Take acarbose by mouth at the start with the first bite of each main meal. Its action is quite different from sulfonylureas and metformin. By slowing the digestion of carbohydrates in the small intestine, the blood sugar rise after a meal is lessened. Acarbose works by inhibiting enzymes in the intestine that break carbohydrates down, so glucose levels rise more slowly and the person's own internal production of insulin can more easily respond. The presence of other medical problems may affect the use of acarbose. Acarbose does not cause low blood sugar hypoglycemia.
Drink plenty of fluids while taking this medication unless your doctor tells you otherwise. Some patients benefit from starting at 25 mg orally once a day with subsequent titration to 3 times a day to minimize GI side effects. In contrast to sulfonylureas, Acarbose Tablets do not enhance insulin secretion. The antihyperglycemic action of Acarbose results from a competitive, reversible inhibition of pancreatic alpha-amylase and membrane-bound intestinal alpha-glucoside hydrolase enzymes. Pancreatic alpha-amylase hydrolyzes complex starches to oligosaccharides in the lumen of the small intestine, while the membrane-bound intestinal alpha-glucosidases hydrolyze oligosaccharides, trisaccharides, and disaccharides to glucose and other monosaccharides in the brush border of the small intestine. In diabetic patients, this enzyme inhibition results in a delayed glucose absorption and a lowering of postprandial hyperglycemia.
Do not take more capsules in a day than prescribed by your doctor. Your condition will not improve any faster, and your risk of side effects will increase. The native american diet is largely unchanged, except where Western influence has taken over - hence high rates of obesity, diabetes, and alcoholism - they are all interrelated. Now, understand that I am of Western European descent, so I do NOT consider myself an expert on native american diets. Adding the a-glucosidase inhibitor, Bayer Corp. Your medication needs may change if you become sick or injured, if you have a serious infection, or if you have any type of surgery. Do not change your dose or stop taking acarbose without first talking to your doctor. unisom
You should take the prescribed dose with the FIRST BITE of each main meal. A small dose will be started and your health care provider will gradually increase it as needed. Your health care provider may want you to combine Precose with another type of diabetes pill. Since Precose works differently than the other diabetes pills, it will not interfere with their action. Combined with these pills, Precose may further improve your control. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting acarbose. Carry hard candy or glucose tablets with you in case you have low blood sugar. Other sugar sources include orange juice and milk. Be sure your family and close friends know how to help you in an emergency.
Some MEDICINES MAY INTERACT with acarbose. If you miss a dose of acarbose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store at room temperature away from light and moisture. All medicines may cause side effects, but many people have no, or minor, side effects. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately: chest pain, rash. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. It is not known whether this drug passes into milk. Consult your doctor before -feeding. Acarbose corresponding to 10 times the dose in man, based on body surface area showed no evidence of embryotoxicity and there was no evidence of teratogenicity at a dose 32 times the dose in man based on body surface area. There are, however, no adequate and well-controlled studies of Acarbose Tablets in pregnant women. Because animal reproduction studies are not always predictive of the human response, this drug should be used during pregnancy only if clearly needed. Because current information strongly suggests that abnormal blood glucose levels during pregnancy are associated with a higher incidence of congenital anomalies as well as increased neonatal morbidity and mortality, most experts recommend that insulin be used during pregnancy to maintain blood glucose levels as close to normal as possible. Also avoid dairy products and alcohol. And avoid eating solids and drinking liquids during the same meal. In fact, don't drink 30 minutes before and 30 minutes after meals. In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. Acarbose is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor's instructions very closely.
