Highlights for repaglinide
repaglinide Side Effects
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing difficulties
- dark urine
- fever, chills
- signs and symptoms of low blood sugar such as feeling anxious, confusion, dizziness, increased hunger, unusually weak or tired, sweating, shakiness, cold, irritable, headache, blurred vision, fast heartbeat, loss of consciousness
- yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- back pain
- joint pain
repaglinide May Interact with Other Medications
- barbiturates like phenobarbital or primidone
- isophane insulin, NPH
- medicines for fungal or yeast infections such as itraconazole, ketoconazole, miconazole
- other medicines for diabetes
Many medications may cause an increase or decrease in blood sugar, these include:
- alcohol containing beverages
- aspirin and aspirin-like drugs
- female hormones, such as estrogens or progestins, birth control pills
- heart medicines
- 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
- NSAIDS, such as ibuprofen
- quinolone antibiotics such as ciprofloxacin, levofloxacin, ofloxacin
- some herbal dietary supplements
- steroid medicines such as prednisone or cortisone
- thyroid hormones
How to Use repaglinide
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.
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
If you miss a dose before a meal, skip that dose. If it is almost time for your next dose, take only that dose with the next scheduled meal as directed. Do not take double or extra doses.
Visit your doctor or health care professional for regular checks on your progress.
A test called the HbA1C (A1C) will be monitored. This is a simple blood test. It measures your blood sugar control over the last 2 to 3 months. You will receive this test every 3 to 6 months.
Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.
Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. Examples include hard sugar candy or glucose tablets. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. They must get medical help at once.
Tell your doctor or health care professional if you have high blood sugar. You might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine.
Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol. Many nonprescription cough and cold products contain sugar or alcohol. These can affect blood sugar.
Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.
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.
Last Updated: January 2, 2014