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In a one-year safety studyduring which patients kept diaries of gastrointestinal symptomsabdominal pain and diarrhea tended to return to pretreatment levels over timeand the frequency and intensity of flatulence tended to abate with timeThe increased gastrointestinal tract symptoms in patients treated with Precose are a manifestation of the mechanism of action of Precose and are related to the presence of undigested carbohydrate in the lower GI tract.

Store at room temperature away from moisture and heatKeep the bottle tightly closed when not in use.

Acarbose may interfere with digoxinLanoxinabsorption thereby decreasing digoxin blood levels and its effectThereforethe digoxin dose may need to be increased if acarbose is begunSince adding insulin or a sulfonylurea to acarbose therapy may lower blood glucose more than acarbose alonethe risk for developing hypoglycemia is greater when these drugs are combinedCaution should be used when combining these drugsIf mild to moderate hypoglycemia occurs while taking acarbose in combination with another anti-diabetic drugthe treatment for hypoglycemia is with with oral glucosedextroseinstead of sucrosetable sugarbecause acarbose blocks the digestion of sucrose to glucoseand hypoglycemia will not be corrected rapidly with sucroseAcarbose alone does not produce hypoglycemiaCharcoal may absorb acarbose and digestive enzyme preparations such as amylase or pancreatin may breakdown acarbose and should not be administeredwith this diabetes drug.

Do not use this medication if you are allergic to acarboseor if you are in a state of diabetic ketoacidosiscall your doctor for treatment with insulinYou also should not use acarbose if you have inflammatory bowel diseasean ulcer or blockage in your intestinesor Purchase atorlip cirrhosis of the liver.

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