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food interaction for DIAKIT 4

alcohol interaction for DIAKIT 4

pregnancy interaction for DIAKIT 4

lactation interaction for DIAKIT 4

food
alcohol
pregnancy
lactation
Avoid Diakit 4 kit with grapefruit juice.
UNSAFE
Taking metformin with alcohol may cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, somnolence, abdominal upset, or other unusual symptoms.
Taking glimepiride with alcohol may affect blood glucose levels in patients with diabetes.
Taking Atorvastatin with alcohol may increase the risk of liver damage.
UNSAFE
Diakit 4 kit is highly unsafe to use during pregnancy.
Human and animal studies have shown significant adverse effects on the foetus. Please consult your doctor.
UNSAFE
Diakit 4 kit is probably unsafe to use during breastfeeding. Please consult your doctor.
UNSAFE

SALT INFORMATION FOR DIAKIT 4

Metformin(1 mg)

Uses

Metformin is used in the treatment of type 2 diabetes and polycystic ovary syndrome (PCOS)

How it works

Metformin restores the body's ability to use insulin, lowering the blood sugar levels. Metformin also decreases the amount of glucose absorbed from food in the intestine and decreases glucose production in the liver.

Common side effects

Nausea, Vomiting, Altered taste, Abdominal pain, Diarrhoea, Loss of appetite
Glimepiride(500 mg)

Uses

Glimepiride is used in the treatment of type 2 diabetes

How it works

Glimepiride increases the amount of insulin released by the pancreas, which in turn lowers the blood glucose levels.

Common side effects

Hypoglycemia (Low blood sugar level), Nausea, Headache, Dizziness
Atorvastatin(10 mg)

Uses

Atorvastatin is used in the treatment of increased cholesterol levels in blood, increased triglycerides levels in blood and increased LDL levels in blood

How it works

Atorvastatin blocks an enzyme (HMG-CoA-reductase) that is required in the body to make cholesterol. As a result, it lowers the level of cholesterol in the body.

Common side effects

Musculoskeletal (bone, muscle or joint) pain, Allergic reaction, Headache, Nausea, Dyspepsia, Nasopharyngitis, Increased liver enzymes, Increased creatine phosphokinase (CPK) level in blood, Diarrhoea, Flatulence, Constipation, Joint swelling, Increased glucose level in blood
Ramipril(NA)

Uses

How it works

Ramipril relaxes the blood vessels which lowers the blood pressure and also reduces the workload of the heart. As a result, the heart works more efficiently.

Common side effects

Dizziness, Increased potassium level in blood, Weakness, Fatigue, Renal impairment, Cough, Decreased blood pressure

SUBSTITUTES FOR DIAKIT 4

No substitutes found

Top Diabetologists

Expert advice FOR DIAKIT 4

  • Metformin is generally prescribed in newly-diagnosed type 2 diabetes. Type 2 diabetes can be controlled with a proper diet alone or a diet along with exercise. Planned diet and exercising are always important when you have diabetes, even when you are taking antidiabetic medicines. 
  • Metformin does not help patients who have type 1 diabetes.
  • Metformin should be stopped for at least 2 days after a surgery or a radiological test done using dyes.
  • It is best to take Metformin after meals to minimize nausea, indigestion or diarrhea. Unlike some other diabetes medicines, Metformin doesn't cause any weight gain or lower blood sugar levels.
  • This is the only oral diabetes medicine that lowers complications and deaths in conditions related to diabetes. Low blood sugar is life-threatening. Low blood sugar may develop due to:
    Delay or missing a scheduled meals or snacks.
    Exercising more than usual.
    Drinking a significant amount of alcohol.
    Using too much insulin.
    Sickness ( vomiting or diarrhea).
  • Symptoms of low blood sugar (alarming signs) are fast heartbeat, sweating, cool pale skin, feeling shaky, confusion or irritability, headache, nausea, and nightmares. Make sure that you have access to quick-acting sugar sources that treat low blood sugar. Consuming some form of quick-acting sugars immediately after the appearance of the symptoms will prevent the low blood sugar levels from worsening.
  • Consuming alcohol may increase the chance of severe low blood sugar.

