Metgluco Tablets 250mg100c [0114987116530009]

Effects of this medicine

Before using this medicine, be sure to tell your doctor and pharmacist

• If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
  If you ever had lactic acidosis. 
  If you are a patient with renal/liver/cardiovascular dysfunction, pulmonary dysfunction, prone to hypoxemia, dehydration, digestive disorder, type 1 diabetes mellitus, infection, or pituitary gland/adrenal dysfunction. 
  If you are in a state of ketosis, in a diabetic coma/precoma, or in perioperative period. 
  If you are receiving dialysis. 
  If you are injured, malnourished, starved, or debilitated. 
  If you drink excessive alcohol.

• If you are pregnant, breastfeeding or possibly pregnant. 

• If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

• Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))

• In general, for adults, start with 2 tablets (500mg of the active ingredient) in 2 to 3 divided doses a day, either just before or after meal. The maintenance dose should be decided by judging the effectiveness of the medicine. Standard maintenance dose is 3 to 6 tablets (750 to 1,500mg) in 2 to 3 divided doses a day. For children 10 years or older, start with 2 tablets (500mg of the active ingredient) in 2 to 3 divided doses a day, either just before or after meal. The maintenance dose should be decided by judging the effectiveness of the medicine. Standard maintenance dose is 2 to 6 tablets (500 to 1,500mg) in 2 to 3 divided doses a day. The dosage may be adjusted according to the symptoms. The maximum dose is 9 tablets (2,250mg) a day for adults, 8 tablets (2,000mg) a day for children. Strictly follow the instructions.

• If you miss a dose, skip the missed dose and continue your regular dosing schedule. You should never take two doses at one time.

• If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.

• Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

• Fundamentals of diabetes treatment are diet and exercise therapy. Just taking this medicine is not enough. Try to regulate your daily life as instructed.
• Please note that dehydration or excessive alcohol intake is likely to increase risk of lactic acidosis.
• You may have palpitation, dizziness, tremor in the limbs, etc. caused by hypoglycemia. Therefore pay close attention when you work at heights, drive a car, or operate dangerous machinery.
• Make sure to have your family members understand that you are a diabetic.

Possible adverse reactions to this medicine

• gastrointestinal symptoms such as nausea and vomiting, malaise, muscle pain [lactic acidosis]
• lassitude, hunger, sweating [hypoglycemia]
• general malaise, loss of appetite, yellowing of the skin and the white of eyes [liver dysfunction, jaundice]
• pain/stiffness/numbness in the muscles of the limbs [rhabdomyolysis]

Storage conditions and other information

• Keep out of the reach of children. Store away from direct sunlight, heat and moisture.
• Discard the remainder. Do not store them. Ask the pharmacist or the medical institution staff how to discard.