reminyl amaryl death
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 reminyl amaryl death. Discuss with your doctor the risks and benefits of treatment with Amaryl reminyl amaryl death.
• Know the signs and symptoms of low blood sugar (hypoglycemia), whichinclude headache, drowsiness, weakness, dizziness, fast heartbeat, sweating,tremor, and nausea reminyl amaryl death. Carry a piece of hard candy or glucose tablets with youto treat episodes of low blood sugar reminyl amaryl death.
• Follow diet, medication, and exercise routines closely reminyl amaryl death. Changing anyof them can affect your blood sugar levels reminyl amaryl death.
• Do not change your dose of Amaryl without first talking to your doctor reminyl amaryl death.
• Avoid alcohol reminyl amaryl death. It lowers blood sugar and may interfere with your diabetestreatment reminyl amaryl death.
What is Amaryl?
• Amaryl is in a class of drugs called sulfonylureas reminyl amaryl death. It is used to helpcontrol blood sugar levels reminyl amaryl death.
• Amaryl is used with diet and exercise to treat noninsulin-dependent (TypeII) diabetes mellitus (NIDDM) reminyl amaryl death. Insulin or metformin (Glucophage) may also beused in combination with Amaryl, if necessary reminyl amaryl death.
• Amaryl may also be used for purposes other than those listed in thismedication guide reminyl amaryl death.
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 reminyl amaryl death.
• 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 reminyl amaryl death.
• Amaryl is in the FDA pregnancy category C reminyl amaryl death. This means that it is notknown whether Amaryl will be harmful to an unborn baby reminyl amaryl death. Insulin is usually thedrug of choice to control diabetes during pregnancy reminyl amaryl death. Do not take Amaryl withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment reminyl amaryl death.
• It is not known whether Amaryl passes into breast milk reminyl amaryl death. Do not take Amarylwithout first talking to your doctor if you are breast-feeding a baby reminyl amaryl death.
How should I take Amaryl?
• Take Amaryl exactly as directed by your doctor reminyl amaryl death. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou reminyl amaryl death.
• Take each dose with a full glass of water reminyl amaryl death.
• Amaryl is usually taken once a day, with breakfast or the first mainmeal reminyl amaryl death. Follow your doctor's instructions reminyl amaryl death.
• Do not change your dose of Amaryl without first talking to your doctor reminyl amaryl death.
• Store Amaryl at room temperature away from moisture and heat reminyl amaryl death.
What happens if I miss a dose?
• Take the missed dose as soon as you remember reminyl amaryl death. However, if it is almosttime for the next dose, skip the missed dose and take only the next regularlyscheduled dose reminyl amaryl death. Do not take a double dose of this medication reminyl amaryl death.
What happens if I overdose?
• Seek emergency medical attention reminyl amaryl death.
• Symptoms of a Amaryl overdose include hunger, nausea, anxiety, cold sweats,weakness, drowsiness, unconsciousness, and coma reminyl amaryl death.
What should I avoid while taking Amaryl?
• Follow diet, medication, and exercise routines closely reminyl amaryl death. Changing anyof these things can effect your blood sugar levels reminyl amaryl death.
• Avoid alcohol reminyl amaryl death. It lowers blood sugar and may interfere with your diabetestreatment reminyl amaryl death.
• Tell your doctor and dentist that you are taking this medication beforeyou undergo any surgery reminyl amaryl death.
• Do not take any over-the-counter cough, cold, allergy, pain, or weightloss medications without first talking to your doctor reminyl amaryl death.
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) reminyl amaryl death.
• Other, less serious side effects from Amaryl result mostly from bloodsugar levels that are either too high or too low reminyl amaryl death. You should be familiar withthe symptoms of both high and low blood sugar levels and know how to treat bothconditions reminyl amaryl death. Also, be sure your family and close friends know how to help youin an emergency situation reminyl amaryl death.
• 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 reminyl amaryl death.
• Hypoglycemia or Low blood sugar has the following symptoms:
· shaking;
· headache;
· cold sweats;
· pale, cool skin;
· anxiety; and
· difficulty concentrating reminyl amaryl death.
• Keep hard, sugary candy; chocolate; fruit juice; or glucose tablets onhand to treat episodes of low blood sugar reminyl amaryl death.
• 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 reminyl amaryl death.
• Hyperglycemia or High blood sugar has the following symptoms:
· increased thirst,
· increased hunger, and
· increased urination reminyl amaryl death.
• 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 reminyl amaryl death. The long-term use of Amarylshould be discussed with your doctor reminyl amaryl death.
• Side effects other than those listed here may also occur reminyl amaryl death. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome reminyl amaryl death.
What other drugs will affect Amaryl?
• Many other medicines may increase or decrease the effects of Amaryl oraffect your condition reminyl amaryl death. 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 reminyl amaryl death.
• You may require a dosage adjustment or special monitoring if you aretaking any of the medicines listed above reminyl amaryl death.
• Drugs other than those listed here may also interact with Amaryl or affectyour condition reminyl amaryl death. Talk to your doctor and pharmacist before taking any prescriptionor over-the-counter medicines, including herbal products reminyl amaryl death.
Where can I get more information?
• Your pharmacist has additional information about Amaryl written for healthprofessionals that you may read reminyl amaryl death.
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