Frequently asked questions FOR DIAKIT 4

Metformin

Q.

What is metformin?
Metformin is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modifications in diet and exercise.

Q.

Is metformin safe?
Metformin is generally safe if taken at prescribed doses for the prescribed duration as advised by your doctor.

Q.

Can I take metformin forever?
Metformin should be taken at prescribed doses for the prescribed duration as advised by your doctor.

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Q.

Is metformin a sulfonylurea?
No, metformin is not a sulfonylurea.

Q.

Is metformin a steroid?
No, metformin is not a steroid.

Q.

Is metformin taken before meals?
It is preferred to take metformin with food.

Q.

Is metformin safe in pregnancy or contraindicated?
No relevant data is available for use of metformin in pregnancy. Animal studies do not indicate any harmful effect. Please consult your doctor before taking metformin during pregnancy.

Q.

Is metformin safe for weight loss?
Metformin is not indicated for weight loss.

Q.

Is metformin good for fatty liver?
Metformin is not indicated for the treatment of fatty liver.

Q.

Can I take metformin without food?
It is better to take metformin with food.

Q.

Can I take metformin with alcohol?
Taking metformin with alcohol may cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, somnolence, abdominal upset, or other unusual symptoms. It is better to avoid taking alcohol while you are taking metformin.

Q.

Can I take metformin with atorvastatin?
Yes, metformin can be taken with atorvastatin. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Always consult your doctor before using the two medicines together.

Q.

Can I take metformin with phentermine?
Metformin can be taken with phentermine. No interactions have been reported between them. However, it may exist. Always consult your doctor before using the two medicines together.

Q.

Can I take metformin with food?
Yes, metformin can be taken with food. It is preferred to take metformin with food.

Q.

Can I take metformin with levothyroxine?
Metformin can be taken with levothyroxine. No interactions have been reported between metformin and levothyroxine. However, it may exist. Always consult your doctor before using the two medicines together.

Q.

Can I take metformin with prednisone or prednisolone?
Always consult your doctor before taking metformin with prednisone as it may decreases the effect of metformin and high blood sugar levels have been seen in some patients and it is recommended to monitor the blood glucose level regularly.

Q.

Can I take metformin with metoprolol?
Use of metformin and metoprolol should be avoided at the same time. If you are taking these two medicines together you may experience confusion, dizziness, faster heart beat, tremors (shaking) and increased sweating. Please consult your doctor before taking them together.

Q.

Does metformin clear acne?
Metformin is not indicated for clearing acne.

Q.

Does metformin affect your period?
No, metformin does not affect your periods. In case you experience abnormalities in your periods while taking metformin, please consult your doctor.

Q.

Does metformin cause hair loss?
No, hair loss has not been reported with metformin. In case you experience hair loss while taking metformin, please consult your doctor.

Q.

Does metformin cause weight gain?
No, weight gain has not been reported with metformin.

Q.

Does metformin reduce weight?
Yes, metformin may reduce weight. Please consult your doctor, if there is an unexpected weight loss along with tiredness and feeling of being sick.

Q.

Does metformin cause hypoglycemia?
Metformin alone does not cause hypoglycemia, although caution is needed when taking it along with other anti-diabetic drugs like sulfonylureas and insulin.

Q.

Does metformin cause constipation?
Constipation has not been reported with metformin. Please consult your doctor if you experience constipation while taking metformin.

Q.

Does metformin increase blood pressure?
No metformin does not cause an increase in blood pressure. But caution should be taken when taking any medicines for the treatment of high blood pressure.

Q.

Can I take metformin for polycystic ovarian syndrome (PCOS)?
Metformin is not a first line treatment of choice in the management of polycystic ovarian syndrome (PCOS). the first aim for women with PCOS who are overweight is to make lifestyle changes with a combination of diet and exercise in order to lose weight and improve ovarian function. Please consult your doctor before taking metformin for PCOS.

Q.

Can I take metformin for weight loss?
No, metformin is not indicated for weight loss although it may reduce the weight of obese patients with type 2 diabetes mellitus.

