Symptoms of mild low blood sugar may include:
Blurred vision, cold sweats, dizziness, fast heartbeat, fatigue, headache, hunger, light-headedness, nausea, nervousness
Symptoms of more severe low blood sugar may include:
Coma, disorientation, pale skin, seizures, shallow breathing
Ask your health professional what steps you should take if you experience mild hypoglycemia. If symptoms of severe low blood sugar occur, contact your health professional immediately; severe hypoglycemia is a medical emergency.

Why should this drug not be prescribed?
Avoid Amaryl if you have ever had an allergic reaction to it. Do not take Amaryl to correct diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin and marked by excessive thirst, nausea, fatigue, and fruity breath). This condition should be treated with insulin. Special warnings about Amaryl
It’s possible that drugs such as Amaryl may lead to more heart problems than diet treatment alone, or treatment with diet and insulin. If you have a heart condition, you may want to discuss this with your health professional. When taking Amaryl, you should check your blood and urine regularly for abnormally high sugar (glucose) levels. The effectiveness of any oral antidiabetic, including Amaryl, may decrease with time. This may occur because of either a diminished responsiveness to the medication or a worsening of the diabetes. Even people with well-controlled diabetes may find that stress such as injury, infection, surgery, or fever triggers a loss of control. If this happens, your health professional may recommend that you add insulin to your treatment with Amaryl or that you temporarily stop taking Amaryl and use insulin instead.

Possible food and drug interactions when taking this medicine
If Amaryl is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your health professional before combining Amaryl with the following:

Airway-opening drugs such as Proventil and Ventolin
Aspirin and other salicylate medications
Chloramphenicol (Chloromycetin)
Corticosteroids such as prednisone (Deltasone)
Diuretics such as hydrochlorothiazide (HydroDIURIL) and chlorothiazide (Diuril)
Estrogens such as Premarin
Heart and blood pressure medications called beta blockers, including Tenormin, Inderal, and Lopressor
Isoniazid (Nydrazid)
Major tranquilizers such as Mellaril and Thorazine
MAO inhibitors (antidepressants such as Nardil and Parnate)
Miconazole (Monistat)
Nicotinic acid (Nicobid)
Nonsteroidal anti-inflammatory drugs such as Advil, Motrin, Naprosyn, Nuprin, Ponstel, and Voltaren
Oral contraceptives
Phenytoin (Dilantin)
Probenecid (Benemid)
Sulfa drugs such as Bactrim DS, Septra DS
Thyroid medications such as Synthroid
Warfarin (Coumadin)

Use alcohol with care; excessive alcohol intake can cause low blood sugar.

Special information if you are pregnant or breastfeeding
Do not take Amaryl while pregnant. Since studies suggest the importance of maintaining normal blood sugar levels during pregnancy, your health professional may prescribe injected insulin instead. Drugs similar to Amaryl do appear in breast milk and may cause low blood sugar in nursing infants. You should not take Amaryl while nursing. If diet alone does not control your sugar levels, your health professional may prescribe injected insulin.

SIDE EFFECTS: Nausea or upset stomach may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: yellowing eyes or skin, stomach/abdominal pain, dark urine, unusual tiredness or weakness, easy bleeding or bruising, signs of infection (e.g., fever, persistent sore throat), mental/mood changes, unusual or sudden weight gain, seizures. This medication can cause low blood sugar (hypoglycemia). This effect may occur if you do not consume enough calories (from food, juices, fruit, etc.). The symptoms include chills, cold sweat, blurred vision, dizziness, drowsiness, shaking, rapid heart rate, weakness, headache, fainting, tingling of the hands or feet, or hunger. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you are in a situation where you don’t have these reliable forms of glucose, eat a quick source of sugar such as table sugar, honey, or candy, or drink a glass of orange juice or non-diet soda to quickly raise your blood sugar level. Tell your doctor immediately about the reaction. To help prevent hypoglycemia, eat meals on a regular schedule and do not skip meals. Symptoms of high blood sugar (hyperglycemia) include thirst, increased urination, confusion, drowsiness, flushing, rapid breathing, or fruity breath odor. If these symptoms occur, tell your doctor immediately. Your medication dosage may need to be increased. A serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: shakiness, rapid heartbeat, unexplained sweating, loss of consciousness.

NOTES: Do not share this medication with others. It is recommended you attend a diabetes education program to understand diabetes and all the important aspects of its treatment including meals/diet, exercise, personal hygiene, medications and getting regular eye, foot and medical exams. Consult your doctor or pharmacist. Keep all medical appointments. Laboratory and/or medical tests (e.g., liver and kidney function tests, fasting blood glucose, hemoglobin A1c, complete blood counts) will be performed to monitor for side effects and response to therapy. Regularly check your blood or urine for sugar, as directed by your doctor or pharmacist.

MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store at room temperature between 59-86 degrees F (15-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

The usual starting dose is 1 to 2 milligrams taken once daily with breakfast or the first main meal. The maximum starting dose is 2 milligrams.

If necessary, your doctor will gradually increase the dose 1 or 2 milligrams at a time every 1 or 2 weeks. Your diabetes will probably be controlled on 1 to 4 milligrams a day; the most you should take in a day is 8 milligrams. If the maximum dose fails to do the job, your doctor may add Glucophage to your regimen.

Weakened or malnourished people and those with adrenal, pituitary, kidney, or liver disorders are particularly sensitive to hypoglycemic drugs such as Amaryl and should start at 1 milligram once daily. Your doctor will increase your medication based on your response to the drug.

