Avandamet

Generic Name: Rosiglitazone/Metformin (ROE-zi-GLI-ta-zone/met-FOR-min)Brand Name: Avandamet

Avandamet may rarely cause a serious and sometimes fatal condition called lactic acidosis. Most of these cases have occurred in diabetic patients who also have certain kidney problems. The risk of lactic acidosis may be greater if you have liver problems, kidney problems, or heart failure. The risk may also be greater in patients who are elderly or who drink alcohol. Lab tests, including kidney function, may be performed while you take Avandamet .

Do not begin to take Avandamet if you are more than 80 years old unless lab tests show that you do not have decreased kidney function. Do not take it if you have a severe infection or low blood oxygen levels, or are dehydrated. Tell your doctor you take Avandamet before you have any surgery or lab procedures.

Contact your doctor right away if you notice symptoms such as muscle pain or tenderness; unusual drowsiness, dizziness, or lightheadedness; slow or irregular heartbeat; fast or difficult breathing; unusual stomach discomfort; or unusual weakness or tiredness. Contact your doctor right away if you start to feel unusually cold, or if you have a general feeling of being unwell.

Thiazolidinedione antidiabetics such as Avandamet may cause or worsen heart failure in some patients. They may also increase the risk of certain other severe heart problems (eg, chest pain, heart attack). Tell your doctor if you have a history of heart failure. Avandamet should not be used to treat patients with moderate to severe heart failure. You will be monitored for signs of heart failure when you start Avandamet and when your dose increases. Contact your doctor at once if you develop swelling of the hands, ankles, or feet; shortness of breath; sudden unexplained weight gain; chest pain; numbness of an arm or leg; sudden severe headache, dizziness, or vomiting; sudden vision changes; or fainting. Your doctor may need to stop your medicine or change your dose.

Avandamet is used for:

Treating type 2 diabetes. It is used along with diet and exercise. It may be used alone or with other antidiabetic medicines.

Avandamet is a thiazolidinedione and biguanide antidiabetic combination. It works by decreasing the amount of sugar that the liver produces and the intestines absorb. It also helps to make your body more sensitive to the insulin that you naturally produce.

Do NOT use Avandamet if:

  • you are allergic to any ingredient in Avandamet
  • you have type 1 diabetes
  • you have moderate to severe heart failure
  • you have had a severe infection, low blood oxygen levels, kidney or liver problems, high blood ketone or acid levels (eg, diabetic ketoacidosis), or a type of diabetic eye problem (macular edema), or you are severely dehydrated
  • you have had a stroke or a recent heart attack, or you are in shock
  • you are 80 years old or more and have not had a kidney function test
  • you will be having surgery or certain lab procedures
  • you have a history of liver problems, including jaundice (yellowing of the skin or eyes), during therapy with a similar medicine called troglitazone
  • you are taking a nitrate (eg, nitroglycerin) or using insulin

Contact your doctor or health care provider right away if any of these apply to you.

Before using Avandamet :

Some medical conditions may interact with Avandamet . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a history of heart problems (eg, heart failure), abnormal liver function tests, lung or breathing problems, thyroid problems, stomach or bowel problems (eg, paralysis, blockage), adrenal or pituitary problems, eye or vision problems, or lactic acidosis
  • if you have fluid retention or swelling problems, vomiting, diarrhea, poor health or nutrition, low blood calcium or vitamin B12 levels, or anemia, or you are dehydrated
  • if you have an infection, fever, recent injury, or moderate to severe burns
  • if you drink alcohol or have a history of alcohol abuse
  • if you will be having surgery or certain lab procedures
  • if you are taking a beta-blocker (eg, propranolol)

Some MEDICINES MAY INTERACT with Avandamet . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Insulin or nitrates (eg, nitroglycerin) because the risk of heart problems may be increased
  • Calcium channel blockers (eg, nifedipine), corticosteroids (eg, prednisone), diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), isoniazid, nicotinic acid, oral antidiabetics (eg, glipizide), phenothiazines (eg, chlorpromazine), phenytoin, sympathomimetics (eg, albuterol, pseudoephedrine), or thyroid hormones (eg, levothyroxine) because the risk of high or low blood sugar may be increased
  • Amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin because they may increase the risk of Avandamet 's side effects
  • Gemfibrozil because it may increase the risk of Avandamet 's side effects
  • Rifampin because it may decrease Avandamet 's effectiveness, resulting in high blood sugar
  • Anticoagulants (eg, warfarin) because their effectiveness may be decreased or the risk of their side effects may be increased by Avandamet

This may not be a complete list of all interactions that may occur. Ask your health care provider if Avandamet may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Avandamet :

Use Avandamet as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Avandamet comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Avandamet refilled.
  • Take Avandamet by mouth with meals.
  • Take Avandamet on a regular schedule to get the most benefit from it. Taking Avandamet at the same time each day will help you remember to take it.
  • Continue to take Avandamet even if you feel well. Do not miss any doses.
  • If you miss a dose of Avandamet , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Avandamet .

