{"id":21924,"date":"2022-06-14T07:51:47","date_gmt":"2022-06-14T07:51:47","guid":{"rendered":"https:\/\/zeepedia.com\/?p=21924"},"modified":"2022-06-14T13:21:01","modified_gmt":"2022-06-14T13:21:01","slug":"repaglinide-accord","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/repaglinide-accord\/","title":{"rendered":"Repaglinide Accord &#8211; Repaglinide uses, dose and side effects"},"content":{"rendered":"\n<p>0.5 mg, 1 mg, 2 mg&nbsp;tablets<br>Repaglinide<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Repaglinide Accord is and what it is used for<\/h2>\n\n\n\n<p><br><strong>Type 2&nbsp;diabetes<\/strong>&nbsp;is a disease in which the pancreas does not produce enough&nbsp;insulin&nbsp;to control the level of sugar in your blood or where your body does not respond normally to the&nbsp;insulin&nbsp;it produces.<\/p>\n\n\n\n<p>Repaglinide Accord\u00a0<em>contains repaglinide<\/em>\u00a0and is an\u00a0<em>oral tablet for the treatment of\u00a0diabetes<\/em>.\u00a0Repaglinide Accord helps your\u00a0pancreas\u00a0to produce more\u00a0insulin\u00a0and lower your blood sugar (blood glucose).<\/p>\n\n\n\n<p>Repaglinide Accord is used to control type 2\u00a0diabetes\u00a0in adults as a supplement to diet and exercise.\u00a0Treatment is usually started if diet, exercise, and weight loss alone are not enough to control (or lower) your blood sugar.\u00a0Repaglinide Accord can also be given with\u00a0metformin, another diabetes medicine.<\/p>\n\n\n\n<p><br>Repaglinide Accord lowers blood sugar, which helps prevent complications of your\u00a0diabetes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Repaglinide Accord<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Repaglinide Accord:<\/h2>\n\n\n\n<p><br>If you are allergic to repaglinide or any of the other ingredients of this medicine (listed in section 6).<br>\u2022 if you have&nbsp;<strong>type 1&nbsp;diabetes<\/strong><br>\u2022 if the acid level&nbsp;<strong>in your blood is<\/strong>&nbsp;elevated (&nbsp;<strong>diabetic ketoacidosis<\/strong>&nbsp;)<br>\u2022 if you&nbsp;<strong>have a severe liver disease<\/strong><br>\u2022 if you are taking&nbsp;<strong>gemfibrozil<\/strong>&nbsp;(for the treatment of high blood fats).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor before taking Repaglinide Accord:<\/p>\n\n\n\n<p><br>\u2022 if you have\u00a0<strong>liver problems.\u00a0<\/strong>Repaglinide Accord is not recommended for patients with moderate liver disease.\u00a0Repaglinide Accord should not be taken if you have severe liver disease (see\u00a0<em>Do not take Repaglinide Accord<\/em>\u00a0).<br>\u2022 if you have\u00a0<strong>kidney problems<\/strong>.\u00a0Repaglinide Accord should then be used with caution.<br>\u2022 if you are having\u00a0major surgery\u00a0or have recently had a\u00a0serious illness\u00a0or\u00a0infection.\u00a0In such cases, diabetes control may be insufficient.\u00a0\u2022 if you are\u00a0<strong>under 18<\/strong>\u00a0or\u00a0<strong>over 75 years of age<\/strong><br>.\u00a0Repaglinide Accord can then not be recommended, as studies in these age groups are lacking.<\/p>\n\n\n\n<p><strong>Talk to your doctor<\/strong>&nbsp;if any of the above apply to you.&nbsp;You may not be treated with Repaglinide Accord, but your doctor will advise you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Do not take this medicine if you are under 18 years of age.<\/p>\n\n\n\n<p><strong>If you get an insulin sensation (low blood sugar)<\/strong><\/p>\n\n\n\n<p><br>You get insulin sensation (hypoglycemia) if your blood sugar gets too low.\u00a0This may happen:<br>\u2022 if you take too much Repaglinide Accord<br>\u2022 if you exercise more than usual<br>\u2022 if you are taking other medicines or have kidney or liver problems (see other sections under 2.\u00a0<em>What you need to know before taking Repaglinide Accord<\/em>\u00a0).