What is Generic Amaryl?
• Amaryl is an oral diabetes medicine that helps control blood sugar levels. This medication helps your body respond better to insulin produced by your pancreas.
• Amaryl is used together with diet and exercise to treat type 2 (order Amaryl,non-insulin dependent) diabetes. Other diabetes medicines are sometimes used in combination with Amaryl if needed.
• Amaryl may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking Amaryl?
• Before taking Cheap Amaryl, tell your doctor if you have:
· heart disease;
· adrenal or pituitary gland problems;
· or if you are under-nourished; or
· have liver disease.
• If you have any of these conditions, you may not be able to use Amaryl, or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• It is not known whether Amaryl passes into breast milk or if it could be harmful to a nursing baby. Do not take Amaryl without telling your doctor if you are breast-feeding a baby.

How should I take Amaryl Pill?
• Take Amaryl exactly as it was prescribed for you. 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 Amaryl without first talking to your doctor.
• Take each dose with a full glass of water.(order cheap generic Amaryl online)
• Amaryl is usually taken once a day, with breakfast or the first main meal of the day. Follow your doctor’s instructions.
• Take care not to let your blood sugar get too low, causing hypoglycemia. You may have hypoglycemia if you skip a meal, exercise too long, drink alcohol, or are under stress.
• 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.
• To be sure this medication is helping your condition, you will need to check your blood sugar at home. Your blood will also need to be tested by your doctor on a regular basis. It is important that you not miss any scheduled visits to your doctor.(discount Amaryl drug)
• Amaryl 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 Amaryl regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.
• Store Amaryl at room temperature away from moisture and heat.

What happens if I miss a dose?
• Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine.
• Symptoms of a Amaryl overdose include hunger, nausea, anxiety, cold sweats, weakness, drowsiness, loss of consciousness, and coma.

What should I avoid while taking Amaryl?
• Avoid drinking alcohol. It lowers blood sugar and may interfere with your diabetes treatment.
• Do not use Amaryl if you are in a state of diabetic ketoacidosis. Call your doctor for treatment.

What are the possible side effects of Amaryl?
• 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.
• Call your doctor at once if you have any of these serious side effects:
· signs of congestive heart failure (swelling or rapid weight gain, shortness of breath, chest pain,buy Amaryl,purchase cheap generic drug);
· restlessness, irritability, muscle cramps, nausea, headache, confusion, or seizure (convulsions);
· skin rash, itching, redness, or irritation;
· easy bruising or bleeding, unusual weakness; or
· nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
• Other less serious side effects are more likely to occur, such as:
· dizziness or weakness;
· headache, blurred vision;
· mild nausea, vomiting, or stomach pain;
· increased skin sensitivity to sunlight; or
· dark urine.
• 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, give 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. You may also urinate more than usual. Call your doctor right away if you have any symptoms of hyperglycemia.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Amaryl?
• You may be more likely to have hyperglycemia (high blood sugar) if you are taking Amaryl with other drugs that raise blood sugar. Drugs that can raise blood sugar include:
· isoniazid;
· diuretics (water pills);
· steroids (prednisone and others);
· phenothiazines (Compazine and others);
· thyroid medicine (Synthroid and others);
· birth control pills and other hormones;
· seizure medicines (Dilantin and others);
· diet pills; and
· medicines to treat asthma, colds or allergies.
• You may be more likely to have hypoglycemia (low blood sugar) if you are taking Amaryl other drugs that lower blood sugar. Drugs that can lower blood sugar include:
· nonsteroidal anti-inflammatory drugs (NSAIDs);
· aspirin or other salicylates (including Pepto-Bismol);
· sulfa drugs (Bactrim and others);
· a monoamine oxidase inhibitor (MAOI);
· beta-blockers (Tenormin and others);
· probenecid (Benemid); or
· a blood thinner (warfarin, Coumadin and others).
• If you are using any of these drugs, you may not be able to take Amaryl, or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect Amaryl. 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.

Where can I get more information?
• Your pharmacist has additional information about Amaryl written for health professionals that you may read.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (’Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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If you take too much

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include lightheadedness, sweating, rapid pulse, tremor, order cheap Amaryl,confusion, seizures, and loss of consciousness.

Additional information

Do not share this medicine with others for whom it was not prescribed. Do not use this medicine for other health conditions.

Keep this medicine out of the reach of children. If using this medicine for an extended period of time, obtain refills before your supply runs out,low cost drugs.

Drug interactions

Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking,buy cheap Amaryl online.

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This medicine is a sulfonylurea used to treat diabetes mellitus (sugar diabetes,low cost amaryl).

Before using

Additional monitoring of your dose or condition may be needed if you are taking chloramphenicol, dexfenfluramine, fenfluramine, gemfibrozil, monoamine oxidase inhibitors (maois,buy amaryl), oxyphenbutazone, phenylbutazone, sulfa antibiotics, certain “water pills” (diuretics such as hydrochlorothiazide,buy cheap amaryl), or medicine for high blood pressure or heart conditions (ace inhibitors). Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding.

Use of this medicine is not recommended if you have a history of acidosis. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.

Directions

Follow the directions for using this medicine provided by your doctor. Take this medicine with breakfast or your first main meal.

Store this medicine at room temperature in a tightly-closed container, away from heat and light. If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions

Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. Do not exceed the recommended dose without checking with your doctor(discount amaryl pills).

Follow the dietary plan provided by your doctor. This medicine may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to this medicine. Use a sunscreen or protective clothing if you must be outside for a prolonged period. Do not drink alcohol without first discussing it with your doctor.

This medicine may cause hypoglycemia (low blood sugar,buy cheap amaryl online). Signs of hypoglycemia include an increased heart rate, headache, sweating, tremor, increased hunger, changes in vision, nervousness, or tiredness. Discuss with your doctor or nurse how to handle hypoglycemic reactions.

If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. It is unknown if this medicine is excreted in breast milk. Do not breast-feed while taking this medicine.

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