Buy Glucophage XR  Canada | Metformin Is a Medication Used To Treat Type 2 Diabetes. It works by decreasing the amount of glucose (sugar) produced by the liver and improving the body’s sensitivity to insulin, a hormone that helps regulate blood sugar levels.

Metformin is often prescribed alongside lifestyle changes such as a healthy diet and exercise to help manage blood sugar levels. It is usually taken orally, typically two or three times a day with meals.

How do i take Metformin?

Metformin is usually taken orally with a meal, usually once or twice a day as prescribed by a healthcare provider. The dosage and frequency of the medication may vary depending on the individual’s medical condition and response to treatment.

It’s important to take metformin exactly as prescribed and not to change the dose or frequency of the medication without first consulting with a healthcare provider. Taking too much or too little metformin can affect blood sugar levels and may increase the risk of side effects.

It’s also important to follow a healthy diet and exercise regimen while taking metformin to help manage blood sugar levels. In addition, regular blood sugar monitoring and follow-up with a healthcare provider are recommended to ensure that the medication is working effectively and to adjust the dosage if necessary.

Buy Glucophage XR Canada | How does Metformin work?

Metformin works by reducing the amount of glucose (sugar) produced by the liver and improving insulin sensitivity in the body.In people with type 2 diabetes, the liver may produce too much glucose, which can lead to high blood sugar levels. Metformin helps to reduce the amount of glucose produced by the liver, thereby lowering blood sugar levels.Metformin also helps the body to use insulin more effectively. Insulin is a hormone that helps to move glucose from the bloodstream into the body’s cells, where it can be used for energy. In people with type 2 diabetes, the body may become resistant to the effects of insulin, which can lead to high blood sugar levels. Metformin helps to improve insulin sensitivity, which allows the body to use insulin more effectively and lower blood sugar levels. Buy Glucophage XR  Canada

Additionally, metformin may also have other beneficial effects on the body, such as reducing inflammation and improving lipid metabolism. These effects may also contribute to its ability to improve blood sugar control in people with type 2 diabetes.

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Buy Farxiga online |  Dapagliflozin is a medication used to treat type 2 diabetes. It belongs to a class of drugs called SGLT2 inhibitors, which work by blocking the reabsorption of glucose in the kidneys, allowing excess glucose to be eliminated through the urine. This helps to lower blood sugar levels in people with type 2 diabetes. Dapagliflozin is taken orally, usually once a day, and may be used alone or in combination with other diabetes medications. It is important to note that dapagliflozin is not recommended for people with type 1 diabetes or diabetic ketoacidosis. As with any medication, dapagliflozin may have side effects, and you should talk to your healthcare provider to determine if it is right for you.

How does Dapaglifozin works?

Dapagliflozin works by blocking the action of a protein called SGLT2, which is responsible for reabsorbing glucose back into the bloodstream in the kidneys. By inhibiting SGLT2, dapagliflozin prevents glucose from being reabsorbed and instead allows it to be excreted in the urine, which reduces the amount of glucose in the bloodstream. This mechanism of action is independent of insulin, so dapagliflozin can be used in people with type 2 diabetes who do not produce enough insulin or who are insulin resistant. By lowering blood glucose levels, dapagliflozin can help to reduce the risk of complications associated with diabetes, such as heart disease, kidney disease, and nerve damage. Additionally, dapagliflozin may also lead to modest weight loss and reduced blood pressure, which can further benefit people with type 2 diabetes.

How to take Dapaglifozin?

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Buy Jardiance Online | Empagliflozin is a medication used to treat type 2 diabetes. It belongs to a class of drugs called sodium-glucose cotransporter-2 (SGLT2) inhibitors, which work by blocking the reabsorption of glucose by the kidneys, leading to increased glucose excretion in the urine and lower blood sugar levels.

Empagliflozin is taken orally, usually once daily, and can be used alone or in combination with other diabetes medications. It has been shown to lower blood sugar levels, reduce the risk of cardiovascular events, and lower blood pressure in people with type 2 diabetes.