Cut food into very small pieces. Chew well before swallowing. It may be harder to control your blood sugar during times of stress, such as fever, infection, injury, or surgery. Talk with your doctor about how to control your blood sugar if any of these occur. Do not change the dose of your medicine without checking with your doctor. What should I avoid while taking acarbose Precose? Unlike sulfonylureas or insulin, an overdose of Acarbose Tablets will not result in hypoglycemia. An overdose may result in transient increases in flatulence, diarrhea, and abdominal discomfort which shortly subside. In cases of overdosage the patient should not be given drinks or meals containing carbohydrates polysaccharides, oligosaccharides and disaccharides for the next 4-6 hours. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Use this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day. This list is not complete. Other drugs may interact with acarbose, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Avoid drinking alcohol. It can lower your blood sugar. Your doctor may need to adjust your anti-diabetic medication, exercise program, or diet. If swallowing is difficult, then the capsule may be opened and the contents mixed in a small amount of liquid or soft food that does not need to be chewed such as room-temperature applesauce. Do not mix the contents of the capsule with alkaline food or liquid such as milk, ice cream, tea. This may not be a complete list of all interactions that may occur. Ask your health care provider if acarbose may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Stop eating when you first begin to feel full. What happens if I miss a dose Precose? cyproheptadine
If no further reduction in postprandial glucose or HbA1c is observed with titration to 100 mg three times a day, consider lowering the dose. If symptoms of high blood sugar occur, check your blood sugar level and then call your doctor for instructions. Pediatric Use: Safety and effectiveness of Acarbose Tablets in pediatric patients have not been established. PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking acarbose while you are pregnant. It is not known if this medicine is found in breast milk. Do not breast-feed while taking acarbose. Acarbose Tablets as monotherapy or in combination with sulfonylurea, metformin or insulin treatment was conducted in Canada in which 316 patients were included in the primary efficacy analysis Figure 2. In the diet, sulfonylurea and metformin groups, the mean decrease in HbA1c produced by the addition of Acarbose Tablets was statistically significant at six months, and this effect was persistent at one year. In the Acarbose Tablets-treated patients on insulin, there was a statistically significant reduction in HbA1c at six months, and a trend for a reduction at one year. Doing so can irritate the and also change the way the medication works. In case of overdose, do not eat or drink anything containing carbohydrates for the next 4 to 6 hours. Low blood sugar hypoglycemia can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Always keep a source of dextrose D-glucose with you in case you have low blood sugar. When taking acarbose, dextrose will work better than cane sugar or table sugar in treating hypoglycemia. Sources of dextrose include honey, dates, raisins, plums, dried prunes, grapes, or glucose tablets. Be sure your family and close friends know how to help you in an emergency. Do not change brands or dosage forms of without consulting your doctor or pharmacist. generic finasteride online australia finasteride
Symptoms of high blood sugar hyperglycemia include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, and fruity breath odor. If these symptoms occur, tell your doctor right away. Your dosage may need to be increased or you may need other drugs. Follow carefully the special meal plan your doctor gave you. This is the most important part of controlling your condition, and is necessary if the medicine is to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed. Intestinal adsorbents for example, charcoal and digestive enzyme preparations containing carbohydrate-splitting enzymes for example, amylase, pancreatin may reduce the effect of Acarbose Tablets and should not be taken concomitantly. This information should not be used to decide whether or not to take acarbose or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about acarbose. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to acarbose. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using acarbose. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. If your symptoms do not improve or if they become worse, check with your doctor. Fertility studies conducted in rats after oral administration produced no untoward effect on fertility or on the overall capability to reproduce. Where can I get more information? Take the missed dose as soon as you remember be sure to take it with a meal. If it has been longer than 15 minutes since you started your meal, you may still take acarbose but it may be less effective than taking it with the first bite of the meal. Do not take acarbose between meals, and do not take extra medicine to make up a missed dose. Studies in healthy volunteers have shown that Acarbose Tablets have no effect on either the pharmacokinetics or pharmacodynamics of nifedipine, propranolol, or ranitidine. Acarbose Tablets did not interfere with the absorption or disposition of the sulfonylurea glyburide in diabetic patients. Acarbose Tablets may affect digoxin bioavailability and may require dose adjustment of digoxin by 16% 90% confidence interval: 8-23% decrease mean C max of digoxin by 26% 90% confidence interval: 16-34% and decreases mean trough concentrations of digoxin by 9% 90% confidence limit: 19% decrease to 2% increase. Do not take other medicines during the time you are taking acarbose unless they have been discussed with your doctor. This especially includes nonprescription medicines such as aspirin, and medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems. What should I discuss with my healthcare provider before taking acarbose Precose? Tell your doctor about all kind of medications you are taking, as these may interfere with the ability of Glycomet Generic Glucomin to control your blood sugar level. About FAERS: The FDA Adverse Event Reporting System FAERS is used by FDA for activities such as looking for new safety concerns that might be related to a marketed product, evaluating a manufacturer's compliance to reporting regulations and responding to outside requests for information. Reporting of adverse events is a voluntary process, and not every report is sent to FDA and entered into FAERS. How should I take acarbose? Food and Drug Administration FDA approved the use of acarbose for managing Type 2 diabetes. The brand name for acarbose is Precose. Acarbose blocks the enzymes that digest starches from food. This causes a slower and lower rise of blood sugar through the day. Acarbose is especially effective right after meals.
