Alogliptin, Metformin Hydrochloride Oral tablet

What is this medicine?

ALOGLIPTIN; METFORMIN (al oh GLIP tin; met FOR min) is a combination of 2 medicines used to treat type 2 diabetes. This medicine lowers blood sugar. Treatment is combined with a balanced diet and exercise.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• anemia

• become easily dehydrated

• diabetic ketoacidosis

• heart disease

• history of pancreatitis

• if you drink alcohol

• kidney disease

• liver disease

• polycystic ovary syndrome

• serious infection or injury

• thyroid disease

• undergoing surgery or certain x-ray procedures with injectable contrast agents

• an unusual or allergic reaction to alogliptin, metformin, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Take this medicine with food. Do not cut this medicine. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you've taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• certain contrast medicines given before X-rays, CT scans, MRI, or other procedures

• gatifloxacin

This medicine may also interact with the following medications:

• alcohol

• amiloride

• carbonic anhydrase inhibitors, like zonisamide, acetazolamide, or dichlorphenamide

• cimetidine

• insulin

• digoxin

• diuretics

• female hormones, like estrogens or progestins and birth control pills

• isoniazid

• medicines for blood pressure, heart disease, irregular heart beat

• morphine

• phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine

• phenytoin

• procainamide

• quinidine

• quinine

• ranitidine

• steroid medicines like prednisone or cortisone

• sulfonylureas like glimepiride, glipizide, glyburide

• thyroid medicines

• trimethoprim

• vancomycin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress.

Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.

Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol.

If you have symptoms of low blood sugar, eat or drink something containing sugar at once, and contact your doctor or health care professional. Make sure family members know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar like seizures or unconsciousness. They must get medical help at once.

If you need surgery or if you will need a procedure with contrast drugs, tell your doctor or health care professional that you are taking this medicine.

Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• breathing problems

• dark urine

• dizziness

• general ill feeling or flu-like symptoms

• light-colored stools

• loss of appetite

• low blood sugar (ask your doctor or health care professional for a list of associated symptoms)

• muscle pain

• nausea, vomiting

• right upper belly pain

• slow or irregular heartbeat

• unusual stomach upset or pain

• unusually weak or tired

• yellowing of the eyes or skin

Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):

• diarrhea

• headache

• heartburn

• metallic taste in the mouth

• stomach gas

• stuffy or runny nose

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.