (Nardil);
· a beta-blocker such as propranolol (Inderal), atenolol (Tenormin),acebutolol (Sectral), metoprolol (Lopressor), and others;
· a diuretic (water pill) such as hydrochlorothiazide (HCTZ, Hydrodiuril),chlorothiazide (Diuril), and others;
· a steroid medicine such as prednisone (Deltasone, Orasone, others),methylprednisolone (Medrol, others), prednisolone (Prelone, Pediapred, others),and others;
· a phenothiazine such as chlorpromazine (Thorazine), fluphenazine (Prolixin,Permitil), prochlorperazine (Compazine), promethazine (Phenergan), and others;
· phenytoin (Dilantin);
· isoniazid (Nydrazid);
· rifampin (Rifadin, Rifamate); or
· over-the-counter cough, cold, allergy, or weight loss medications chanaday amaryl beatrice.
• You may require a dosage adjustment or special monitoring if you aretaking any of the medicines listed above chanaday amaryl beatrice.
• Drugs other than those listed here may also interact with Amaryl or affectyour condition chanaday amaryl beatrice. Talk to your doctor and pharmacist before taking any prescriptionor over-the-counter medicines, including herbal products chanaday amaryl beatrice.
Where can I get more information?
• Your pharmacist has additional information about Amaryl written for healthprofessionals that you may read chanaday amaryl beatrice.
|