However, it is important to note that empagliflozin is not suitable for people with type 1 diabetes, and it may cause side effects such as urinary tract infections, genital infections, and dehydration. It is important to discuss the potential benefits and risks of empagliflozin with a healthcare provider before starting treatment.

How does Empagliflozin?

Empagliflozin works by inhibiting the sodium-glucose cotransporter-2 (SGLT2) protein in the kidneys. SGLT2 is responsible for reabsorbing glucose from the urine back into the bloodstream, which contributes to elevated blood glucose levels in people with type 2 diabetes.

By blocking SGLT2, empagliflozin reduces the amount of glucose that is reabsorbed into the bloodstream, allowing it to be excreted in the urine instead. This leads to lower blood glucose levels and improved glycemic control in people with type 2 diabetes.

In addition to lowering blood glucose levels, empagliflozin has also been shown to have other beneficial effects in people with type 2 diabetes, including reducing body weight, improving insulin sensitivity, and reducing the risk of cardiovascular events.

It is important to note that empagliflozin should not be used in people with type 1 diabetes or diabetic ketoacidosis, and it may cause side effects such as dehydration, urinary tract infections, and genital infections. It is important to discuss the potential benefits and risks of empagliflozin with a healthcare provider before starting treatment.

How to take Empagliflozin ?

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Metformin works by decreasing glucose (sugar) production in the liver and decreasing absorption of glucose by the intestines. Sitagliptin works by regulating the levels of insulin your body produces after eating.

Janumet is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.

Janumet is not used to treat type 1 diabetes.

Important information

You should not use Janumet if you have severe kidney disease or diabetic ketoacidosis (call your doctor our pharmancist for treatment with insulin).

Janumet may cause a serious condition called lactic acidosis. Get emergency medical help if you have even mild symptoms such as: muscle pain or weakness, numb or cold feeling in your arms and legs, trouble breathing, stomach pain, nausea with vomiting, slow or uneven heart rate, dizziness, or feeling very weak or tired.

Janumet may also lead to a serious condition called pancreatitis. Call your doctor right away if you have severe stomach pains with or without vomiting.

Before taking this medicine

You should not use Janumet if you are allergic to metformin or sitagliptin (Januvia), or if you have severe kidney disease.

To make sure Janumet is safe for you, tell your doctor if you have ever had:

• kidney disease (your kidney function may need to be checked before you take this medicine);
• liver disease;
• heart disease;
• pancreatitis;
• high triglycerides (a type of fat in the blood);
• gallstones; or
• alcoholism.

Some people taking metformin develop a serious condition called lactic acidosis. This may be more likely if you have liver or kidney disease, congestive heart failure, surgery, a heart attack or stroke, a severe infection, if you are 65 or older, if you are dehydrated, or if you drink a lot of alcohol. Talk with your doctor or our pharmacist about your risk.

If you need to have surgery or any type of x-ray or CT scan using a dye that is injected into your veins, you may need to temporarily stop taking Janumet. Be sure your caregivers know ahead of time that you are using this medication.

Follow your doctor’s instructions about using Janumet if you are pregnant or you become pregnant. Blood sugar control is very important during pregnancy, and your dose needs may be different during each trimester of pregnancy. Having high blood sugar may cause complications in both the mother and the baby.

It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk. Your dose needs may also be different while you are breastfeeding.

Janumet is not approved for use by anyone younger than 18 years old.

How should I take Janumet?

Take Janumet exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Take Janumet with meals.

Do not crush, chew, or break an extended-release tablet. Swallow it whole.

Janumet tablets may not completely dissolve in the body. Part of the tablet may appear in your stool. This is a normal side effect of Janumet and will not make the medicine less effective.

Call your doctor or pharmacist if you see a tablet in your stool several times.

You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).

Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.

Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination, blurred vision, headache, and tiredness.

Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.

Janumet 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.

What happens if I miss a dose?

