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  Glucophage
Drug uses
Glucophage is a sulfonylurea, antidiabetic medicine used to treat diabetes 2. It helps to control the level of sugar in blood. By doing that it prevents different complications including impotence, kidney, liver and heart failure. But Glucophage doesn’t stimulate the body to produce more insulin than it does, it only reduces the amount of sugar. Diet and exercise is obligatory during the treatment.
How taken
Glucophage is available as a tablet that should be taken as whole and neither crushed or chewed.
The dose of the medicine you take should correspond to the amount of food and the intensity of exercises that you do. You need the doctor’s supervision to help you to balance it. The doses vary, but the average ones are:
For adults:
500 mg twice a day (morning and evening at mealtime)/ 800 mg once a day (morning). The dose may be increased weekly, so the patient may take up to 850 mg 2-3 times a day.
Children over 10 y.o.: 500 mg twice a day. The dose may be larger later.
Children under 10 y.o.: determined by the doctor.
Glucophage extended release tablets are not recommended for children but as for adults, their dose may vary from 500 mg to 2000 mg a day.
Precautions
1 Tell the doctor about any allergies that you have.
2 Glucophage is a medicine for diabetes 2 only but not for type 1.
3 For children under 10 the medicine didn’t prove to be effective and safe enough.
4 Tell the doctor if you are planning to have a baby or you are pregnant already. Do not breastfeed during the treatment.
5 Do not discontinue taking the medicine unless your doctor tells you to do so.
6 Avoid drinking alcohol during the treatment.
7 Your doctor may advise you to do regular blood tests in order to control you health conditions.
8 Control the amount of urine you have. If it’s less than usual, make sure the doctor knows about it.
9 Make sure the doctor knows about any specific medical conditions of yours besides diabetes such as:
Kidney/blood/thyroid/intestine/heart/pituitary gland/adrenal gland/liver/digestion problems
Vomiting
Burns
Diarrhea
Surgery
Infection
Mental stress
Ketones in urine
Hormone changes in women
Dehydration
Injury
Undernourishment
Physical weakness
10 Tell the doctor about the medications you are taking at the moment. Be sure you’ve mentioned:
Calcium channel blocking agents
Vancomycin
Triamterene
Amiloride
Trimethoprim
Cimetidine
Ranitidine
Procainamide
Digoxin
Quinine
Furosemide
Quinidine
Morphine
11 Additional supervision is needed when you feel unwell.
12 Before having any kind of medical treatment make sure the specialists know in advance about the medicine you are taking.
13 Glucophage works only in combination with a diet and exercise and doesn’t except them.
14 The doctor may advise you to check how your kidneys function during the treatment.
Side effects
The main side effect is high/low blood sugar level that may lead to liver, kidney, heart, eye problems. The symptoms of these side effects are vision problems, giddiness, irritability, tremor, unusual fatigue, irregular heartbeat, sweating, unusual hunger, confusion dry mouth, vomiting, pain in the stomach.
Missed dose
Never double doses if you missed one. Take it as soon as possible, but if it’s time to take the next one, follow your usual schedule and miss the dose you forgot to take.
Overdose
Lactic acidosis is caused by a large dose of the medicine the symptoms of which are diarrhea, pain in the muscles, hard breathing, fatigue and drowsiness. Search for prompt medical help if you suspect you’ve had too much.
Storage
  • Keep away from children
  • Store at room temperature
  • Keep away from direct light, moisture, heat and cold
  • Dispose of an outdated medicine

Disclaimer
This information is to serve your information purposes only and not to be looked upon as directions for a particular patient. It’s supposed to supplement to but not to substitute for the skill and knowledge of practitioners. The abstract only covers some general issues of drug uses, directions, warnings, possible side effects. We disclaim any responsibility for any adverse effects and negative consequences that may be the result of the use of this information. For more details consult with your doctor.