Medication_Education_files/Byetta Patient Education
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1. The information contained herein is not intended to cover all possible uses directions precautions warnings drug interactions allergic reactions or adverse effects If you have questions about the drugs you are taking check with your doctor nurse or pharmacist Substantial effort has been made to ensure that the information provided by Epocrates is accurate and up to date but this information is not intended to cover all possible uses precautions or other considerations relating to the therapies covered Epocrates does not advocate or endorse the use of any drug or other therapy and does not diagnose patients Healthcare professionals should use their professional judgment in using this information and this information should not be considered a substitute for the care and professional judgment provided by a licensed healthcare practitioner This information if provided on an as is basis and Epocrates and its affiliates agents and licensors assume no responsibility for any aspect of healthcare administered with the aid of this information or any other use of the information Copyright 2013 Epocrates Inc All Rights Reserved Epocrates Online is a trademark of Epocrates Inc in the U S and elsewhere2. l drinking alcohol It can lower your blood sugar If you take any type of antibiotic take it at least 1 hour before you use Byetta What are the possible side effects of Byetta Get emergency medical help if you have any of these signs of an allergic reaction hives difficulty breathing swelling of your face lips tongue or throat using exenatide and call your doctor at once if you have a serious side effect such as swelling weight gain feeling short of breath urinating less than usual or not at all drowsiness confusion mood changes increased thirst diarrhea dull pain in your middle or lower back severe pain in your upper stomach spreading to your back vomiting or low blood sugar headache hunger weakness sweating confusion irritability dizziness fast heart rate or feeling jittery Less serious side effects may include nausea upset stomach diarrhea or constipation weight loss or loss of appetite This is not a complete list of side effects and others may occur Call your doctor for medical advice about side effects You may report side effects to FDA at 1 800 FDA 1088 What other drugs will affect Byetta may be more likely to have hypoglycemia low blood sugar if you use exenatide with oral diabetes medications that can lower blood sugar Before using Byetta tell your doctor if you use any of these chlorpropamide Diabinese glimepiride Amaryl Avandaryl Duetact glipizide Gl
3. exenatide Byetta Remember keep this and all other medicines out of the reach of children never share your medicines with others and use this medication only for the indication prescribed Copyright 1996 2012 Cerner Multum Inc Version 12 02 Revision Date 3 8 2012 Every effort has been made to ensure that the information provided by Cerner Multum Inc Multum is accurate up to date and complete but no guarantee is made to that effect Drug information contained herein may be time sensitive Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate unless specifically indicated otherwise Multum s drug information does not endorse drugs diagnose patients or recommend therapy Multum s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and or to serve consumers viewing this service as a supplement to and not a substitute for the expertise skill knowledge and judgment of healthcare practitioners The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe effective or appropriate for any given patient Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides
4. CPOCRATCS ON LINE Drug Byetta exenatide Patient Education Generic Name exenatide Byetta Pronounced ex EN a tide Brand Name Byetta Prefilled Pen What is the most important information I should know about Byetta This medication guide provides information about the Byetta brand of exenatide Bydureon is another brand of exenatide that is not covered in this medication guide O not use exenatide to treat type 1 diabetes or if you are in a state of diabetic ketoacidosis call your doctor for treatment with insulin You should not use exenatide if you have severe kidney disease or if you are on dialysis of if you have a severe stomach disorder that causes slow digestion O should not use Byetta together with a fast acting or short acting insulin such as insulin aspart NovoLOG insulin glulisine Apidra insulin lispro HumaLOG or regular insulin HumuLIN R NovoLIN R and others Do not use Byetta together with Bydureon You must use Byetta within 60 minutes 1 hour BEFORE eating a meal Do not use this medication after eating a meal Stop using exenatide and call your doctor at once if you have severe pain in your upper stomach spreading to your back with nausea vomiting and a fast heart rate These could be symptoms of pancreatitis What is Byetta Exenatide is an injectable diabetes medicine that helps control blood sugar levels This medication helps your pancreas produce insulin more efficiently By
5. atide passes into breast milk or if it could harm a nursing baby Do not use Byetta without telling your doctor if you are breast feeding a baby How should I use exenatide Byetta Use exactly as prescribed by your doctor Do not use in larger or smaller amounts or for longer than recommended Follow the directions on your prescription label Your doctor may occasionally change your dose to make sure you get the best results Exenatide is injected under the skin You may be shown how to use injections at home Do not self inject this medicine if you do not fully understand how to give the injection and properly dispose of used needles and syringes Byetta is usually injected twice a day before the morning and evening meal You must use Byetta within 60 minutes 1 hour before eating the meal Your Byetta doses should be given at least 6 hours apart Do not use Byetta after eating a meal Byetta comes in a prefilled injection pen with a Pen User Manual showing instructions for using the pen and injecting the medicine Follow these directions carefully Ask your doctor or pharmacist if you have any questions Y Never share an injection pen with another person Sharing injection pens can allow disease such as hepatitis or HIV to pass from one person to another Your blood sugar will need to be checked often and you may need other blood tests at your doctor s office Visit your doctor regularly 5 the signs of low blood sugar hypoglyc