Take the missed dose as soon as you remember (be sure to take the medicine with food). Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What should I avoid while taking Janumet?

Avoid drinking alcohol. It lowers blood sugar and may increase your risk of lactic acidosis.

Janumet side effects

Get emergency medical help if you have signs of an allergic reaction to Janumet: (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

Stop taking this medicine and call your doctor right away if you have symptoms of pancreatitis: severe pain in your upper stomach spreading to your back, nausea and vomiting, loss of appetite, or fast heartbeats.

Some people develop lactic acidosis while taking metformin. Early symptoms may get worse over time and this condition can be fatal. Stop taking this medicine and get emergency medical help if you have even mild symptoms such as:

• unusual muscle pain;
• feeling cold;
• trouble breathing;
• feeling dizzy, light-headed, tired, or very weak;
• stomach pain, nausea with vomiting; or
• slow or irregular heartbeat.

Call your doctor at once if you have any of these serious side effects:

• itching, blisters, breakdown of the outer layer of skin;
• severe or ongoing pain in your joints;
• little or no urinating; or
• shortness of breath (even while lying down), swelling in your legs or feet, rapid weight gain; or
• signs of low blood sugar, including headache, sleepiness, dizziness, sweating, feeling jittery, hunger, or fast heartbeat.

Common Janumet side effects may include:

• low blood sugar (if you also use insulin or another oral diabetes medication);
• upset stomach, gas, diarrhea, nausea, vomiting;
• headache, weakness; or
• cold symptoms such as runny or stuffy nose, sneezing, sore throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

What other drugs will affect Janumet?

Many drugs can interact with metformin and sitagliptin. Some drugs can affect how well Janumet controls your blood sugar. Other drugs may increase your risk of lactic acidosis.

Tell your doctor if you use any of the following medications before taking Janumet:

• anti-seizure medications (including topiramate, zonisamide, acetazolamide, phenytoin, and others)
• anti-viral medications for HIV or AIDS;
• antipsychotic medications (especially chlorpromazine, prochlorperazine, thioridazine, and others);
• dichlorphenamide;
• antacid medications including cimetidine;
• ranolazine;
• vandetanib;
• corticosteroid medications (such as prednisone),
• estrogen-containing medications including birth control pills or hormone replacement;
• heart or blood pressure medications (especially digoxin, diuretics or water pills, calcium channel blockers, and others); or
• other diabetes medications including insulin, sulfonylureas, or others

Not all possible interactions are listed in this medication guide. Tell your doctor about all medicines you use, and those you start or stop using. Give a list of all your medicines to any healthcare provider who treats you.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Janumet only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

The post Janumet (Sitagliptin/Metformin) appeared first on MedixRefill.

Invokana is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.

Invokana is also used to lower the risk of death from heart attack, stroke, or heart failure in adults with type 2 diabetes who also have heart disease.

Invokana is also used to reduce the risk of end-stage kidney disease and hospitalization or death from heart problems in adults who also have kidney problems caused by type 2 diabetes.

Invokana is not for treating type 1 diabetes.

Important Information

You should not use Invokana if you have severe kidney disease or if you are on dialysis.

Invokana can cause serious infections in the penis or vagina. Get medical help right away if you have burning, itching, odor, discharge, pain, tenderness, redness or swelling of the genital or rectal area, fever, or if you don’t feel well.

Before taking this medicine

You should not use Invokana if you are allergic to canagliflozin, or if you have:

• severe kidney disease (or if you are on dialysis).

Invokana may increase your risk of lower leg amputation, especially if you have had a prior amputation, a foot ulcer, heart disease, circulation problems, or nerve damage.

To make sure this medicine is safe for you, tell your doctor if you have ever had:

• heart problems;
• a diabetic foot ulcer or amputation;
• circulation problems or nerve problems in your legs or feet;
• kidney disease;
• liver disease;
• bladder infections or other urination problems;
• a pancreas disorder;
• if you drink often, or drink large amounts of alcohol;
• if you are eating less than usual; or
• if you are on a low salt diet.

