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    En raras ocasiones, un exceso de metformina puede acumularse en el organismo y causar una afección grave (en ocasiones mortal) conocida como acidosis láctica. Es más probable que se produzca acidosis láctica si es una persona de edad avanzada, si tiene enfermedad renal o hepática, deshidratación, o insuficiencia cardíaca, si consume mucho alcohol, si se somete a una cirugía, a una radiografía o a algún procedimiento exploratorio con contraste yodado, o si usa determinados medicamentos. Para algunas afecciones es posible que su médico le indique que deje de tomar este medicamento durante un período corto de tiempo. Consulte a su médico o farmacéutico para obtener más información. Deje de tomar este medicamento y busque atención médica de urgencia si presenta cualquiera de los siguientes síntomas de acidosis láctica, como cansancio inusual, mareos, somnolencia intensa, escalofríos, piel azulada/fría, dolor muscular, dificultad para respirar/respiración acelerada, ritmo cardíaco lento/irregular, dolor estomacal con náuseas, vómitos o diarrea. Este medicamento combinado debe acompañarse de un programa apropiado de dieta y ejercicios para controlar los niveles altos de azúcar en la sangre en pacientes con diabetes tipo 2. También se puede usar con otros medicamentos para la diabetes. La gliburida pertenece a una clase de fármacos conocidos como sulfonilureas. amoxicillin vs cipro You should not use this medication if you are allergic to glyburide or metformin, or if you have kidney disease or are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, you will need to temporarily stop taking glyburide and metformin. Before you take this medication, tell your doctor if you have liver or heart disease, a history of heart attack or stroke, or an enzyme deficiency called glucose-6-phosphate dehydrogenase deficiency (G6PD). Some people develop lactic acidosis while taking glyburide and metformin. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, slow or uneven heart rate, dizziness, or feeling very weak or tired. Glyburide and metformin is a combination of two oral diabetes medicines that help control blood sugar levels. Glyburide and metformin is used to treat type 2 diabetes.

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    Teva's generic medications are available in most pharmacies across the United States, though not all pharmacies carry the same Teva medications. To find out if your medication is available as a Teva generic, contact your local pharmacy. If the pharmacy doesn't regularly stock a certain medication from Teva, ask if it can be ordered for you at no additional cost. Learn More The product catalog provides you with a full listing of Teva's brand and generic product lines. The catalog displays all strengths and sizes along with the description, imprint code, NDC and photo for each product. To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. Talk to your pediatrician regarding the use of this medicine in children. Patients over 65 years old may need a smaller dose than younger adults. Do not take this medicine with any of the following medications: -bosentan -certain contrast medicines given before X-rays, CT scans, MRI, or other procedures -dofetilide This medicine may also interact with the following medications: -acetazolamide -alcohol -aspirin and aspirin-like medicines -certain antivirals for HIV or hepatitis -certain medicines for blood pressure, heart disease, irregular heart beat -chloramphenicol -cimetidine -ciprofloxacin -clarithromycin -colesevelam -dichlorphenamide -digoxin -diuretics -female hormones, like estrogens or progestins and birth control pills -glycopyrrolate -isoniazid -lamotrigine -medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl -memantine -methazolamide -metoclopramide -miconazole -midodrine -niacin -NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen -phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine -phenytoin -probenecid -ranolazine -steroid medicines like prednisone or cortisone -stimulant medicines for attention disorders, weight loss, or to stay awake -thyroid medicines -topiramate -trospium -vandetanib -warfarin -zonisamide This list may not describe all possible interactions. Learn the symptoms of low and high blood sugar and how to manage them. read more GLYBURIDE; METFORMIN (GLYE byoor ide; met FOR min) to treat type 2 diabetes. This medicine helps your body to use insulin better. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. It measures your blood sugar control over the last 2 to 3 months. Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Also tell them if you smoke, drink alcohol, or use illegal drugs. Visit your doctor or health care professional for regular checks on your progress. Examples include hard sugar candy or glucose tablets. They need to know if you have any of these conditions: -anemia -dehydration -diabetic ketoacidosis -glucose-6-phosphate dehydrogenase deficiency -heart disease -if you often drink alcohol -kidney disease -liver disease -polycystic ovary syndrome -serious infection or injury -thyroid disease -vomiting -an unusual or allergic reaction to glyburide, metformin, sulfa drugs, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding Take this medicine by mouth with meals. 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. 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. Ask your doctor or health care professional if you should avoid alcohol. Many nonprescription cough and cold products contain sugar or alcohol. This medicine may cause ovulation in premenopausal women who do not have regular monthly periods.

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