What is this medicine?
REPAGLINIDE (re PAG lin ide) helps to treat type 2 diabetes. It helps to control blood sugar. Treatment is combined with diet and exercise.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What is the price of this medication and similar alternatives?This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.
| Prandin 0.5MG Tablets | NOVO NORDISK | 30/$72.2 or 90/$192.53 |
| Prandin 1MG Tablets | NOVO NORDISK | 30/$72.52 or 90/$192.53 |
| Prandin 2MG Tablets | NOVO NORDISK | 90/$192.53 or 270/$541.51 |
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
- breathing difficulties
- dark yellow or brown urine, or yellowing of the eyes or skin
- fever, chills, sore throat
- low blood sugar (ask your doctor or healthcare professional for a list of these symptoms)
- severe skin rash, redness, swelling, or itching
- unusual bleeding or bruising
- vomiting
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- diarrhea
- headache
- muscle pain
- nausea
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
How should I use this medicine?
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.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
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.
What may interact with this medicine?- barbiturates like phenobarbital or primidone
- carbamazepine
- clarithromycin
- erythromycin
- gemfibrozil
- isophane insulin, NPH
- medicines for fungal or yeast infections such as itraconazole, ketoconazole, miconazole
- montelukast
- other medicines for diabetes
- rifampin
- simvastatin
Many medications may cause an increase or decrease in blood sugar, these include:
- alcohol containing beverages
- aspirin and aspirin-like drugs
- chloramphenicol
- chromium
- diuretics
- female hormones, such as estrogens or progestins, birth control pills
- heart medicines
- isoniazid
- 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
- niacin
- NSAIDS, such as ibuprofen
- pentamidine
- phenytoin
- probenecid
- quinolone antibiotics such as ciprofloxacin, levofloxacin, ofloxacin
- some herbal dietary supplements
- steroid medicines such as prednisone or cortisone
- thyroid hormones
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
Who should NOT use this medication?
- Sole therapy in patients with type 1 (insulin-dependent) diabetes mellitus or in patients with diabetes complicated by acute or chronic metabolic acidosis, including diabetic ketoacidosis with or without coma.
- Known hypersensitivity to repaglinide or any ingredient in the formulation.
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress.
Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.
If you have low blood sugar, eat or drink something that has sugar. Make sure others know to get medical help quickly if you have serious symptoms of low blood sugar, like if you become unconscious or have a seizure.
If you need surgery, tell your doctor or health care professional that you are taking this medicine.
Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.
What should I tell my health care provider before I take this medicine?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
- breast-feeding
Can I stop taking the medication if I feel better?
As a general rule, you should always take your medications exactly as prescribed and do not change the dosage or stop taking the medication without first discussing it with your healthcare provider.
I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.
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