Prandin

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

diabetic ketoacidosis

kidney disease

liver disease

severe infection or injury

an unusual or allergic reaction to repaglinide or other medicines, foods, dyes, or preservatives

pregnant or trying to get pregnant

breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. The dose should be taken no earlier than 30 minutes before every meal. If an extra meal is added, take a tablet before that meal. If a meal is skipped, skip the dose for that meal. Do not take more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Elderly patients over 65 years old may have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is less than four hours to your next dose, take only that dose and skip the missed dose. Do not take double or extra doses.

What may interact with this medicine?

barbiturates like phenobarbital or primidone

carbamazepine

clarithromycin

erythromycin

gemfibrozil

sophane insulin, NPH

medicines for fungal or yeast infections such as itraconazole, ketoconazole, miconazole

montelukast

other medicines for diabetes

rifampin

simvastatin

Many medications may cause an increase or decrease in blood sugar, these include:

alcohol containing beverages

aspirin and aspirin-like drugs

chloramphenicol

chromium

diuretics

female hormones, such as estrogens or progestins, birth control pills

heart medicines

soniazid

male hormones or anabolic steroids

medications for weight loss

medicines for allergies, asthma, cold, or cough

medicines for mental problems

medicines called MAO inhibitors - Nardil, Parnate, Marplan, Eldepryl

niacin

NSAIDS, such as ibuprofen

pentamidine

phenytoin

probenecid

quinolone antibiotics such as ciprofloxacin, levofloxacin, ofloxacin

some herbal dietary supplements

steroid medicines such as prednisone or cortisone

thyroid hormones

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress.
Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.
If you have low blood sugar, eat or drink something that has sugar. Make sure others know to get medical help quickly if you have serious symptoms of low blood sugar, like if you become unconscious or have a seizure.
If you need surgery, tell your doctor or health care professional that you are taking this medicine.
Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

breathing difficulties

dark yellow or brown urine, or yellowing of the eyes or skin

fever, chills, sore throat

low blood sugar (ask your doctor or healthcare professional for a list of these symptoms)

severe skin rash, redness, swelling, or itching

unusual bleeding or bruising

vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

diarrhea

headache

muscle pain

nausea

Where should I keep my medicine?

Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.