The amount of metformin absorbed while taking Acarbose Tablets was bioequivalent to the amount absorbed when taking placebo, as indicated by the plasma AUC values. However, the peak plasma level of metformin was reduced by approximately 20% when taking Acarbose Tablets due to a slight delay in the absorption of metformin. There is little if any clinically significant interaction between Acarbose Tablets and metformin. Using acarbose with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. For these reasons, FAERS case reports cannot be used to calculate incidence or estimates of risk for a particular product or compare risks between products. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. There may be a time when you need emergency help for a problem caused by your diabetes. You need to be prepared for these emergencies. It is a good idea to wear a medical identification ID bracelet or neck chain at all times. Also, carry an ID card in your wallet or purse that says that you have diabetes and a list of all of your medicines. Acarbose Tablets have been shown to change the bioavailability of digoxin when they are coadministered, which may require digoxin dose adjustment. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. Ask your doctor how to adjust your acarbose dose if needed. Do not change your medication dose or schedule without your doctor's advice. AIMS: Thioctic acid TA glibenclamide and acarbose are widely used to either alone or concomitantly treat patients suffering from noninsulin-dependent diabetes NIDDM. This study systematically investigated drug-drug interactions between TA and glibenclamide and TA and acarbose. METHODS: Fourteen male and 10 female healthy volunteers participated a randomized, open three period cross over trial treatments A-C followed by a fourth period treatment D. A baseline profile for plasma insulin and glucose concentrations, variables which served as pharmacodynamic measures, was assessed before entering the trial. Bloating; diarrhea; gas; stomach pain. If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. buy now cheap isoxsuprine usa isoxsuprine
Eat five or six small meals or snacks a day. Take at the start with first bite of each main meal; patients should be adhering to a diabetic diet to minimize GI side effects. The bottom line is today's longetivity is only attributed to advances in medicine that prevent death from early disease or otherwise thwart the natural selection Darwinism process. Reclining after eating may help prevent light-headedness. Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus. In the 59 cases where follow-up was recorded, hepatic abnormalities improved or resolved upon discontinuation of Acarbose Tablets in 55 and were unchanged in two. Cases of fulminant hepatitis with fatal outcome have been reported; the relationship to Acarbose is unclear. If you miss a dose, take the next dose with your next meal or snack as directed. If side effects occur with Acarbose Tablets, they usually develop during the first few weeks of therapy. They are most commonly mild-to-moderate gastrointestinal effects, such as flatulence, diarrhea, or abdominal discomfort, and generally diminish in frequency and intensity with time. Use: As an adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus. What other drugs will affect acarbose? Things like the Chia seeds and Amaranth are great for making beverages which taste good. You may need to do a bit of research on recipes and preparation. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office. Acarbose is also contraindicated in patients with inflammatory bowel disease, colonic ulceration, partial intestinal obstruction, or in patients predisposed to intestinal obstruction. Acarbose may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking acarbose. Do not use table sugar also called cane sugar or sucrose to relieve these symptoms because acarbose delays its breakdown. Carry glucose tablets or gel with you to treat low blood sugar. If you are in a situation where you don't have these reliable forms of glucose, eat some honey or drink a glass of orange juice sources of another sugar, fructose to quickly raise your blood sugar level. Tell your doctor about the reaction right away. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your doctor or pharmacist to find out what you should do if you miss a meal. There is no fixed dosage regimen for the management of diabetes mellitus with Acarbose Tablets or any other pharmacologic agent. generic vivitrol yahoo
