Prandin (Repaglinide) Dosage and Side Effects
PRANDIN is used to treat people with type 2 diabetes who can't manage their condition by diet and exercise alone. When you have type 2 diabetes, your body doesn't make or use the hormone insulin normally, so it can't control the amount of sugar, or glucose, in the blood.
Proper Use of this medication
PRANDIN comes as a tablet and is typically taken by mouth with meals.
If you skip a meal, skip your dose of PRANDIN. If you add a meal, take an extra dose.
Your doctor may start you on a low dose of this medicine and gradually increase it.
Follow the directions on your prescription label carefully. Don't take more or less than is prescribed.
If you suspect an overdose, you should contact a poison-control center or emergency room immediately.
Missed Dose of PRANDIN
If you miss a dose of PRANDIN and you've just begun to eat a meal, take the missed dose as soon as you remember.
However, if you've finished eating your meal, skip the missed dose and continue on your regular dosing schedule.
Don't take extra medicine to make up for a missed dose.
Common Side Effects of PRANDIN
Tell your doctor if any of the following side effects become severe or don't go away:
- Nasal congestion
- Sinus pain or pressure
- Joint pain
- Back pain
Serious Side Effects of PRANDIN
Seek medical assistance right away if you experience any of the symptoms listed in the Warning section or any of the following serious side effects:
- Signs of an allergic reaction, which may include rash; hives; difficulty breathing; or swelling of the mouth, face, lips, or tongue
- Chest pain
- Yellowing of the eyes or skin (jaundice)
- Dark-colored urine
- Fever, chills, or a persistent sore throat
- Unusual bleeding or bruising
Warnings and Precautions
You shouldn't take PRANDIN if you have type 1 diabetes (the body doesn't produce any insulin) or diabetic ketoacidosis (a dangerous condition that can occur if high blood sugar is untreated).
Before taking this medicine, tell your doctor if you have or have ever had:
- Liver disease
- Kidney disease
- Adrenal or pituitary problems
Don't take PRANDIN if you are also taking NPH insulin or gemfibrozil (Lopid).
Tell your healthcare providers that you're taking PRANDIN before having any type of surgery, including a dental procedure.
PRANDIN should be used with caution in elderly people because they may be more sensitive to it.
Don't give this medicine to a child or anyone under 18 years old. Safety and effectiveness of PRANDIN in kids hasn't been established.
PRANDIN may cause changes in your blood sugar.
You should know the symptoms of high (hyperglycemic) or low (hypoglycemic) blood-sugar episodes and be prepared to treat them.
Low blood sugar is a common side effect of PRANDIN.
Symptoms can include headache, hunger, weakness, sweating, tremor or severe shaking, irritability, or trouble concentrating.
Drinking orange juice or eating a hard candy or glucose tablet can bring up blood sugar levels.
Tell your physician if you experience an illness, fever, injury, or unusual stress while taking PRANDIN, because these can change your blood sugar and the dosage you need.
PRANDIN controls diabetes, but it doesn't cure it. Continue to take it even if you feel well. Don't stop it without talking to your doctor.
Your doctor will probably want to frequently check your glucose levels while you are taking PRANDIN.
Always wear a diabetic ID bracelet to be sure you get proper treatment in case of an emergency.
Pregnancy and PRANDIN
This medicine is an FDA Pregnancy Category C drug, which means harm to an unborn baby can't be ruled out.
Tell your doctor if you're pregnant or plan to become pregnant while taking PRANDIN.
Your physician may recommend insulin during pregnancy to ensure that your blood sugar is well-controlled.
It's also not known if PRANDIN is found in breast milk. Don't breastfeed while taking this medicine without talking to your doctor first.
Interactions with this medication
Tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking, especially those listed in the Warning section or any of the following:
- Acetophenazine (Tindal)
- Arthritis drugs
- Blood-pressure medicines
- Carbamazepine (Tegretol)
- Chloramphenicol (Chloromycetin)
- Chlorpromazine (Thorazine)
- Contraceptives (such as birth-control pills)
- Fluphenazine (Prolixin)
- Isoniazid (Nydrazid, Rifamate)
- Ketoconazole (Nizoral)
- Mesoridazine (Serentil)
- Perphenazine (Trilafon)
- Phenelzine (Nardil)
- Phenobarbital (Luminal)
- Phenytoin (Dilantin)
- Probenecid (Benemid)
- Prochlorperazine (Compazine)
- Promazine (Sparine)
- Promethazine (Phenergan)
- Rifampin (Rifadin, Rimactane, Rifamate)
- Thioridazine (Mellaril)
- Tranylcypromine (Parnate)
- Trifluoperazine (Stelazine)
- Triflupromazine (Vesprin)
- Trimeprazine (Temaril)
- Troglitazone (Rezulin)
- Warfarin (Coumadin)
- Water pills (diuretics)
PRANDIN and Alcohol
Alcohol can cause a decrease in blood sugar.
Ask your doctor about consuming alcoholic beverages while you are taking PRANDIN.
PRANDIN and Other Interactions
You may experience dizziness while taking this medicine.
Don't drive or operate machinery until you know you can do so safely.
Other related products
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.