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glipizide/metformin-oral (cont.)

PRECAUTIONS: Also see Warnings section. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: kidney disease, liver disease, conditions that may cause a low oxygen blood level or poor circulation (e.g., severe congestive heart failure, recent heart attack, recent stroke), lack of body fluids (dehydration), serious infection, metabolic acidosis (e.g., diabetic ketoacidosis), Type I diabetes (insulin-dependent diabetes). Before using this medication, tell your doctor or pharmacist your medical history, especially of: severe breathing problems (e.g., obstructive lung disease, severe asthma), blood disorders (e.g., anemia, vitamin B-12 deficiency), scheduled upcoming surgery, fertility problems (e.g., ovulation problems), alcohol use, any allergies. Limit alcohol while using this medication. This medication may make you more sensitive to the sun. Avoid prolonged sun exposure, tanning booths or sunlamps. Use a sunscreen and wear protective clothing when outdoors. During times of stress, such as fever, infection, injury or surgery, it may be more difficult to control your blood sugar. Consult your doctor, as a change in your medication may be required. Caution is advised when using this drug in the elderly because they may be more sensitive to its effects. This medication is not recommended for use during pregnancy due to possible fetal harm. Consult your doctor for more details. It is not known whether this drug passes into breast milk. Breast-feeding is not recommended while using this drug.

DRUG INTERACTIONS: Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: aspirin-like drugs, azole antifungals (e.g., fluconazole, ketoconazole), beta-blockers (e.g., propranolol), birth control pills, "blood thinners" (e.g., warfarin), calcium channel blockers (e.g., nifedipine), chloramphenicol, cimetidine, clofibrate, corticosteroids (e.g., prednisone), decongestants (e.g., pseudoephedrine), other diabetes drugs (e.g., insulin, rosiglitazone), diazoxide, estrogens, fenugreek, ginseng, isoniazid, MAO inhibitors (e.g., furazolidone, linezolid, moclobemide, phenelzine procarbazine, selegiline, isocarboxazid, tranylcypromine), niacin, non-steroidal anti-inflammatory drugs (NSAIDs), phenothiazines (e.g., chlorpromazine), phenytoin, probenecid, rifampin, sulfonamides (e.g., sulfa antibiotics), thyroid drugs, "water pills" (diuretics such as hydrochlorothiazide, furosemide). If you are scheduled to undergo any x-ray or scanning procedure using injectable iodinated contrast material, be sure to inform your doctor that you are taking this medication. You will need to temporarily stop this medication around the time of your procedure. Consult your doctor for further instructions. Do not start or stop any medicine without doctor or pharmacist approval.




Report Problems to the Food and Drug Administration

 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.


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