kroger brand generic acarbose, acarbose online new zealand, acarbose price watsons, buy cheapest acarbose, acarbose prescription cost, where can you buy acarbose in canada, comprar acarbose online em portugal, cheap acarbose pills for sale, acarbose price in jordan, buy now online acarbose pills, cheap acarbose buy now online, buy acarbose london, cheapest acarbose buy visa otc, acarbose buy online, acarbose canada store, acarbose and canada, acarbose online mastercard, cost acarbose compendium, acarbose online cheap, acarbose online how much, generic acarbose do, comprar acarbose online brasil, buy now generic acarbose payment, where to order acarbose store, generic acarbose buy shopping usa, order generic acarbose pharmacy otc, acarbose 10mg price, lloyds pharmacy herbal acarbose, order cheapest acarbose shopping australia, where to get acarbose, buy acarbose compendium, target brand acarbose, buy acarbose new york, buy acarbose turkey, acarbose buy online mastercard europe, purchase generic acarbose payment uk, buy acarbose rx, acarbose order canada, buy generic acarbose uk, buy acarbose adelaide, order cheapest acarbose online, money order acarbose visa australia, canada acarbose roche, world pharmacy acarbose, money order now acarbose europe, buy cheapest acarbose mastercard canada, price acarbose brands, generic acarbose caraco, buy acarbose edmonton, buy brand name acarbose, cheapest acarbose purchase now canada, indian acarbose, how to purchase now acarbose, generic acarbose sleep aid, purchase generic acarbose store usa, order acarbose online australia, price acarbose quit, purchase generic acarbose store canada, cost of acarbose at costco, buy now generic acarbose pharmacy, buy cheapest acarbose shopping, generic acarbose indication, acarbose online mexico, price acarbose 750 mg, online pharmacies that sell acarbose, generic acarbose over the counter, acarbose buy payment, shop acarbose emagrece, generic acarbose without subscription, acarbose cash on delivery, acarbose uses, where to buy liquid acarbose, how can i acarbose, cheapest acarbose buy store canada, buy acarbose leeds, acarbose cheap buy now online, best price for acarbose 20mg, generic acarbose pharmacy reviews, acarbose price comparison usa, buy acarbose tablets 20mg, acarbose generic otc, generic acarbose money order australia, acarbose news, buy acarbose online in canada, buy cheapest acarbose pharmacy uk, online pharmacy usa acarbose, shop acarbose generic, cheapest acarbose purchase mastercard usa, order acarbose online shop canada, cheap acarbose from india, generic acarbose sale, acarbose the generic pharmacy, acarbose north american pharmacy, purchase now cheap acarbose store, cost of acarbose at rite aid pharmacy, acarbose online low price, buy now acarbose payment canada, acarbose order online store uk, acarbose money order now mastercard, order generic acarbose online, comprare acarbose, lloyds pharmacy acarbose prices, purchase acarbose pills online shopping, acarbose shop glasgow, acarbose available generic, order acarbose online usa, generic acarbose mastercard accepted, acarbose online visa money order, cheap acarbose birmingham, generic acarbose yahoo, order acarbose ecuador, purchase generic acarbose store otc, buy now cheap acarbose usa, generic acarbose online australia
Do not use this medication if you are allergic to acarbose, or if you are in a state of diabetic ketoacidosis call your doctor for treatment with insulin. Severe hypoglycemia may require the use of either intravenous glucose infusion or glucagon injection. Warning: The facts and figures contained in these reports are accurate to the best of our capability; however, our metrics are only meant to augment your medical knowledge, and should never be used as the sole basis for selecting a new medication. As with any medical decision, be sure to work with your doctor to ensure the best choices are made for your condition. igow.info furosemide
Nursing Mothers: A small amount of radioactivity has been found in the milk of lactating rats after administration of radiolabeled Acarbose. It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, Acarbose Tablets should not be administered to a nursing woman. Lack of interaction between thioctic acid, glibenclamide and acarbose. Keep all medical appointments. Geriatric Use: Of the total number of subjects in clinical studies of Acarbose Tablets in the United States, 27% were 65 and over, while 4% were 75 and over. No overall differences in safety and effectiveness were observed between these subjects and younger subjects.
Digestive Tract: Gastrointestinal symptoms are the most common reactions to Acarbose Tablets. You may experience blurred vision, dizziness, or drowsiness due to extremely low or high blood sugar levels. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages because they can increase the risk of developing low blood sugar. Diabetes patients - Carry an ID card at all times that says you have diabetes. Check your blood sugar levels as directed by your doctor. If they are often higher than they should be and you take acarbose exactly as prescribed, tell your doctor. purchase generic precose store otc
It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding. Using acarbose with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. This medication should not be used if you have certain medical conditions. Clinical Experience in Type 2 Diabetes Mellitus Patients on Monotherapy, or in Combination with Sulfonylureas, Metformin or Insulin: Acarbose Tablets were studied as monotherapy and as combination therapy to sulfonylurea, metformin, or insulin treatment. The treatment effects on HbA1c levels and one-hour postprandial glucose levels are summarized for four placebo-controlled, double-blind, randomized studies conducted in the United States in Tables 2 and 3, respectively. The placebo-subtracted treatment differences, which are summarized below, were statistically significant for both variables in all of these studies. naproxen