JUVISYNC tablets whole, tell your doctor.
•Your doctor may tell you to take JUVISYNC along with other diabetes medicines. Low blood sugar can happen more often when JUVISYNC is taken with certain other diabetes medicines. See "What are the possible side effects of JUVISYNC?".
•If you take too much JUVISYNC, call your doctor or go to the nearest hospital emergency room right away.
•When your body is under some types of stress, such as fever, trauma (such as a car accident), infection or surgery, the amount of diabetes medicine that you need may change. Tell your doctor right away if you have any of these conditions and follow your doctor's instructions.
•Check your blood sugar as your doctor tells you to.
•Stay on your prescribed diet and exercise program while taking JUVISYNC.
•Talk to your doctor about how to prevent, recognize and manage low blood sugar (hypoglycemia), high blood sugar (hyperglycemia), and problems you have because of your diabetes.
•Your doctor will monitor your condition with regular blood tests, including your blood sugar levels, hemoglobin A1C, and cholesterol levels, and to check for side effects.
•Your doctor will do blood tests to check how well your kidneys are working before and during your treatment with JUVISYNC. Your doctor may change your dose or discontinue JUVISYNC based on the results of your blood tests.
What are the possible side effects of JUVISYNC?
Serious side effects have happened in people taking JUVISYNC.
•See "What is the most important information I should know about JUVISYNC?".
•myopathy (muscle weakness) and rhabdomyolysis (muscle breakdown). Tell your doctor right away if you have unexplained muscle pain, tenderness, or weakness especially with fever while you take JUVISYNC.
•Muscle problems, including muscle breakdown, can be serious in some people and on rare occasions may cause kidney damage that can lead to death.
•The risk of muscle breakdown is greater at higher doses of JUVISYNC.
•The risk of muscle breakdown is greater in people 65 years of age and older, females, and people with kidney or thyroid problems.
If you have muscle problems that do not go away even after your doctor has advised you to stop taking JUVISYNC, notify your doctor. Your doctor may do further tests to diagnose the cause of your muscle problems.
•liver problems. Your doctor should do blood tests to check your liver before you start taking JUVISYNC and if you have any symptoms of liver problems while you take JUVISYNC. Call your doctor right away if you have the following symptoms of liver problems:
•feel tired or weak
•loss of appetite
•upper belly pain
•dark urine
•yellowing of your skin or the whites of your eyes
•kidney problems, sometimes requiring dialysis
•low blood sugar (hypoglycemia). If you take JUVISYNC with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use JUVISYNC. Signs and symptoms of low blood sugar may include: •headache
•drowsiness
•weakness
•dizziness
•confusion
•irritability
•hunger
•fast heart beat
•sweating
•feeling jittery
•Serious al
