Acarbose

Conditions Treated
Acarbose is used (with diet only or diet and other medications) to treat type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) . Acarbose works by slowing the action of certain chemicals that break down food to release glucose (sugar) into your blood. Slowing food digestion helps keep blood glucose from rising very high after meals. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Possible Side Effects
What Side Effects Can This Cause?
When used in combination with insulin or other medications used to treat diabetes, acarbose may cause excessive lowering of blood sugar levels.
If you have any of these symptoms, glucose products (Insta-Glucose or B-D Glucose tablets) should be used and you should call your doctor. Because acarbose blocks the breakdown of table sugar and other complex sugars, fruit juice or other products containing these sugars will not help to increase blood sugar. It is important that you and other members of your household understand this difference between acarbose and other medications used to treat diabetes.
- shakiness
- dizziness or lightheadedness
- sweating
- nervousness or irritability
- sudden changes in behavior or mood
- headache
- numbness or tingling around the mouth
- weakness
- pale skin
- hunger
- clumsy or jerky movements
- confusion
- seizures
- loss of consciousness

Usage Instructions
How Should This Medication Be Used
Acarbose comes as a tablet to take by mouth. It is usually taken three times a day. It is very important to take each dose with the first bite of each main meal. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take acarbose exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. Continue to take acarbose even if you feel well. Do not stop taking acarbose without talking to your doctor.
What Dietary Instructions Should I Follow
Be sure to follow all exercise and dietary recommendations made by your doctor or dietitian. It is important to eat a healthful diet. Alcohol may cause a decrease in blood sugar. Ask your doctor about the safe use of alcoholic beverages while you are taking acarbose.
Are There Any Special Instructions
Before taking acarbose, tell your doctor and pharmacist if you are allergic to acarbose or any other drugs. tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other medications for diabetes, digoxin (Lanoxin), diuretics ('water pills'), estrogens, isoniazid, medications for high blood pressure or colds, oral contraceptives, pancreatic enzymes, phenytoin (Dilantin), steroids, thyroid medications, and vitamins. tell your doctor if you have or have ever had ketoacidosis, cirrhosis, or intestinal disease such as inflammatory bowel disease or bowel obstruction. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking acarbose.

Brand Names
Common Brand Names for This Medication
- Prandase®
- Precose®

Overdose
What To Do In The Case of Emergency
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Forgotten Doses
What Should I Do If I Forget A Dose?
Take the missed dose as soon as you remember it. If you will be having a snack soon, take a dose with the snack. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Additional Information
What Are the Storage Conditions for this Medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
What Other Information Should I Know?
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to acarbose. Your doctor will also tell you how to check your response to this medication by measuring your blood or urine sugar levels at home. Follow these instructions carefully You should always wear a diabetic identification bracelet to be sure you get proper treatment in an emergency. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