Q.

How long can I take metformin for polycystic ovarian syndrome (PCOS)?
Metformin should be taken at prescribed doses for the prescribed duration only as advised by your doctor. Also refer the question above.

Q.

Can I take metformin for polycystic ovarian syndrome (PCOS) while pregnant?
No relevant data is available for use of metformin in pregnancy. Animal studies do not indicate any harmful effect. Please consult your doctor before taking metformin during pregnancy. Also refer the question above.

Q.

How long can I take metformin for?
Metformin should be taken at prescribed doses for the prescribed duration only as advised by your doctor.

Q.

Is metformin an insulin?
No, metformin is not an insulin.

Q.

Is metformin a banned drug?
No, metformin is not a banned drug.

Q.

Is metformin a birth control pill?
No, metformin is not a birth control pill.

Q.

Is metformin a statin?
No, metformin is not a statin.

Glimepiride

Q.

Is glimepiride a generic drug?
Yes, glimepiride is a generic drug sold under several pharmaceutical brand names (Amaryl, Zoryl, etc.)

Q.

Can I take glimepiride with metformin or insulin?
Glimepiride may be given in combination with metformin and/or insulin depending on your medical condition and as prescribed by the doctor

Q.

Does glimepiride cause fluctuations in weight,diarrhea, hair loss, erectile dysfunction, swelling, constipation?
Glimepiride is reported to cause low blood sugar level,weight gain, and swelling, but is not reported to cause diarrhea, constipation, hair loss, or erectile dysfunction

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Q.

Is glimepiride a fast acting sulfa drug?
Glimepiride is a medium- to long-acting sulfonylurea drug against type 2 diabetes mellitus (action lasts for 24 hours). Its maximum effect is seen after 2-3 hours of drug intake

Q.

Is glimepiride same as glipizide, glyburide, metformin, or insulin?
They are not same. Glimepiride, glipizide and glyburide belong to the same class of drugs called sulfonylureas. Metformin belong to class called biguanides.Glimepiride causes release of insulin but it is not insulin.It should only be used if no other alternative drug is available. Please follow your doctor's advice regarding its use.

Atorvastatin

Q.

Is atorvastatin used for lowering cholesterol?
Atorvastatin belongs to a group of medicines known as statins, which are lipid (fat) lowering medicines. It is used to lower lipids known as cholesterol and triglycerides in the blood when a low-fat diet and lifestyle changes on their own have failed. If you are at an increased risk of heart disease, atorvastatin can also be used to reduce such risk even if your cholesterol levels are normal. You should maintain a standard cholesterol-lowering diet during treatment.

Q.

Is atorvastatin diuretic?
Atorvastatin is not a diuretic. It is a lipid lowering agent which belongs to a group of medicines known as statins.

Q.

It atorvastatin gluten free?
Yes. It is gluten free. Please refer to the package insert of the prescribed brand before use for complete information on its contents.

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Q.

Is atorvastatin better than simvastatin and pravastatin?
Atorvastatin, simvastatin, and pravastatin belong to the same category of medications with similar action and similar side effects, but their effect may vary upon individual response. Always consult your doctor regarding its use.

Q.

Does atorvastatin cause diabetes?
Diabetes has not been reported as a side effect of atorvastatin. However, it may increase your blood sugar levels. So, it is very important that you monitor your blood sugar levels regularly if you are taking atorvastatin. Also, share with your doctor if you have diabetes mellitus and you are advised to take atorvastatin as your doctor will monitor you while you are taking this medicine.

Q.

Does atorvastatin reduce triglycerides?
Atorvastatin belongs to a group of medicines known as statins, which are lipid (fat) lowering medicines. Atorvastatin is used to lower lipids known as cholesterol and triglycerides in the blood when a low-fat diet and lifestyle changes on their own have failed.

Q.

Does atorvastatin cause weight loss?
Atorvastatin has not been reported to cause weight loss. However, weight gain has been reported as an uncommon side effect. Please consult your doctor if you experience weight loss while you are taking atorvastatin.

Q.

