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Call your doctor if you are sick with vomitingdiarrheaor a feverThese conditions can lead to severe dehydrationwhich could be dangerous while you are taking Glucovance.
This is not a complete list of possible side effectsIf you notice other effects not listed abovecontact your doctor or pharmacist.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effectsMany people using this medication do not have serious side effects.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
There have been post-marketing cases of metformin-associated lactic acidosisincluding fatal casesThese cases had a subtle onset and were accompanied by nonspecific symptoms such as malaisemyalgiasabdominal painrespiratory distressor increased somnolencehoweverhypotension and resistant bradyarrhythmias have occurred with severe acidosisMetformin-associated lactic acidosis was characterized by elevated blood lactate concentrations5 mmol/Lanion gap acidosiswithout evidence of ketonuria or ketonemiaand an increases lactate:pyruvate ratiometformin plasma levels were generally5 mcg/mLMetformin decreases liver uptake of lactate increasing lactate blood levels which may increase the risk of lactic acidosisespecially in patients at risk.
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