Show lb Mty PATIENT INFORMATION ABOUT GLUCOPHAGE (iMtfonnin hydrocMorkte tablets ) nn Wtli fcM tttR SlllCOpfclfC hW9 gjymmg kvstopsH a aertaua caHdNM cakd tactic cctaccta Property tone RHMfl MV IMHI V Mp pTWMH IKw VGMBMBa MVM pW" fife aritfc kMoay praktaaie afcouM oat taka Gtacapkna (See Qaesttaa 10-1- 01 Why do I naa4 to taka GLUCOPHAGE? tour doctor haa prescribed GLUCOPHAGE dtabetas Thie k atao known aa to treat your type 2 diabetea meHitua 02 Wtwt la typo 2 dtakataaT People wilti dtabalaa are not able to make enough insulin andor respond nor-imto the taaulin their body doea make When Ms happens sugar (ghrcoae) buids up in M blood Ibis can toad to serious medical problems including kidatao ctoaaly linked to ney damage amputations and bkndnasa Diabetes heart disease Ttw main goal of treating diabetes is to lower your blood sugar to a normal level OS Why la It bnpartant to control typo 2 dtabataaT Studies have shown ttiat good control of blood sugar can prevent or delay compkcaliona such as bkndneea 01 Haw la typo I dtabataa pauaiy csntaaMT Mgh blood sugar can be towered by diet and exerciae by a number of ond medications and by insulin Infections Before taking GLUCOPHAGE you ehould first ky to control your diabetes by exerctae and weight toss Even if you are GLUCOPHAGE you should sMI exercise and follow the diet recomtaking mended tar your diabetes Then is no evidence that GLUCOPHAGE 012 An than other toe it does Until GLUCOPHAGE (metformin hydrochloride tablets) was intromedicalions were ftom toe same duced al toe available oral glucose-contr- ol chemical group called aufibnyluraas These drugs lower blood sugar primarily by causing more of Vie body's own inauiin to ba released GLUCOPHAGE Iowan toe amount of sugar in your blood by helping your body respond better to He own tateuHn GLUCOPHAGE does not causa your body to produce more kiauln Therefore GLUCOPHAGE rarely causes hypoglycemia (low blood sugar) and it doesn't usually cauas weight gam my Mart auger la sGR toe NghT Whan blood auger cannot be lowered enough by ailhar GLUCOPHAGE or a toe two medications may be effadlvs taken together However If you are unabto to maintain your blood sugar wito diaL saercNa and gkjcoaa-cortrmedication taken orally then your doctor may prescribe kyectabta Insulin to control your diabetes N 07 Why wouM I taka GLUCOPHAGE HI am akeady an taaulhiT Because adding GLUCOPHAGE to haufin can help you bettor control your Mood sugar while reducing toe haulta doaa and poesiWy reducing your weight 01 Caa GLUCOPHAGE eauaa atda al afhetaT lowering medcafione can causa aide affects h soma pafiento Moat of toeee side effects are minor and wdl go away after you’ve takan GLUCOPHAGE for a while However there are atao aanoua but rws atda attach rotated to GLUCOPHAGE (aas below) GLUCOPHAGE Hia cancer tack acidosis horn taking GLUCOPHAGE to very low aa long as your kidneys and liver an haaWqfL However aoma (acton can increase your risk because they can aftact kidney and liver function tai should discusa your risk with your physician taiahould not taka GLUCOPHAGE K: have chronic kidney or liver probtoms have congestive heart taikiro which is kerned wfih medicationa e g tkgoxto (Lanoxin) or furoaemide (Lasix) tai drtokakaholercesehiely (si the time or short-terbmpe" drinking) tai an seriously dehydrated (have lost a targe amount of body fluids) Vbu sn going to have certain procedures wdh injectable conbast agents tai are gotog to have surgery tai develop a serious condition such as a heart attack seven intaction or asboke tai an 2 80 years of age and have NOT had your kidney function tested Oil What an the symptoms at lack addeataT Soma of too symptoms include: feeling very weak find or uncomfortable unusual muscle pain trouble breathing unusual or unexpected stomach taefing cold feeling (Hay or lightheaded or suddenly developing a slow or irregular heartbeat K you notice these aymptoms or If your medical condition has suddenly changed atop taking GLUCOPHAGE and cal your doctor right away Lack acidosis is a medical emergency that must be heated in a hospital 014 What Rasa my doctor need to knew to dscnaao my risk af tack your doctor if you have an fitness that results in seven vomiting dianhea anchor fever or If your intake of fluids is aignificanlly reduced These srtuafions Ted GLU- btaod-aug- Ok What kind al stk affects amt GLUCOPHAGE cauaaT V seta effects occur ttiay usually occur dump ha Ini taw weeks of Iwrapy They are normafiy minor ones such as diarrhea nausea and upset stomach toeas sato effects Taking your GLUCOPHAGE wllh msata can help reduce M Altoough toaaa aide aftacta are likely to go away cal your doctor you have sevaia dwcomtort or fi toaae aftacta taat tar more than a taw weeks Soma towered or slop taking GLUCOPHAGE pakanta may need to have hair doaa adhar tamporardy or parmanatdly Altoough toaaa probtoms occur n up to one-tw- d m pabanta whan Way tael atari taking GLUCOPHAGE you should tafi your doctor N toe problems come back or start talar on during toa therapy About tone out of one hundred people report having a temporary unptaas-ai- d or metafile taata whan Day atari taking GLUCOPHAGE GLUCOPHAGE cm cauaaT Qtg An man arty eertous elds aftacta