Does atorvastatin cause erectile dysfunction?
Atorvastatin can cause erectile dysfunction although this side effect is not very clear. Please consult your doctor if you experience erectile dysfunction while you are taking atorvastatin.

Q.

Does atorvastatin cause diarrhea?
Diarrhea is a common side effect of atorvastatin. Please consult your doctor if you experience diarrhea after taking atorvastatin as the dose of your medicine may need to be changed.

Q.

Does atorvastatin cause memory loss?
Loss of memory is an uncommon side effect of atorvastatin, which may affect up to 1 in 100 people. Please consult your doctor if you experience any symptoms of memory loss after taking atorvastatin.

Q.

Does atorvastatin cause frequent urination?
Atorvastatin has not been reported to cause frequent urination. Please consult your doctor if you experience increased urinary frequency after taking atorvastatin.

Q.

Does atorvastatin cause high blood pressure?
Atorvastatin has not been reported to cause high blood pressure. Please consult your doctor if you experience any symptoms of high blood pressure while taking atorvastatin.

Q.

Is atorvastatin a blood thinner?
Atorvastatin is not a blood thinner. Atorvastatin is a lipid lowering agent which belongs to a group of medicines known as statins.

Q.

Is atorvastatin safe to take?
Atorvastatin is safe if used at prescribed doses for the prescribed duration as advised by your doctor.

Q.

Is atorvastatin a beta blocker?
Atorvastatin is not a beta blocker. Atorvastatin is a lipid lowering agent which belongs to a group of medicines known as statins.

Q.

Is atorvastatin and atorvastatin calcium the same?
Atorvastatin is a prescription medicine used to treat high cholesterol. It is marketed in the form of a calcium salt as atorvastatin calcium trihydrate.

Q.

Is atorvastatin a controlled substance?
Atorvastatin is not a controlled substance under the Controlled Substance Act (CSA). Controlled substances are drugs that are strictly regulated to reduce the risk of abuse and illegal distribution. To determine the level of restriction placed on a particular controlled substance, five different categories (or "Schedules") are used. A controlled substance will belong to Schedule I, II, III, IV, or V, with Schedule V being the least restricted.

Q.

Is atorvastatin an Angiotensin Converting Enzyme (ACE) inhibitor?
Atorvastatin is not an Angiotensin Converting Enzyme (ACE) inhibitor. Atorvastatin is a lipid lowering agent which belongs to a group of medicines known as statins.

Q.

Can I take atorvastatin with metformin?
Atorvastatin can be taken with metformin. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q.

Can I take atorvastatin with ibuprofen?
Atorvastatin can be taken with ibuprofen. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q.

Can I take atorvastatin with milk?
No information is available for the use of atorvastatin with milk. However, it can be taken any time of the day, with or without food. Please consult your doctor.

Q.

Can I take atorvastatin with fenofibrate?
Both fenofibrate and atorvastatin have similar effects and they may increase the effects of each other. Fenofibrate may also increase side effects like risk for rhabdomyolysis (condition in which damaged skeletal muscle breaks down rapidly). Monitoring is required when these two drugs are taken together. Please consult your doctor before taking these two medicines together.

Q.

Can I take atorvastatin with alcohol?
It is not recommended to take atorvastatin with alcohol as it may increase the risk of liver damage. Please consult your doctor before taking atorvastatin with alcohol.

Q.

Can I take atorvastatin with levothyroxine?
Atorvastatin can be taken with levothyroxine. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q.

Can I take atorvastatin with amlodipine?
Atorvastatin can be taken with amlodipine. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q.

Can I take atorvastatin with erythromycin?
Erythromycin can increase the level or effect of atorvastatin by decreasing its breakdown which may lead to increased side effects like muscle weakness (myopathy). So, close monitoring is required when these two drugs are taken together. Please consult your doctor before taking the two medicines together.

Q.

Can I take atorvastatin with metronidazole?
Metronidazole can increase the level or effect of atorvastatin by decreasing its breakdown which may lead to increased side effects like muscle weakness (myopathy) with atorvastatin. So, close monitoring is required when these two drugs are taken together. Please consult your doctor before taking the two medicines together.

