By C. Vatras. Huston-Tillotson College.

You must do a "New Pen Set-Up" one time only generic 2mg risperdal with amex, when starting a new prefilled Byetta Pen discount risperdal 2mg on-line. If you do this "New Pen Set-Up" before each injection cheap risperdal 3mg mastercard, you will run out of medicine before 30 days. Ask your doctor, diabetes counselor, or pharmacist which needle size is best for you. Store unused Byetta injection pens in the refrigerator, protected from light. Do not freeze them, and throw away any pens that have become frozen. After your first use of a pen, it may then be stored at room temperature, away from heat and bright light. Use the pen for only 30 days and then throw it away, even if it still has medicine in it. Do not use the medicine after the expiration date on the label has passed. Do not store the Byetta pen with the needle attached. If the needle is left on, medicine may leak from the pen or air bubbles may form in the cartridge. Keep your Byetta pen, pen needles, and all medicines out of the reach of children. Use the missed dose as soon as you remember, but only if you have not yet eaten a meal. If you have already eaten a meal, wait until your next scheduled dose (1 hour before a meal) to use the medicine. Do not use extra medicine to make up the missed dose. Seek emergency medical attention if you think you have used too much of this medicine. Overdose can cause severe nausea and vomiting, or signs of low blood sugar (headache, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, and tremor). It lowers blood sugar and may interfere with your diabetes treatment. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Byetta and call your doctor at once if you have severe pain in your upper stomach spreading to your back, with nausea, vomiting, and a fast heart rate. Less serious Byetta side effects may include:nausea, vomiting, heartburn, diarrhea;dizziness, headache, or feeling jittery. Before using Byetta, tell your doctor if you use any oral (taken by mouth) diabetes medications. You may need a dose adjustment:chlorpropamide (Diabinese);Your doctor will tell you if any of your medication doses need to be changed. There may be other drugs that can interact with Byetta. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Your pharmacist can provide more information about Byetta. Generic Name: ChlorpropamideDiabinese? (chlorpropamide), is an oral blood-glucose-lowering drug of the sulfonylurea class. Chlorpropamide is 1-[(p-Chlorophenyl)sulfonyl]-3-propylurea, C10H13ClN2O3S, and has the structural formula:Chlorpropamide is a white crystalline powder, that has a slight odor. It is soluble in alcohol and moderately soluble in chloroform. Diabinese is available as 100 mg and 250 mg tablets. Inert ingredients are: alginic acid; Blue 1 Lake; hydroxypropyl cellulose; magnesium stearate; precipitated calcium carbonate; sodium lauryl sulfate; starch. Diabinese appears to lower the blood glucose acutely by stimulating the release of insulin from the pancreas, an effect dependent upon functioning beta cells in the pancreatic islets. The mechanism by which Diabinese lowers blood glucose during long-term administration has not been clearly established.

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Prandin? is a registered trademark of Novo Nordisk A/S purchase risperdal 2 mg without prescription. Manufactured in Germany for? 2003-2008 Novo Nordisk A/S The information in this monograph is not intended to cover all possible uses purchase risperdal 4mg with amex, directions buy generic risperdal 4mg, precautions, drug interactions or adverse effects. This information is generalized and is not intended as specific medical advice. If you have questions about the medicines you are taking or would like more information, check with your doctor, pharmacist, or nurse. Pronunciation: (re PAG li nide)Prandin is an oral diabetes medicine that helps control blood sugar levels. This medication lowers blood sugar by causing the pancreas to produce insulin. Prandin is used together with diet and exercise to treat type 2 (non-insulin dependent) diabetes. Other diabetes medicines are sometimes used in combination with repaglinide if needed. Prandin may also be used for other purposes not listed in this medication guide. Do not use this medication if you are allergic to repaglinide, if you have type 1 diabetes, or if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin). You should not use Prandin together with NPH insulin (such as isophane insulin). Know the signs of low blood sugar (hypoglycemia) and how to recognize them. Always keep a source of sugar available in case you have symptoms of low blood sugar. Sugar sources include orange juice, glucose gel, candy, or milk. Severe hypoglycemia may cause loss of consciousness, seizures, or death. If you have severe hypoglycemia and cannot eat or drink, use an injection of glucagon. Your doctor can give you a prescription for a glucagon emergency injection kit and tell you how to give the injection. If your blood sugar gets too high (hyperglycemia), you may feel very thirsty or hungry. Call your doctor right away if you have any symptoms of hyperglycemia. Prandin is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. Changing any of these factors can affect your blood sugar levels. It is important to take Prandin regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Before taking Prandin, tell your doctor if you are allergic to any medications, or if you have liver disease. You may need a dose adjustment or special tests to safely take this medication. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Prandin passes into breast milk or if it could be harmful to a nursing baby. Do not take Prandin without telling your doctor if you are breast-feeding a baby. Do not take the medication in larger or smaller amounts, or take it for longer than recommended by your doctor. Your dose needs may change if you are ill, if you have a fever or infection, or if you have surgery or a medical emergency. Do not change your dose of Prandin without first talking to your doctor. Prandin is usually taken 2 to 4 times daily, within 30 minutes before eating a meal.