that GLUCOPHAGE rarely causes eenoue aide aftacta The most eenoue side effect tool GLUCOPHAGE can causa caked toebe acidosis to Oil What la tacke addsata and can R happaa msT blood Lackc acido-a- s Lack acidoaw to caused by a buildup of taebe acid h tie nsociated with GLUCOPHAGE la ran and has occurred maeBy in people aadoais haa been reported whose kidneys wen not working normally Lack temporarily tou should let your doctor know if you are going to have any surgery or procedures that raquin inaction of contrast agents GLU- COPHAGE therapy wifi need to be stopped tamponrNy in such taetancas QH Can I taka GLUCOPHAGE with atkarmadtoatlmiaT Remind your doctor Vial you am taking GLUCOPHAGE when any new drug is prescribed or a change ia made in how you take a drug already preacribed GLUCOPHAGE may Marfan with the way aoma drugs wok and aoma drags may kitarfan with Vw action of GLUCOPHAGE became pngwant whk taktag GLUCOPHAGE? Ted your doctor if you plan to become pregnant or have become pregnant Aa wdh other oral gtacoaa-canbmedicationa you should not taka GLUCOPHAGE during pregnancy Usually your doctor wM prescribe inaudn whds yuu an pregnant Aa wdh al medications you and your doctor ahouid discuss file ues of GLUCOPHAGE if you an nursing a chid OH What H I 017 Are Gmn ether risks aaaadatod wito QLUCOPHACP Than is soma evidence that any oral diabetes drug may increase the risk of heart probtama Experts an not sun what fiw real riak is tar heart probtama if any ftom taking oral dtabetas medkane Oil Haw k taka GLUCOPHAGE? tax doctor wi tel ynu how many GLUCOPHAGE I tablets to taka and how oflan should atao ba printed on tie label of your pmscripkn tai wW probably ba started on a low dose of GLUCOPHAGE and your dosage wdl be increased gtaduafiy unfit your blood sugar is conbofisd TTus Oil Where can I gat man tatamaka This leaflet la abaut GLUCOPHAGE? a summery of fiw moat important information about GLUCOPHAGE If you have any questions or problems you ahouid talk to your doctor or ofiiar heaNhcan provider about type 2 diabetes aa wad aa GLUCOPHAGE and ds auto affects Than m atao a leaflet (package mart) written tar heaHh professionals tost your pharmacist can let you read a ragtstered trademark of UPHA a a beamed to Squdib Company GLUCOPHAGE Ravisad January 1999 BrutolMyers Squibb Company IMnMadUy Squoi) Company fenealan NJ 0eS41 U8A Bnalaf-My- Bnstoi-Mye- 6060DIM-0- 7 was in compared fighting disease to preparing for competition “When I was tar risk of developing tai tai I perfect shape” Some athletes causes harm to the kidneys or fiver COPHAGE MM kappaaa it Other than the taken tar tacGc adkata? riak can lead to seven dehydrafioa and d may ba necessary to slop taking Ok TOUGHEST OP9QHBKTIcontinued mally 500 mg 850 mg and 1000 mg ke in about one to 33000 patiento taking GLUCOPHAGE (metformin hydrochloride tablets) over toe course of a year Altoough nro If tack acidosis doea occui it can be total in up to half the cases It's atao important tor your fiver to be working normally when you take GLUCOPHAGE tour fiver helps remove tack acid from your bloodstream tar doctor wdl monitor your diabetes and may perform blood tests on you from time to time to make sun your kktoeya and your fiver an functioning nor- LANCE ARMSTRONG competing I wanted to do everything right" said Peggy Fleming SO who won an Olympic gold in 1968 “Simimedal for figure-skatin- g 1 wanted to illness with larly please my my doctors" she explained discussing her bout with breast cancer last year Fleming had a lumpectomy “But I didn't want my life to change so I tested myself: Two days after my operation I was out running A little later I began to lift weights something I've always done" Like Fleming the cyclist Lance Armstrong tested himself after his bout with illness Three years ago he learned he had testicular cancer It was so advanced that he had developed brain lesions Within weeks surgeons removed a testicle and two cancerous brain masses Drug therapy left him weak but he fought back “I viewed my illness as another form of opponent" said Armstrong who competes internationally In 1997 he began training again He also created a foundation for cancer research In 998 at 27 Armstrong made a comeback He has finished in the 1 top 10 of many bicycle competitions Perhaps the most common thought that pro athletes and the public share is “This can't be happening to me" Scott Hamilton who won a gold in figure-skatiat the 1984 Olympics was diagnosed with testicular cancer two years ago It had spread to his abdomen Three months later both the tumor and his right testicle were removed Hamilton ihen 37 prepared for his therapy the same way he did for the Olympics After two months he was back on the ice Now he advises others to get tested promptly “No one has to go through what I had to endure” said ng "If you catch it early it becomes a just blip a 90 dunce at full recovery" The athletes I spoke with will never say the disease is out of their lives But Hamilton they are thankful that competition taught them how to deal with adversity before they began their battles with cancer II Bud Greenspan is an award-winnin- g sports historian filmmaker and author real so mmcm t mm mmum mmazmb |