Warnings for Advandamet

Before you start taking Advandamet tablets, you have to do a blood test to check on your liver. Then once you ar on the treatment, your doctor should continue to monitor your liver function as well. Notify your doctor should you experience symptoms of liver problems such as unexplained nausea, vomiting, abdominal pain, fatigue, loss of appetite, darkened urine or yellowing of the eyes or skin (jaundice). Moreover, regular blood tests should be done to monitor your kidney function as well.

Advandamet tablets can cause weight gain. Try to stick to a calorie-controlled diet and monitor your weight closely. Again, talk to your doctor if your weight increases.

Rosiglitazone may rarely cause fluid retention that may cause heart failure. For this reason you should consult your doctor immediately if you experience shortness of breath, swollen ankles, or rapid and excessive weight gain (which may be due to fluid retention) while taking this medicine.

This medicine may cause women who have stopped ovulating, for example due to polycystic ovary syndrome, to start ovulating again. These women will therefore need to use contraception to prevent pregnancy. If you get pregnant or wish to become pregnant you should tell your doctor, as you will need to stop taking this medicine.

If you notice any problems with your eyesight while taking this medicine, in particular any new or worsening problems with blurred vision or seeing fine detail, you should let your doctor know. He may want you to have an eye test.

Consult your doctor if your experience the following symptoms while taking this medicine, as they may be indicative of a rare but serious side effect of metformin, called lactic acidosis: nausea, vomiting, abdominal pain, general feeling of illness, loss of appetite, weight loss, rapid and/or weak breathing, weakness.

You should avoid drinking alcohol while you are taking this medicine, as it can increase the risk of low blood sugar (hypoglycaemia) and lactic acidosis.

Consult your doctor about your diabetes treatment if you are due to have surgery under a general anaesthetic. In these situations blood sugar is normally controlled by insulin, so your doctor may ask you to stop taking this medicine 48 hours before surgery.

Your doctor will ask you to stop taking this medicine temporarily if you are going to have a certain type of X-ray involving an injection of iodinated dye. Tell your doctor that you are taking this medicine if you are due to have this type of X-ray. You should not start taking this medicine again until 48 hours after the X-ray, and only after your kidney function has been tested and found to be normal.