actoplus-met-xr

drug may cause or make heart failure worse in some people. Tell your doctor if you have ever had heart failure. Do not take this drug if you have moderate to very bad heart failure or if you have any signs of heart failure. You will be watched closely for signs of heart failure when you start this drug and if your dose is raised. Call your doctor right away if you have swelling in the arms or legs, shortness of breath or trouble breathing, sudden weight gain or weight gain that is not normal, or are feeling very tired. Talk with your doctor. Rarely, metformin may cause an acid health problem in the blood (lactic acidosis). The risk of lactic acidosis is higher in people with kidney problems and in people who take certain other drugs like topiramate. The risk is also higher in people with liver problems or heart failure, in older people (65 or older), or with alcohol use. If lactic acidosis happens, it can lead to other health problems and can be deadly. Lab tests to check the kidneys may be done while taking this drug. Talk with the doctor. Do not take this drug if you have a very bad infection, low oxygen, or a lot of fluid loss. If you have liver disease, talk with your doctor. Talk with your doctor before you drink alcohol. If you are having an exam or test with dye or have had one within the past 48 hours, talk with your doctor. Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. Call your doctor right away if you have signs of too much lactic acid in the blood (lactic acidosis) like fast breathing, fast heartbeat, a heartbeat that does not feel normal, very bad upset stomach or throwing up, feeling very sleepy, shortness of breath, feeling very tired or weak, very bad dizziness, feeling cold, or muscle pain or cramps. null COMMON USES: It is used to lower blood sugar in patients with high blood sugar (diabetes).

drug may cause or make heart failure worse in some people. Tell your doctor if you have ever had heart failure. Do not take this drug if you have moderate to very bad heart failure or if you have any signs of heart failure. You will be watched closely for signs of heart failure when you start this drug and if your dose is raised. Call your doctor right away if you have swelling in the arms or legs, shortness of breath or trouble breathing, sudden weight gain or weight gain that is not normal, or are feeling very tired. Talk with your doctor. Rarely, metformin may cause an acid health problem in the blood (lactic acidosis). The risk of lactic acidosis is higher in people with kidney problems and in people who take certain other drugs like topiramate. The risk is also higher in people with liver problems or heart failure, in older people (65 or older), or with alcohol use. If lactic acidosis happens, it can lead to other health problems and can be deadly. Lab tests to check the kidneys may be done while taking this drug. Talk with the doctor. Do not take this drug if you have a very bad infection, low oxygen, or a lot of fluid loss. If you have liver disease, talk with your doctor. Talk with your doctor before you drink alcohol. If you are having an exam or test with dye or have had one within the past 48 hours, talk with your doctor. Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. Call your doctor right away if you have signs of too much lactic acid in the blood (lactic acidosis) like fast breathing, fast heartbeat, a heartbeat that does not feel normal, very bad upset stomach or throwing up, feeling very sleepy, shortness of breath, feeling very tired or weak, very bad dizziness, feeling cold, or muscle pain or cramps. null COMMON USES: It is used to lower blood sugar in patients with high blood sugar (diabetes).
CAUTIONS: Do not drive if your blood sugar has been low. There is a greater chance of you having a crash. The chance of getting bladder cancer may be raised when taking this drug. Talk with the doctor. Check your blood sugar as you have been told by your doctor. Have blood work checked as you have been told by the doctor. Talk with the doctor. Follow the diet and workout plan that your doctor told you about. It may be harder to control your blood sugar during times of stress like when you have a fever, an infection, an injury, or surgery. A change in level of physical activity or exercise and a change in diet may also affect your blood sugar. Talk with your doctor. Be careful in hot weather or while being active. Drink lots of fluids to stop fluid loss. This drug may raise the chance of broken bones. The chance may be higher in women. Broken bones were seen after people took this drug for 1 year. Most of the broken bones happened in the upper arm, hand, or foot. Talk with your doctor about how to keep your bones healthy or if you have any questions. If you have been taking this drug for a long time or at high doses, it may not work as well and you may need higher doses to get the same effect. This is known as tolerance. Call your doctor if this drug stops working well. Do not take more than ordered. If you are 65 or older, use this drug with care. You could have more side effects. Do not give to a child. Talk with your doctor. There is a chance of pregnancy in women of childbearing age who have not been ovulating. If you want to avoid pregnancy, use birth control that you can trust while taking this drug. Use birth control that you can trust to prevent pregnancy while taking this drug. You may see something that looks like the tablet in your stool. This is normal and not a cause for concern. If you have questions, talk with your doctor. Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
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