<\/p>\n\n\n\n<p><br><strong>The warning signs of low blood sugar<\/strong>&nbsp;can come on suddenly and manifest themselves as: cold sweat;&nbsp;cold and pale skin;&nbsp;headache;&nbsp;palpitation;&nbsp;nausea;&nbsp;strong hunger;&nbsp;temporary vision changes;&nbsp;drowsiness;&nbsp;unusual fatigue and weakness;&nbsp;nervousness or tremors;&nbsp;feelings of anxiety;&nbsp;confusion;&nbsp;concentration difficulties.<\/p>\n\n\n\n<p><strong>If your blood sugar is low or you get an <\/strong>insulin sensation: eat glucose tablets or a snack or a drink that contains a lot of sugar and then rest.<\/p>\n\n\n\n<p><strong>When the symptoms of\u00a0hypoglycemia<\/strong>\u00a0have disappeared or your blood sugar level has stabilized, you can continue treatment with Repaglinide Accord.<\/p>\n\n\n\n<p><br><strong>Tell people around you that you have\u00a0diabetes\u00a0and that if you become unconscious<\/strong>, they should put you on the sidelines and get medical attention immediately.\u00a0They must not give you anything to eat or drink.\u00a0Then there is a risk that you will suffocate.<br><strong>\u2022 If untreated insulin sensitivity<\/strong>\u00a0is not treated, it can cause brain damage (temporary or permanent) and even death.<br><strong>If you get an insulin sensation<\/strong>\u00a0and lose consciousness, or if you get a lot of insulin sensations, talk to your doctor.\u00a0Dose\u00a0a Repaglinide Accord, diet or exercise may need to be adjusted.<\/p>\n\n\n\n<p><strong>If your blood sugar gets too high<\/strong><br>Your blood sugar may get too high (this is called&nbsp;hyperglycemia&nbsp;).&nbsp;It can have the following causes:<br>\u2022 You have taken too little&nbsp;Repaglinide&nbsp;Accord<br>\u2022 You have an&nbsp;infection&nbsp;or fever<\/p>\n\n\n\n<p>\u2022 You have eaten more than usual<br>\u2022 You have exercised less than usual.<br><strong>The warning signs of high blood sugar<\/strong>\u00a0gradually appear.\u00a0They manifest as: increased urine output;\u00a0thirst;\u00a0dry skin and\u00a0dry mouth.\u00a0Talk to your doctor.\u00a0Dose\u00a0a Repaglinide Accord, diet or exercise may need to be adjusted.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Repaglinide Accord<\/h2>\n\n\n\n<p><strong>Tell your doctor<\/strong>\u00a0or pharmacist if you are taking, have recently taken, or might take any other medicines.<br>You can take Repaglinide Accord together with\u00a0metformin, another diabetes medicine if your doctor tells you to.\u00a0If you are taking gemfibrozil (for the treatment of high blood fats), do not take Repaglinide Accord.<\/p>\n\n\n\n<p>\u2022 Your body may react differently to Repaglinide Accord if you are taking other medicines, especially these:<br>\u2022\u00a0MAO inhibitors\u00a0(used to treat depression)<br>\u2022 Beta-receptor blockers (used to treat high\u00a0blood pressure\u00a0or heart disease)<br>\u2022\u00a0ACE inhibitors\u00a0(used to treat heart disease)<br>\u2022 Salicylates (included in some painkillers)<br>\u2022 Octreotide (used to treat cancer)<br>\u2022 Non-steroidal anti-inflammatory drugs (\u00a0NSAIDs\u00a0) (painkillers)<br>\u2022\u00a0Steroids\u00a0(anabolic )steroids\u00a0and\u00a0corticosteroids\u00a0&#8211; used in\u00a0anemia\u00a0or treatment of\u00a0inflammation\u00a0)<br>\u2022 Oral contraceptives (\u00a0birth control pills\u00a0)<br>\u2022\u00a0Thiazides\u00a0(\u00a0diuretics\u00a0or diuretics)<br>\u2022 Danazol (used to treat breast cysts and endometrial tissue outside the uterus, so-called\u00a0endometriosis\u00a0)<br>\u2022 Thyroid drugs ( used to treat low levels of thyroid hormones)<br>\u2022 Adrenergic agents (used to treat\u00a0asthma\u00a0)<br>\u2022 Clarithromycin, trimethoprim, rifampicin (\u00a0antibiotics\u00a0)<br>\u2022 Itraconazole,\u00a0ketoconazole\u00a0(antifungal)<br>\u2022 Gemfibrozil (used to treat high blood fats)<br>\u2022 Ciclosporin (used to\u00a0suppress\u00a0the immune system)<br>\u2022 Deferasirox (used to remove excess iron from the body )<br>\u2022 Clopidogrel (prevents blood clots)<br>\u2022\u00a0Phenytoin, carbamazepine, phenobarbital (used to treat\u00a0epilepsy\u00a0)<br>\u2022\u00a0St. John&#8217;s wort (herbal medicine).