Doctor insights on:
Actos Plus Glucophage
GLP -1 analogues: Janumex is a pill which combines januvia (sitagliptin) in addition to metformin so it combines two different ways glucose is lowered in your blood stream januvia (sitagliptin) lowers glucagon after eating and decreases blood glucose after eating and complements metformin which lowers mainly fastingsome adverse publicity around januvia (sitagliptin) related to pancreatitis the jury is still out. ...Read moreSee 1 more doctor answer
I'm not a fan: Hi. The TZD era came and went for me. They're not bad drugs in most cases, but they can cause serious weight gain and fluid retention, and we have such better drugs now. I haven't prescribed pioglitazone in years. So, yes, it helps treat diabetes, but other drug choices may have better overall profiles. ...Read more
Diabetes: The four medications work in 4 different mechanisms with the end goal of keeping blood sugar under control. Would suggest taking Glimepiride in mornings, metformin & Byetta before meals & Lantus (insulin glargine) at bedtime. Goal fasting blood sugar of 100 & hba1c of 6.5 good luck. ...Read more
Yes: Hi. Metformin and sitagliptin work via different mechanisms, and together are synergistic. So yes, more effective than one drug alone. Note even the combination may not be adequate for achieving tight control. Your doctor will follow your A1c response, and if it's in the mid-low 6's, you're good to go. A nice thing is Janumet (sitagliptin and metformin) by itself cannot cause hypoglycemia. Good luck! ...Read more
Clonidine+glucophage: No drug-drug interactions are listed for concomitant use of these drugs. ...Read more
Can a diabetic man (and who has cholesterol and tryglecerides ;taking amaryl & glucophage (metformin) & liponorm) take sinecod ( butamirate citrate ) for cough ?
Not many: Hi. Metformin can cause GI upset fairly common, but better if dose is slowly titrated upward); if used in kidney disease patients, it can cause a serious illness, lactic acidosis (very rare). Glibenclamide/glyburide can cause low blood sugar (rare) or rash (also rare); it is a very archaic diabetes drug. Good luck! ...Read more
Hello. Is omega XL safe for diabetics taking insulin metformin glipizide Lipitor (atorvastatin) diazid tricor & bp meds, spiriva advair. ?
Exercise caution: you are already on multiple medications, some possibly interact together, you don't want to add more unless really needed, even if it is a supplement, fatty acids in omega fish oil might increase lipids in your system, this is not against any drug but rather for your own safety, please revise all your meds with your doctor on regular basis, good luck ...Read moreSee 1 more doctor answer
Stomach effects.: The most common side effect of metformin is diarrhea. Nausea, vomiting, indigestion, flatulence, weakness, and headache are also common effects. Taking metformin with food may help to decrease these side effects. Patients with kidney disease (KD) may also be at risk for more serious side effects, depending on severity of KD. If you have KD, feel free to ask for more information. ...Read moreSee 1 more doctor answer
Sulfonylurea.: That seems like a lot of sulfonylurea type medication - Glimepiride and Glyburide. The reason why that's important is that they can cause hypoglycemia (low blood sugar) which can be dangerous. I'd like to see you on more Metformin and less sulfonylurea to reduce your risk of hypoglycemia. ...Read more
Yes but why?: Neither of these meds is particularly efficacious, both have side effects and cost is an issue. There are much better, safer and convenient alternatives for the vast majority of patients. ...Read more
That's complicated: There are many possible alternatives. Which one is chosen depends on many factors including how long one has had diabetes, how well it is currently controlled, concerns about weight gain, concerns about hypoglycemia, other medical problems. Time for a converation with your doctor. ...Read more