Precose review

Precose is designed to directively delay the body’s ability to absorb carbohydrates from food sources to decrease the amount of blood sugar in the body after eating. This helps people with type 2 diabetes maintain healthy blood sugar levels in their body. Precose is available in a generic form called acarbose.

Not all patients will be able to take Precose. Patients with various medical conditions may not tolerate the drug well. A thorough medical history is necessary to evaluate whether or not a patient is a good candidate for the drug. Patients with a medical history which includes intestinal disease or inflammatory bowel disease, obstruction of the colon, kidney disease, ulcers of the colon, and liver disease may require additional testing, careful monitoring, special dosing, or may have an inability to take the medication.

Precose was rated a category B pregnancy risk by the American Food and Drug Administration. Precose has been determined as a limited risk for effects on a developing fetus. Women who are pregnant or could become pregnant should discuss the risk benefit ratio with their physician before starting this medication. Women who are breast feeding should not take Precose. This medication has been proven to pass into the mother’s breast milk and can affect a nursing infant. For pregnant patients, most physicians rely on insulin, regardless of which type of diabetes the patient has.

It is vital that the patient follows the dosing instructions provided in order for Precose to be effective. Precose works when taken with the first bite of a meal. If the patient misses a dose, they have a grace window of 15 minutes from the first bite to take the medication. If more than 15 minutes has passed the medication will be ineffective and the dose should be skipped. This will naturally affect blood sugar levels throughout the day. The following dose should be taken as it has been prescribed. A double dose will cause more harm than good, and can result in an overdose.

An overdose of Precose is likely to present with symptoms which include diarrhea, gas, pain, bloating, nausea, stomach cramping, and vomiting. Emergency treatment is recommended in the event that an overdose is even suspected. There is no documented evidence determining the possible effects on tissue and organs.

Patients should avoid alcoholic beverages. Alcohol sends blood sugar readings through the roof and will affect a patient’s readings for days. Consistent monitoring of blood sugar levels is necessary when taking this medication.

An allergic reaction may occur in a very small percentage of patients. In the event that the patient displays the symptoms (facial swelling, swelling of the throat or tongue, hive, difficulty breathing) emergency medical care is required.

Patients should report all side effects to their physician. While no serious side effects have been noted, patients should alert their physician to any type of symptoms which are not typical for their condition. If in doubt, patients should head to the emergency room or urgent care facility.

Most patients experience side effects related to high or low blood sugar levels when taking Precose, especially in the first few weeks. It is vital that patients understand the signs of hypoglycemia—weakness, dizziness, cold sweats, tremors, rapid heart rate, anxiety, hunger, nausea, confusion, inability to concentrate, or nervousness—and be prepared with hard candy, chocolate, milk, juice, or glucose tablets to combat the effects.

Patients should never take additional medications without asking the prescribing doctor first. Precose has been known to interact with cold medication, allergy treatments, diet pills, and over the counter pain relievers, calcium channel blockers, thyroid medications, phenytoin, estrogen, steroids, thiazide diuretics, and pheothiazines.

Precose has the following structural formula:

Chemical structure of precose

• Molecular formula of precose is C25H45N3O16
• Chemical IUPAC Name is (2R,3R,4S,5R,6R)-5-[(2R,3R,4S,5R,6R)-5-[(2R,3R,4S,5R,6R)-3,4- dihydroxy-6-methyl-5-[[(1S,4S,5S,6S)-4,5,6-trihydroxy-3-(hydroxymethyl)- 1-cyclohex-2-enyl]amino]oxan-2-yl]oxy-3,4-dihydroxy-6-(hydroxymethyl)oxan-2-yl] oxy-6-(hydroxymethyl)oxane-2,3,4-triol
• Molecular weight is 643.635 g/mol
Precose available : 25mg tablets, 50mg tablets, 100mg tablets

Generic name: Acarbose

Brand name(s): Glucobay, Prandase

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