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Repaglinide Accord with food, drink, and alcohol<\/h2>\n\n\n\n<p>Alcohol may alter the ability of Repaglinide Accord to lower blood sugar.&nbsp;Pay attention to signs of insulin sensation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.<\/p>\n\n\n\n<p>You should not take Repaglinide Accord if you are pregnant or planning to become pregnant.<br>You should not take Repaglinide Accord if you are breastfeeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Your ability to drive or use machines may be affected if your blood sugar is too high or too low.&nbsp;Remember that you can&nbsp;put&nbsp;yourself and others at risk.&nbsp;Talk to your doctor if you can drive a car if you:<br>\u2022 often have insulin sensations<br>\u2022 have few or no warning signs of low blood sugar.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Repaglinide Accord<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.\u00a0Consult a doctor if you are unsure.<br>Your doctor will determine your\u00a0dose.<br><strong>\u2022 The usual starting dose<\/strong>\u00a0is 0.5 mg before each main meal.\u00a0Swallow the tablets with a glass of water<br>immediately before or up to 30 minutes before each main meal.<br>\u2022 Your doctor may increase the\u00a0dose\u00a0by up to 4 mg immediately before or up to 30 minutes before each main meal.\u00a0The maximum recommended daily\u00a0dose\u00a0is 16 mg.<\/p>\n\n\n\n<p>Do not take more Repaglinide Accord than your doctor has prescribed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Repaglinide Accord than you should&nbsp;<\/h2>\n\n\n\n<p>If you take too many tablets, your blood sugar may become too low and lead to insulin sensation.&nbsp;See&nbsp;<em>If you get an insulin sensation<\/em>&nbsp;for more information on what this is and how it is treated.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Repaglinide Accord<\/h2>\n\n\n\n<p>If you miss a\u00a0dose, take the next\u00a0dose\u00a0as usual &#8211; do not take a double\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Repaglinide Accord<\/h2>\n\n\n\n<p>Keep in mind that you will not get the desired effect if you stop taking Repaglinide Accord.&nbsp;Your&nbsp;diabetes&nbsp;may worsen.&nbsp;If your treatment needs to be changed, always consult your doctor first.<\/p>\n\n\n\n<p>If you have any further questions on the use of Repaglinide Accord, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong><em>Low blood sugar (hypoglycemia<\/em><\/strong>)<br>The most common\u00a0side effect\u00a0is low blood sugar, which may affect up to 1 in 10 people (see\u00a0If you get an insulin sensation\u00a0in section 2).\u00a0Reactions to low blood sugar are generally mild\/moderate but may temporarily develop into hypoglycaemic unconsciousness or\u00a0coma.\u00a0If this happens, seek medical attention immediately.<\/p>\n\n\n\n<p><strong><em>Allergy<\/em><\/strong><br>Allergies very rare (may affect up to 1 in 10,000 patients).\u00a0Symptoms such as swelling, difficulty breathing, palpitations, dizziness, and sweating may be signs of anaphylactic reaction.\u00a0Contact a doctor immediately.<\/p>\n\n\n\n<p><strong><em>Other&nbsp;side effects&nbsp;Common<\/em><\/strong><br><strong>(<\/strong>&nbsp;may affect up to 1 in 10 people)<br>\u2022 Abdominal pain<br>\u2022 Diarrhea.<\/p>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people)<br>\u2022&nbsp;Acute&nbsp;coronary heart disease (need not be associated with the medicine).<\/p>\n\n\n\n<p><strong>Very rare<\/strong>&nbsp;(may affect up to 1 in 10,000 people)<br>\u2022 Vomiting<br>\u2022 Constipation<br>\u2022 Visual disturbances<br>\u2022 Severe liver problems, abnormal liver function, increase in liver enzymes in your blood.<\/p>\n\n\n\n<p><strong>Unknown frequency<\/strong><br>\u2022 Hypersensitivity (such as rash, itchy skin, reddening of the skin, swelling of the skin)<br>\u2022 Nausea.