It is very important that your doctor check your progress at regular visits, especially during the first few weeks of treatment, to make sure that this medicine is working properly.
Before you have any kind of surgery, dental treatment, or emergency treatment, tell the medical doctor or dentist in charge that you are using this medicine.
Do not take any other medicine, unless prescribed or approved by your doctor, since some may interfere with this medicine's effects. This especially includes over-the-counter (OTC) or nonprescription medicine such as that for colds, cough, asthma, hay fever, or appetite control.
Check with your doctor right away if symptoms of high blood sugar (hyperglycemia) occur. These symptoms usually include:
- Flushed, dry skin
- Fruit-like breath odor
- Increased urination
- Loss of appetite (continuing)
- Unusual thirst
These symptoms may occur if the dose of the medicine is too high, or if you have a fever or infection or are experiencing unusual stress.
Check with your doctor as soon as possible also if these symptoms of low blood sugar (hypoglycemia) occur:
- Cold sweats
- Cool pale skin
- Excessive hunger
- Fast pulse
- Unusual tiredness or weakness
Symptoms of both low blood sugar and high blood sugar must be corrected before they progress to a more serious condition. In either situation, you should check with your doctor immediately.