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    To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. This medicine can be used alone or with other medicines for diabetes. Do not take your medicine more often than directed. Talk to your pediatrician regarding the use of this medicine in children. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. It measures your blood sugar control over the last 2 to 3 months. Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. read more METFORMIN (met FOR min) is used to treat type 2 diabetes. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Also tell them if you smoke, drink alcohol, or use illegal drugs. Visit your doctor or health care professional for regular checks on your progress. Examples include hard sugar candy or glucose tablets. They need to know if you have any of these conditions: -anemia -dehydration -heart disease -frequently drink alcohol-containing beverages -kidney disease -liver disease -polycystic ovary syndrome -serious infection or injury -vomiting -an unusual or allergic reaction to metformin, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding Take this medicine by mouth with a glass of water. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. Tell your doctor or health care professional if you have high blood sugar. Do not take this medicine with any of the following medications: -certain contrast medicines given before X-rays, CT scans, MRI, or other procedures -dofetilide This medicine may also interact with the following medications: -acetazolamide -alcohol -certain antivirals for HIV or hepatitis -certain medicines for blood pressure, heart disease, irregular heart beat -cimetidine -dichlorphenamide -digoxin -diuretics -female hormones, like estrogens or progestins and birth control pills -glycopyrrolate -isoniazid -lamotrigine -memantine -methazolamide -metoclopramide -midodrine -niacin -phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine -phenytoin -ranolazine -steroid medicines like prednisone or cortisone -stimulant medicines for attention disorders, weight loss, or to stay awake -thyroid medicines -topiramate -trospium -vandetanib -zonisamide This list may not describe all possible interactions. Learn the symptoms of low and high blood sugar and how to manage them. You might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine. Ask your doctor or health care professional if you should avoid alcohol. Many nonprescription cough and cold products contain sugar or alcohol. This medicine may cause ovulation in premenopausal women who do not have regular monthly periods. Sitting in my office one day I began to daydream and vision CASA spreading to the whole state of Alaska. Programs that would be started in villages I grew up in. Programs that could advocate for children like me, Alaska Native children, children who desperately needed better advocacy and someone who would help them. My daydream was abruptly interrupted by the sound of the phone ringing in my office, where I am the coordinator of the Kenaitze Indian Tribe CASA program in Kenai, Alaska. On the other end of the phone was Michael Heaton, National CASA western region program officer. We had talked hundreds of times before about the Kenaitze program and so I knew him well. Michael began talking about funding that was available, and then he said it: Would you be interested in coming on board to start more tribal programs in Alaska? I dont think Michael expected that reaction, but I was so excited.

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