Follow your doctor’s instructions about using this medicine if you are pregnant. Blood sugar control is very important during pregnancy, and your dose needs may be different during each trimester.

You should not use canagliflozin during the second or third trimester of pregnancy.

You should not breast-feed while using this medicine.

Invokana is not approved for use by anyone younger than 18 years old.

How should I take Invokana?

Invokana is usually taken once per day. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.

Invokana is usually taken once per day, before the first meal of the day.

You may have very low blood pressure while taking this medicine. Call your doctor if you are sick with vomiting or diarrhea, or if you are sweating more than usual. Drink plenty of liquids while you are taking Invokana.

You may have low blood sugar (hypoglycemia) and feel very hungry, dizzy, irritable, confused, anxious, or shaky. To quickly treat hypoglycemia, eat or drink a fast-acting source of sugar (fruit juice, hard candy, crackers, raisins, or non-diet soda).

Your doctor may prescribe a glucagon injection kit in case you have severe hypoglycemia. Be sure your family or close friends know how to give you this injection in an emergency.

Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst or urination.

Blood sugar levels can be affected by stress, illness, surgery, exercise, alcohol use, or skipping meals. Ask your doctor before changing your dose or medication schedule.

Invokana is only part of a complete treatment program that may also include diet, exercise, weight control, blood sugar testing, and special medical care. Follow your doctor’s instructions very closely.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using canagliflozin.

Store at room temperature away from moisture and heat.

Invokana dosing information

Usual Adult Dose for Diabetes Type 2:

Initial dose: 100 mg orally once a day
-May increase to 300 mg orally once a day for additional glycemic control but only in patients who have tolerated lower dose and who have an eGFR of 60 mL/min/1.73 m2 or greater
Maximum dose: 300 mg/day .

What happens if I miss a dose?

Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

What should I avoid while taking Invokana?

Avoid getting up too fast from a sitting or lying position, or you may feel dizzy.

Invokana side effects

Get emergency medical help if you have signs of an allergic reaction to Invokana: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Seek medical attention right away if you have signs of a genital infection (penis or vagina): burning, itching, odor, discharge, pain, tenderness, redness or swelling of the genital or rectal area, fever, not feeling well. These symptoms may get worse quickly.

Call your doctor at once if you have:

• a light-headed feeling, like you might pass out;
• little or no urination;
• pain or burning when you urinate;
• new pain, tenderness, sores, ulcers, or infections in your legs or feet;
• high potassium – nausea, irregular heartbeats, weakness, loss of movement;
• ketoacidosis (too much acid in the blood) – nausea, vomiting, stomach pain, confusion, unusual drowsiness, or trouble breathing; or
• dehydration symptoms – dizziness, weakness, feeling light-headed (like you might pass out).

You may be more likely to have a broken bone while using Invokana. Talk with your doctor about how to avoid the risk of fractures.

Side effects may be more likely to occur in older adults.

Common Invokana side effects may include:

• genital infections; or
• urinating more than usual.

This is not a complete list of side effects and others may occur. Call your doctor our pharmacist for medical advice about side effects.

What other drugs will affect Invokana?

Tell your doctor about all your other medicines, especially:

• insulin or other oral diabetes medicines;
• a diuretic or “water pill”;
• digoxin, digitalis;
• rifampin;
• ritonavir; or
• seizure medication – phenobarbital, phenytoin.

This list is not complete. Other drugs may interact with canagliflozin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Invokana only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

The post Invokana (Canagliflozin) appeared first on MedixRefill.

Sitagliptin is a diabetes drug that works by increasing levels of natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after a meal. They also decrease the amount of sugar your liver makes.

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This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

Who should NOT take this medication?