6. away from heat and bright light Do not store the exenatide pen with the needle attached Use the pen for only 30 days and then throw it away even if it still has medicine in it Use a disposable needle only once Throw away used needles in a puncture proof container ask your pharmacist where you can get one and how to dispose of it Keep this container out of the reach of children and pets If the needle is left on medicine may leak from the pen or air bubbles may form in the cartridge Keep your injection pen pen needles and all medicines out of the reach of children What happens if I miss a dose Use the missed dose as soon as you remember but only if you have not yet eaten a meal Skip the missed dose if you have already eaten a meal or if it is almost time for your next scheduled dose Do not use extra medicine to make up the missed dose What happens if I overdose Seek emergency medical attention or call the Poison Help line at 1 800 222 1222 Overdose can cause severe nausea and vomiting or signs of low blood sugar headache weakness dizziness confusion irritability hunger fast heartbeat sweating and tremor What should I avoid while using Byetta Y You should not use Byetta together with a fast acting or short acting insulin such as insulin aspart NovoLOG insulin glulisine Apidra insulin lispro HumaLOG or regular insulin HumuLIN R NovoL IN R and others Do not use Byetta together with Bydureon
7. emia and how to recognize them headache hunger weakness sweating tremors irritability or trouble concentrating Always keep a source of sugar available in case you have symptoms of low blood sugar Sugar sources include orange juice glucose gel candy or milk If you have severe hypoglycemia and cannot eat or drink use an injection of glucagon Your doctor can give you a prescription for a glucagon emergency injection kit and tell you how to give the injection Be sure your family and close friends know how to help you in an emergency Check your blood sugar carefully during a time of stress or illness if you travel exercise more than usual drink alcohol or skip meals These things can affect your glucose levels and your dose needs may also change Your doctor may want you to stop using exenatide for a short time if you become ill have a fever or infection or if you have surgery or a medical emergency Tell your doctor if you have a prolonged illness that causes diarrhea or vomiting O your doctor how to adjust your exenatide dose if needed Do not change your medication dose or schedule without your doctor s advice f Store unused injection pens in the refrigerator protected from light Do not freeze and throw away any medicine that has become frozen Do not use the medicine after the expiration date on the label has passed i a After your first use of a Byetta injection pen it may then be stored at room temperature
8. etta is a short acting form of exenatide Exenatide is used to treat type 2 diabetes Other diabetes medicines are sometimes used in combination with exenatide if needed O medication guide provides information about the Byetta brand of exenatide Bydureon is another brand of exenatide that is not covered in this medication guide Exenatide may also be used for purposes not listed in this medication guide What should I discuss with my healthcare provider before using Byetta O not use exenatide to treat type 1 diabetes or if you are in a state of diabetic ketoacidosis call your doctor for treatment with insulin You should not use exenatide if you have severe kidney disease or if you are on dialysis of if you have a severe stomach disorder that causes slow digestion To make sure you can safely use this medication tell your doctor if you have any of these other conditions kidney disease or a history of kidney transplant problems with digestion a history of pancreatitis or gall stones a history of alcoholism or a history of high triglycerides a type of fat in blood Sa pregnancy category C It is not known whether exenatide will harm an unborn baby Tell your doctor if you are pregnant or plan to become pregnant while using this medication Byetta can make birth control pills less effective Zf you take birth control pills take your pill at least 1 hour before your Byetta injection S is not known whether exen
9. ucotrol Metaglip glyburide DiaBeta Glucovance tolazamide Tolinase or tolbutamide Orinase Exenatide can make it harder for your body to absorb other medications you take by mouth Tell your doctor if you are taking levothyroxine Synthroid Levothroid lithium Eskalith Lithobid lovastatin Mevacor Altoprev Advicor pimozide Orap cyclosporine Gengraf Neoral Sandimmune sirolimus Rapamune or tacrolimus Prograf theophylline Elixophyllin Theo 24 Theochron Uniphyl birth control pills a blood thinner such as warfarin Coumadin Jantoven a diuretic water pill ergot medicine such as ergotamine Ergomar Cafergot or dihydroergotamine D H E 45 Migranal Nasal Spray pain medication seizure medication such as carbamazepine Carbatrol Equetro Tegretol divalproex Depakote ethosuximide Zarontin phenytoin Dilantin or valproic acid Depakene Stavzor or heart or blood pressure medication such as digoxin digitalis Lanoxin Lanoxicaps disopyramide Norpace lisinopril Prinivil Zestril procainamide Procan Pronestyl or quinidine Quin G This list is not complete and other drugs may interact with exenatide Tell your doctor about all medications you use This includes prescription over the counter vitamin and herbal products Do not start a new medication without telling your doctor Where can I get more information Your pharmacist can provide more information about
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