There are things you can do to help cope with them It may also help to slowly increase your dose over several weeks. Ask a pharmacist or your doctor for advice. Take small, frequent sips of water or squash to avoid dehydration. Speak to a pharmacist if you have signs of dehydration, such as peeing less than usual or having dark, strong-smelling pee. Do not take any other medicines to treat vomiting without speaking to a pharmacist or doctor.

The immediate-release tablet is available as a generic drug. The extended-release tablet is available as the brand-name drugs Fortamet and Glumetza. This drug may be used as part of combination therapy. That means you may need to take it with other drugs. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.

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This medication is an oral antidiabetic agent, prescribed for type 2 diabetes. It helps control blood sugar levels. Do not take more or less than instructed by your doctor. Do not stop taking it unless instructed by your doctor. Do not crush or chew the tablet.

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If higher doses needed, switch to Glucophage at max 2. Metabolic acidosis, diabetic ketoacidosis. Suspend therapy if dehydration occurs or before surgery. Avoid if evidence of hepatic disease. B 12 in susceptible patients. Increased risk of lactic acidosis with topiramate, other carbonic anhydrase inhibitors eg, zonisamide, acetazolamide, dichlorphenamide ; monitor.

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Thereafter, glycosylated hemoglobin should be measured at intervals of approximately 3 months. Monitoring of blood glucose and glycosylated order glucophage xr will also permit detection of primary failure, i. However, a lower recommended starting dose and gradually increased dosage is advised to minimize gastrointestinal symptoms. Dosage increases should be made in increments of mg weekly or mg every 2 weeks, up to a total of mg per day, given in divided doses. Doses above mg may be better tolerated given 3 times a day with meals. Dosage increases should be made in increments of mg weekly, up to a maximum of mg once daily with the evening meal.

Oral biguanide antidiabetic agent Used for type 2 DM in adult and pediatric patients 10 years and older; initial drug of choice Risk of lactic acidosis is low but requires order glucophage xr in prescribing and monitoring. Initially, mg PO twice daily or mg PO once daily, given with meals. In the geriatric adult, do not initiate therapy if 80 years old or older unless normal renal function is documented. Patients can also be titrated from mg PO twice daily to mg PO twice daily after 2 weeks. In the geriatric adult, do not titrate to the maximum dosage. If needed, increase the daily dosage by mg at weekly intervals.

Your medication may look different. If you have questions, ask your pharmacist. Lactic acidosis is more likely if you are an older adult, if you have kidney or liver disease, dehydration, heart failure, heavy alcohol use, if you have surgery, if you have X-ray or scanning procedures that use iodinated contrast, or if you are using certain drugs. Ask your doctor or pharmacist for more details. Proper control of diabetes may also lessen your risk of a heart attack or stroke.

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