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This has been reported more frequently with the use of agents with prolonged half-lives purchase risperdal 4 mg on-line. If Tolinase is used during pregnancy buy 4 mg risperdal otc, it should be discontinued at least two weeks before the expected delivery date buy cheap risperdal 3mg on line. Although it is not known whether tolazamide is excreted in human milk, some sulfonylurea drugs are known to be excreted in human milk. Because the potential for hypoglycemia in nursing infants may exist, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. If the drug is discontinued and if diet alone is inadequate for controlling blood glucose, insulin therapy should be considered. Elderly patients are particularly susceptible to the hypoglycemic action of glucose lowering drugs. Hypoglycemia may be difficult to recognize in the elderly (see PRECAUTIONS ). The initial and maintenance dosing should be conservative to avoid hypoglycemic reactions (see DOSAGE AND ADMINISTRATION ). Elderly patients are prone to develop renal insufficiency,which may put them at risk of hypoglycemia. Dose selection should include assessment of renal function. Tolinase Tablets have generally been well tolerated. In clinical studies in which more than 1,784 diabetic patients were specifically evaluated for incidence of side effects, only 2. Cholestatic jaundice may occur rarely; Tolinase Tablets should be discontinued if this occurs. Gastrointestinal disturbances, eg, nausea, epigastric fullness, and heartburn, are the most common reactions and occurred in 1% of patients treated during clinical trials. They tend to be dose-related and may disappear when dosage is reduced. Allergic skin reactions, eg, pruritus, erythema, urticaria, and morbilliform or maculopapular eruptions, occurred in 0. These may be transient and may disappear despite continued use of Tolinase; if skin reactions persist, the drug should be discontinued. Hepatic porphyria and disulfiram-like reactions have been reported with sulfonylureas; however, disulfiram-like reactions with Tolinase have been reported very rarely. Cases of hyponatremia have been reported with tolazamide and all other sulfonylureas, most often in patients who are on other medications or have medical conditions known to cause hyponatremia or increase release of antidiuretic hormone. The syndrome of inappropriate antidiuretic hormone (SIADH) secretion has been reported with certain other sulfonylureas, and it has been suggested that these sulfonylureas may augment the peripheral (antidiuretic) action of ADH and/or increase release of ADH. Weakness, fatigue, dizziness, vertigo, malaise and headache were reported infrequently in patients treated during clinical trials. The relationship to therapy with Tolinase is difficult to assess. Overdosage of sulfonylureas, including Tolinase Tablets, can produce hypoglycemia. Mild hypoglycemic symptoms without loss of consciousness or neurologic findings should be treated aggressively with oral glucose and adjustment in drug dosage and/or meal patterns. Close monitoring should continue until the physician is assured the patient is out of danger. Severe hypoglycemic reactions with coma, seizure, or other neurological impairment occur infrequently, but constitute medical emergencies requiring immediate hospitalization. If hypoglycemic coma is suspected or diagnosed, the patient should be given a rapid intravenous injection of concentrated (50%) glucose solution. This should be followed by a continuous infusion of a more dilute (10%) glucose solution at a rate which will maintain the blood glucose at a level above 100 mg/dl. Patients should be closely monitored for a minimum of 24 to 48 hours since hypoglycemia may recur after apparent clinical recovery. There is no fixed dosage regimen for the management of diabetes mellitus with Tolinase Tablets or any other hypoglycemic agent. Short-term administration of Tolinase may be sufficient during periods of transient loss of control in patients usually controlled well on diet. The usual starting dose of Tolinase Tablets for the mild to moderately severe Type II diabetic patient is 100-250 mg daily administered with breakfast or the first main meal. Generally, if the fasting blood glucose is less than 200 mg/dl, the starting dose is 100 mg/day as a single daily dose. If the fasting blood glucose value is greater than 200 mg/dl, the starting dose is 250 mg/day as a single dose. If the patient is malnourished, underweight, elderly, or not eating properly, the initial therapy should be 100 mg once a day. Failure to follow an appropriate dosage regimen may precipitate hypoglycemia.

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