<\/p>\n\n\n\n<p><strong>Reporting of\u00a0side effects\u00a0If<\/strong><br>If you get\u00a0any side effects, talk to your doctor, pharmacist, or nurse.\u00a0This also applies to\u00a0side effects\u00a0that are not mentioned in this information.\u00a0You can also report\u00a0side effects\u00a0directly via the national reporting system listed in Appendix V. By reporting\u00a0side effects, you can help increase information on the safety of medicines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Repaglinide Accord<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton, bottle label, and blister after \u201cEXP\u201d.\u00a0The expiration date is the last day of a specified month.\u00a0This is stated on the outer carton and blister foil.<\/p>\n\n\n\n<p>No special storage instructions apply to the medicine.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is repaglinide.<br>Repaglinide Accord 0.5 mg: Each tablet contains 0.5 mg repaglinide<br>Repaglinide Accord 1 mg: Each tablet contains 1 mg repaglinide<br>Repaglinide Accord 2 mg: Each tablet contains 2 mg repaglinide<\/p>\n\n\n\n<p>The other ingredients are microcrystalline cellulose, anhydrous calcium hydrogen phosphate, maize starch, meglumine, poloxamer 188, povidone, glycerin, magnesium stearate, yellow iron oxide (E172) only in 1 mg tablets, and red iron oxide (E172) only in 2 mg tablets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>The Repaglinide Accord 0.5 mg tablet is white to off-white, round, biconvex, with a beveled edge and marked with \u201cR\u201d on one side and unmarked on the other side.<\/p>\n\n\n\n<p>The tablet Repaglinide Accord 1 mg is light yellow to yellow, round, biconvex, with a beveled edge and marked with \u201cR\u201d on one side and unmarked on the other side, and maybe marbled.<\/p>\n\n\n\n<p>The tablet Repaglinide Accord 2 mg is peach-colored, round, biconvex, with a beveled edge and marked with \u201cR\u201d on one side and unmarked on the other side, maybe marbled.<\/p>\n\n\n\n<p>The tablets are available in the following pack sizes:<br>Blister of 30, 90, 120, 180, or 270 tablets.<\/p>\n\n\n\n<p>HDPE bottle with 100 tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Accord Healthcare SLU<\/p>\n\n\n\n<p>World Trade Center, Moll de Barcelona, \u200b\u200bs \/ n,<\/p>\n\n\n\n<p>Edifici Est 6\u00aa planta,<\/p>\n\n\n\n<p>08039 Barcelona,<\/p>\n\n\n\n<p>Spain<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Accord Healthcare Polska Sp.z oo,<\/p>\n\n\n\n<p>ul.&nbsp;Lutomierska 50,95-200 Pabianice, Poland<\/p>\n\n\n\n<p>Accord Healthcare BV,<\/p>\n\n\n\n<p>Winthontlaan 200,<\/p>\n\n\n\n<p>3526 VK Utrecht,<\/p>\n\n\n\n<p>Netherlands<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type 2 diabetes is a disease in which the pancreas does not produce enough insulin to control the level of sugar in your blood or where your body does not respond normally to the insulin it produces.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18529],"tags":[19225,22695,22699,22698,19229,19228,19226,22696,22697,19227],"class_list":["post-21924","post","type-post","status-publish","format-standard","hentry","category-medicines","category-r","tag-repaglinide","tag-repaglinide-accord","tag-repaglinide-accord-side-effects","tag-repaglinide-accord-tablet","tag-repaglinide-side-effects","tag-repaglinide-tablet","tag-what-is-repaglinide","tag-what-is-repaglinide-accord","tag-what-repaglinide-accord-is-used-for","tag-what-repaglinide-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21924","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=21924"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21924\/revisions"}],"predecessor-version":[{"id":21945,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/21924\/revisions\/21945"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=21924"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=21924"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=21924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}