Some medicines may affect your blood sugar level, including a diuretic (water pill), birth control pills, corticosteroid (including dexamethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone), phenothiazine medicine, thyroid medicine, niacin, phenytoin, and isoniazid.
Limit the amount of alcohol you drink. Too much alcohol increases your risk of lactic acidosis.
Warnings While Using This Medicine:
Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart failure, high cholesterol, adrenal or pituitary gland disease, vitamin B12 deficiency, or a history of gallstones, or alcoholism.
This medicine may cause the following problems:
Lactic acidosis (rare but serious build-up of acid in the blood)
Pancreatitis
Heart failure
Low blood sugar and vitamin B12 levels
Serious skin reactions
Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may interact with the dye used for an x-ray or a CT scan.
Tell any doctor or dentist who treats you that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.
Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Blistering, peeling, red skin rash
Fast breathing, trouble breathing, severe weakness, tiredness, or confusion
Large, hard skin blisters
Rapid weight gain, swelling in your hands, ankles, or feet
Severe joint pain
Shaking, trembling, sweating, fast or pounding heartbeat, faintness, hunger
Sudden and severe stomach pain, nausea, vomiting, fever, lightheadedness
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
Last Updated: 6/6/2024
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