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Treatment is combined with diet and exercise. This medicine can be used alone or with other medicines for diabetes, including insulin. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.</p> <h2>What should I tell my health care providers before I take this medicine?</h2> <p>They need to know if you have any of these conditions:</p> <ul> <li>anemia </li> <li>frequently drink alcohol-containing beverages </li> <li>become easily dehydrated </li> <li>heart attack </li> <li>heart failure that is treated with medications </li> <li>kidney disease </li> <li>liver disease </li> <li>polycystic ovary syndrome </li> <li>serious infection or injury </li> <li>vomiting </li> <li>an unusual or allergic reaction to metformin, other medicines, foods, dyes, or preservatives </li> <li>pregnant or trying to get pregnant </li> <li>breast-feeding </li> </ul> <h2>How should I use this medicine?</h2> <p>Take this medicine by mouth. Take it with meals. Swallow the tablets with a drink of water. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed.</p> <p>Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 10 years of age for selected conditions, precautions do apply.</p> <p>Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.</p> <p>Note: This medicine is only for you. Do not share this medicine with others.</p> <h2>What if I miss a dose?</h2> <p>If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> <p>Do not take this medicine with any of the following:</p> <ul> <li>dofetilide </li> <li>gatifloxacin </li> <li>certain contrast medicines given before X-rays, CT scans, MRI, or other procedures </li> </ul> <p>This medicine may also interact with the following:</p> <ul> <li>cimetidine </li> <li>digoxin </li> <li>diuretics like amiloride, furosemide </li> <li>female hormones, like estrogens or progestins and birth control pills </li> <li>isoniazid </li> <li>medicines for blood pressure like nifedipine </li> <li>morphine </li> <li>nicotinic acid </li> <li>phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine </li> <li>phenytoin </li> <li>procainamide </li> <li>quinidine </li> <li>quinine </li> <li>ranitidine </li> <li>steroid medicines like prednisone or cortisone </li> <li>stimulant medicines for attention disorders, weight loss, or to stay awake </li> <li>trimethoprim </li> <li>thyroid medicines </li> <li>vancomycin</li> </ul> <p>This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. 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