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The recommended starting dosage of PRECOSE is 25 mg given orally three times daily at the startwith the first biteof each main mealHoweversome patients may benefit from more gradual dose titration to minimize gastrointestinal side effectsThis may be achieved by initiating treatment at 25 mg once per day and subsequently increasing the frequency of administration to achieve 25 mg t.i.d.

Caution with drugs that cause hyperglycemiaegdiureticssteroidsestrogensphenothiazinesthyroid productsphenytoinniacinsympathomimeticscalcium channel blockersisoniazidAntagonized by intestinal adsorbentsegcharcoalpancreatinamylaseother carbohydrate-splitting enzymesMonitor digoxinand for hypoglycemia if used with insulin or a sulfonylureaMay result in unreliable measurements of 1,5-AG assayuse alternative methods to monitor glycemic control.

Before using this medicationtell your doctor or pharmacist your medical historyespecially ofintestine/bowel problemssuch as inflammatory bowel diseaseblockageulcerskidney problemsliver disease.

If you take acarbose with insulin or other diabetes medicationsyour blood sugar could get too lowLow blood sugarhypoglycemiacan occur if you skip a mealexercise too longdrink alcoholor are under stressSymptoms include headachehungerweaknesssweatingtremorsirritabilityor trouble concentrating.

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