Your healthcare professionals may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first. Before taking Avandia, tell your doctor or pharmacist of all prescription and non prescription/herbal products you may use, especially of:
- Other diabetic medications (e.g., insulin, metformin, or sulfonylureas such as glyburide)
- Herbal/natural products (e.g., fenugreek, ginseng, gymnema)
- Nitrates (e.g., isosorbide dinitrate)
- Quinolone antibiotics (e.g., ciprofloxacin)
Beta-blocker medications (e.g., metoprolol, propranolol, glaucoma eye drops such as timolol) may prevent the fast pounding heartbeat you would usually feel when your blood sugar levels fall too low (hypoglycemia). Other symptoms of low blood sugar such as dizziness, hunger, or sweating are unaffected by these drugs.
This list does not include all possible interactions. Therefore, when using Avandia, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.