Glucobay 25 mg (Acarbose)
Uses of Glucobay 25 mg (Acarbose)
Glucobay 25 mg (Acarbose) is used to control blood sugar levels in patients with type 2 diabetes mellitus. Glucobay is sometimes used in combination with insulin or other diabetes medications
How it works
Glucobay 25 mg belongs to class of medications called Oral hypoglycemics (alpha-glucosidase inhibitor). Glucobay (Acarbose) decreases the digestion and absorption of carbohydrate in the intestine by inhibiting intestinal enzyme (alpha glucosidase) results in reduction of increase in blood glucose level after meal
What is acarbose?
Acarbose (Glucobay) slows the digestion of carbohydrates in the body, which helps control blood sugar levels. Acarbose is used together with diet and exercise to treat type 2 diabetes. Acarbose is sometimes used in combination with insulin or other diabetes medications you take by mouth. Acarbose may also be used for purposes not listed in this medication guide.
What is the most important information I should know about acarbose?
You should not use acarbose if you have inflammatory bowel disease, an ulcer or blockage in your intestines, or cirrhosis of the liver. Do not use acarbose if you are in a state of diabetic ketoacidosis (call your doctor for treatment with insulin).
What should I discuss with my healthcare provider before taking acarbose?
You should not use Glucobay if you are allergic to it, or if you have:
• Inflammatory bowel disease;
• A blockage in your intestines;
• A digestive disorder affecting your intestines;
• Intestinal ulcer (of your colon);
• Cirrhosis of the liver; or
• Diabetic ketoacidosis (call your doctor for treatment with insulin).
To make sure acarbose is safe for you, tell your doctor if you have:
• Liver disease;
• Kidney disease;
• A bowel or intestinal disorder; or
• A stomach disorder.
This medicine is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.
It is not known whether acarbose passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using acarbose.
Acarbose is not approved for use by anyone younger than 18 years old.
How should I take acarbose?
Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
Take acarbose with the first bite of a main meal, unless your doctor tells you otherwise.
Your blood sugar will need to be checked often, and you may need other blood tests at your doctor?s office.
If you take acarbose with insulin or other diabetes medications, your blood sugar could get too low.
Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Always keep a source of dextrose (D-glucose) with you in case you have low blood sugar. When taking acarbose, dextrose will work better than cane sugar or table sugar in treating hypoglycemia. Sources of dextrose include honey, dates, raisins, plums, dried prunes, grapes, or glucose tablets. Be sure your family and close friends know how to help you in an emergency.
If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. Your doctor can prescribe a glucagon emergency injection kit and tell you how to use it.
Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss.
Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals. These things can affect your glucose levels and your dose needs may also change. Do not change your medication dose or schedule without your doctor?s advice.
Acarbose is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor?s instructions very closely.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
What happens if I miss a dose?
Take the missed dose as soon as you remember (be sure to take it with a meal). If it has been longer than 15 minutes since you started your meal, you may still take acarbose but it may be less effective than taking it with the first bite of the meal. Do not take acarbose between meals, and do not take extra medicine to make up a missed dose.
What happens if I overdose?
If overdose, immediately consult with your concerned doctor. Avoid taking carbohydrate enriched drinks or meals as it may increase the sugar levels and the person may feel below mentioned conditions like:
• Meteorism
• Flatulence
• Diarrhea
If the medicine is taken in excess, then at least don?t drink or eat meals having carbohydrates for next 5-6 hours. Take emergency help as early as possible.
What should I avoid while taking acarbose?
Avoid drinking alcohol. It can lower your blood sugar.
Avoid taking a digestive enzyme such as pancreatin, amylase, or lipase at the same time you take acarbose. These enzymes can make it harder for your body to absorb acarbose. Products that contain digestive enzymes include Arco-Lase, Cotazym, Donnazyme, Pancrease, Creon, and Ku-Zyme.
Common side effects
• Nausea,
• Liver enzyme increased,
• Jaundice,
• Abnormal liver function tests,
• Diarrhoea,
• Flatulence,
• Indigestion,
• Stomach pain,
• Swelling,
• Vomiting
Expert advice for Glucobay
• You should follow the diet prescribed by your doctor to gain the maximum benefit from acarbose tablets.
• Acarbose should be taken with a little liquid directly before the meal or with the first bite of a main meal, .
• Acarbose should not be used by pregnant and nursing women, patients with several liver or kidney impairment, chronic intestinal diseases , colon ulcers, inflammatory bowel disease, partial intestinal obstruction.
FAQs
Q: Is acarbose/Glucobay a protein?
A: No, acarbose is not a protein; it is a complex oligosaccharide (sugar).
Q: Is acarbose safe?
A: Acarbose is safe if used at prescribed doses for the prescribed duration as advised by your doctor.
Q: Does acarbose cause weight fluctuations?
A: Acarbose when combined with low calorie diet and exercise may cause weight loss. Acarbose generally does not cause weight gain when taken as prescribed.
Q: Does acarbose cause hypoglycemia?
A: Acarbose does not cause hypoglycemia (low blood sugar) if taken as prescribed. However, low blood sugar can occur if you take acarbose with another blood sugar lowering medicine, delay or miss a meal or snack, exercise more than usual or drink alcohol.
Q: How long does acarbose last?
A: Generally, the effect of acarbose lasts up to 3-5 hours, however it may vary depending on the individual taking the medicine.
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