Q.

Can I take atorvastatin with clarithromycin?
Clarithromycin can increase the level or effect of atorvastatin by decreasing its breakdown which may lead to increased side effects like muscle weakness (myopathy) with atorvastatin. So, close monitoring is required when these two drugs are taken together. Please consult your doctor before taking the two medicines together.

Q.

Does atorvastatin cause gas?
Flatulence (gas or wind) is one of the common side effects associated with the use of atorvastatin. If you have any such symptom while taking the drug, consult your doctor.

Q.

Does atorvastatin lower blood pressure?
Atorvastatin is a lipid-lowering drug used in the treatment of increased cholesterol levels and for the prevention of cardiovascular diseases. However, a meta-analysis of different clinical trial shows that atorvastatin has a small blood pressure lowering effect.

Q.

Does atorvastatin affect the liver?
Atorvastatin is associated rarely with hepatobiliary disorders. Its use is also linked with abnormal liver function test and hence a periodic test of the liver functions is recommended.

Q.

Does atorvastatin cause itching?
Atorvastatin use has been associated with urticaria (itching) and skin rash. If you experience any such symptom while using the drug, consult your doctor.

Q.

Does atorvastatin thin blood?
Atorvastatin is not a blood-thinner. It is a lipid-lowering agent and acts by inhibiting HMG-CoA reductase enzyme.

Q.

What is atorvastatin?
Atorvastatin is a lipid-lowering drug which belongs to group of medications called statins (lipid-lowering agents) or HMG CoA reductase inhibitors. It acts by blocking the enzyme HMG CoA reductase and formation of cholesterol, thus, lowering the blood lipid levels.

Ramipril

Q.

Is ramipril a diuretic?
No, ramipril is not a diuretic It belongs to a class of drugs called ACE inhibitors (angiotensin converting enzyme inhibitors), mainly used to reduce high blood pressure

Q.

Is ramipril safe?
Ramipril is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q.

Is ramipril or cardace a calcium channel blocker/alpha blocker/ beta blocker?
No, ramipril or cardace is an ACE inhibitor and shows no known effects on calcium channels or alpha receptors or beta receptors

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Q.

Is ramipril a nitrate or a statin?
Ramipril is neither a nitrate nor a statin. It is an ACE inhibitor used to treat high blood pressure

Q.

What are Cardace / Ramistar/Hopace used for?
Cardace, Ramistar, Hopace are all trade names for the active drug ramipril. Ramipril is an ACE inhibitor used to treat high blood pressure

Q.

Can I take ramipril with simvastatin/amlodipine/ Viagra/naproxen/prednisolone/ metformin/ Sudafed (pseudoephedrine-decongestant preparation)?
There are no known serious drug interactions between ramipril when taken with simvastatin/ amlodipine/ Viagra/naproxen/prednisolone/ metformin/Sudafed. However, consult your doctor about all medications currently taken before starting and while on ramipril

Q.

Can I take ramipril with ibuprofen?
Ibuprofen can be taken with ramipril, however, it is known that ibuprofen and other NSAIDs may reduce the antihypertensive effects of ramipril. Consult your doctor about any medications currently taken before starting and while on ramipril

Q.

Does ramipril cause coughing?
Yes, non-productive tickling cough, is one of the common side effects or ramipril

Q.

Does ramipril cause frequent urination?
No, ramipril has no known effect on increasing the frequency of urination. It may rarely increase the urine output but not affect the frequency of urination

Q.

Does ramipril cause itching?
Yes, ramipril may cause itching of skin. It is not very commonly observed

Q.

Does ramipril cause an increase in potassium levels in the blood?
Yes, increased potassium levels is one a common side effects of ramipril

Q.

Does ramipril cause depression?
Yes, ramipril may cause depression; however, it is not very commonly observed

Q.

Does ramipril thin the blood?
No. ramipril has no known effect on blood thinning

Q.

Is ramipril available in India?
Yes, ramipril is available in India with more than 100 brand names.

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Content on this page was last updated on 08 March, 2017, by Dr. Varun Gupta (MD Pharmacology)