What should I watch for?
Visit your doctor or health care professional for regular checks on your progress.
Drink plenty of fluids while taking this medicine. Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea, and vomiting. The loss of too much body fluid can make it dangerous for you to take this medicine.
A test called the HbA1C (A1C) will be monitored. This is a simple blood test. It measures your blood sugar control over the last 2 to 3 months. You will receive this test every 3 to 6 months.
Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.
Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. Examples include hard sugar candy or glucose tablets. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. They must get medical help at once.
Tell your doctor or health care professional if you have high blood sugar. You might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine.
Pens should never be shared. Even if the needle is changed, sharing may result in passing of viruses like hepatitis or HIV.
Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.
Side Effects to watch for
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing problems
- diarrhea that continues or is severe
- lump or swelling on the neck
- severe nausea
- signs and symptoms of infection like fever or chills; cough; sore throat; pain or trouble passing urine
- signs and symptoms of low blood sugar such as feeling anxious, confusion, dizziness, increased hunger, unusually weak or tired, sweating, shakiness, cold, irritable, headache, blurred vision, fast heartbeat, loss of consciousness
- signs and symptoms of kidney injury like trouble passing urine or change in the amount of urine
- trouble swallowing
- unusual stomach upset or pain
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
What may interact with this drug?
- other medicines for diabetes
Many medications may cause changes in blood sugar, these include:
- alcohol containing beverages
- antiviral medicines for HIV or AIDS
- aspirin and aspirin-like drugs
- certain medicines for blood pressure, heart disease, irregular heart beat
- female hormones, such as estrogens or progestins, birth control pills
- male hormones or anabolic steroids
- MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
- medicines for weight loss
- medicines for allergies, asthma, cold, or cough
- medicines for depression, anxiety, or psychotic disturbances
- NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
- quinolone antibiotics such as ciprofloxacin, levofloxacin, ofloxacin
- some herbal dietary supplements
- steroid medicines such as prednisone or cortisone
- sulfamethoxazole; trimethoprim
- thyroid hormones