Do not take gliclazide MR if you:

• • are allergic to gliclazide or any ingredients of the medication
  • are allergic to other sulfonylureas (such as glyburide) or sulfonamides (such as sulfamethoxazole)
  • are pregnant or breast-feeding
  • are taking some forms of miconazole (ask your doctor or pharmacist for details)
  • are experiencing physical stress such as serious infection, injury, or surgery
  • have severe kidney or liver disease
  • have type 1 diabetes
  • have unstable diabetes or ketoacidosis (a high amount of ketones in your urine)

What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• • • abdominal pain
    • back, muscle, or joint pain
    • constipation
    • diarrhea
    • dizziness
    • headache
    • nausea
    • vomiting

Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• • • high blood pressure
    • signs of anemia (low red blood cells; e.g., dizziness, pale skin, unusual tiredness or weakness, shortness of breath)
    • signs of clotting problems (e.g., unusual nosebleeds, bruising, blood in urine, coughing blood, bleeding gums, cuts that don’t stop bleeding)
    • signs of depression (e.g., poor concentration, changes in weight, changes in sleep, decreased interest in activities, thoughts of suicide)
    • signs of liver problems (e.g., nausea, vomiting, diarrhea, loss of appetite, weight loss, yellowing of the skin or whites of the eyes, dark urine, pale stools)
    • skin rash or hives
    • swelling of the legs or unexpected weight gain
    • symptoms of low blood sugar (e.g., cold sweat, cool pale skin, headache, fast heartbeat, weakness, shakiness, feeling drunk, headache, slurred speech)
    • symptoms of low sodium levels in the blood (e.g., achy, stiff or uncoordinated muscles, confusion, tiredness, weakness)
    • unusual or more frequent infections (symptoms may include fever or chills, severe diarrhea, shortness of breath, prolonged dizziness, headache, stiff neck, weight loss, or listlessness)

Stop taking the medication and seek immediate medical attention if any of the following occur:

• • • chest pain or pressure and/or shortness of breath
    • seizures
    • signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
    • signs of a severe skin reaction such as blistering, peeling, a rash covering a large area of the body, a rash that spreads quickly, or a rash combined with fever or discomfort
    • unconsciousness

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

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Buy Galvus Met Online – Galvus Met (Vildagliptin/Metformin) is a medical drug that is indicated in patients suffering from type-2 diabetes. This medicine helps moderate glycaemia levels in patients and may be used in a combination with other drug or alone.

In most cases, patients are prescribed this medicine when other medications used in the treatment of diabetes such as pioglitazone, glipizide, and rosiglitazone have not been able to achieve the desired results. Your physician may prescribe this medicine to you together with exercised and diet.

How do I take Galvus Met?

Galvus Met (Vildagliptin/Metformin) is available as tablets that should only be taken orally. Swallow them whole with a full glass of water. You can take the medicine without food but to prevent the chances of experiencing nausea or stomach upsets, it is advised to take it together with a light meal or after taking food.

For the tablets to be as effective as purposed, they should be absorbed slowly into the bloodstream. Crushing, chewing, dissolving or splitting the tablets will quicken their absorption, and this may lead to their ineffectiveness during treatment. Take your medicine as many times in a day as the doctor instructs you and for as long as your dosage lasts.

What are the side effects of Galus Met?

It is possible to experience side effects during treatment using Galvus Met (Vildagliptin/Metformin). Report all signs of side effects to your doctor as soon as you notice them. Some commonly reported side effects include confusion, shaking or tremors, difficulties in concentrating, intense hunger, palpitations, change in heartbeat rates, cold sweating, changes in mood, headaches among other side effects. There are other less common but severe side effects that are possible to experience. Talk to your physician about these side effects and others not mentioned here. You can also view all other side effects using this link

What precautions should I take while on Galvus Met?

During your treatment, you may experience troubles while trying to concentrate. It is therefore not advised to be involved in any physical activities that require high levels of concentration such as the operation of heavy machinery or driving as they may be hazardous.

If you suffer from allergies, do not use this medicine as it may lead to fatal allergic reactions which are commonly signaled by; chest tightness, swelling of different body parts due to fluid retention, hives, and skin rashes, difficulties in breathing or swallowing.

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