REPAGLINIDE helps to treat type 2 diabetes. It helps to control blood sugar. Treatment is combined with diet and exercise.

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

• diabetic ketoacidosis
• kidney disease
• liver disease
• severe infection or injury
• an unusual or allergic reaction to repaglinide or other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

Take this medicine by mouth with a glass of water. The dose should be taken no earlier than 30 minutes before every meal. If an extra meal is added, take a tablet before that meal. If a meal is skipped, skip the dose for that meal. Do not take more often than directed.

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

Elderly patients over 65 years old may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have 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.

If you miss a dose before a meal, skip that dose. If it is almost time for your next dose, take only that dose with the next scheduled meal as directed. Do not take double or extra doses.

• barbiturates like phenobarbital or primidone
• carbamazepine
• clarithromycin
• erythromycin
• gemfibrozil
• isophane insulin, NPH
• medicines for fungal or yeast infections such as itraconazole, ketoconazole, miconazole
• montelukast
• other medicines for diabetes
• rifampin
• simvastatin

Many medications may cause an increase or decrease in blood sugar, these include:

• alcohol containing beverages
• aspirin and aspirin-like drugs
• chloramphenicol
• chromium
• diuretics
• female hormones, such as estrogens or progestins, birth control pills
• heart medicines
• isoniazid
• male hormones or anabolic steroids
• medications for weight loss
• medicines for allergies, asthma, cold, or cough
• medicines for mental problems
• medicines called MAO inhibitors - Nardil, Parnate, Marplan, Eldepryl
• niacin
• NSAIDS, such as ibuprofen
• pentamidine
• phenytoin
• probenecid
• quinolone antibiotics such as ciprofloxacin, levofloxacin, ofloxacin
• some herbal dietary supplements
• steroid medicines such as prednisone or cortisone
• thyroid hormones

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.

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.

If you have low blood sugar, eat or drink something that has sugar. Make sure others know to get medical help quickly if you have serious symptoms of low blood sugar, like if you become unconscious or have a seizure.

If you need surgery, tell your doctor or health care professional that you are taking this medicine.

Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.

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

• breathing difficulties
• dark yellow or brown urine, or yellowing of the eyes or skin
• fever, chills, sore throat
• low blood sugar (ask your doctor or healthcare professional for a list of these symptoms)
• severe skin rash, redness, swelling, or itching
• unusual bleeding or bruising
• vomiting

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

• diarrhea
• headache
• muscle pain
• nausea

This list may not describe all possible side effects.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.