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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.</p> <h2>What should I tell my health care providers before I take this medicine?</h2> <p>They need to know if you have any of these conditions:</p> ketoacidosis kidney disease liver disease stomach or bowel disease, or obstruction an unusual or allergic reaction to acarbose, other medicines, foods, dyes, or preservatives pregnant or trying to get pregnant breast-feeding <h2>How should I use this medicine?</h2> <p>Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Swallow the tablets at the start of a main meal. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine except on the advice of your doctor or health care professional.</p> <p>If you develop severe vomiting or severe diarrhea that prevents you from eating meals, call your doctor or health care professional for advice.</p> <p>Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.</p> <p>Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.</p> <p>Note: This medicine is only for you. Do not share this medicine with others.</p> <h2>What if I miss a dose?</h2> <p>If you forgot your dose at the start of your meal and you are still eating that meal, take your dose while you are still eating. Otherwise, skip the missed dose. This medicine is not effective if not taken during a meal. Wait for your next dose at your next main meal, and take only that dose. Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> charcoal digestive enzymes like amylase and pancreatin digoxin diuretics female hormones, like estrogens or progestins and birth control pills isoniazid medicines for colds or breathing difficulties like pseudoephedrine or phenylephrine medicines for high blood pressure called beta-blockers and calcium channel-blockers nicotinic acid phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine phenytoin steroid medicines like prednisone or cortisone thyroid hormones <p>This list may not describe all possible interactions. Give your health care providers 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.</p> <h2>What side effects may I notice from this medicine?</h2> <p>Side effects that you should report to your doctor or health care professional as soon as possible:</p> allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue dark urine loss of appetite unusually weak or tired weight loss yellowing of the eyes or skin <p>Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):</p> bloated feeling diarrhea stomach gas, rumbling stomach pain, upset <p>This list may not describe all possible side effects.</p> <h2>What should I watch for while using this medicine?</h2> <p>Visit your doctor or health care professional for regular check ups. Learn how to check your blood sugar. Keep to your diet and exercise plan while you are taking this medicine.</p> <p>Know the signs of low blood sugar and teach them to the people around you. In case of low blood sugar, keep a source of glucose with you.</p> <p>It is important to follow a diabetic diet when taking this medicine. This may help decrease some of the side effects like diarrhea, bloating, and gas. If you are following the diet and you still have severe diarrhea or gas, contact your health care professional.</p> <p>Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.</p> <h2>Where should I keep this medicine?</h2> <p>Keep out of the reach of children.</p> Store at room temperature below 25 degrees C (77 degrees F). protect from moisture. Keep container tightly closed. 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