Starlix (Nateglinide)

Your dosage will be based on your medical condition, the number of meals you consume in a day, and your response to treatment.

Take the medicine before meals. If you skip a meal, skip the dose of STARLIX. If you add a meal, take an extra dose.

Your doctor may start you on a lower dose of STARLIX and gradually increase it.

If you consume liquid meals, you may need a higher dose of STARLIX. Talk to your doctor about this.

Follow the instructions on your prescription label carefully. Don't take more or less of the drug than is prescribed.

STARLIX Overdose

If you suspect an overdose, you should contact a poison-control center or emergency room immediately.

Missed Dose of STARLIX

If you miss a dose of STARLIX, take it as soon as you remember, but only if you're getting ready to eat a meal.

Skip the missed dose if it's almost time for your next scheduled dose.

Don't take extra medicine to make up for a missed dose.

Common Side Effects of STARLIX

Tell your doctor if any of the following side effects become severe or don't go away:

• Headache
• Runny nose or nasal congestion
• Joint pain or stiffness
• Back pain
• Constipation
• Flu-like symptoms
• Cough
• Weight gain

Serious Side Effects of STARLIX

Call your doctor immediately if you experience any of the following serious side effects:

• Seizures
• Yellowing of the skin or eyes (jaundice)
• Signs of an allergic reaction, which may include hives; difficulty breathing; or swelling of the face, lips, tongue, or throat.

STARLIX shouldn't be used in people with 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
• Pituitary disease
• Neuropathy
• Adrenal problems
• Gout

Tell your healthcare providers that you're taking STARLIX before having any type of surgery, including a dental procedure.

This drug may cause changes in your blood sugar.

You should know the symptoms of high and low blood sugar episodes and be prepared to treat them.

Talk to your physician if you experience an illness, fever, injury, or unusual stress, because these events can affect your blood-sugar levels and how much STARLIX you need.

STARLIX helps control diabetes but does not cure it. Continue to take it even if you feel well, and don't stop taking it without talking with your doctor.

Your doctor will probably want to check your glucose levels often while you are taking STARLIX.

Always wear a diabetic ID bracelet to be sure you get proper treatment in case of an emergency.

Pregnancy and STARLIX

STARLIX should not be used during pregnancy.

Tell your doctor if you're pregnant or plan to become pregnant before taking STARLIX.

You shouldn't breastfeed while taking STARLIX. The drug can pass into breast milk and may harm a breastfeeding baby.

Tell your doctor about all prescription, non-prescription, illegal, recreational, herbal, nutritional, or dietary drugs you're taking, especially:

• Albuterol (Proventil, Ventolin, ProAir)
• Allergy medications
• Aspirin and nonsteroidal anti-inflammatory drugs ,such as ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn)
• Beta-blockers, such as propranolol (Inderal)
• Chloramphenicol (Chloromycetin)
• Chlorpromazine (Thorazine)
• Cold medicine
• Corticosteroids, such as dexamethasone (Decadron), methylprednisolone (Medrol), or prednisone (Deltasone, Orasone)
• Diuretics (water pills)
• Epinephrine
• Estrogens
• Fluphenazine (Prolixin)
• Isoniazid (Nydrazid, in Rifamate)
• Medications that contain alcohol or sugar
• Mesoridazine (Serentil)
• Niacin
• Oral contraceptives (birth control pills)
• Perphenazine (Trilafon)
• Phenelzine (Nardil)
• Probenecid (Benemid)
• Prochlorperazine (Compazine)
• Promazine (Sparine)
• Promethazine (Phenergan)
• St. John's wort
• Terbutaline (Brethine, Bricanyl)
• Thioridazine (Mellaril)
• Thyroid medication
• Tranylcypromine (Parnate)
• Trifluoperazine (Stelazine)
• Triflupromazine (Vesprin)
• Trimeprazine (Temaril)

STARLIX and Alcohol

Alcohol can affect your blood sugar.

Talk to your doctor about whether consuming alcohol is safe while taking STARLIX.