Important safety information:

  • Avandamet may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Avandamet with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Follow the diet and exercise program given to you by your health care provider.
  • Talk to your doctor or health care provider before you drink alcohol while you use Avandamet .
  • Tell your doctor or dentist that you take Avandamet before you receive any medical or dental care, emergency care, or surgery.
  • Do NOT take more than the recommended dose without checking with your doctor.
  • Be careful not to become dehydrated, especially during hot weather, while you are being active, or if you have vomiting or diarrhea. Dehydration may increase your risk of side effects from Avandamet .
  • Avandamet may cause ovulation in women who have not reached menopause but do not ovulate. Women who wish to avoid pregnancy should be sure to use an effective form of birth control while using Avandamet .
  • Carry an ID card at all times that says you have diabetes. Check your blood sugar levels regularly as directed by your doctor. If they are often higher or lower than they should be and you take Avandamet exactly as prescribed, tell your doctor.
  • Avandamet does not usually cause low blood sugar. Low blood sugar may be more likely to occur if you skip a meal, exercise heavily, or drink alcohol. It may also be more likely if you take Avandamet along with certain other medicines for diabetes (eg, sulfonylureas, insulin). It is a good idea to carry a reliable source of glucose (eg, tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.
  • Fever, infection, injury, or surgery may increase your risk for high or low blood sugar levels. If any of these occur, check your blood sugar closely and tell your doctor right away.
  • Avandamet may commonly cause upset stomach, indigestion, nausea, or diarrhea at the beginning of treatment. If you develop unusual or unexpected stomach problems, or if you develop stomach problems later during treatment, contact your doctor at once. This may be a sign of lactic acidosis.
  • An increased incidence of bone fracture has been reported in women who take Avandamet . Tell your doctor if you have a history of bone fracture, low calcium intake, or weak bones (eg, osteoporosis). Tell your doctor right away if you experience any unusual bone pain.
  • Lab tests, including fasting blood sugar, hemoglobin A1c, eye examinations, and liver function, may be performed while you use Avandamet . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Use Avandamet with caution in the ELDERLY; they may be more sensitive to its effects. Low blood sugar levels may also be more difficult to recognize in the elderly.
  • Avandamet should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Avandamet while you are pregnant. It is not known if Avandamet is found in breast milk. Do not breast-feed while taking Avandamet .

Possible side effects of Avandamet :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cold symptoms; diarrhea; headache; indigestion; mild weight gain; nausea; stomach upset.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; bone pain; chest pain or discomfort; dark urine; dizziness or lightheadedness; fainting; fast or difficult breathing; feeling of being unusually cold; fever, chills, or persistent sore throat; general feeling of being unwell; muscle pain or weakness; numbness of an arm or leg; pale stools; persistent loss of appetite; red, swollen, blistered, or peeling skin; severe or persistent nausea or vomiting; shortness of breath; slow or irregular heartbeat; sudden severe headache, dizziness, or vomiting; sudden unexplained weight gain; swelling of the hands, ankles, or feet; unusual bone pain; unusual drowsiness; unusual stomach pain or discomfort; unusual tiredness or weakness; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include dizziness or lightheadedness; fast or difficult breathing; feeling of being unusually cold; general feeling of being unwell; muscle pain or tenderness; slow or irregular heartbeat; unusual drowsiness; unusual stomach discomfort; unusual weakness or tiredness.

Proper storage of Avandamet :

Store Avandamet at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in bathroom. Keep Avandamet out of the reach of children and away from pets.

General information:

  • If you have any questions about Avandamet , please talk with your doctor, pharmacist, or other health care provider.
  • Avandamet is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • If using Avandamet for an extended period of time, obtain refills before your supply runs out.

This information is a summary only. It does not contain all information about Avandamet . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

  • Avandamet Prescribing Information (FDA)
  • Avandamet Detailed Consumer Information (PDR)
  • Avandamet Advanced Consumer (Micromedex) - Includes Dosage Information
  • Avandamet Consumer Overview